[Physician-patient relations in endogenous psychoses]

The doctor-patient relationship is described as a specific form of interaction also in patients with endogenous psychosis. In this relationship the characteristics of the basic personality structure underlying the disease process are being revealed. The schizophrenic psychotic patient can thus experience a revival of the specific human - the mortal nature transcending - theme of existential philosophy and the aspect of aggression as part of man's social existence. This can lead to a higher level of sophistication and enhance his healing process. Thymoleptic and neuroleptic drugs are viewed as helpful in the establishment of a solid doctor-patient relationship which is a precondition to recognize and possible solve the structural problems underlying the disease process. Insights derived from the rehabilitation of endogenous psychotic patients specially of social psychiatric departments are used as heuristic models also for the every-day praxis.