[Neuropsychiatry today (author's transl)]

Area of Science:

• Neuropsychiatry as an interdisciplinary field.
• The distinct developmental trajectories and public perception of neurology and psychiatry.

Context:

• The historical stigma associated with psychiatry, including its entanglement with National Socialist era events and perceived inhumanity in therapeutic methods.
• The lack of clarity regarding the etiology and pathogenesis of endogenous psychoses, creating a knowledge gap detrimental to psychiatry's prestige.
• The influence of popularized psychology challenging classical psychiatric concepts and creating uncertainty within the field.

Purpose:

• To highlight the challenges and complexities within neuropsychiatry, particularly concerning the field of psychiatry.
• To underscore the need for psychiatry to refocus on individual patient care, moving beyond theoretical speculation.
• To emphasize the importance of professional knowledge, critical ability, and active engagement in improving psychiatric services, such as out-patient care.

Summary:

• Neuropsychiatry, while a unified term, encompasses disciplines with vastly different public respect and developmental paths.
• Psychiatry is burdened by historical events and persistent gaps in understanding the causes of major mental illnesses.
• This uncertainty fuels theoretical debates and challenges traditional psychiatric approaches, necessitating a return to patient-centered care grounded in expertise.

Impact:

• Addressing the historical and scientific challenges in psychiatry is crucial for enhancing its credibility and effectiveness.
• A renewed focus on evidence-based practice and critical evaluation can improve patient outcomes in neuropsychiatric care.
• The integration of professional knowledge and critical thinking is essential for the successful implementation of psychiatric services, including out-patient models.