[The "social prestige" of the manic patient]

A total of 55 male patients with endogenous manic psychoses were studied over a period of four years. In 50 of them, a loss of prestige in the social milieu, which in some cases was quite considerable, had developed, partly directly due to the disease-specific psychic disturbances and the resulting abnormalities in behaviour (sometimes of penal relevance), but in some cases also due to legally prescribed measures (change of occupation, withdrawal of driving license, frequent hospitalizations). From this the necessity results to consider in maniacs also the social aspects of their disease and if possible to include the reference persons in the therapy conception.