[Psychotherapeutic responsibilities in psychiatry--and the cooperation of fields]

In the context of discussions on the re-organisation of specialities in psychiatry and psychological therapy recent studies on the prevalence of psychogenic disorders in different psychiatric institutions are presented and compared with the communications available so far. Despite the availability of excellent psychotherapeutic care units, more than one third of the patients in psychiatric units suffer from psychogenic disorders (inpatient units 30 per cent, outpatient and emergency units 45 per cent). This leads to an increasing demand on the competence and responsibility of the psychiatrist. Focus is on three main issues. It follows that the psychiatrist must also be conversant in psychotherapy. The advantages of combining and coordinating both fields during specialist training are discussed in this paper.