[Consultation psychiatry in a university clinic--from the viewpoint of psychoanalytic supervision work]

In contrast to English-speaking countries, Consultant/Liaison Psychiatry has been a neglected discipline in the GFR until now. Liaison Psychiatry in particular, is hardly represented. Consultant Psychiatry confronts the psychiatrist with a wide spectrum range of problems, whereas in his further training in the GFR he is insufficiently prepared for these responsibilities. Therefore, the authors report on a model which has already been tried and tested at the University Hospital in Ulm. Based on the annual data evaluation the authors outline the different questions in psychiatric consultations which are mainly raised and required by the Medical Hospital. In most cases they can be solved in case-focussed team conferences. However, within the framework of interdisciplinary cooperation there are more complex problems solved by regular psychotherapeutic supervision meetings with the whole team. The conditions for this procedure are clearly stated and illustrated by case studies.