[Implementation of the Rodewisch Theses in East Germany--attempted analysis from the current viewpoint]. / Die Realisierung der Rodewischer Thesen zu DDR-Zeiten-Versuch einer Analyse aus heutiger Sicht.

35 years ago the so-called Rodewisch theses were developed as the results of an international symposium on psychiatric rehabilitation. They were a recognised guideline in psychiatry in the GDR. During the implementation of the theses, ideological and financial limits were soon reached. Several aspects of the theses, such as decentralisation of psychiatric care, the creation of an open psychiatric system and continuity of care are still highly relevant today.

[Complex after-care--an important contribution to the rehabilitation of endogenous psychoses]. / Die komplexe poststationäre Betreuung--ein wichtiger Beitrag zur Rehabilitation endogener Psychosen.

Treatment of patients suffering from endogenous psychosis should not be broken off after the stationary discharge. It needs a gliding system in steps for therapy and after-care. Close to the medicamentous long-term treatment the occupational rehabilitation is, above of greatest importance. A close co-operation with the work group "Occupational Rehabilitation" may facilitate the patient's occupational use substantially. However, a great engagement is often necessary too, especially for the unattached patients' reenrolment in the dwelling sphere. The rehabilitation in the poststationary phase should already be prepared during the stationary care and can only be carried out effectively in close co-operation with the psychiatric care, the District Commission for Rehabilitation, The Rehabilitation Center, the office for employment, and the Department for Dwelling policy.

[Experiences with dexamethasone in the therapy of brain edema in the preoperative phase]. / Erfahrungen mit Dexamethason bei der Hirnoedemtherapie in der präoperativen Phase.

The therapeutic effect of Dexamethasone was tested in 45 cases of patients suffering from brain tumors. More than three quarters of the patients experienced a distinct improvement, in particular of the psychic syndrome due to organic disorder, but also in neurological symptoms. This rendered the patients more cooperative, making for more favorable conditions for an operation.

[Possibilities of rapid diagnosis in meningitis]. / Möglichkeiten der Schnelldiagnostik der Meningitis.

The paper reviews rapid diagnosis methods for meningitis, covering currently proved immunological and physiochemical procedures, supplemented by reference to clinical biochemical tests.

[Significance of combined ambulatory and inpatient long-term care of endogenous psychoses]. / Die Bedeutung der kombinierten ambulanten und stationären Langzeitbetreuung endogener Psychosen.

Effective forms of care-giving for psychotic patients after hospitalisation is necessary to ensure that rehabilitation treatment does not cease when they are discharged. The form of combined in-patient and out-patient treatment described by the authors has been developed systematically since 1972 and ensures that the original uniform scheme of treatment is not interrupted. Thr results of examinations on 186 patients are used to describe the benefits of this form of care-giving.

[Occurrence of depression with internal diseases]. / Zum Vorkommen depressiver Zustände bei internen Kranken.

Depressions belong to the most frequent diseases. They are only partly recognized. The largest number of depressive patients is to be found in the practice of the general practitioner and the internist. The relations between an internal disease and physical complaints, respectively, and a depressive syndrome are varied. It is reported on the results of an examination of 420 patients of a Clinic for Internal Diseases. 57 patients (13.6%) showed a depressive concomitant syndrome. Psychogenic depressions were more frequent than endogenic forms, the latter particularly as masked depression. These and other results are discussed and conclusions are made for the practice, in which cases the authors particularly enter the recognition of depressive conditions and the problems of psychic care as well as the therapy with psychopharmaca.

[Lithium distribution in organs after lithium poisoning]. / Zur Lithiumverteilung im Organismus nach Intoxikation.

This paper describes the lithium distribution in the organs of two manic-depressive women who died following lithium intoxication. In both cases intoxication was observed during and after an acute phase of epidemic influenza accompanied by diarrhoea. The patients died from cerebral failure 5 and 7 days after receiving their last lithium dose. Death could not be prevented although NaCl infusions and haemodialyses were carried out. Only slight differences in lithium content were found when comparing extracerebral organs and serum. However, the brain accumulated considerable amounts of lithium ion. This reached toxic concentration in most of the brain areas of both patients. The highest values were found in the white matter, pointing to a lithium accumulation in lipid-enriched brain cells. The results were interpreted in connection with earlier findings of our group and other authors.

[Position of the delayed-action neuroleptic penfluridol (Longperidol/Janssen) in psychiatric therapy]. / Zur Stellung des Langzeit-Neuroleptikum Penfluridol (Longoperidol/Janssen) in der psychiatrischen Therapie

Longoperidol/Janssen, an orally administered neuroleptic with a five- to seven-day duration of effects, was clinically tested in six mental hospitals in the G.D.R. where the agent was administered to subjects of chronic to subacute schizophrenia. It was not possible for fully consistent results to be obtained in these tests. Workers at mental hospitals in Leipzig and Mühlhausen recommended that the drug should be imported, whereas those at the four other centers (Dresden, Halle, Jena, and Schwerin) did not consider the medication to be indispensable, although they were also able to observe the good effects of the agent.

[Indications, adverse effects and complications of lithium therapy]. / Indikationen, Nebenwirkungen und Komplikationen der Lithiumbehandlung

The application of lithium preparations in the therapy and prophylaxis of recidivations of affective psychoses has essentially gathered in point in psychiatry during the last years. Apart from the discussion of the indication, the contraindication and efficacy especially concomitant appearances, side effects and dangers as well as their influencibility are demonstrated, the knowledge of which is of importance also for the physician not dealing with psychiatry.