Distinctiveness of management in a university psychiatric hospital as a public health institution.

The distinctiveness of management of a university psychiatric hospital which has the status of a public health institution is manifested in the following ways: * Distinctive features and characteristics of managing service provider organizations compared to those whose operational results involve tangible products; * Distinctive features of management which originate from its role as a regional hospital and a tertiary research and educational institution in the field of psychiatry, with special importance for the Republic of Slovenia as a whole; * Distinctive features of management that are defined by the social and legal framework of operation of public health institutions and their special social mission. This paper therefore discusses the specific theoretical and practical findings regarding management of service provider organizations from the viewpoint of their social mission and significance, as well as their legal organization, internal structure and values.

[Historical, social and psychiatric aspects of the "querulous patient"]. / Historische, soziale und psychiatrische Aspekte von "Querulanten".

Courts, administrative agencies and doctors are occasionally but stubbornly confronted with reproaches and viciously hostile attacks by habitual litigious grouchers and fault finders to whom court judgements or counsels are purposeful personal insults. Such querulous, opinionated persons are obstinate "bellyachers" who "stick to their guns" and imaginary legal positions to the extent of being a general nuisance. Many of them are unable to appreciate the difference between law and their entirely subjective (often perverted) sense of justice; they feel constantly wronged or even persecuted. Basing on semantics and history, the psychological, psychiatric and expert problems are exhaustively discussed, including the problems of causing public annoyance and of the risks inherent in litigious paranoia.