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DGPPN Congress 2009 – English Programme<br />
Welcome Address<br />
ÖGPP – Austrian Association for Psychiatry and Psychotherapy<br />
Michael Musalek<br />
90<br />
Mental illnesses are not rigid structures that only cont<strong>in</strong>ue to exist simply because they once<br />
came <strong>in</strong>to existence; <strong>in</strong> fact they <strong>in</strong>volve processes the cont<strong>in</strong>ued existence of which is expla<strong>in</strong>ed<br />
by the action of multiple illnessconserv<strong>in</strong>g factors. Along with physical circumstances<br />
and the <strong>in</strong>herent momentum of the pathological process, it is also, above all, <strong>in</strong>fluences<br />
from the psychosocial area which codeterm<strong>in</strong>e the plasticity of mental illnesses. At<br />
the same time a special role is granted to each particular age and to the ma<strong>in</strong> topics and<br />
focus <strong>in</strong> life l<strong>in</strong>ked with it. Treatment which is not exclusively oriented towards illness constructs<br />
but rather towards the sufferer will thus quite significantly take <strong>in</strong>to account the life<br />
period <strong>in</strong> which the mentally ill f<strong>in</strong>d themselves and the problems which develop <strong>in</strong> connection<br />
with it.<br />
Moreover, it is universally known nowadays that, <strong>in</strong> the middle life stages, highly effective<br />
psychopharmacological measures cannot be transferred <strong>in</strong> type and dose directly to people<br />
of other ages, such as adolescents or older age groups. Last but not least, however, it is also<br />
the <strong>in</strong>dividual’s vary<strong>in</strong>g resources dur<strong>in</strong>g different periods of life which quite significantly<br />
determ<strong>in</strong>e the course of the illness and the success of the treatment. Accord<strong>in</strong>gly, a psychiatry,<br />
which aga<strong>in</strong> places the human be<strong>in</strong>g at the centre of its diagnosis and therapy and<br />
which is not reduced to conventional <strong>in</strong>dication medic<strong>in</strong>e with its ma<strong>in</strong> focus on illness constructs,<br />
will also primarily take <strong>in</strong>to account <strong>in</strong> its treatment plann<strong>in</strong>g the life stage which the<br />
patient is <strong>in</strong> at present and the problems and opportunities for further development that are<br />
l<strong>in</strong>ked to it.<br />
Such humanbased psychiatry will also not be able to refer exclusively to evidencebased<br />
medical data – no matter how essential this rema<strong>in</strong>s as the foundation stone of rational therapy<br />
design – but will also have to <strong>in</strong>clude <strong>in</strong> its remedies knowledge which extends beyond<br />
medic<strong>in</strong>e and psychiatry <strong>in</strong> the narrower sense. The result<strong>in</strong>g complexity of psychiatric action<br />
will also be the focus of the next congress of the ÖGPP, the Austrian Association for<br />
Psychiatry and Psychotherapy (Österreichische Gesellschaft für Psychiatrie und Psychotherapie)<br />
under the head<strong>in</strong>g The Art of Treatment <strong>in</strong> Psychiatry, which will be held <strong>in</strong> Gmunden<br />
from 22 to 24 April 2010 and you are cordially <strong>in</strong>vited to attend. At this po<strong>in</strong>t, it is a<br />
pleasant duty to thank those responsible at the DGPPN for the excellent cooperation which<br />
we have enjoyed <strong>in</strong> recent years, and also above all for hav<strong>in</strong>g dedicated this year’s DGPPN<br />
congress to the very important area of mental illnesses through the lifespan. In particular,<br />
this will also br<strong>in</strong>g about and promote the further development of a psychiatry which once<br />
aga<strong>in</strong> centers on the whole person a humanbased psy chiatry which extends beyond medical<br />
conditions and cl<strong>in</strong>ical pictures and where the human aga<strong>in</strong> be comes the measure of all<br />
th<strong>in</strong>gs.<br />
With my best wishes for fruitful discussions and pleasurable encounters at this year’s<br />
DGPPN congress <strong>in</strong> Berl<strong>in</strong>.<br />
Yours s<strong>in</strong>cerely,<br />
Prof. Dr. Michael Musalek<br />
President of the Austrian Association for Psychiatry and Psychotherapy (ÖGPP)