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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)

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