PSYCHIATRY, GERMAN SOCIETY AND THE NAZI “EUTHANASIA” PROGRAMME

The Holocaust ◽  
2002 ◽  
pp. 53-72
Author(s):  
Е.В. Данилова

В статье рассматривается проблема германской историографии о нацистской программе эвтаназии. Доказывается, что публикации историков и специалистов в области психиатрии появлялись в печати в связи с периодами развития темы исторической памяти о постыдном прошлом немецкого общества, связанного с преступлениями в психиатрии при национал-социалистическом режиме. На основе исследования работ по указанной проблематике обосновывается тезис о том, что появление в печати, а также содержание научной литературы соответствует трем периодам проработки прошлого. Раскрывается, что в период послевоенного забвения количество публикаций по теме исключительно мало и происходило по частной инициативе авторов. Проводимая государством политика памяти, или мемориальная политика, не способствовала признанию медицинских преступлений и прав жертв эвтаназии на достойную память. Было выяснено, что ряд публикаций имел особое значение в процессе изменения общественного сознания в отношении к национал-социалистическому прошлому. К концу века процесс сохранения памяти о конкретных жертвах приобрел локальное значение. В статье делается вывод о том, что проблема признания жертв эвтаназии имеет долгую историю и связана с трансформацией осознания проблемы об-щественностью и с официальным дискурсом в немецком обществе. The article focuses on the way German historiography treats the Nazi euthanasia program. It maintains that historical and psychiatric research is instigated by the tidal wave of historical memory of the German past marred by appalling crimes against psychiatric patients committed under the National Socialist reign. The analysis of works related to the aforementioned topic enables the author of the article to conclude that the appearance and the content of research papers conform to one of the three periods of historical investigation. In the post-war period when the heinous practices were hushed up, the number of publications related to the topic was exceedingly small, all publications were initiated by individual researchers. The state-controlled memory policy didn’t instigate the recognition of psychiatrists’ criminal actions nor did it grant the victims of euthanasia killings a right to be commemorated. The article shows that some research papers initiated changes in social attitudes to the National Socialist past. At the end of the 20th century the commemoration of victims of euthanasia killings was an issue of local significance. The article maintains that the problem of recognizing the victims of euthanasia killings has a long history and is associated with the transformation of social awareness, social problems and official discourse in German society.


2007 ◽  
Vol 46 (02) ◽  
pp. 49-55 ◽  
Author(s):  
W. Burchert ◽  
F. M. Bengel ◽  
R. Zimmermann ◽  
J. vom Dahl ◽  
W. Schäfer ◽  
...  

SummaryThe working group Cardiovascular Nuclear Medicine of the German Society of Nuclear Medicine (DGN), in cooperation with the working group Nuclear Cardiology of the German Cardiac Society (DGK), decided to conduct a national survey on myocardial perfusion scintigraphy (MPS). Method: A questionnaire to evaluate MPS for the year 2005 was sent. Results: 346 completed questionnaires had been returned (213 private practices, 99 hospitals and 33 university hospitals). MPS of 112 707 patients were reported with 110 747 stress and 95 878 rest studies. The majority (>75%) was performed with 99mTc-MIBI or tetrofosmin. 201Tl stress-redistribution was used in 22 637 patients (20%). The types of stress were exercise in 78%, vasodilation with adenosine or dipyridamol in 21% and dobutamine in 1%. 99.97% of all MPS were SPECT studies. Gated SPECT was performed in 36% of the stress and in 32% of the rest studies. An attenuation correction was used in 21%. 29 institutions (8%) performed gated SPECT (stress and rest) and attenuation correction. 47% of all MPS were requested by ambulatory care cardiologists, 17% by internists, 12% by primary care physicians, 21% by hospital departments and 2% by others. Conclusion: In Germany, MPS is predominantly performed with 99mTc-perfusion agents. The common type of stress is ergometry. Gated SPECT and attenuation correction do not yet represent standards of MPS practice in Germany, which indicates some potential of optimization.


Phlebologie ◽  
2009 ◽  
Vol 38 (02) ◽  
pp. 77-82 ◽  
Author(s):  
P. Altmeyer ◽  
M. Stücker ◽  
S. Reich-Schupke

Summary Background: To evaluate the implementation of the guidelines of the German Society of Phlebology for venous crural ulcer a survey was conducted during the annual meeting of the German Society of Phlebology 2008 in Bochum. Methods: All 719 medical participants got an anonymized questionnaire asking for supply of crural ulcer in their institution. Results: The recurrent 66 questionnaires (9.2%) were filled by colleagues from practice or hospital, mostly surgeons, dermatologists, phlebologists and vascular surgeons. As basic diagnostics vein doppler (56.1%), duplex (75.8%) or measurement of brachial-ankleindex (83.3%) were performed. Compression therapy is used in all institutions. Mainly used wound dressings are polyurethane foam dressings, alginates, hydrocolloids and silver dressings. About 2/3 conduct surgical therapy of ulcers. Conclusion: Supply of ulcus cruris by the participants of the annual meeting of the DGP corresponds mainly, but not in all aspects to the guidelines. Further efforts for a spread of the guidelines are necessary.


2004 ◽  
Vol 43 (01) ◽  
pp. 4-9 ◽  
Author(s):  
A. Bembenek ◽  
H. Büchels ◽  
T. Decker ◽  
J. Dunst ◽  
U. Müllerleile ◽  
...  

SummaryThe international consensus conference from St. Gallen concerning the treatment of early breast cancer concluded in 2003, that sentinel node biopsy was now accepted as method allowing axillary staging in breast cancer. This procedure may avoid complete lymph node dissection in appropriate cases. Since numerous questions associated with the technique are still not defined and the procedure itself is not yet standardized, the German Society of Senology defined the conditions for the routine clinical use of sentinel node biopsy in an interdisciplinary consensus meeting.


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