[Psychiatric-psychosocial activities in West Germany: old and new responsibilities].

Through the Federal German Government's incentives (1976-1985) brought about considerable experience with community based psychiatric services many desideratas and shortcomings stood the reformist efforts: above all, the needs of long term patients remained unmet. At the same time a necessary integration into communities' everyday life culture still is out of reach. The author stresses the biases of the natural-science-medical paradigm when confronted with the demands of social psychiatry. The author suggests some organizational measures to help community related services on their ways.