Krasselt Alexandra, Stengler Katarina, Steinberg Holger
Forschungsstelle für die Geschichte der Psychiatrie, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät der Universität Leipzig.
AG Geschlechter- und psychosoziale Forschung, Universität Leipzig.
Psychiatr Prax. 2020 Jul;47(5):273-280. doi: 10.1055/a-1123-0562. Epub 2020 Mar 20.
Throughout its history, German psychiatry has been aware of the challenge it imposes to capacitate persons with severe mental disorders to participate in the job market. In the past, it was above all work therapy that was seen as an instrument to overcome this problem. The reform efforts of the Rodewisch Propositions can serve as an example. In Germany, social law legislation favored the classic rehabilitation sector to provide labor market participation benefits. Aiming at reintegrating patients in labor was not regarded a primary task of acute psychiatry. This approach should be altered to maintain the employability of mentally ill people and to prevent early retirement because of mental illnesses.
在其历史进程中，德国精神病学一直意识到它所面临的挑战，即如何使重度精神障碍患者有能力参与就业市场。过去，工作疗法首先被视为克服这一问题的手段。罗德维希提议的改革努力可作为一个例子。在德国，社会法律立法倾向于传统康复部门提供劳动力市场参与福利。将患者重新融入劳动并非急性精神病学的首要任务。这种方法应该改变，以维持精神病患者的就业能力，并防止因精神疾病而提前退休。
