Declaration of Hawaii. Declaration adopted unanimously by the General Assembly of the World Psychiatric Association at the Sixth World Congress of Psychiatry, 1977.
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At the 6th Congress of the World Psychiatric Association, held at Honolulu in August 1977, its participants accepted by acclamation a--so called--"Hawaiian Declaration" and a Resolution of the Royal College of Psychiatrists. The Declaration condemned all kinds of abuse in psychiatry, and the Resolution condemned the abuses in the Soviet psychiatry in particular. The Congress of Honolulu carried out, at last, the action initiated at the Congress of Mexico City six years earlier. But by then there was a lack of courage yet to take these measures, and the counter-action of the Soviet authorities proved to be effective. Aware of the fact that this time the pressure to condemn the misuses practiced in the Soviet psychiatry would be ever stronger, the KGB and the Ministry of Health of the USSR began their "preparations" for the next Congress as early as in 1976. This article describes the tactics of action promoted by the Soviet authorities in order to prevent the condemnation. The Author made a proper use of some documents that he had recovered at the Moscow "Centre for Storing the Contemporary Archives".
J. Wertheimer, Professor for psychogeriatrics at the University of Lausanne and Chairman, Geriatric Psychiatry Section, World Psychiatric Association (WPA) and Dr. J. A. Costa e Silva, Director, Division of Mental Health and Prevention of Substance Abuse (WHO) organized a Consensus Meeting which took place in Lausanne from 05.-07.02.1996. The meeting aimed at the elaboration of recommendations on psychogeriatrics. The meeting was attended by the above mentioned WHO and WPA representatives and also by representatives from the following organisations: International Psychogeriatric Association, International Association of Gerontology, International Union of Psychological Science, Alzheimer's Disease International, International Council of Nurses, International Federation of Social Workers, International Federation of Ageing, World Federation of Occupational Therapists. Further attendants were various experts who participated at the meeting on invitation of Prof. Wertheimer and Dr. Costa e Silva. The discussion was chaired by Prof. H. Häfner (Mannheim). Dr. N. Graham (London) and Prof. C. Katona (Harlow/Essex) acted as co-rapporteurs. The Consensus Statement was unamnimously accepted by all participants. It contains recommendations for the development within a field of great future importance with regard to the current and expected global demographic structure and the increasing knowledge about agespecific diseases and general health, social and personal problems of the elderly.
This article provides a historical account of the abuse of psychiatry for political purposes and the involvement of the World Psychiatric Association (WPA) in this issue. The article focuses, particularly, on the developments from 1983 to 1989, which in many ways was crucial and determined the future of the WPA. The authors (the first, the President and the second, the Treasurer of the WPA during this period) pay tribute to Dr. Fini Schulsinger, who served as Secretary General. Through his eminent administrative capabilities, his profound understanding of ethical problems and his devotion to the basic principles of the WPA, he has substantially contributed to successfully overcoming a deep crisis with considerable impact on the identity and the moral foundations of the psychiatric profession.
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Current knowledge with respect to the diagnosis of Alzheimer's disease (AD) is reviewed. There is agreement that AD is a characteristic clinicopathologic entity that is amenable to diagnosis. The diagnosis of AD should no longer be considered one of exclusion. Rather, the diagnostic process is one of recognition of the characteristic features of AD and of conditions that can have an impact on presentation or mimic aspects of the clinicopathologic picture. The present availability of improved prognosis, management, and treatment strategies makes the proper, and state-of-the-art, diagnosis of AD a clinical imperative in all medical settings. Concurrently, information regarding the relevance and applicability of current diagnostic procedures in diverse cultural settings must continue to accrue.
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