Hannes Kapuste

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Hannes Kapuste , actually Johannes Kapuste (born September 27, 1932 in Wahlstatt , Silesia ) is a German doctor , health scientist and champion for the realization of drug substitution in Germany.

Hannes Kapuste (2009)

Life

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After studying medicine and graduating as Dr. med. at the University of Munich , medical assistant time and study of pedagogy, Kapuste worked as a scientific assistant in paediatrics and physiology . He was the founder and between 1965 and 1973 head of the Institute for Educational Research in Munich, financed by the Volkswagenwerk Foundation , which was concerned with the evaluation of German medical education in comparison to that in Switzerland, England, the USA, Canada and Uganda. From 1974 he worked as a general practitioner and psychotherapist , accompanied by an intensive occupation with antipsychiatry . From 1976 he began treatment of heroin addicts with methadone withdrawal treatment , including drug substitution , resulting in criminal prosecution and revocation of his license to practice medicine . Since then, Kapuste has been living on a small pension as a private scholar in Munich and has published a. a. on cot death and orthomolecular medicine .

Precursors of the substitution programs

Before the start of the official methadone programs , Kapuste twice withdrew a large number of heroin addicts with L-polamidon in Munich . He was able to refer to traditional German narcotics law and experience in the USA, but in doing so came into conflict with the abstinence paradigm established by German psychiatry . His first rehab program began in May 1976 and ended after about two years with a two-year prison sentence. This judgment was overturned by the Federal Court of Justice and treatment of heroin addicts with methadone was opened in principle, albeit with conditions that the BtMG had not previously known. As a result, Kapuste was not acquitted, only the sentence reduced to eight months in prison and suspended. At the same time, he was partially banned from practicing drug addicts for four years . After this period had expired, he made a second attempt in 1983, in view of the fact that still no resident doctor could carry out methadone withdrawal treatment, deliberately disregarding this BGH judgment, which ended in September with the immediate withdrawal of his license to practice medicine . In February 1984 he was able to reopen his practice based on a decision made in his favor by the VGH Munich, but only with an express obligation to comply with the conditions imposed by the BGH. When he found that these requirements were practically impracticable or that they led to deaths for which he was no longer responsible, he treated his patients as before, contrary to the legal requirements. On July 27, 1986, the public prosecutor obtained an arrest warrant for "an unjustified prescription of narcotics". The later additional charges of negligent homicide in three cases had to be dropped again. Kapuste spent eleven months in pre-trial detention or preventive detention in psychiatry. On the basis of an expert opinion, which attested him "partial insanity" with regard to the treatment of heroin addicts, Kapuste was finally acquitted. Again an occupational ban limited to the treatment of heroin addicts was issued, this time for life. As a result, in 1989 the government of Upper Bavaria withdrew his license to practice medicine “because of unreliability and unworthiness” for life. In 1988, model tests on drug substitution began in North Rhine-Westphalia , which later led to a changed factual and legal situation. A rehabilitation of Hannes Kapuste did not take place, but is required.

Publications (selection)

  • Hannes Kapuste: The major reform of medical studies is a long time coming. In: Economy and Science. 5/1969.
  • Johannes Feest and Hannes Kapuste: Interviews in Ixburg. Medical students and their clinical training. Munich 1970.
  • Hannes Kapuste, Werner Schuster and E. Sturm: Medical training and regional patient care. A model for Osnabrück. 1972.
  • Hannes Kapuste: On the methadone controversy. In: German Medical Weekly . 1978, p. 1577.
  • Hannes Kapuste: Münchner Freiheit. In: Psychology Today. 9/1978, pp. 60-66.
  • Hannes Kapuste: Medical differentiation of the heroin addiction problem. In: Wiener Zeitschrift für Suchtforschung. No. 1-2 / 1986, pp. 77-90.
  • Melvyn R. Werbach (translated and edited by Hannes Kapuste): Nutriological Medicine. A source book of clinical research on the effects of food, intolerance and nutrients on over 100 diseases. Natura viva 1999.
  • Hannes Kapuste: Medical-nutriological basics of withdrawal treatment for heroin addicts. In: Journal for Orthomolecular Medicine. 1999, pp. 278-288, 399-416; 2000, pp. 88-102, 194-208, 310-330. Reprinted as a special print by Verlag Ralf Reglin, Cologne 2000.
  • Hannes Kapuste: The hidden norm or the secret of the maturity of time. In: Sven Burkhardt, Christine Graebsch and Helmut Pollähne (eds.): Correspondence in matters. Prison system, legal cultures, criminal policy, human rights. Lit Verlag, Münster 2005.
  • Hannes Kapuste: The sudden infant death: mattress as causer. In: Deutsches Ärzteblatt. 2005.

Web links

Individual evidence

  1. ^ LG Munich, judgment of October 10, 1978 -23 Kls 338 Js 16060/76.
  2. ^ BGH, judgment of May 8, 1979 = BGHSt 29.6-12
  3. ^ LG Munich, judgment of November 20, 1979 - 26 KLs 16060/76.
  4. ↑ Bavarian Administrative Court , decision of January 31, 1985.
  5. ↑ Hannes Kapuste, People Who Can't Find a Doctor (1991)
  6. ^ AG Munich, arrest warrant of July 22, 1986.
  7. ^ LG Munich, judgment of July 21, 1988 - 23 KLs 333 Js 17792/84
  8. ↑ Ralf Gerlach and Heino Stöver: From taboo to normality. 20 years of substitution in Germany - interim assessment and tasks for the future. Lambertus, Freiburg 2005
  9. ^ Ingo Michels et al.: Practice, problems and perspectives of substitution treatment of opioid addicts in Germany. In: Federal Health Gazette. 2009, pp. 111-121.
  10. ↑ Further development of substitution treatment - report by Dorothea Rzepka (PDF; 388 kB)
  11. ↑ Johannes Feest: Call for the rehabilitation of Dr. Hannes Kapuste. In: Festschrift for Lorenz Böllinger. Munster 2009
personal data
SURNAME Kapuste, Hannes
ALTERNATIVE NAMES Kapuste, Johannes (real name)
BRIEF DESCRIPTION German doctor, health scientist and forerunner of drug substitution in Germany
DATE OF BIRTH September 27, 1932
PLACE OF BIRTH Wahlstatt , Silesia