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After his thoroughly researched monograph on the history of psychiatry in Baden,’ Heinz Faulstich has now presented a second, even more important contribution to the field of German psychiatry during the twentieth century. It confronts us with the fact that from the beginning of WW I until the late 1940s, starvation to death was a widespread reality for the patients in German psychiatric asylums. For some phases of this period, this starvation was an unintended, but more or less accepted, consequence of sparse resources in times of war and economic crises. During other times, in particular between 1941 an