The historical outline of the volume at hand leads through almost 130 years of psychiatric care in asylums as well as clinics at the Philipps-University of Marburg. An entangled intellectual and social history attempt aims at understanding the change of psychiatric conceptualizations within its socio-political ramifications. Progressive movements partly coexisted with reluctant and conservative forces within the discipline which at the same time documents also harsh generational conflicts in the middle of the 19th and in the second half of the 20th century. Marburg and its psychiatric and neurological facilities, however, remained pragmatic in terms of the swing of pendulum between "evidence" based biological psychiatry, psychotherapy or even "philosophically" based medicine.