Numerous studies conducted during the past decades indicate that the p
ublic's attitude toward the mentally ill is strongly prejudiced, Since
the attitude of the general public also has an effect on community-ba
sed psychiatric care, we must ask how public opinion might be influenc
ed. One possible approach could be through so-called key community lea
ders those who are highly respected in society because of their compet
ence in a particular area. Doctors belong to this group of people. For
this reason we questioned medical students, as future key community l
eaders, with respect to their attitudes toward the mentally ill within
the framework of their first contact with psychiatric patients during
their studies. In order to make a direct comparison possible, we inte
rviewed a sample of the Mannheim population who live in a part of the
city where a variety of complementary facilities have been set up. The
comparison shows that medical students do not have a more positive at
titude toward the mentally ill; in fact, in certain areas they have an
even more negative attitude toward the mentally ill than the general
population has. We were not able to establish what effect teaching has
with respect to changing attitudes.