WorldWideScience

Sample records for psychotherapie unter den

  1. Die Analyse der Wertschöpfungskette Schweinefleisch unter den Aspekten des Supply Chain Management

    OpenAIRE

    Schönberger, Wolfgang

    2008-01-01

    Inhalt der Arbeit ist die vergleichende Analyse der Wertschöpfungskette Schweinefleisch unter den Aspekten des Supply Chain Management für Bayern sowie für Dänemark als dem weltweit größten Nettoexporteur von Schweinefleisch. Wichtige Wettbewerbsfaktoren und die Strukturen der Wertschöpfungskette werden untersucht. Die Produktionskosten werden nach der Methode der Vollkostenrechnung ermittelt. In Dänemark haben sich auf allen Stufen der Wertschöpfungskette Strukturen entwickelt, die die...

  2. Review: Mäder, Maya (2017: Selbsterfahrung in der Psychotherapie (Self experience in Psychotherapy, Die Bedeutung für den Kompetenzerwerb in der Aus- und Weiterbildung zum transaktionalytischen Psychotherapeuten (The significance for getting competence in training of transactional psychotherapy Münster: Waxmann

    Directory of Open Access Journals (Sweden)

    Günther Mohr

    2017-07-01

    Full Text Available Review: Mäder, Maya (2017: Selbsterfahrung in der Psychotherapie (Self experience in Psychotherapy, Die Bedeutung für den Kompetenzerwerb in der Aus- und Weiterbildung zum transaktionalytischen Psychotherapeuten (The significance for getting competence in training of transactional psychotherapy Münster: Waxmann   Citation - APA format: Mohr, G. (2017. Review: Mäder, Maya (2017: Selbsterfahrung in der Psychotherapie (Self experience in Psychotherapy, Die Bedeutung für den Kompetenzerwerb in der Aus- und Weiterbildung zum transaktionalytischen Psychotherapeuten (The significance for getting competence in training of transactional psychotherapy Münster: Waxmann. International Journal of Transactional Analysis Research & Practice, 8(2, 49-50.

  3. Damage characterisation of silicon carbides for applications in gas turbines in complex load conditions; Charakterisierung des Schaedigungsverhaltens von Siliciumcarbiden fuer den Einsatz in Gasturbinen unter komplexen Beanspruchungsbedingungen

    Energy Technology Data Exchange (ETDEWEB)

    Nestle, E.

    2000-06-01

    A tensile test facility for simultaneous thermal, mechanical and corrosive loading was developed and constructed for the purpose of characterizing the damage characteristics of ceramic high-temperature materials. Apart from tensile tests for up to 830 h, tests were also carried out on four-point bending test pieces and disk-shaped oxidation test pieces. The experiments were made at 1450 - 1550 C in dry or moist air. The materials investigated were one hot-pressed silicon carbide and two sintered silicon carbides. [German] Um keramische Hochtemperaturwerkstoffe bezueglich ihres Schaedigungsverhaltens charakterisieren zu koennen, wurde im Rahmen der vorliegenden Arbeit eine Zugpruefanlage zur gleichzeitigen Beanspruchung unter thermischen, mechanischen und korrosiven Bedingungen entwickelt und aufgebaut. Neben den in dieser Anlage durchgefuehrten Zugpruefungen mit Versuchszeiten bis zu 830 h wurden begleitende Untersuchungen an Vierpunkt-Biegeproben und scheibenfoermigen Oxidationsproben durchgefuehrt. Die Versuche konzentrierten sich auf den Temperaturbereich 1450-1550 unter trockenen und feuchten Luftatmosphaeren. Bei den untersuchten Werkstoffen handelte es sich um eine heissgepresste und zwei gesinterte Siliciumcarbid-Qualitaeten. (orig.)

  4. Harmonisation of fire testing of conveyor belts for underground applications within the EC; Harmonisierung der brandtechnischen Pruefverfahren von Foerdergurten fuer den Einsatz unter Tage innerhalb der EG

    Energy Technology Data Exchange (ETDEWEB)

    Foit, W. [DMT-Gesellschaft fuer Forschung und Pruefung mbH, Dortmund (Germany). Fachstelle fuer Brand- und Explosionsschutz unter Tage - Versuchsgrube Tremonia

    1998-12-01

    The mining countries of the EC still have different regulations for fire testing of conveyor belts. The test methods will be harmonized for the Common Market, and requirements on conveyor belts will be standardized within the EC. A new EC standard will be drawn up. [Deutsch] Zur Zeit sind in den bergbaubetreibenden Laendern der EG noch unterschiedliche Verfahren zur brandtechnischen Pruefung von Foerdergurten vorgeschrieben. Mit dem Inkrafttreten des Gemeinsamen Marktes und der damit zusammenhaengenden Forderung nach Abbau von Handelshemmnissen sollen diese Pruefverfahren harmonisiert werden. Ziel ist es, die an die Foerdergurte zu stellenden brandtechnischen Anforderungen innerhalb der EG zu vereinheitlichen. Es soll deshalb eine europaeische Norm zur Beurteilung des Brandverhaltens und der Brandausbreitung an Foerdergurten fuer den Kohlenbergbau unter Tage erstellt werden. (orig./MSK)

  5. Messung der Respirationsverschiebung intraabdominaler Organe am Beispiel der Leber unter maschineller Ventilation

    OpenAIRE

    Olbrich, Bernhard

    2008-01-01

    Ziel dieser Arbeit ist es, die Bewegung intraabominaler Organe am Beispiel der Leber unter den Bedingungen maschineller Beatmung zu quantifizieren. Ein Messverfahren mit Hilfe eines elektromagnetischen Trackingsystems, wurde hierzu im Tierversuch neu entwickelt. Im Anschluss wurden die Messdaten mit Hilfe einer Explorativen Datenanalyse, validiert und ein einfaches Modell entwickelt, das die virtuelle Kompensation der Atemverschiebung ermöglicht. Zusätzlich wird eine praktische Anwendungsmögl...

  6. Municipal climate protection as a measure for sustainable energy supply under the conditions of globalization and liberalization? An empirical investigation considering the municipal actors and public utility companies; Kommunaler Klimaschutz als Instrument einer nachhaltigen Energieversorgung unter den Bedingungen von Globalisierung und Liberalisierung? Eine empirische Untersuchung unter besonderer Beruecksichtigung der Akteure Kommune und Stadtwerke

    Energy Technology Data Exchange (ETDEWEB)

    Bielitza-Mimjaehner, Ralf

    2007-03-01

    With the background of the threatening global warming that requires a reduction of greenhouse gas emission by 20 % until 2010 und by 80% until 2050 in Germany, t is reasonable to consider local or municipal climate protection activities. A climate protection politics ''from the bottom'' is not only contributing to a real greenhouse gas reduction, but also triggering the stagnant international climate politics and enhances the sustainable development on a local level. Due to this fact amongst others the Enquete commission of the German Bundestag ''sustainable energy supply under the conditions of globalization and liberalization'' identifies the municipal climate protection activities as important part within the mix of measures that will allow the initiation of an alteration of the actual energy system toward a sustainable energy supply in the long-run. The consequences of globalization and liberalization on the municipal level have not yet been discussed or considered by the Enquete commission. This thesis analyses the conditions induced by the globalization and liberalization on the municipal climate protection activities as constituent of a sustainable energy supply. The project is focusing on the municipal actors and the public utility companies as central point of the considerations. [German] Vor dem Hintergrund einer drohenden globalen Erwaermung, die eine Reduktion der klimawirksamen Treibhausgase bundesweit um 20 % bis 2010 und um 80 % bis 2050 noetig macht, sind Klimaschutzaktivitaeten auf einer lokalen oder kommunalen Ebene in mehreren Dimensionen sinnvoll. Den tatsaechlichen, bezifferbaren Reduktionen von CO2, die hier geleistet werden, gesellt sich ein ''vorbildhafter'' Druck auf eine stockende internationale Klimapolitik hinzu, ebenso leistet die ''Klimaschutzpolitik von unten'' einer nachhaltigen Entwicklung der lokalen Ebene durch Lerneffekte Vorschub. Unter anderem aus

  7. Rigiscan®-Monitoring der Erektion unter audiovisueller sexueller Stimulation ohne/mit Viagra™ bei Patienten mit erektiler Dysfunktion

    Directory of Open Access Journals (Sweden)

    Perabo FGE

    2000-01-01

    Full Text Available Die orale Medikation mit Sildenafil (Viagra™ hat sich zur Therapie der erektilen Dysfunktion etabliert und relativiert die Differentialdiagnose zwischen psychogener und organischer Dysfunktion mit den entsprechenden therapeutischen Konsequenzen. Diesem Problem widmet sich diese Studie zur Prüfung der erektilen Antwort unter RigiScan®-Monitoring ohne/mit 50 mg Viagra™. 64 Patienten (mittleres Alter 48 Jahre mit einer erektilen Dysfunktion arteriogener (n = 10, venöser (n = 7, gemischt neurogen/vaskulärer (n = 15 und psychogener (n = 32 Genese von mehr als 6 Monaten Dauer wurden in die Studie aufgenommen. Alle Patienten wurden eingehend diagnostisch abgeklärt, inklusive Hormonlabor, dynamischer Pharmako-Duplexsonographie und, falls indiziert, mit einer Cavernosometrie/ -graphie. Zur Testung der penilen Rigidität und zur Objektivierung der Erektion wurde das "real-time" RigiScan® verwendet. In zwei konsekutiven Messungen wurden sowohl die direkte erektile Antwort auf visuelle Stimulation als auch die nächtlichen Erektionen abgeleitet und die Meßergebnisse mit den Begleiterkrankungen, "lifestyle"-Faktoren und dem Ergebnis der Pharmako-Duplexsonographie korreliert. Es fand sich keine Korrelation zwischen der Ätiologie der erektilen Dysfunktion in bezug auf organische oder psychogene Genese und dem Alter der Patienten, der Dauer der Erektionsstörung, dem Nikotinabusus, den Blutfetten, den Testosteronwerten, dem klinischen Ergebnis der Pharmakotestung (Erektionsgrad und dem duplexsonographisch gemessenen Fluß der penilen Arterien. Hingegen zeigte sich eine positive Korrelation zwischen Genese der erektilen Dysfunktion (organisch bzw. psychogen und dem RigiScan®-Meßergebnis (r = 0,29. Patienten mit psychogen bedingter Erektionsstörung profitierten am meisten von Viagra™, während Patienten mit vaskulärer Genese oder gemischt neurogener/vaskulärer Genese deutlich schlechter auf Viagra™ ansprachen. Es bestand keine Korrelation

  8. Ein Lehrbuch über Psychiatrie und Psychotherapie – Geschlechtsunterschiede unter der Lupe?

    Directory of Open Access Journals (Sweden)

    Isabella Heuser

    2007-07-01

    Full Text Available Anke Rohde und Andreas Marneros haben sich ein hohes Ziel gesetzt: ein übersichtliches Lehrbuch für Psychiatrie und Psychotherapie, das erstmals eine systematische Zusammenstellung des Wissens über geschlechtsspezifische Aspekte von Symptomatologie, Epidemiologie, Diagnostik, Pharmakotherapie und Psychotherapie psychischer Störungen enthält. Bemerkenswert ist dabei zweierlei: Erstens werden bei der Betrachtung geschlechtsspezifischer Unterschiede im Sinne der Genderforschung Frauen und Männer berücksichtigt, zweitens wird ein vollständiger Überblick sowohl über die häufigen und bekannten psychischen Störungen als auch die äußerst seltenen psychiatrischen Erkrankungen der gesamten Altersspanne gegeben. Wenngleich die Qualität der einzelnen Beiträge deutlich zwischen sehr differenzierter und leider auch für ein Handbuch eindeutig zu oberflächlicher Betrachtung variiert, liegt in dem Band ein weitgehend informatives Nachschlagewerk vor, das einen ersten Überblick über die geschlechtsspezifische Psychiatrie gibt.

  9. Ein Integraler Gestalt-Ansatz fuer Therapie und Beratung

    Directory of Open Access Journals (Sweden)

    Martina Gremmler-Fuhr

    2005-06-01

    Full Text Available Zusammenfassung: In diesem Text stellen wir unseren Ansatz für Psychotherapie und Beratung auf dem Hintergrund des integralen Paradigmas dar. Wir erläutern zunächst kurz vier Anforderungen an ein integrales Konzept in diesem professionellen Bereich: Umgang mit Komplexität und Vielperspektivität, Berücksichtigung gerichteter, vieldimensionaler Entwicklung, Orientierungs- und Sinngebungsfunktion, Realisierung relationaler Qualitäten in der Arbeit. Nach einer Begriffsbestimmung von „Therapie“, „Beratung“ und „Bildung“ charakterisieren wir das seit vielen Jahren von uns entwickelte Konzept für den Integralen Gestalt-Ansatz unter den Fragen nach (1 den Intentionen und Aufgaben von Therapie und Beratung, (2 der Gestaltung der Kommunikation und Beziehung, (3 der Art der Problemdefinition und dem Umgang mit Diagnostik sowie (4 den Strategien und Methoden – alle unter Rückkopplung an die zuvor erläuterten Anforderungen an ein integrales Konzept. Abstract: In this text we present our approach to psychotherapy and counseling on the background of the integral paradigm. We shortly explain four major requirements for such an integral concept: handling complexity and multi-perspectivity, considering directed and multi-dimensional development, offering orientation and meaning, relational qualities. After defining the terms „psychotherapy“, „counselling“, and „education“ we present our concept for the Integral Gestalt Approach which we have developed and evaluated for many years by dealing with four questions: (1 the intentions and tasks of therapy and counselling, (2 the formation of communication and relationship, (3 the specific way of defining problems and using diagnostics, and (4 the strategies and methods – all related back to the major requirements of an integral concept.

  10. Betoninstandsetzung unter Wasser : Mörtelentwicklung und Applikationstechniken

    OpenAIRE

    Nguyen-Sauerbaum, Lina Phan Anh

    2017-01-01

    Für die Instandsetzung von Betonbauteilen unter Wasser stehen aktuell keine gängigen Verfahren zur Verfügung, die ohne Trockenlegung oder Einschalen des Bauteils auskommen. Diese Arbeit legt die Grundlagen für eine Betoninstandsetzung unter Wasser ohne Einschalen des Bauwerks. Es wurden neue Mörtel entwickelt, die unter Wasser einsetzbar sind und Applikationstechniken untersucht, die eine Applikation unter Wasser mit erfolgreichem Haftverbund erlauben. There are currently no established...

  11. [Julia Rosche. Zwischen den Fronten. Die Rolle Estlands zwischen dem Hitler-Stalin-Pakt und dem Ende des Zweiten Weltkriegs im internationalen Kontext] / Olaf Mertelsmann

    Index Scriptorium Estoniae

    Mertelsmann, Olaf, 1969-

    2014-01-01

    Arvustus: Rosche, Julia. Zwischen den Fronten. Die Rolle Estlands zwischen dem Hitler-Stalin-Pakt und dem Ende des Zweiten Weltkriegs im internationalen Kontext. Diplomica Verlag. Hamburg 2012. Unter demselben Titel mit identischem Text auch: Grin Verlag. München 2013

  12. Deformation behavior and load limits of asphaltic concrete under the conditions of cores in embankment dams; Deformationsverhalten und Belastungsgrenzen des Asphaltbetons unter den Bedingungen von Staudammkerndichtungen

    Energy Technology Data Exchange (ETDEWEB)

    Mueller, U.

    1998-12-31

    Based on the analysis of existing dams with asphaltic diaphragm and investigations in the three-phase-system of asphaltic concrete a recipe for the composition of asphaltic cores is recommended. For the construction, rest and operating period of an embankment dam the load and the reaction of the asphaltic concrete cores as well as the appearing stress and deformations are described. Extensive material testings have been performed and at 41 asphaltic concrete specimens triaxial stress controlled pressure and creeping tests have been carried out. The evaluation of the triaxial tests led to proportions of the main stress and deformation limits as criteria of breaking. Under application of the standard equation for nonlinear viscoelastic element-laws a rheonom element formulation was developed from the experiment data and transformed into its differential form. With this approach the stress and deformation behavior of watertight asphaltic diaphragm can be precalculated for a period up to 10 years. The applicability of this approach, which can be also used within FE-calculations as well, is illustrated in four examples. (orig.) [Deutsch] Nach der Analyse bestehender Staudaemme mit Asphaltbetonkerndichtung und Untersuchungen zum Dreiphasensystem Asphaltbeton wird eine Rezepturempfehlung fuer den Asphaltkerndichtungsbau aufgestellt. Fuer die Bau-, Ruhe- und Betriebsphase eines Staudammes werden die Beanspruchungen und Reaktionen der Asphaltbetonkerndichtung sowie die auftretenden Spannungen und Verformungen beschrieben. Nach umfangreichen Materialpruefungen sind an 41 Asphaltbetonpruefkoerpern triaxiale spannungsgesteuerte Druck-Kriechversuche durchgefuehrt worden. Die Auswertung der Triaxialversuche ergab ein Grenzhauptspannungsverhaeltnis und Deformationsgrenzen als Bruchkriterien. Unter Verwendung der Standarformulierung fuer nichtlineare viskoelastische Stoffgesetze wurde aus den Versuchsdaten ein rheonomer Stoffansatz entwickelt und in seine differentielle Form

  13. Assimilation of carbon and transport of assimilates in coniferous trees under the influence of airborne pollutants. Photosynthesis rate and assimilate distribution in young fir trees (Picea abies [L.]Karst.) under controlled exposure to ozone. Final report; Assimilation von Kohlenstoff und der Assimilattransport in Coniferen unter dem Einfluss von Luftschadstoffen. Photosyntheseleistung und Assimilatverteilung in jungen Fichten (Picea abies [L.]Karst.) unter kontrollierter Ozon-Exposition. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Willenbrink, J.; Schatten, T.

    1992-12-31

    In this project, effects of long-term, low-level ozone exposure on CO{sub 2}fixation and assimilate partitioning in 4-years spruces old were studied. 1. In October, ozone exposure resulted in a 40% decrease of photosynthesis. Chlorophyll content was not altered. Depression of net photosynthesis by ozone exposure fluctuates. At least partly, this depression of net photosynthesis might reflect an increase of respiration. After 6 weeks of ozone exposure, both stomatal conductivity and transpiration seemed to be lowered. However, internal [CO{sub 2}] and water use efficiency were not significantly altered. 2. Compared with the control, needles of ozone-exposed plants exhibited a shift of the {sup 14}C-ratio of {beta}-carotene/xanthophylls which effect faded away with the season (October). 3. In August and October, translocation of {sup 14}C-assimilates from the {sup 14}C-fed source leaves seems to be impeded by ozone exposure. 4. No O{sub 3}-related differences were found for the lipophilic as well as for the fractions of organic or amino acids. For the sink tissues (twig, stem, root), less label was found in non-starch residue in August (main growth season), in O{sub 3}-exposed plants. 5. Starch and sugar content of cortex, cambium, xylem, and of the root follow annual cycles. Under ozon exposure, levels of {sup 14}C-starch and {sup 14}C-sucrose are lowered whereas in the needles, build-up of {sup 14}C-starch was detected. 6. Obviously, long-term low-level ozone affects allocation of assimilates. Secondary effects on chloroplasts by the treatment cannot be excluded. (orig./UWA) [Deutsch] Unter Labor- bzw. Gewaechshausbedingungen wurde der Einfluss einer kontrollierten Ozonexposition auf die Photosyntheseleistung und die Assimilatverteilung in 4-jaehrigen Fichten untersucht. 1. Unter Ozon-Exposition wird die Netto-Photosyntheserate in den jungen Nadeln zum Herbst hin reduziert, waehrend der Chlorophyllgehalt unbeeinflusst bleibt. Die Photosyntheserate der jungen Nadeln

  14. Ein (neuer Blick auf die Konkurrenz unter Frauenforscherinnen A (New Look at Competition Among Women Scholars in Women’s Studies

    Directory of Open Access Journals (Sweden)

    Anina Mischau

    2002-07-01

    Full Text Available Die Solidarität unter Frauenforscherinnen wird bis heute als politisch-ideologisches Postulat der Frauenforschung aufrechterhalten, obwohl im Zuge einer zunehmenden Institutionalisierung und Professionalisierung bei einer gleichzeitig nahezu unveränderten Marginalisierung der Frauenforschung an deutschen Hochschulen eine stärker werdende Konkurrenz auch unter Frauenforscherinnen zu beobachten ist. Sünne Andresen geht der Frage nach den möglichen Ursachen von Konkurrenz unter Frauenforscherinnen in der Hochschule nach. Diese Fragestellung ist in der Frauen- und Geschlechterforschung nicht neu, wenngleich sie bislang eher allgemein auf die Konkurrenz unter Wissenschaftlerinnen bezogen worden ist. Innovativ ist jedoch, dass die Autorin hierfür den subjektwissenschaftlichen Ansatz der Kritischen Psychologie und die Habitus-Feld-Konzeption Bourdieus als theoretischen Bezugsrahmen auswählt und damit deutlich über die vorherrschenden subjektzentrierten oder strukturtheoretischen Erklärungsansätze hinausgeht. Die empirische Basis ihrer Studie sind sechs qualitative Interviews mit Habilitandinnen der geistes- und sozialwissenschaftlichen Fächer, die sich auf die Frauen- und Geschlechterforschung spezialisiert haben. Insgesamt arbeitet die Autorin interessante Aspekte möglicher Ursachen des Konkurrenzverhaltens unter und der Konkurrenzerfahrungen von Frauenforscherinnen heraus. Sie bleibt der Leserin aber mindestens genauso viele Antworten schuldig, wie sie durch die dargestellten „empirischen Ergebnisse" zu geben vermag.Until the present day, solidarity among feminist scholars is upheld as an ideological-political postulate in this particular scholarly community. These views continue to be upheld despite the increasing institutionalisation and professionalisation of research in women’s studies research. These institutional changes result in an increased sense of competition among feminist scholars, while women’s studies continue to

  15. Die Kunst der Projektion. Romantik und Dekonstruktion in den Filmen André Téchinés

    OpenAIRE

    Merlin, Dieter

    2012-01-01

    Thema der vorliegenden Untersuchung sind die Dekonstruktionsmechanismen, mit deren Hilfe metaphysisch begründete Liebeskonzeptionen in den Filmen des französischen Post-Nouvelle-Vague-Regisseurs André Téchiné (geb. 1943) einer kinematographischen Kritik unterworfen werden. Diese Mechanismen werden anhand einer Auswahl von fünf Filmen – HÔTEL DES AMÉRIQUES (1981), LES ROSEAUX SAUVAGES (1994), LES VOLEURS (1996), LOIN (2001) und LES TEMPS QUI CHANGENT (2004) – sowohl unter ästhetisch-formalen a...

  16. Fragmentierungsarten von Nierensteinen unter extrakorporaler Stoßwellenlithotripsie: eine multivariate Analyse

    Directory of Open Access Journals (Sweden)

    Aeberli D

    1999-01-01

    Full Text Available Das primäre Ziel dieser retrospektiven Studie war die Evaluation von routinemäßig anwendbaren Kriterien, welche die Fragmentierung von Nierensteinen unter extrakorporaler Stoßwellenlithotripsie (ESWL voraussagen können. Die Serie umfaßte 202 konsekutive Patienten (121 Männer, 81 Frauen mit einem medianen Alter von 48 Jahren (19-81 Jahre, die an der Urologischen Universitätsklinik Bern mit dem originalen Dornier HM-3 behandelt wurden. Einschlußkriterien waren Einzelsteine von 10-30 mm Größe mit Lage im Nierenbeckenkelchsystem. Die Steine wurden im Abdomen-Leerbild nach ihrer Lage, Größe, Form, Dichte (im Vergleich zur 12. Rippe, Struktur und Oberfläche beurteilt. Weiter wurden Alter, Geschlecht und Body-Mass-Index des Patienten berücksichtigt. Die Desintegration wurde am 1. Tag nach ESWL mittels Abdomen-Leerbild dokumentiert. Zielwert der Analyse war die binäre Variable steinfrei versus Restfragmente, gegen die alle präoperativen Parameter mittels multivariater logistischer Regression getestet wurden. Die Erfolgsrate betrug 95,5 %; 42 Patienten (20,8 % waren steinfrei und 151 Patienten (74,7 % hatten sog. klinisch insignifikante Restfragmente (5 mm oder kleiner. Von den Männern waren 14,9 %, von den Frauen 29,6 % steinfrei (p = 0,01. Alle anderen Parameter erreichten keine statistische Signifikanz, möglicherweise aufgrund zu kleiner Subgruppen (fehlende statistische Macht. Die Desintegrationsrate des HM-3 für Nierensteine ist insgesamt ausgezeichnet, bei Frauen noch besser als bei Männern. Gerade wegen dieser hohen Erfolgsrate wären größere Patientenzahlen notwendig, um eventuelle Unterschiede zwischen den präinterventionellen Parametern definieren zu können.

  17. Untersuchung perturbativer und nichtperturbativer Struktur der Momente hadronischer Ereignisformvariablen mit den Experimenten JADE und OPAL

    CERN Document Server

    Pahl, Christoph Johannes

    2007-01-01

    In Hadronproduktionsdaten der e+e− - Vernichtungsexperimente JADE und OPAL messen wir die ersten f¨unf Momente von zw¨olf hadronischen Ereignisformvariablen bei Schwerpunktsenergien von 14 bis 207GeV. Aus dem Vergleich der QCD NLO-Vorhersage mit den mittels MC-Modellen um Hadronisierung korrigierten Daten erhalten wir den Referenzwert der starken Kopplung αs(MZ0) = 0.1254 ± 0.0007(stat.) ± 0.0010(exp.)+0.0009 −0.0023(had.)+0.0069 −0.0053(theo.) . F¨ur einige, insbesondere h¨ohere, Momente sind systematische Unzul¨anglichkeiten in der QCD NLO-Vorhersage erkenntlich. Simultane Fits an zwei Momente unter Annahme identischer Renormierungsskalen ergeben Skalenwerte von xμ=0.057 bis xμ=0.196 . Wir pr¨ufen Vorhersagen verschiedener nichtperturbativer Modelle. Aus der Single Dressed Gluon - N¨aherung ergibt sich eine perturbative Vorhersage in O(α5 s ) mit zu vernachl¨assigender Energiepotenzkorrektur, die den Mittelwert von Thrust auf Hadronniveau gut beschreibt mit αs(MZ0) = 0.1186 ± 0.0007(st...

  18. Der Zusammenhang von Partnermarktopportunitäten aus dem Freundeskreis und der Stabilität von Paarbeziehungen : Eine Analyse mit den Daten des Partnermarktsurvey

    OpenAIRE

    Häring, Armando

    2014-01-01

    "Der Beitrag analysiert den Zusammenhang zwischen Partnermarktoportunitäten aus dem Freundeskreis und der Stabilität von Paarbeziehungen. Unter Verwendung des theoretischen Konzepts der Theorie der Interaktionsgelegenheiten sowie von Annahmen der Austauschtheorie und der Familienökonomie, werden mögliche Zusammenhänge zwischen gemeinsamen Freundeskreisen mit dem Partner, Partnermarktgelegenheiten aus dem Freundeskreis (sex ratio) und der Stabilität von Paarbeziehungen diskutiert. Der Beitrag ...

  19. Percolation experiments to determine fluid-matrix interaction (with particular regard to pretreatment of the drill core); Kerndurchstroemungsversuche zur Ermittlung von Fluid-Matrix-Wechselwirkungen (unter besonderer Beruecksichtigung der Kernvorbehandlung)

    Energy Technology Data Exchange (ETDEWEB)

    Martin, M; Seibt, A [TU Bergakademie Freiberg (Germany). Inst. fuer Bohrtechnik und Fluidbergbau; Hoth, P [GeoForschungsZentrum Potsdam (Germany)

    1997-12-01

    The injection of fluids into sandstone reservoirs leads to interactions between these waters, the reservoir rocks, and the formation fluids. Estimations about possible permeability reducing processes caused by these interactions are therefore of great importance for the exploitation of sandstone aquifers as geothermal reservoirs. Percolation experiments under in situ conditions with core samples from North German geothermal boreholes were done in order to investigate these fluid-rock interactions. (orig./AKF) [Deutsch] Die Injektion von Fluiden in Aquiferspeicher fuehrt zu Wechselwirkungen zwischen dem Speichergestein, den Formationsfluiden und den injizierten Loesungen. Fuer die Bewirtschaftung der Speicher sind insbesondere Kenntnisse ueber moegliche Permeabilitaetsreduzierungen durch diese Wechselwirkungen von Bedeutung. Mit Hilfe von Kern-Durchstroemungsexperimenten, durchgefuehrt unter lagerstaettenaehnlichen Bedingungen mit Original- bzw. modifizierten Fluiden, wurde daher das Durchstroemungsverhalten von unterschiedlich ausgebildeten Reservoirsandsteinen aus norddeutschen Geothermiebohrungen untersucht. (orig./AKF)

  20. Hydrogen diffusion into fatigue cracks of aluminium alloy 6013 in a corrosive environment; Wasserstoffeinlagerung an Ermuedungsrissen der Aluminiumlegierung 6013 unter korrosiver Umgebung

    Energy Technology Data Exchange (ETDEWEB)

    Lenk, Christian Alexander

    2009-08-13

    The author attempted a time-resolved detection of raised hydrogen concentrations in the plastic deformation region of fatigue cracks in an aluminium test piece deformed by cyclic stress in a corrosive environment. Mechanical material parameters like the crack propagation velocity under cyclic stress change dramatically in a corrosive environment. This is assumed to be caused by hydrogen diffusion, but so far there is no method that reliably measures additional hydrogen from the corrosive environment. For this reason, a special analytical configuration was set up which makes use of the thermal desorption method. First, chips with a thickness of about 20 micrometers are sawed out of the test specimen in high-vacuum conditions. The chips fall into a hot melting vessel in a UHV chamber, where the hydrogen contained in the chips is released. The resulting pressure increase is recorded by a mass spectrometer. A hydrogen profile of the test specimen is obtained by assigning the chip position to the signal. For the corrosive medium in which the test specimen is immersed during crack initiation, i.e. NaCl solution, heavy water was used. This makes it possible to distinguish between the hydrogen contained in a piece of technical aluminium alloy (AA6013) and the deuterium diffusing in from the corrosive fluid. The deuterium is found exclusively in the test piece volume in the strongly plastically deformed region surrounding the fatigue crack. (orig.) [German] Das Ziel der vorliegenden Arbeit besteht im ortsaufgeloesten Nachweis einer erhoehten Wasserstoffkonzentration im plastisch deformierten Bereich von Ermuedungsrissen einer unter korrosiver Umgebung zyklisch verformten Aluminiumprobe. Mechanische Materialparameter wie z.B. die Rissausbreitungsgeschwindigkeit unter zyklischer Belastung aendern sich drastisch in korrosiver Umgebung. Als Ursache fuer dieses Verhalten wird eine Eindiffusion von Wasserstoff vermutet, jedoch gibt es bisher keine Messung die den zusaetzlichen

  1. Investigation of LPP combustors under elevated pressure conditions; Untersuchungen zu LPP-Flugtriebwerksbrennkammern unter erhoehtem Druck

    Energy Technology Data Exchange (ETDEWEB)

    Fink, R.

    2001-05-01

    The development of new combustor concepts for aero engines to meet future emissions regulations in based on a detailed knowledge of the combustion process and the velocity field. In the presented thesis, non intrusive measurements were performed in a model combustion chamber under almost realistic pressure and temperature conditions. The species OH, NO, unburned hydrocarbons and fuel droplets were detected in 2 dimensions with the Laser Induced Fluorescence (LIF). The velocity field was measured with the Particle Image Velocimetry technique (PIV). [German] Die Weiterentwicklung neuer Brennkammerkonzepte zur Erfuellung zukuenftiger Schadstoffemissionsrichtlinien erfordert genaue Kenntnisse der ablaufenden Verbrennungs- und Stroemungsvorgaenge in der Brennkammer. Bei den in der Arbeit vorgestellten Untersuchungen wurden in einer LPP-Modellbrennkammer unter annaehernd realistischen Eintrittsbedingungen die Spezies OH, NO, unverbrannte Kohlenwasserstoffe sowie noch fluessiger Brennstoff zweidimensional anhand der Laserinduzierten Fluoreszenz (LIF) nachgewiesen. Das Stroemungsfeld wurde mit Hilfe der Particle Image Velocimetry (PIV) gemessen.

  2. Schlafmedizinische Charakterisierung von Parkinson-Patienten mit Schlafattacken unter dopaminerger Therapie

    OpenAIRE

    Rethfeldt, Mira

    2006-01-01

    1999 wurden erstmals sogenannte Schlafattacken bei Parkinson-Patienten unter der Therapie mit Nonergolin-Dopaminagonisten berichtet. Später zeigten Studien, dass diese Schlafattacken unter jeglicher dopaminerger Therapie auftreten können. Bis heute ist jedoch die Pathophysiologie dieses Phänomens nicht hinreichend geklärt. Es wird diskutiert, ob diese Attacken als paroxysmales Symptom überhaupt bestehen oder nicht vielmehr ...

  3. Organisation der Lektoratsarbeit in Öffentlichen Bibliotheken, ihre Stärken und Schwächen

    OpenAIRE

    Umlauf, Konrad

    2011-01-01

    Die Praxis der Lektoratsarbeit an Öffentlichen Bibliotheken wurde 2010 mit einer Online-Befragung unter Biblothekspersonal erhoben. Die Fragen richten sich auf die Aufbauorganisation (Anteil der Lektoren unter dem Personal, den am Bestandsaufbau beteiligten Personalgruppen, die Lektoratsaufgaben im Einzelnen, typische Aufgaben der Lektoren neben den Lektoratsaufgaben, insbes. Verbindung von Lektoratsaufgaben mit Auskunftsdienst), die Ablauforganisation (Entscheidungsablauf und Kaufsitzungen, ...

  4. Elbinger Drucke in den Beständen der Kopernikus-Bücherei in Toruń (Thorn. Thematische Analyse. Provenienz (Teil 2

    Directory of Open Access Journals (Sweden)

    Irena Urbaniak

    2014-12-01

    Full Text Available Der Artikel enthält eine thematische Analyse der aus dem 16. und 17. Jahrhundert stammenden Elbinger Drucke, die in den Beständen der Kopernikus-Bücherei vorhanden sind. Auch die Provenienz dieser Drucke sowie die Quelle ihrer Herkunft werden darin besprochen. Die Thematik der besprochenen alten Drucke ist ziemlich reichhaltig. Darunter befinden sich sowohl wissenschaftliche Werke wie auch schöngeistige und religiöse Literatur sowie juristisch-politische Arbeiten. Unter den Autoren dieser Arbeiten finden sich viele Lehrer des damaligen Elbinger Gymnasiums. Die meisten Autoren der besprochenen Drucke werden in dem Artikel näher vorgestellt. Die Provenienz der Elbinger alten Drucke wurde auf der Grundlage der Erfahrung des Autors des Artikels ermittelt. Die analysierten Drucke stammen sowohl aus Institutsbibliotheken als auch aus privaten Sammlungen. Fast jeder von ihnen enthält ein Exlibris des Eigentümers, ein anderes Bücherzeichen oder sogar einen handschriftlichen Eintrag. Die besprochene Sammlung umfasst 77 Drucke, die in Elbinger Verlagshäusern herausgegeben wurden.

  5. Advanced Psychotherapy Training: Psychotherapy Scholars' Track, and the Apprenticeship Model

    Science.gov (United States)

    Feinstein, Robert E.; Yager, Joel

    2013-01-01

    Background/Objective: Guided by ACGME's requirements, psychiatric residency training in psychotherapy currently focuses on teaching school-specific forms of psychotherapy (i.e., cognitive-behavioral, supportive, and psychodynamic psychotherapy). On the basis of a literature review of common factors affecting psychotherapy outcomes and…

  6. Integrative psychotherapy.

    Science.gov (United States)

    Kozarić-Kovacić, Dragica

    2008-09-01

    The main purposes of the article are to present the history of integration in psychotherapy, the reasons of the development integrative approaches, and the approaches to integration in psychotherapy. Three approaches to integration in psychotherapy exist: theoretical integration, theoretical eclecticism, and common factors in different psychotherapeutic trends. In integrative psychotherapy, the basic epistemology, theory, and clinical practice are based on the phenomenology, field theory, holism, dialogue, and co-creation of dialogue in the therapeutic relationship. The main criticism is that integrative psychotherapy suffers from confusion and many unresolved controversies. It is difficult to theoretically and methodologically define the clinically applied model that is based on such a different epistemological and theoretical presumptions. Integrative psychotherapy is a synthesis of humanistic psychotherapy, object relations theory, and psychoanalytical self psychology. It focuses on the dynamics and potentials of human relationships, with a goal of changing the relations and understanding internal and external resistances. The process of integrative psychotherapy is primarily focused on the developmental-relational model and co-creation of psychotherapeutic relationship as a single interactive event, which is not unilateral, but rather a joint endeavor by both the therapist and the patient/client. The need for a relationship is an important human need and represents a process of attunement that occurs as a response to the need for a relationship, a unique interpersonal contact between two people. If this need is not met, it manifests with the different feelings and various defenses. To meet this need, we need to have another person with whom we can establish a sensitive, attuned relationship. Thus, the therapist becomes this person who tries to supplement what the person did not receive. Neuroscience can be a source of integration through different therapies. We

  7. Selection of compressors and drives for natural gas storage and transport - technical and economic aspects; Auswahl von Verdichtern und Antriebsmaschinen fuer die Erdgasspeicherung und den Erdgastransport - technische und wirtschaftliche Aspekte

    Energy Technology Data Exchange (ETDEWEB)

    Heyer, F.; Wieke, S. [Heyer und Wieke Engineering, Muenchen (Germany)

    1998-12-31

    Selection of the proper compressor/drive combination is indispensable for optimizing natural gas storage. The contribution presents a comparison of the available systems. (orig.) [Deutsch] Fuer die Verdichtung von Erdgas fuer die Erdgasspeicherung und den Erdgastransport ist die Auswahl der fuer den jeweiligen Anwendungsfall geeigneten Verdichter-Antriebskombination eine wesentliche Voraussetzung fuer einen technisch und wirtschaftlich optimalen Betrieb. Unter Beruecksichtigung des Marktes werden die Varianten (Verdichter-Antriebskombinationen) definiert und in einem technischen Vergleich Vor- und Nachteile der einzelnen Alternativen gegenuebergestellt und bewertet. Die Einhaltung der Betriebsanforderungen und der Anforderungen der TA-Luft und TA-Laerm, der Wirkungsgrad, die Zuverlaessigkeit und Verfuegbarkeit muessen einer besonders intensiven Pruefung und Beurteilung unterzogen werden. Das Ergebnis der vergleichenden Bewertung der Varianten kann eine neue Definition der Varianten oder der Anforderungen notwendig machen. (orig.)

  8. "Das Konkrete ist das Abstrakte, an das man sich schließlich gewöhnt hat." (Laurent Schwartz) Über den Ablauf des mathematischen Verstehens

    Science.gov (United States)

    Lowsky, Martin

    Die im Titel genannte Aussage findet sich in den Lebenserinnerungen von Laurent Schwartz (1915-2002), einem der fruchtbarsten Mathematiker, Mitglied der Gruppe Bourbaki. Im Original lautet die Aussage: "un objet concret est un objet abstrait auquel on a fini par s'habituer." Schwartz erläutert sie am Beispiel des Integrals über {e^{-1/2{x^2}}} , das den Wert Wurzel aus 2π hat und in dem sich also die Zahlen e und π verknüpfen. Was Schwartz aber vor allem ausdrücken will, ist dies: Das mathematische Verständnisd geht langsam vor sich und es bedarf der Anstrengung. "Es ist eine Frage der Zeit und der Energie", sagt Schwartz, und gerade dies mache es so schwer, die höhere Mathematik unter das Volk zu bringen. Das Lernen und Lehren von Mathematik laufe eben mühevoll und langsam ab.

  9. Den umulige film

    DEFF Research Database (Denmark)

    Moestrup, Steffen Damkjær

    2014-01-01

    Den smertelige Sorg og Glæde fuldender en lang og glorværdig karriere for danske Nils Malmros. Den er en yderst vellykket film, fordi den forbliver usentimental om en skæbnesvanger dag i instruktørens liv.......Den smertelige Sorg og Glæde fuldender en lang og glorværdig karriere for danske Nils Malmros. Den er en yderst vellykket film, fordi den forbliver usentimental om en skæbnesvanger dag i instruktørens liv....

  10. Den gode handling og den gode grund

    DEFF Research Database (Denmark)

    Dehs, Jørgen

    1993-01-01

    Den tyske filosof Immanuel Kant er aktuel i dagens etik-debat. "Grundlæggelse af moralens metafysik".......Den tyske filosof Immanuel Kant er aktuel i dagens etik-debat. "Grundlæggelse af moralens metafysik"....

  11. Integrative Psychotherapy ‘Revisited’

    Directory of Open Access Journals (Sweden)

    Marye O’Reilly-Knapp

    2017-02-01

    Full Text Available This article revisits aspects of the theory and methods of Integrative Psychotherapy as written and discussed by Richard G. Erskine, PhD and others. A case study demonstrates the use of Integrative Psychotherapy as the basis for therapeutic interventions that allow the client to interpret early experiences of relational failures, via a relationally based psychotherapy. Revisiting the theory and methods of Integrative Psychotherapy served to further validate the core of IP and its value as a cohesive and comprehensive psychotherapy.

  12. Public utilities between private industry and public administration. Regulation and restructuring of work in the fields of tension of globalization and decentralization; Oeffentliche Unternehmen zwischen Privatwirtschaft und oeffentlicher Verwaltung. Regulierung und Restrukturierung der Arbeit in den Spannungsfeldern von Globalisierung und Dezentralisierung

    Energy Technology Data Exchange (ETDEWEB)

    Edeling, T.; Lieske, S.; Rogas, K.; Sitter, R.; Stoelting, E.; Wagner, D.

    2001-07-01

    The deregulation of the energy market brought about dramatic changes in the status of public utilities. The report investigates and discusses the effects of privatization and the emergence of 'multi-utilities'. [German] Die Entkopplung von staatlichem Eigentum, oeffentlichem Interesse und politischer Steuerung zugunsten einer Verkopplung von privatem Eigentum, Privatinteresse und marktlicher Steuerung beschraenkt sich nicht auf die Bundesebene und zentralstaatliches Eigentum. Sie erfasst, verstaerkt seit den 90er Jahren, vehement auch die Privatisierung auf der Ebene der Bundeslaender und Kommunen. Bundeslaender, wie Baden-Wuerttemberg, trennen sich von ihrem Anteil am viertgroessten deutschen Energieversorger, der EnBW, und geben den Weg fuer eine Privatisierung dieses Unternehmens frei (Guethert 2000). Die Stadtwerke Mannheim bereiten als erstes kommunales Energieunternehmen den Gang an die Boerse vor (FAZ v. 27.01.99). Wo dies (noch) nicht geschieht, setzt die Liberalisierung des europaeischen Energiemarktes und die damit verbundene beschleunigte Oeffnung des deutschen Energiemarktes (Gesetz zur Neuregelung des Energiewirtschaftsrechts 1998) die kommunalen Energieversorger unter Zugzwang und macht anscheinend im Handumdrehen aus 'verschlafenen Stadtwerken' und kleinen Gebietsmonopolisten 'Holdings', 'Umweltkonzerne' und 'Multi Utilities', die untereinander Beteiligungsverhaeltnisse eingehen, private Kapitalanteile aufnehmen und in neue Versorgungsgebiete und Geschaeftsfelder expandieren. Als 'Multi Utilities' sind sie scheinbar ihres oeffentlichen Gewandes als 'Public Utilities' entkleidet: Zwar steht im Hintergrund noch die Stadt als kommunaler Eigentuemer, das Unternehmen selbst aber tritt womoeglich nach aussen als eine privatrechtlich organisierte Holding auf, die unter ihrem Dach Unternehmen der Stromerzeugung, der Waermeversorgung und des Nahverkehrs, mitunter auch Unternehmen der

  13. Crack initiation and crack growth in high temperature materials under cyclic thermal stresses; Rissinitiierung und Risswachstum in Hochtemperaturwerkstoffen unter zyklisch thermischer Beanspruchung

    Energy Technology Data Exchange (ETDEWEB)

    Gruen, C.

    1996-12-01

    The high temperatures of use in drive units, such as the combustion chamber or the hot gas turbine, for example, usually cause high temperature changes. Great temperature differences occur for short periods in the components, and thermal shock is produced. In this work, theoretical and experimental investigations are introduced on crack initiation and crack growth in high temperature materials under cyclic thermal stresses. The experiments were carried out with the inter-metallic phase Ni{sub 3}Al, the nickel-based alloy Nimonic 80A and the iron-based alloy PM 2000 strengthened by oxide dispersion (ODS). A characteristic crack appearance picture was found for each material, which was examined more closely. The stresses occurring in the sample during one cycle were calculated with the aid of the finite element program ABAQUS, knowing the specific material parameters. Based on the linear-elastic fracture mechanics, stress intensity factors were calculated on the superimposition principle. Using the material data from isothermal crack propagation experiments, the prediction of fatigue crack spread with cyclic thermal stresses is compared with the experimental findings. (orig./AKF) [Deutsch] Die hohen Einsatztemperaturen in Antriebsaggregaten wie z.B. der Brennkammer oder der Heissgasturbine bedingen in der Regel hohe Temperaturwechsel. Dabei treten kurzzeitig grosse Temperaturunterschiede in den Bauteilen auf, ein Thermoschock wird erzeugt. In der vorliegenden Arbeit werden theoretische und experimentelle Untersuchungen zur Rissinitiierung und zum Risswachstum in Hochtemperaturwerkstoffen unter zyklisch thermischer Belastung vorgestellt. Die Experimente wurden mit der intermetallischen Phase Ni{sub 3}Al, der Nickelbasislegierung Nimonic 80A und der oxid-dispersionsverfestigten (ODS) Eisenbasislegierung PM2000 durchgefuehrt. Fuer jeden Werkstoff stellte sich ein charakteristisches Risserscheinungsbild dar, das naeher untersucht wurde. Die in der Probe auftretenden

  14. Rezension: Felix Heidenreich: Theorien der Gerechtigkeit - Eine Einführung

    OpenAIRE

    Kramer, Hans-Ulrich

    2012-01-01

    Schon vor der griechischen Antike, nämlich bei den alten Ägyptern und im alten Israel ansetzend, werden unter dem Titel „Antike: Gegebene Gerechtigkeit“ (Kapitel 2) anschließend die Theorien der griechischen Klassiker Platon und Aristoteles sowie des Römers Cicero behandelt. Weiter geht es in chronologischer, übersichtlicher Gliederung mit den zwei Gerechtigkeiten des Mittelalters (Kapitel 3), die auf der Zwei-Reiche-Lehre des Augustinus‘ aufbauen. Kapitel 4 steht unter dem Motto: „N...

  15. Review: Felix Heidenreich (2011): Theorien der Gerechtigkeit - Eine Einführung

    OpenAIRE

    Kramer, Hans-Ulrich

    2012-01-01

    Schon vor der griechischen Antike, nämlich bei den alten Ägyptern und im alten Israel ansetzend, werden unter dem Titel „Antike: Gegebene Gerechtigkeit“(Kapitel 2) anschließend die Theorien der griechischen Klassiker Platon und Aristoteles sowie des Römers Cicero behandelt. Weiter geht es in chronologischer, übersichtlicher Gliederung mit den zwei Gerechtigkeiten des Mittelalters (Kapitel 3), die auf der Zwei-Reiche-Lehre des Augustinus‘ aufbauen. Kapitel 4 steht unter dem Motto: „Neuzeit: Ge...

  16. Den danske astronaut

    DEFF Research Database (Denmark)

    Jakobsen, Lars Sejersgård

    2014-01-01

    Undervisningsmateriale til mellemtrinnet om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015......Undervisningsmateriale til mellemtrinnet om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015...

  17. Den danske astronaut

    DEFF Research Database (Denmark)

    Jakobsen, Lars Sejersgård

    2014-01-01

    Undervisningsmateriale til udskolingen om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015......Undervisningsmateriale til udskolingen om raketter, astronauter og rummet lavet for Planetariet i anledning af opsendelsen af den første danske astronaut, Andreas Mogensen, til Den Internationale Rumstation (ISS) i sensommeren 2015...

  18. Den kommunikerende organisation

    DEFF Research Database (Denmark)

    Tække, Jesper

    2006-01-01

    samtidig tilbydes optimale muligheder for at få opfyldt individuelle behov og karrieremuligheder. For at en organisation skal kunne korrigere sig i forhold til de krav den konfronteres med, må der kunne fremstilles et adækvat billede af den. Det vil sige at dens faktiske kommunikationsprocesser må kunne...... drages frem i lyset på en måde så hensigtsmæssigheder og uhensigtsmæssigheder kan iagttages og selv blive objekt for reflekteret organisationskommunikation. Dette paper giver et udkast til en analysestrategi, hvormed der kan tegnes et billede af den enkelte organisation ud fra hvordan dens enkelte og...

  19. [Inpatient psychotherapy].

    Science.gov (United States)

    Spitzer, C; Rullkötter, N; Dally, A

    2016-01-01

    In German-speaking countries inpatient psychotherapy plays a major role in the mental healthcare system. Due to its characteristic features, i. e. multiprofessionalism, multimodality and method integration, the inpatient approach represents a unique and independent type of psychotherapy. In order to be helpful, the manifold verbal and non-verbal methods need to be embedded into an overall treatment plan. Additionally, the therapeutic milieu of the hospital represents an important effective factor and its organization requires a more active construction. The indications for inpatient psychotherapy are not only based on the mental disorder but also on illness, setting and healthcare system-related criteria. In integrative concepts, the multiprofessional team is a key component with many functions. The effectiveness of psychotherapeutic hospital treatment has been proven by meta-analysis studies; however, 20-30% of patients do not benefit from inpatient psychotherapy and almost 13% drop-out prematurely.

  20. Integrative Psychotherapy ‘Revisited’

    OpenAIRE

    Marye O’Reilly-Knapp

    2017-01-01

    This article revisits aspects of the theory and methods of Integrative Psychotherapy as written and discussed by Richard G. Erskine, PhD and others. A case study demonstrates the use of Integrative Psychotherapy as the basis for therapeutic interventions that allow the client to interpret early experiences of relational failures, via a relationally based psychotherapy. Revisiting the theory and methods of Integrative Psychotherapy served to further validate the core of IP and its value as a ...

  1. Psychotherapy in Contemporary Psychiatric Practice.

    Science.gov (United States)

    Hadjipavlou, George; Hernandez, Carlos A Sierra; Ogrodniczuk, John S

    2015-06-01

    American data suggest a declining trend in the provision of psychotherapy by psychiatrists. Nevertheless, the extent to which such findings generalize to psychiatric practice in other countries is unclear. We surveyed psychiatrists in British Columbia to examine whether the reported decline in psychotherapy provision extends to the landscape of Canadian psychiatric practice. A survey was mailed to the entire population of fully licensed psychiatrists registered in British Columbia (n = 623). The survey consisted of 30 items. Descriptive statistics were used to characterize the sample and psychotherapy practice patterns. Associations between variables were evaluated using nonparametric tests. A total of 423 psychiatrists returned the survey, yielding a response rate of 68%. Overall, 80.9% of psychiatrists (n = 342) reported practicing psychotherapy. A decline in the provision of psychotherapy was not observed; in fact, there was an increase in psychotherapy provision among psychiatrists entering practice in the last 10 years. Individual therapy was the predominant format used by psychiatrists. The most common primary theoretical orientation was psychodynamic (29.9%). Regarding actual practice, supportive psychotherapy was practiced most frequently. Professional time constraints were perceived as the most significant barrier to providing psychotherapy. The majority (85%) of clinicians did not view remuneration as a significant barrier to treating patients with psychotherapy. Our findings challenge the prevailing view that psychotherapy is in decline among psychiatrists. Psychiatrists in British Columbia continue to integrate psychotherapy and pharmacotherapy in clinical practice, thus preserving their unique place in the spectrum of mental health services.

  2. Manufacture and qualification of hot roll-clad composites with nickel base cladding material for use in flue gas desulphurization plants. Final report; Herstellung und Qualifizierung warmwalzplattierter Verbundwerkstoffe mit Nickelbasisauflagen fuer den Einsatz in Rauchgasentschwefelungsanlagen. Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Kirchheiner, R.; Stenner, F.

    1992-03-16

    . organisch basierte Korrosionsschutzsysteme erleiden schon nach wenigen Betriebsjahren massive Schaeden. NiCrMo-Legierungen haben sich unter vergleichbaren Bedingungen in der chemischen Industrie seit Jahrzehnten bewaehrt. Unter wirtschaftlichen Gesichtspunkten kann beim Neubau dieser grossvolumigen Komponenten in REA die Verwendung dieser NiCrMo-Werkstoffe nur in plattierter Form erfolgen. Im Rahmen dieses Projektes wurde die Herstellung von warmwalzplattierten Verbundwerkstoffen, bestehend aus den Auflagewerkstoffen vom Typ NiMo16Cr15W (2.4819) und NiCr21No14W (2.4602) auf dem Traegerwerkstoff Stahl RSt 37-2 erprobt. Das Verhalten der Auflagewerkstoffe bei gleichfoermiger und lokaler Korrosionsbeanspruchung wurde u.a. in Standard-Laborpruefungen untersucht. Eine erhoehte IK-Anfaelligkeit hat sich in Uebereinstimmung mit den ausgezeichneten Gefuegebildern nicht ergeben. In weiteren Laborpruefungen unter REA-Simulat-Bedingungen sowie durch Auslagerungsversuche in laufenden REA konnten diese positiven Befunde auch auf die Praxis uebertragen werden. Das gilt uneingeschraenkt auch fuer den verbindungsgeschweissten Zustand mit artgleichem Schweisszusatz. Die neuen warmwalzplattierten Verbundwerkstoffe entsprechen in ihrem technologischen Verhalten denen der massiven Ausgangsbleche und sind damit fuer den Einsatz in Rauchgasreinigungsanlagen qualifiziert. (orig./BBR) With 32 refs., 13 tabs., 29 figs.

  3. Psychotherapy in Contemporary Psychiatric Practice

    Science.gov (United States)

    Hadjipavlou, George; Hernandez, Carlos A Sierra; Ogrodniczuk, John S

    2015-01-01

    Objective: American data suggest a declining trend in the provision of psychotherapy by psychiatrists. Nevertheless, the extent to which such findings generalize to psychiatric practice in other countries is unclear. We surveyed psychiatrists in British Columbia to examine whether the reported decline in psychotherapy provision extends to the landscape of Canadian psychiatric practice. Method: A survey was mailed to the entire population of fully licensed psychiatrists registered in British Columbia (n = 623). The survey consisted of 30 items. Descriptive statistics were used to characterize the sample and psychotherapy practice patterns. Associations between variables were evaluated using nonparametric tests. Results: A total of 423 psychiatrists returned the survey, yielding a response rate of 68%. Overall, 80.9% of psychiatrists (n = 342) reported practicing psychotherapy. A decline in the provision of psychotherapy was not observed; in fact, there was an increase in psychotherapy provision among psychiatrists entering practice in the last 10 years. Individual therapy was the predominant format used by psychiatrists. The most common primary theoretical orientation was psychodynamic (29.9%). Regarding actual practice, supportive psychotherapy was practiced most frequently. Professional time constraints were perceived as the most significant barrier to providing psychotherapy. The majority (85%) of clinicians did not view remuneration as a significant barrier to treating patients with psychotherapy. Conclusions: Our findings challenge the prevailing view that psychotherapy is in decline among psychiatrists. Psychiatrists in British Columbia continue to integrate psychotherapy and pharmacotherapy in clinical practice, thus preserving their unique place in the spectrum of mental health services. PMID:26175328

  4. Psychotherapy And Phenomenology

    African Journals Online (AJOL)

    denise

    psychology and psychotherapy since its beginnings. ... accountability of psychological meaning are ... the whole of human being as entirely representative ..... approaches and range across the areas of personality psychology, psychotherapy, ...

  5. Existentially informed HIV-related psychotherapy.

    Science.gov (United States)

    Farber, Eugene W

    2009-09-01

    This article describes an existentially informed approach to conducting psychotherapy with individuals living with the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). Uses of existential concepts to guide a holistic conceptualization of the individual and illuminate core existential concerns and dilemmas in confronting HIV-related challenges are delineated. Applications of existential ideas regarding psychotherapy process and technique in HIV-related psychotherapy also are illustrated. It is concluded that existential psychotherapy offers a conceptual framework that is especially well suited to the work of psychotherapy with individuals living with HIV disease, although the approach has received only limited attention in the HIV-related psychotherapy literature. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  6. Psychotherapy for cancer patients.

    Science.gov (United States)

    Chong Guan, Ng; Mohamed, Salina; Kian Tiah, Lai; Kar Mun, Teoh; Sulaiman, Ahmad Hatim; Zainal, Nor Zuraida

    2016-07-01

    Objective Psychotherapy is a common non-pharmacological approach to help cancer patients in their psychological distress. The benefit of psychotherapies was documented, but the types of psychotherapies proposed are varied. Given that the previous literature review was a decade ago and no quantitative analysis was done on this topic, we again critically and systematically reviewed all published trials on psychotherapy in cancer patients. Method We identified 17 clinical trials on six types of psychotherapy for cancer patients by searching PubMed and EMBASE. Result There were four trials involved adjunct psychological therapy which were included in quantitative analysis. Each trial demonstrated that psychotherapy improved the quality of life and coping in cancer patients. There was also a reduction in distress, anxiety, and depression after a psychological intervention. However, the number and quality of clinical trials for each type of psychotherapy were poor. The meta-analysis of the four trials involved adjunct psychological therapy showed no significant change in depression, with only significant short-term improvement in anxiety but not up to a year-the standardized mean differences were -0.37 (95% confidence interval (CI) = -0.57, -0.16) at 2 months, -0.21 (95% CI = -0.42, -0.01) at 4 months, and 0.03 (95 % CI = -0.19, 0.24) at 12 months. Conclusion The evidence on the efficacy of psychotherapy in cancer patients is unsatisfactory. There is a need for more rigorous and well-designed clinical trials on this topic.

  7. Den juridiske metode

    DEFF Research Database (Denmark)

    Hansen, Lone Louring; Werlauff, Erik

    DEN JURIDISKE METODE – en introduktion (2. udgave 2016) er en brugervenlig og praktisk bog om den juridiske metode. Den kan læses af både studerende og læsere uden juridiske forkundskaber. Bogen omhandler juridisk metode gennem 2000 år, retsområderne, udstedelse af retsregler, domstolene og deres...

  8. Den gode argumentations anatomi

    DEFF Research Database (Denmark)

    Kock, Christian Erik J

    2013-01-01

    God argumentation har tre dimensioner: Den er faktuelt retvisende, den er relevant, og den er vægtig. Desværre slipper politikerne ofte af sted med mangelfuld argumentation fordi de forklæder den godt. Derfor får du her de vigtigste redskaber til at spotte uskikkene i politisk argumentation...

  9. Ausländerfeindlichkeit unter Jugendlichen in Leipzig

    OpenAIRE

    Petermann, Sören; Goldenberg, Olga

    2017-01-01

    In kommunalen Umfragen erhobene Einstellungen gegenüber Ausländern repräsentieren ein Bild gelebter Toleranz. Selten werden Jugendliche zu ihren ausländerbezogenen Einstellungen gefragt und mit altersspezifischen Faktoren in Verbindung gesetzt. Dieser Beitrag bezieht sich auf theoretische Ansätze der Anomietheorie, der Sozialisations- und Deprivationsforschung, um Kompensationsprozesse und Konfliktpotenziale als Wirkungsmechanismen für Ausländerfeindlichkeit unter Leipziger Jugendlichen zu un...

  10. Innere Emigration und Diktatur die getarnten Botschaften in den Opern der meister aus bojana von Konstantin Iliev und der gefesselte Prometeus von Lazar Nikolov

    Directory of Open Access Journals (Sweden)

    Kostakeva Maria

    2004-01-01

    Full Text Available (nemački Die Frage der "inneren Emigration" in den ehemaligen kommunistischen Ländern Europas wird an Beispielen zweier Opern der wichtigen bulgarischen Komponisten Konstantin Iliev und Lazar Nikolov untersucht. Ähnlich wie Paul Hindemith in Mathis der Maler, in Ilievs Meister aus Bojana (1962, kam die Inspiration von einer mittelalterlichen Legende her, und iM Mittelpunkt des Dramas steht das Problem der Freiheit der Schöpfer unter der dogmatischen Gewalt. IM Gefesselten Prometeus (1972 von Nikolov ist die Hauptperson als Symbol des Protests gegen die Tyrannei und die Unterdrückung zu verstehen und so lässt sich in allen Zeiten politisch interpretieren, umso mehr bei einem kommunistischen Regime.

  11. Ein Lehrbuch über Psychiatrie und Psychotherapie – Geschlechtsunterschiede unter der Lupe? A Textbook for Psychiatry and Psychotherapy—Gender Differences under the Microscope?

    Directory of Open Access Journals (Sweden)

    Isabella Heuser

    2007-07-01

    Full Text Available Anke Rohde und Andreas Marneros haben sich ein hohes Ziel gesetzt: ein übersichtliches Lehrbuch für Psychiatrie und Psychotherapie, das erstmals eine systematische Zusammenstellung des Wissens über geschlechtsspezifische Aspekte von Symptomatologie, Epidemiologie, Diagnostik, Pharmakotherapie und Psychotherapie psychischer Störungen enthält. Bemerkenswert ist dabei zweierlei: Erstens werden bei der Betrachtung geschlechtsspezifischer Unterschiede im Sinne der Genderforschung Frauen und Männer berücksichtigt, zweitens wird ein vollständiger Überblick sowohl über die häufigen und bekannten psychischen Störungen als auch die äußerst seltenen psychiatrischen Erkrankungen der gesamten Altersspanne gegeben. Wenngleich die Qualität der einzelnen Beiträge deutlich zwischen sehr differenzierter und leider auch für ein Handbuch eindeutig zu oberflächlicher Betrachtung variiert, liegt in dem Band ein weitgehend informatives Nachschlagewerk vor, das einen ersten Überblick über die geschlechtsspezifische Psychiatrie gibt.Anke Rohde and Andres Marneros have given themselves a lofty goal: To put together a systematic collection for the first time that contains the entire body of knowledge on the gender-specific aspects of symptomatology, epidemiology, diagnostics, pharmacotherapy, and psychotherapy of psychological disturbances. There are two notable aspects: First, in accordance with contemporary gender analysis, the examination of the gender-specific differences takes both women and men into account; second, the book provides a complete overview of the common and well-known psychological disturbances as well as the extremely rare psychiatric illnesses along the entire age spectrum. Although the quality of the individual articles clearly ranges from the very sophisticated to a superficial treatment inappropriate for a textbook, the volume itself is, for the most part, an informative work of reference that offers an initial overview of

  12. "Den onde kvinde"

    DEFF Research Database (Denmark)

    Holst, Søren

    2002-01-01

    Et af Dødehavsskrifterne, af den første udgiver kaldet "Den onde kvindes rænker" (4Q184), beskriver en svigefuld kvinde, der lokker fromme mænd i fordærv. Artiklen gennemgår tekstens fortolkningshistorie og påviser den rolle, det har spillet for læsningen, at teksten a priori er blevet opfattet s...

  13. Den inkluderende skole

    DEFF Research Database (Denmark)

    Hedegaard Hansen, Janne

    2009-01-01

    Artiklen tager afsæt i en forståelse af inklusion som den enkelte elevs ret til deltagelse i de eksisterende fællesskaber, forstået som de læringsrum, der bedst muligt tilgodeser den enkelte elevs særlige behov. I artiklen diskuteres hvilke nødvendige forandringer det fordrer i den pædagogiske pr...

  14. Sygehusene i den islamiske verden i den klassiske tid

    OpenAIRE

    Provencal, Philippe

    2014-01-01

    Et af de væsentlige punkter, hvor den arabiske medicin udmærker sig i forhold til tidligere tiders medicin var i oprettelsen og organiseringen af regelrette sygehuse. Artiklen beskriver sygehusenes oprindelse, plads og funktion i den klassiske arabiske kultur (750-1500)

  15. Neuroimaging for psychotherapy research: current trends.

    Science.gov (United States)

    Weingarten, Carol P; Strauman, Timothy J

    2015-01-01

    This article reviews neuroimaging studies that inform psychotherapy research. An introduction to neuroimaging methods is provided as background for the increasingly sophisticated breadth of methods and findings appearing in psychotherapy research. We compiled and assessed a comprehensive list of neuroimaging studies of psychotherapy outcome, along with selected examples of other types of studies that also are relevant to psychotherapy research. We emphasized magnetic resonance imaging (MRI) since it is the dominant neuroimaging modality in psychological research. We summarize findings from neuroimaging studies of psychotherapy outcome, including treatment for depression, obsessive compulsive disorder (OCD), and schizophrenia. The increasing use of neuroimaging methods in the study of psychotherapy continues to refine our understanding of both outcome and process. We suggest possible directions for future neuroimaging studies in psychotherapy research.

  16. Psychotherapy Training: Residents' Perceptions and Experiences.

    Science.gov (United States)

    Kovach, Jessica G; Dubin, William R; Combs, Christopher J

    2015-10-01

    This survey examined actual training hours in psychotherapy modalities as reported by residents, residents' perceptions of training needs, and residents' perceptions of the importance of different aspects of psychotherapy training. A brief, voluntary, anonymous, Internet-based survey was developed. All 14 program directors for Accreditation Council for Graduate Medical Education accredited programs in Pennsylvania, New Jersey, and Delaware provided email addresses for current categorical residents. The survey inquired about hours of time spent in various aspects of training, value assigned to aspects of training, residents' involvement in their own psychotherapy, and overall resident wellness. The survey was e-mailed to 328 residents. Of the 328 residents contacted, 133 (40.5%) responded. Median reported number of PGY 3 and 4 performed versus perceived ideal hours of supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy did not differ. Answers for clinical time utilizing these modalities ranged from "none or less than 1 h" per month to 20+ h per month. PGY 3 and 4 residents reported a median of "none or less than 1 h" per month performed of interpersonal, dialectical behavior therapy, couples/family/group, and child therapies but preferred more time using these therapies. Residents in all years of training preferred more hours of didactic instruction for all psychotherapies and for medication management. Residents ranked teaching modalities in the following order of importance: supervision, hours of psychotherapy performed, personal psychotherapy, readings, and didactic instruction. Residents engaged in their own psychotherapy were significantly more likely to rank the experiential aspects of psychotherapy training (personal psychotherapy, supervision, and hours performed) higher than residents not in psychotherapy. Current psychotherapy training for psychiatry residents is highly variable, but overall, residents want more

  17. Mixed methods in psychotherapy research: A review of method(ology) integration in psychotherapy science.

    Science.gov (United States)

    Bartholomew, Theodore T; Lockard, Allison J

    2018-06-13

    Mixed methods can foster depth and breadth in psychological research. However, its use remains in development in psychotherapy research. Our purpose was to review the use of mixed methods in psychotherapy research. Thirty-one studies were identified via the PRISMA systematic review method. Using Creswell & Plano Clark's typologies to identify design characteristics, we assessed each study for rigor and how each used mixed methods. Key features of mixed methods designs and these common patterns were identified: (a) integration of clients' perceptions via mixing; (b) understanding group psychotherapy; (c) integrating methods with cases and small samples; (d) analyzing clinical data as qualitative data; and (e) exploring cultural identities in psychotherapy through mixed methods. The review is discussed with respect to the value of integrating multiple data in single studies to enhance psychotherapy research. © 2018 Wiley Periodicals, Inc.

  18. Den Gode Historie

    DEFF Research Database (Denmark)

    Mogensen, T.E.

    den nysgerrige læser af trilogien. Den kan beses og bestilles på: www.universitypress.dk/DK/detail.php?token=73278292116&R=8778387078&N=nej ELLER KØB DEN DIREKTE HOS MIG: SLAGTILBUD 100 kr. (inkl. porto og forsendelse)!                            Henvendelse pr. e-mail til tine.engel@gmail.com...

  19. Ethical reflection and psychotherapy.

    Science.gov (United States)

    Vyskocilová, Jana; Prasko, Jan

    2013-01-01

    Theories of ethics and ethical reflection may be applied to both theory and practice in psychotherapy. There is a natural affinity between ethics and psychotherapy. Psychotherapy practice is concerned with human problems, dilemmas and emotions related to both one's own and other people's values. Ethics is also concerned with dilemmas in human thinking and with how these dilemmas reflect other individuals' values. Philosophical reflection itself is not a sufficient basis for the ethics of psychotherapy but it may aid in exploring attitudes related to psychotherapy, psychiatry and health care. PubMed, Web of Science and Scopus databases were searched for articles containing the keywords "psychotherapy", "ethics", "therapeutic relationship" and "supervision". The search was conducted by repeating the terms in various combinations without language or time restrictions. Also included were data from monographs cited in reviews. The resulting text is a review with conclusions concerning ethical aspects of psychotherapy. The ability to behave altruistically, sense for justice and reciprocity and mutual help are likely to be genetically determined as dispositions to be later developed by upbringing or to be formed or deformed by upbringing. Early experiences lead to formation of ethical attitudes which are internalized and then applied to both one's own and other people's behavior. Altruistic behavior has a strong impact on an individual's health and its acceptance may positively influence the pathophysiological mechanisms underlying numerous diseases. Ethical theory and reflection, however, may be applied to both theory and practice of psychotherapy in a conscious, targeted and thoughtful manner. In everyday practice, psychotherapists and organizations must necessarily deal with conscious conflicts between therapeutic possibilities, clients' wishes, their own as well as clients' ideas and the real world. Understanding one's own motives in therapy is one of the aims of a

  20. Group Psychotherapy in Italy.

    Science.gov (United States)

    Giannone, Francesca; Giordano, Cecilia; Di Blasi, Maria

    2015-10-01

    This article describes the history and the prevailing orientations of group psychotherapy in Italy (psychoanalytically oriented, psychodrama, CBT groups) and particularly group analysis. Provided free of charge by the Italian health system, group psychotherapy is growing, but its expansion is patchy. The main pathways of Italian training in the different group psychotherapy orientations are also presented. Clinical-theoretical elaboration on self development, psychopathology related to group experiences, and the methodological attention paid to objectives and methods in different clinical groups are issues related to group therapy in Italy. Difficulties in the relationship between research and clinical practice are discussed, as well as the empirical research network that tries to bridge the gap between research and clinical work in group psychotherapy. The economic crisis in Italy has led to massive cuts in health care and to an increasing demand for some forms of psychological treatment. For these reasons, and because of its positive cost-benefit ratio, group psychotherapy is now considered an important tool in the national health care system to expand the clinical response to different forms of psychological distress.

  1. Presentation of the Well Tractor Concept and practical experience in extreme conditions; Vorstellung des Well Tractor Konzepts mit Erfahrungen bei Einsaetzen unter Extrembedingungen

    Energy Technology Data Exchange (ETDEWEB)

    Kater, H.; Preiss, F. [Preussag Wireline- und Messservice, Edemissen (Germany)

    1998-12-31

    So-called extended reach boreholes with horizontal sections of more than 2000 m, short radius drilling, multilaterals and other variations are common enough. Problems occur when this type of borehole needs to be surveyed or modified. The contribution describes the newly developed ``Well Tracotor{sup circledR}`` technology and outlines its potential. (orig.) [Deutsch] Sogenannte Extended Reach Bohrungen mit Horizontalsektionen von mehr als 2.000 Meter Laenge, Short Radius Drilling, Multilaterals und andere Variationen sind bohrtechnisch einwandfrei durchfuehrbar und gehoeren zum gaengigen Repertoire der Bohrfirmen. Grosse Probleme entstehen jedoch wenn dieser Bohrungstyp vermessen, komplettiert oder aufgewaeltigt werden soll. Insbesondere Bohrlochmessfirmen haben es in den letzten ca. 20 Jahren versaeumt Innovationen zwecks oekonomischen Einsatzes ihrer Technologie in diesen Bohrungen bereitzustellen. Die Durchfuehrung von Perforationen und Bohrlochmessungen, das Setzen von Stopfen, Schneiden von Rohren und auch einfachste Slickline-Operationen sind bei einer Bohrlochneigung beginnend bei ca. 60 bis 80 nur unter Anwendung von kosten- und zeitintensiven Verfahren moeglich. Eine guenstige Alternative zu diesen Verfahren bietet der Well Tractor. Diese Technologie ermoeglicht das Einfahren von Geraeten, die ueblicherweise am Kabel oder Draht eingesetzt werden, in Horizontalbohrungen. Im Folgenden werden das technische Konzept, ein Vergleich mit alternativen Verfahren, und verschiedene Referenzen des Well Tracotors {sup trademark} dargestellt. Weiterhin wird auf die Modifikationen eingegangen, die noetig waren, um dieses Geraet den Gegebenheiten in tiefen, heissen Gasbohrungen anzupassen. Abschliessend soll durch einen Ausblick auf zum Teil schon im Feldtest befindliche Weiterentwicklungen das weitere Potential dieser Technologie aufgezeichnet werden. (orig.)

  2. Psychotherapy of Mood Disorders

    Science.gov (United States)

    Picardi, Angelo; Gaetano, Paola

    2014-01-01

    In the last decades, psychotherapy has gained increasing acceptance as a major treatment option for mood disorders. Empirically supported treatments for major depression include cognitive behavioural therapy (CBT), interpersonal psychotherapy (IPT), behavioural therapy and, to a lesser extent, short-term psychodynamic psychotherapy. Meta-analytic evidence suggests that psychotherapy has a significant and clinically relevant, though not large, effect on chronic forms of depression. Psychotherapy with chronic patients should take into account several important differences between patients with chronic and acute depression (identification with their depressive illness, more severe social skill deficits, persistent sense of hopelessness, need of more time to adapt to better circumstances). Regarding adolescent depression, the effectiveness of IPT and CBT is empirically supported. Adolescents require appropriate modifications of treatment (developmental approach to psychotherapy, involvement of parents in therapy). The combination of psychotherapy and medication has recently attracted substantial interest; the available evidence suggests that combined treatment has small but significant advantages over each treatment modality alone, and may have a protective effect against depression relapse or recurrence. Psychobiological models overcoming a rigid brain-mind dichotomy may help the clinician give patients a clear rationale for the combination of psychological and pharmacological treatment. In recent years, evidence has accumulated regarding the effectiveness of psychological therapies (CBT, family-focused therapy, interpersonal and social rhythm therapy, psychoeducation) as an adjunct to medication in bipolar disorder. These therapies share several common elements and there is considerable overlap in their actual targets. Psychological interventions were found to be useful not only in the treatment of bipolar depressive episodes, but in all phases of the disorder. PMID

  3. Psychotherapy Integration via Theoretical Unification

    Directory of Open Access Journals (Sweden)

    Warren W. Tryon

    2017-01-01

    Full Text Available Meaningful psychotherapy integration requires theoretical unification because psychotherapists can only be expected to treat patients with the same diagnoses similarly if they understand these disorders similarly and if they agree on the mechanisms by which effective treatments work. Tryon (in press has proposed a transtheoretic transdiagnostic psychotherapy based on an Applied Psychological Science (APS clinical orientation, founded on a BioPsychology Network explanatory system that provides sufficient theoretical unification to support meaningful psychotherapy integration. That proposal focused mainly on making a neuroscience argument. This article makes a different argument for theoretical unification and consequently psychotherapy integration. The strength of theories of psychotherapy, like all theory, is to focus on certain topics, goals, and methods. But this strength is also a weakness because it can blind one to alternative perspectives and thereby promote unnecessary competition among therapies. This article provides a broader perspective based on learning and memory that is consistent with the behavioral, cognitive, cognitive-behavioral, psychodynamic, pharmacologic, and Existential/Humanistic/Experiential clinical orientations. It thereby provides a basis for meaningful psychotherapy integration.

  4. Evidence-Based Psychotherapy: Advantages and Challenges.

    Science.gov (United States)

    Cook, Sarah C; Schwartz, Ann C; Kaslow, Nadine J

    2017-07-01

    Evidence-based psychotherapies have been shown to be efficacious and cost-effective for a wide range of psychiatric conditions. Psychiatric disorders are prevalent worldwide and associated with high rates of disease burden, as well as elevated rates of co-occurrence with medical disorders, which has led to an increased focus on the need for evidence-based psychotherapies. This chapter focuses on the current state of evidence-based psychotherapy. The strengths and challenges of evidence-based psychotherapy are discussed, as well as misperceptions regarding the approach that may discourage and limit its use. In addition, we review various factors associated with the optimal implementation and application of evidence-based psychotherapies. Lastly, suggestions are provided on ways to advance the evidence-based psychotherapy movement to become truly integrated into practice.

  5. Introduction: attachment theory and psychotherapy.

    Science.gov (United States)

    Levy, Kenneth N

    2013-11-01

    In this introduction to the JCLP: In Session 69(11) issue on attachment theory and psychotherapy, the key points of attachment theory (Bowlby, , , 1981) and its relevance to psychotherapy are briefly described. The aim of this issue is to provide case illustrations of how an attachment theory perspective and principles can expand our understanding of psychotherapy practice. © 2013 Wiley Periodicals, Inc.

  6. Integration in psychotherapy: Reasons and challenges.

    Science.gov (United States)

    Fernández-Álvarez, Héctor; Consoli, Andrés J; Gómez, Beatriz

    2016-11-01

    Although integration has been formally influencing the field of psychotherapy since the 1930s, its impact gained significant momentum during the 1980s. Practical, theoretical, and scientific reasons help to explain the growing influence of integration in psychotherapy. The field of psychotherapy is characterized by many challenges which integration may change into meaningful opportunities. Nonetheless, many obstacles remain when seeking to advance integration. To appreciate the strength of integration in psychotherapy we describe an integrative, comprehensive approach to service delivery, research, and training. We then discuss the role of integration in the future of psychotherapy. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  7. Making Psychotherapy Great Again?

    Science.gov (United States)

    Plakun, Eric M

    2017-05-01

    Psychotherapy never stopped being as "great" as other treatments. This column explores the evidence base for both psychotherapy and medications, using depression as a specific example. The limitations are comparable for psychotherapy and medication, with much of the evidence based on small degrees of "statistically significant" rather than "clinically meaningful" change. Our field's biomedical emphasis leads to a false assumption that most patients present with single disorders, when comorbidity is the rule rather than the exception. This false assumption contributes to limitations in the evidence base and in our ability to treat patients optimally.

  8. Den økonomiske verdensorden

    DEFF Research Database (Denmark)

    Ougaard, Morten

    2016-01-01

    . Men det er ikke en statisk orden, den har udviklet og forandret sig gennem de sidste 70 år, og det er ikke første gang, den står over for betydelige udfordringer. Derfor er det instruktivt at kaste et blik bagud. De nuværende vanskeligheder skal ses på baggrund af den historie, der har skabt dem, og...

  9. Medienpädagogik unter der differenztheoretischen Lupe. Eine Identitätssuche zwischen Disziplin und Profession

    Directory of Open Access Journals (Sweden)

    Franziska Linke

    2017-09-01

    Full Text Available Der Beitrag diskutiert die dem Themenheft zugrundeliegende Fragestellung nach der Konstitution der Medienpädagogik aus einer systemtheoretischen Perspektive. Dabei wird im Anschluss an Stichweh (2013 Ansatz der funktionalen Differenzierung ein Untersuchungsrahmen aufgezeigt, der es ermöglicht, die Medienpädagogik sowohl aus wissenschaftssoziologischer als auch professionssoziologischer Perspektive zu betrachten. Gerade die zentrale Rolle der (digitalen Medien für Lern- und Bildungsprozesse sowie für den Arbeitsmarkt (u. a. KMK 2016 verlangt eine stetige Reflexion professioneller Handlungssysteme der Medienpädagogik, die nicht losgelöst von der Frage nach dem Selbstverständnis der Medienpädagogik als Wissenschaftsdisziplin gelingen kann (u. a. Hugger 2001. Divergierende theoretische Positionierungen der Akteurinnen und Akteure sowie verschiedene Zielvorstellungen zur Medienpädagogik selbst und zu dem, was sie praktisch leisten kann, erschweren ein solches Vorhaben. Die Autorinnen des Beitrags begeben sich daher, unter Berücksichtigung der Differenzierung zwischen Disziplin und Profession, auf die Suche nach möglichen Antworten. Vorgeschlagen wird eine erweiterte Betrachtungsweise, welche die Medienpädagogik als wissenschaftliche Produktionsgemeinschaft beschreibt und dadurch Potenziale eröffnet theoretische und empirische Erkenntnisse von Akteurinnen und Akteuren unterschiedlicher wissenschaftlicher Disziplinen mit Medienzusammenhang zu berücksichtigen. Ferner wird dargelegt, dass ein solcher Beschreibungsansatz neue Forschungsperspektiven auf die professionstheoretische Einordnung praktischer Handlungssysteme der Medienpädagogik eröffnen kann.

  10. Den iscenesatte virkelighed

    DEFF Research Database (Denmark)

    Bondebjerg, Ib

    2007-01-01

    Artiklen diskuterer den dramatiserede dokumentarismes forskellige genrer inden for film og tv. Det diskuteres hvor grænserne mellem fiktion og fakta går i journalistik og dokumentarisme. Hovedkonklusionen er, at den dramatiserede og iscenesatte dokumentarisme er en genre, der har en vigtig funktion...

  11. Interpersonal psychotherapy for anorexia nervosa.

    Science.gov (United States)

    McIntosh, V V; Bulik, C M; McKenzie, J M; Luty, S E; Jordan, J

    2000-03-01

    This paper outlines the rationale for treating individuals with anorexia nervosa using interpersonal psychotherapy. We review theoretical, empirical, and psychotherapy literature relating to interpersonal functioning in anorexia nervosa. Etiological theories emphasize interpersonal and family dysfunction in the development of anorexia nervosa. Research supports the notion that families of individuals with anorexia nervosa have dysfunctional patterns of communication. The history of treatment for anorexia nervosa emphasizes the need for resolution of interpersonal dysfunction, within the traditions of psychodynamic, family therapy, and multidimensional therapies. Interpersonal psychotherapy is a time-limited psychotherapy based on the notion that regardless of etiology, interpersonal relationships are intertwined with symptomatology. The goals of the therapy are to improve interpersonal functioning and thereby decrease symptomatology. Factors identified as important in the development of anorexia nervosa are readily conceptualized within the interpersonal psychotherapy problem areas of grief, interpersonal disputes, interpersonal deficits, and role transitions. Copyright 2000 by John Wiley & Sons, Inc.

  12. Characteristics and experience of the patient in psychotherapy and the psychotherapy's effectiveness. A structural approach.

    Science.gov (United States)

    Szymańska, Agnieszka; Dobrenko, Kamila; Grzesiuk, Lidia

    2017-08-29

    The study concerns the relationship between three groups of variables presenting the patient's perspective: (1) "patient's characteristics" before psychotherapy, including "expectations of the therapy"; (2) "experience in the therapy", including the "psychotherapeutic relationship"; and (3) "assessment of the direct effectiveness of the psychotherapy". Data from the literature are the basis for predicting relationships between all of these variables. Measurement of the variables was conducted using a follow-up survey. The survey was sent to a total of 1,210 former patients of the Academic Center for Psychotherapy (AOP) in which the therapy is conducted mainly with the students and employees of the University of Warsaw. Responses were received from 276 people. 55% of the respondents were women and 45% were men, under 30 years of age. The analyses were performed using structural equations. Two models emerged from an analysis of the relationship between the three above-mentioned groups of variables. One concerns the relationship between (1) the patient's characteristics (2) the course of psychotherapy, in which -from the perspective of the patient - there is a good relationship with the psychotherapist and (3) psychotherapy is effective. The second model refers to (2) the patient's experience of poor psychotherapeutic relationship and (3) ineffective psychotherapy. Patient's expectations of the psychotherapy (especially "the expectation of support") proved to be important moderating variablesin the models-among the characteristics of the patient. The mathematical model also revealed strong correlation of variables measuring "the relationship with the psychotherapist" and "therapeutic interventions".

  13. Den katolske kirke

    DEFF Research Database (Denmark)

    Olden-Jørgensen, Sebastian

    2009-01-01

    En kort gennemgang af den katolske kirkes kirkerum, ritualer, selvforståelse og syn på andre kristne efterfulgt af 16 forskellige kildetekster til belysning og uddybning af emnerne. Bogen omfatter tilsvarende afsnit om de ortodokse kirker og om folkekirken. Den er beregnet til gymnasium og HF....

  14. Den moderate revolution

    DEFF Research Database (Denmark)

    Larsen, Bøje

    "normale" industrivirksomheder, men den er absolut set begrænset. Årsagerne til denne kun "moderate revolution" af organisationsformerne diskuteres: Er det fordi klassisk organisation og social nærkontakt er nødvendig i den nye økonomi, eller er det manglende fantasi og tryghedsbehov? Begge muligheder...

  15. Update Cimicifuga racemosa – neue Erkenntnisse aus Wissenschaft und Forschung: Differenzierte Evidenz für Wirksamkeit und Sicherheit von Traubensilberkerzen-Arzneimitteln zur Behandlung klimakterischer Beschwerden

    Directory of Open Access Journals (Sweden)

    Beer AM

    2014-01-01

    Full Text Available Unter den bei Wechseljahresbeschwerden eingesetzten Phytotherapeutika ist die Traubensilberkerze (Cimicifuga racemosa, Actaea racemosa am besten dokumentiert. Die Monographie des Herbal Medicinal Product Committee der Europäischen Arzneimittelbehörde bestätigt das positive Nutzen-Risiko-Profil von Cimicifugaracemosa-(CR- Arzneimitteln. Voraussetzung ist deren Herstellung unter GMP-Bedingungen mit nachweislicher pharmazeutischer Qualität. In einer aktualisierten Metaanalyse unter Berücksichtigung aller geeigneten randomisierten kontrollierten Studien (RCTs zeigt CR eine signifikant bessere Wirksamkeit bei der Besserung klimakterischer Beschwerden im Vergleich zu Placebo. Ein aktueller Review zur Wirksamkeit und Sicherheit von CR bei Wechseljahresbeschwerden differenziert erstmalig zwischen Extrakten, deren Qualität (nachgewiesen durch den Arzneimittelstatus und Indikation – und wird somit den Besonderheiten der Phytotherapie gerecht. Hierbei erwiesen sich alle in klinischen Studien untersuchten CR-Extrakte als sicher und gut verträglich. Jedoch konnten nur qualitativ hochwertige, offiziell geprüfte, zugelassene CR-Arzneimittel ihre Wirksamkeit und somit ein positives Nutzen-Risiko-Profil nachweisen. Konsistent konfirmatorische Evidenz mit Oxford-Evidenzlevel 1 und höchstem Empfehlungsgrad A erbringt hierbei nur der isopropanolische Cimicifuga-racemosa-Spezialextrakt (iCR, der in vielen Studien an 11.000 Patientinnen untersucht wurde.

  16. Hvad karakteriserer den netbaserede vejledning?

    DEFF Research Database (Denmark)

    Kjeldsen, Lars Peter

    2008-01-01

    Hensigten med artiklen er at bidrage til forståelsen af sider ved den netbaserede vejledning. Fremgangsmåden vil være: •Først at beskrive og diskutere, hvorledes jeg forstår det virtuelle læringsmiljø, herunder en afklaring af, hvad der karakteriserer den netbaserede vejledning. •Dernæst gennem e...... teoretisk afsæt opstille en model for, hvorledes netbaseret vejledning kan bidrage til de studerendes læreproces. • Sidst at give eksempler på hvorledes modellen for netbaseret vejledning kan anvendes i praksis.......Hensigten med artiklen er at bidrage til forståelsen af sider ved den netbaserede vejledning. Fremgangsmåden vil være: •Først at beskrive og diskutere, hvorledes jeg forstår det virtuelle læringsmiljø, herunder en afklaring af, hvad der karakteriserer den netbaserede vejledning. •Dernæst gennem et...

  17. Den sociale stofmisbrugsbehandling. Del 4

    DEFF Research Database (Denmark)

    Sørensen, Maren

    Dette er den fjerde delrapport i en rapportserie om den sociale stofmisbrugsbehandling i Danmark. Rapportserien bygger på en omfattende undersøgelse, der blev fortaget i perioden december 2007 til maj 2009. Denne delrapport stiller skarpt på kvalitetsudvikling og kvalitetsstandarder i den sociale...

  18. Radiomontagen og dens radiofoniske rødder. Om hørebilledet, den litterære tekstmontage, featuren og den moderne radiomontage

    Directory of Open Access Journals (Sweden)

    Ib Poulsen

    2001-09-01

    Full Text Available Radiomontagen og dens genrevarianter, hørebilledet og featuren har tidligere har tidligere været genstand for interesse fra især den æste- tiske og tekstanalytisk orienterede radioforskning. I denne artikel sæt- tes genren ind i en bredere kontekst, sociokulturelt og medie- og insti- tutionshistorisk. Ledetrådene i den diakrone fremstilling er dels spørgs- målet om genrens historiske og genremæssige rødder, dels en kombi- neret tekstanalytisk og receptionsæstetisk tilgang, der søger at ind- kredse de positioneringer af lytteren, radiomontagen og dens varianter tilbyder. Artiklen er baseret på grundige arkivstudier i DR og på inter- views med nogle af de ’montører’, som har bidraget til udviklingen af montagen, der i kraft af sin radiofoniske spændvidde mest vedholdende og varieret har forsøgt at udforske menneskets livssituation i den moder- ne verden, samtidig med at lytteren er blevet tilbudt en lytteposition, der prioriterer refleksion og eftertanke.

  19. Den sociale stofmisbrugsbehandling. Del 6

    DEFF Research Database (Denmark)

    Sørensen, Maren; Buchholt Pedersen, Katrine

    Dette er den sjette delrapport i en rapportserie om den sociale stofmisbrugsbehandling i Danmark. Rapportserien bygger på en omfattende undersøgelse, der blev fortaget i perioden december 2007 til maj 2009. Denne delrapport stiller skarpt på resultaterne af den sociale stofmisbrugsbehandling i Da...

  20. den på glas

    DEFF Research Database (Denmark)

    Meyer, Ion

    2008-01-01

    Artiklen beskriver den eneste danske samling af præparerede fostre og børn, og hvorfor den blev fremstillet. Den var en del af Museum Saxtorphianum og artiklen diskuterer hvordan disse fostre blev til præparater. Musealiseringen, overgangen fra medicinske studieobjekter til museumsgenstande med s...

  1. Die grossen Physiker und ihre Entdeckungen von den fallenden Körpern zu den Quarks

    CERN Document Server

    Segrè, Emilio

    1998-01-01

    Von Galileo Galilei bis zu Richard Feynman und Murray Gell-Mann - von den fallenden Körpern zu den Quarks: Der Physiknobelpreisträger Emilio Segre hat seine ganz persönliche Geschichte der Physik geschrieben. Er erzählt von den großen Gestalten und deren wichtigen Entdeckungen mit großer Anschaulichkeit und Lebendigkeit.

  2. Medarbejderdreven innovation i den offentlige sektor

    DEFF Research Database (Denmark)

    Klitmøller, Anders; Lauring, Jakob; Christensen, Poul Rind

    2007-01-01

    Denne artikel har til formål at kaste lys over den rolle, medarbejderne spiller for den innovative aktivitet i den offentlige sektor, hvad vi har valgt at kalde medarbejderdreven innovation. Artiklen er baseret på et etnografisk feltstudie i Århus Kommune, nærmere bestemt den nye afdeling...

  3. Den menneskelige plet

    DEFF Research Database (Denmark)

    Kjerkegaard, Stefan

    endog en selvstigmatisering, hvor selvfortællingen ikke hænger sammen. Der er tale om en menneskelig henvendelse inkorporeret i det, som litteraturen gør, snarere end i det, den siger. I den nye danske litteratur af eksempelvis Yahya Hassan, Asta Olivia Nordenhof eller Bjørn Rasmussen oplever man...

  4. Den kulturelle dimension af virksomhedens internationalisering

    DEFF Research Database (Denmark)

    Langhoff, Tine

    1994-01-01

    Artiklen omhandler den kulturelle dimensions indvirkning på virksomhedens internationalisering og diskuterer mulige internationalisieringsstrategier for virksomheder, der konfronteres med kulturforskelle. Med udgangspunkt i en kritik af den hidtidige forskning på området, hvor det såkaldte psykiske...... distancebegreb har haft en central placering, foreslås det, at man som alternativ til dette begreb skal fokusere på virksomhedens markedsbaserede innovationsevne. Denne betegnes som dens interkultu kompetence og vedrører dens evne til at identificere og udnytte muligheder i fremmede kulturelle sammenhænge. Det...... er herved, at den kulturelle dimension påvirker virksomheden og dens fortsatte udvikling. En empirisk analyse i den danske fødevarebranche afdækker virksomheders interkulturelle kompetence ved hjælp af to spørgsmål: (1) Hvorledes formår virksomheder med begrænsede ressourcer til deres disposition...

  5. Forever Young - den norske tv-serie Skam

    DEFF Research Database (Denmark)

    Jerslev, Anne

    2016-01-01

    Hvorfor er det lige, at den norske netbaserede ungdomsserie "Skam" er på alles læber for tiden? Svaret er simpelt: Den er nyskabende og supergod, og den taler til en langt bredere målgruppe end den gruppe af teenagepiger, den er rettet mod....

  6. Psychotherapy Versus Pharmacotherapy of Depression: What's the Evidence?

    Science.gov (United States)

    Leichsenring, Falk; Steinert, Christiane; Hoyer, Jürgen

    Depression may be treated by psychotherapy or pharmacotherapy or their combination. There is an ongoing debate whether one of these approaches is possibly superior. A recent meta-analysis reported results in favour of pharmacotherapy. Individual studies and meta-analyses on the comparative efficacy of psychotherapy vs. pharmacotherapy were reviewed. Evidence suggests that psychotherapy and pharmacotherapy are equally efficacious in the short-term, but psychotherapy is superior in the long-term. For the recently stated hypothesis that pharmacotherapy is superior to psychotherapy in studies without a pill placebo condition, which implies equally including a positive expectancy effect for both pharmacotherapy and psychotherapy no evidence was found. Depression may be treated by psychotherapy or pharmacotherapy with equivalent results in the short-term and advantages for psychotherapy in the long-term. As the rates of response and remission are still limited in both treatments, further improvement of treatments is required.

  7. Informed consent in psychotherapy.

    Science.gov (United States)

    Beahrs, J O; Gutheil, T G

    2001-01-01

    The authors sought a rational approach to implementing informed consent within the practice of psychotherapy. The history of informed consent in psychotherapy was reviewed to define a common synthesis that maximizes the potential benefits and minimizes the potential hazards. The benefits of informed consent in psychotherapy include fostering a positive treatment outcome through enhancing patient autonomy, responsibility, and self-therapeutic activity; lessening the risks of regressive effects and therapist liability; and helping the practice of psychotherapy extend beyond particular parochialisms by providing checks and balances on therapist judgments. The hazards include the unpredictability of interactional outcomes and the possibilities of replacing positive expectancy with negative suggestion, replacing a therapeutic alliance with a legalistic stance, and misimplying that patients are passive recipients. Practical implementation of informed consent in psychotherapy must balance such tensions in service of optimal treatment. As a guiding principle, the authors recommend that psychotherapists convey to a prospective patient information that is material to the particular patient's decision. The level of detail needed in informed consent discussions varies directly with the cost and risks of the proposed treatment, the presence of viable alternatives and their relative grounding in scientific data and professional acceptance, and the presence of significant controversy. Unresolved is the question of how to address problematic or controversial psychotherapeutic trends that temporarily enjoy wide professional support.

  8. Central key project `Biotechnology`. Supplementary report. 2nd project phase (3/95 through 12/95); Zentrales Schwerpunktprojekt Bioverfahrenstechnik. Ergaenzungsbericht 2. Foerderphase (3/95 bis 12/95)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    The report describes the activities of the three sections of the key project `Biotechnology`: Biological systems, e.g. environmental biotechnology, enzyme reactions; protein engineering, fermentation problems of secondary metabolites, tetrachloroethylene degradation, stereoselective synthesis; process engineering, i.e. supercritical solvents, enzyme-catalysed reactions, bipolar membrane technology, membrane separation processes, anaerobic processes; information engineering, i.e. morphology recording, process control. Separate abstracts are available in this database for two articles of this report. (SR) [Deutsch] Dargestellt werden die Taetigkeiten der verschiedenen Arbeitsbereiche des Schwerpunktprojektes Biotechnologie. Es handelt sich hierbei um die drei Projektbereiche: Biologische Systeme unter anderem mit den Themen Umweltbiotechnologie, Enzymreaktionen, Protein-Engineering, Fermentationsprobleme bei sekundaeren Metaboliten, Tetrachlorethylen-Abbau, Stereoselektive Synthese; des weiteren der Projektbereich Verfahrenstechnik unter anderem mit den Themen Ueberkritische Loesungsmittel, Enzymkatalysierte Reaktionen, Bipolare Membrantechnik, Membrantrennverfahren, Anaerobprozesse; als letztes der Projektbereich Informationstechnik mit den Themen Morphologieerfassung, Prozessfuehrung. (SR)

  9. Central key project `Biotechnology`. Supplementary report. 2nd project phase (3/95 through 12/95); Zentrales Schwerpunktprojekt Bioverfahrenstechnik. Ergaenzungsbericht 2. Foerderphase (3/95 bis 12/95)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    The report describes the activities of the three sections of the key project `Biotechnology`: Biological systems, e.g. environmental biotechnology, enzyme reactions; protein engineering, fermentation problems of secondary metabolites, tetrachloroethylene degradation, stereoselective synthesis; process engineering, i.e. supercritical solvents, enzyme-catalysed reactions, bipolar membrane technology, membrane separation processes, anaerobic processes; information engineering, i.e. morphology recording, process control. Separate abstracts are available in this database for two articles of this report. (SR) [Deutsch] Dargestellt werden die Taetigkeiten der verschiedenen Arbeitsbereiche des Schwerpunktprojektes Biotechnologie. Es handelt sich hierbei um die drei Projektbereiche: Biologische Systeme unter anderem mit den Themen Umweltbiotechnologie, Enzymreaktionen, Protein-Engineering, Fermentationsprobleme bei sekundaeren Metaboliten, Tetrachlorethylen-Abbau, Stereoselektive Synthese; des weiteren der Projektbereich Verfahrenstechnik unter anderem mit den Themen Ueberkritische Loesungsmittel, Enzymkatalysierte Reaktionen, Bipolare Membrantechnik, Membrantrennverfahren, Anaerobprozesse; als letztes der Projektbereich Informationstechnik mit den Themen Morphologieerfassung, Prozessfuehrung. (SR)

  10. Den levende sangfugl

    DEFF Research Database (Denmark)

    Bjerre, Thomas Ærvold

    2009-01-01

    Kronik om Harper Lee's roman "Dræb ikke en sangfugl" (1960) og den store indflydelse bog og film har haft på amerikansk kultur. Udgivelsesdato: 30. juli......Kronik om Harper Lee's roman "Dræb ikke en sangfugl" (1960) og den store indflydelse bog og film har haft på amerikansk kultur. Udgivelsesdato: 30. juli...

  11. The Play of Psychotherapy

    Science.gov (United States)

    Marks-Tarlow, Terry

    2012-01-01

    The author reviews the role of play within psychotherapy. She does not discuss the formal play therapy especially popular for young children, nor play from the Jungian perspective that encourages the use of the sand tray with adults. Instead, she focuses on the informal use of play during psychotherapy as it is orchestrated intuitively. Because…

  12. Dannelsen af den ansvarlige elev

    DEFF Research Database (Denmark)

    Larsen, Jesper

    2010-01-01

    Denne artikel handler om den del af lærergerningen, der har at gøre med udarbejdelse af elevplaner. Der tages udgangspunkt i en foucaultsk forståelse, hvor beskrivelsen af den enkelte elev udtrykker et særligt normativt ideal om, hvilke former for elevhed der er de ønskværdige i den danske...

  13. Types of psychotherapy for pathological gamblers.

    Science.gov (United States)

    Fong, Timothy W

    2005-05-01

    Several types of psychotherapy are currently used to treat pathological gamblers. These include Gambler's Anonymous, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and family therapy. Research into which types of psychotherapy are the most effective for pathological gambling is limited but is a growing area of study. Group therapy, namely Gambler's Anonymous, provides peer support and structure. Cognitive behavior therapy aims to identify and correct cognitive distortions about gambling. Psychodynamic psychotherapy can help recovering gamblers address core conflicts and hidden psychological meanings of gambling. Family therapy is helpful by providing support and education and eliminating enabling behaviors. To date, no single type of psychotherapy has emerged as the most effective form of treatment. As in other addictive disorders, treatment retention of pathological gamblers is highly variable. Understanding the types of psychotherapy that are available for pathological gamblers, as well their underlying principles, will assist clinicians in managing this complex behavioral disorder.

  14. Den professionelle samtale

    DEFF Research Database (Denmark)

    Herskind, Mia

    2012-01-01

    , som et sådant perspektiv indebærer. Kapitlet tager afsæt i forskellige typer af professionelle samtaler (interview, supervision og terapi), hvor den professionelle stiller spørgsmål og er til stede på måder, så også den prærefleksive og kropslige-sanselige fortælling bliver en del af samtalen. Det...

  15. Den signede dag

    DEFF Research Database (Denmark)

    Balslev-Clausen, Peter

    2010-01-01

    Artiklen gennemgår de tre middelalderlige versioner af den fællesnordiske dagvise fra 14. århundrede og gør rede for salmens tekst- og receptionshistorie i Dansk tradition.......Artiklen gennemgår de tre middelalderlige versioner af den fællesnordiske dagvise fra 14. århundrede og gør rede for salmens tekst- og receptionshistorie i Dansk tradition....

  16. Is IPT Time-Limited Psychodynamic Psychotherapy?

    Science.gov (United States)

    Markowitz, John C.; Svartberg, Martin; Swartz, Holly A.

    1998-01-01

    Interpersonal psychotherapy (IPT) has sometimes but not always been considered a psychodynamic psychotherapy. The authors discuss similarities and differences between IPT and short-term psychodynamic psychotherapy (STPP), comparing eight aspects: 1) time limit, 2) medical model, 3) dual goals of solving interpersonal problems and syndromal remission, 4) interpersonal focus on the patient solving current life problems, 5) specific techniques, 6) termination, 7) therapeutic stance, and 8) empirical support. The authors then apply both approaches to a case example of depression. They conclude that despite overlaps and similarities, IPT is distinct from STPP.(The Journal of Psychotherapy Practice and Research 1998; 7:185–195) PMID:9631340

  17. Physician deficit in USA - where is the bottleneck? [Ärztemangel in den USA - wo wird es eng?

    Directory of Open Access Journals (Sweden)

    Walid, M. Sami

    2009-05-01

    ölkerung zu gewährleisten. Allerdings hat die Entwicklung von Managed Care in den Vereinigten Staaten zur Annahme geführt, dass es zu Beginn des 21. Jahrhunderts zu einem gravierenden Ärzteüberschuss kommen könnte. Aufgrund dieser Prognose wurden die durch Medicare finanzierten Weiterbildungsstellen deutlich reduziert. Zusätzlich hat die Zahl der Studierenden an den Medizinischen Fakultäten in den 1980er und 1990er Jahren abgenommen. Jetzt ist klar geworden, dass die Prognosen falsch waren und die aktuelle Versorgung mit Ärzten die Nachfrage nicht übersteigt. Deshalb sieht die Association of American Medical Colleges eine Erhöhung der Absolventen an den Medizinschulen der Vereinigten Staaten um jährlich 3.000 bis zum Jahr 2015 vor. Aber auch wenn dieses schwierige Vorhaben gelingen sollte, könnte in den Vereinigten Staaten um 2020 ein Mangel an 200.000 Ärzten gegeben sein. Grund dafür ist der Engpass, der den Eintritt der Absolventen in die Weiterbildungsprogramme bestimmt, die die Voraussetzung für den Erwerb der Berufsberechtigung darstellen. Solange die Zahl der von Medicare getragenen Weiterbildungsstellen in den Vereinigten Staaten unverändert bleibt, bedeutet eine Zunahme an Absolventen der US-amerikanischen medizinischen Fakultäten lediglich die Verdrängung einer entsprechenden Anzahl ausländischer Absolventen, die sich in den Vereinigten Staaten weiterbilden wollen. Damit würde es zur Reduktion der Zahl jener ausländischen Absolventen kommen, die ihren Beruf in den Vereinigten Staaten aufnehmen können und damit die Zahl der Ärzte erhöhen würden. Unter dem Strich würde die Zahl der in der Patientenversorgung tätigen Ärzte dann nicht erhöht. Ärztemangel wird also ein Thema bleiben und könnte sicherlich den Zugang zur ärztlichen Versorgung erschweren.

  18. [Healthier after Psychotherapy? Analysis of Claims Data (Lower Saxony, Germany) on Sickness Absence Duration before and after Outpatient Psychotherapy].

    Science.gov (United States)

    Epping, Jelena; de Zwaan, Martina; Geyer, Siegfried

    2017-11-17

    Introduction In employed populations sickness absence can be used as a good indicator of health status. In the present study, it was examined how periods of sickness absence are developing within one year before and after psychotherapy under comparison of three types of psychotherapy (behavior therapy, psychodynamic psychotherapy, and psychoanalysis), all fully covered by statutory health insurance. Methods and data The analyses were performed with pseudonymized claims data from the AOK Niedersachsen, a statutory health insurance (N=2,900,065 insured). Certified sickness absences before and after psychotherapy were examined for 9,916 patients. Parallelized controls were used to build a comparison of the length of sickness absences. Analyses were performed separately for women and for men. Results Within one year before starting psychotherapy, patients had longer sickness absences than controls on average. There was a reduction in the length of sickness absence of 20 days (median) within one year before to 12 days (median) within one year after the psychotherapy. The obtained differences between types of psychotherapy were considerable. Discussion Differences in terms of sickness absences may in part be explained by socio-demographic differences. Patients who underwent psychoanalysis were younger and had higher educational levels. However, it remains unclear why the differences of sickness absence periods were that high. It has to be discussed whether self-selection of patients with better health into psychoanalysis had occurred. Conclusions Patients undergoing psychoanalysis differ from patients who underwent other types of psychotherapy in terms of their duration of sickness absence as well as socio-demographic profile. Thus, due to differences in the composition of patients future research in psychotherapy will have to differentiate by type of psychotherapy. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Advances in Psychotherapy for Depressed Older Adults.

    Science.gov (United States)

    Raue, Patrick J; McGovern, Amanda R; Kiosses, Dimitris N; Sirey, Jo Anne

    2017-09-01

    We review recent advances in psychotherapies for depressed older adults, in particular those developed for special populations characterized by chronic medical illness, acute medical illness, cognitive impairment, and suicide risk factors. We review adaptations for psychotherapy to overcome barriers to its accessibility in non-specialty settings such as primary care, homebound or hard-to-reach older adults, and social service settings. Recent evidence supports the effectiveness of psychotherapies that target late-life depression in the context of specific comorbid conditions including COPD, heart failure, Parkinson's disease, stroke and other acute conditions, cognitive impairment, and suicide risk. Growing evidence supports the feasibility, acceptability, and effectiveness of psychotherapy modified for a variety of health care and social service settings. Research supports the benefits of selecting the type of psychotherapy based on a comprehensive assessment of the older adult's psychiatric, medical, functional, and cognitive status, and tailoring psychotherapy to the settings in which older depressed adults are most likely to present.

  20. Polar bear maternity denning in the Beaufort Sea

    Science.gov (United States)

    Amstrup, Steven C.; Gardner, Craig L.

    1994-01-01

    The distribution of polar bears (Ursus maritimus) is circumpolar in the NOrthern Hemisphere, but known locations of maternal dens are concentrated in relatively few, widely scattered locations. Denning is either uncommon or unknown within gaps. To understand effects of industrial development and propose increases in hunting, the temporal and spatial distribution of denning in the Beaufort Sea must be known. We caputred and radiocollared polar bears between 1981 and 1991 and determined tht denning in the Beaufort Sea region was sufficient to account for the estimated population there. Of 90 dend, 48 were on drifting pack ice, 38 on land, and 4 on land-fast ice. The portions of dens on land was higher (P= 0.029) in later compared with earlier years of the study. Bears denning on pack ice drifting as far as 997 km (x=385km) while in dens. there was no difference in cun production by bears denning on land and pack ice (P =0.66). Mean entry and exit dates were 11 November and 5 April for land dens and 22 November and 26 March for pack-ice dens. Female polar bears captured in the Beaufort Sea appeared to be isolated from those caught eat of Cape Bathurst in Canada. Of 35 polar bears that denned along the mainland coast of Alaska and Canada 80% denned between 137 00'W snf 146 59'W. Bears followed to >1 den did not reuse sites and consecutive dens were 20-1,304 km apart. However radio-collared bears are largely faithful to substrate (pack-ice, land, and land-fast ice) and the general geographic area of previous dens. Bears denning on land may be vunerable to human activities such as hunting and industrial development. However, predictable denning chronology and alck of site fidelity indicate that many potential impacts on denning polar bears could be mitigated.

  1. Den moderne tyske roman 1909-35

    DEFF Research Database (Denmark)

    Ved siden af klassikken og romantikken er den tidlige modernisme vel nok den betydeligste periode i tysksproget litteratur. Det skyldes ikke mindst den perlerække af romaner, der udkom i første tredjedel af det 20. århundrede, og hvoraf mange i dag fremstår som indiskutable højdepunkter i såvel...... tysk som europæisk roman- og litteraturhistorie. I Den moderne tyske roman 1909-35 behandles en række af disse romaner for første gang samlet på dansk. Bogen består af otte romanfortolkninger samt en indledende artikel om den moderne romans historie og særpræg. Alle artikler er skrevet med et solidt...... interesserede læser. I overensstemmelse med dens formidlende sigte er der kun medtaget fortolkninger af romaner, der foreligger på dansk i en tidssvarende oversættelse. Af hensyn til den litteraturhistoriske bredde er der desuden kun medtaget én roman af samme forfatter.Bogen indeholder analyser af: Robert...

  2. Influence of hormone substitution therapy on postmenopausal uterus; Einfluss einer Hormonsubstitution auf den postmenopausalen Uterus

    Energy Technology Data Exchange (ETDEWEB)

    Otte, A.; Ruedisueli, A.; Goetze, M.; Leibundgut, U.; Mueller-Brand, J. [Inst. fuer Nuklearmedizin, Kantonsspital, Universitaetskliniken, Basel (Switzerland); Nitzsche, E.U. [Abt. Nuklearmedizin, Radiologische Universitaetsklinik, Freiburg (Germany)

    1997-12-01

    In a 58-year-old postmenopausal woman blood flow and blood pool images of bone scintigraphy showed a focus of increased activity in the right pelvic region. Computed tomography and ultrasound exhibited no abnormalities in the abdomen; especially the uterus and ovaries were normal. Careful anamnestic evaluation revealed that the patient received a long-term peroral estrogen/gestagen replacement therapy for the prevention of osteoporosis, but did not have menstruation-like bleedings for the last twelve months of therapy. At time of admission, the patient was on day 25 of hormone replacement therapy, and the uterus wash, therefore, in a premenstrual stage. Hence, despite cessation of bleedings in postmenopausal women, one should think of hormone replacement therapy as an explanation for vascular pelvic tumors seen by the first two phases of bone scintigraphy, before further diagnostic steps are undertaken. (orig.) [Deutsch] Bei der Skelettszintigraphie einer 58jaehrigen postmenopausalen Frau erkannte man in der Perfusions- und Blood-pool-Phase einen unklaren Fokus erhoehter Aktivitaet im rechten Becken. Computertomographie und Sonographie des Abdomens, insbesondere des Uterus und der Ovarien, waren unauffaellig. Nach eingehender anamnestischer Befragung stellte sich heraus, dass die Patientin unter einer mehrjaehrigen peroralen Oestrogen-/Gestagen-Hormonsubstitutionstherapie zur Osteoporose-Prophylaxe stand, jedoch seit den letzten zwoelf Monaten der Therapie ueber keine menstruationsaehnlichen Abbruchblutungen mehr berichten konnte. Bei ihrer Zuweisung befand sich die Patientin am 25. Tag der Hormonsubstitutionstherapie und ihr Uterus somit in einem praemenstruellen Stadium. Trotz Ausbleibens der Blutung bei postmenopausalen Frauen sollte somit an die Moeglichkeit der Hormonsubstitution gedacht und danach gefragt werden, wenn in den ersten beiden Phasen der Skelettszintigraphie eine unklare, gut vaskularisierte Struktur im kleinen Becken gefunden wird, bevor weitere

  3. Cognitive Behavioral Psychotherapies: History and Development

    Directory of Open Access Journals (Sweden)

    M. Hakan Türkçapar

    2012-03-01

    Full Text Available Cognitive behavioral therapies are one of the most leading theories between current psychotherapies. As a psychotherapy school, besides sharing the common points reached collectively by the humanity throughout the history, it also achieved in integrating scientific and ampirical experiences into the psychotherapy practice. Having included mainstreams like Stoicism, Kantian philosopy in its historical roots, this approach has similarities with eastern philosophies, budism and sufism. Apart from its historical and cultural roots, cognitive approach integrated with behaviorism which applied scientific method in human psychology for the first time, and also implemented the scientific method in the cognitive field. Cognitive behavioral approaches shall make important contributions in the pathway that psychotherapies will cover.

  4. PSYCHOTHERAPY WITH THE PARENT EGO STATE

    Directory of Open Access Journals (Sweden)

    Maruša Zaletel

    2012-06-01

    Full Text Available In their article, the authors present the findings of the study in which they conceptualized the method of psychotherapy with the Parent ego state. Their aim was to explore whether this method could be divided into individual, content-wise separate chronological phases which can be observed with the majority of clients. By using a modified method of content analysis of five psychotherapy transcripts and a video recording of a psychotherapy session, nine chronological phases were identified. In order to illustrate the individual phases, excerpts from the transcripts and the video recording of psychotherapy have been included. The article proposes under what conditions can this method be used, and presents some of its limitations.

  5. Child Psychotherapy Dropout: An Empirical Research Review

    Science.gov (United States)

    Deakin, Elisabeth; Gastaud, Marina; Nunes, Maria Lucia Tiellet

    2012-01-01

    This study aims to discuss the most recent data about child psychotherapy dropout, especially child psychoanalytical psychotherapy. The authors also try to offer some possible alternatives to prevent such a phenomenon. The definition of "child psychotherapy dropout" is extensively discussed. The goal has been to attempt to create a standardised…

  6. Review of Self-disclosure in psychotherapy.

    Science.gov (United States)

    Hamilton, Rachel A; Del Castillo, Darren M; Stiles, William B

    2007-09-01

    Reviews the book, Self-disclosure in psychotherapy by Barry A. Farber (see record 2006-11792-000). At one point or another, most therapists have wondered how much their patients are telling them and wrestled with how much they should reveal themselves to their patients. This book aims to provide an integrative and up-to-date review of the literature that has addressed these kinds of questions. By looking at patient, therapist, supervisee, and supervisor self-disclosure, Farber attempts to show both common and unique aspects of self-disclosure across the different parties involved in psychotherapy. Work from historical, clinical, research, and cultural perspectives comes together to provide readers with a multifaceted view of self-disclosure in psychotherapy. This book will be of interest to therapists, researchers, psychotherapy supervisors, and therapists-in-training. Farber's discussion of self-disclosure offers a nuanced perspective on the dilemmas involved in the psychotherapy process. By highlighting the features of self-disclosure across patients, therapists, supervisees, and supervisors, Farber enriches understanding of the phenomenon and encourages empathy for the perspectives of those in other psychotherapy roles. We believe that Farber has successfully synthesized work from various perspectives to create an illuminating review of self-disclosure in psychotherapy. The book condenses a broad range of literature into clearly organized and digestible chapters. The integration of research and theory with clinical vignettes, quotations from books and movies, and popular song lyrics make this work an unusually engaging and accessible read. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  7. Piaget and psychotherapy.

    Science.gov (United States)

    Friedman, T L

    1978-04-01

    It is difficult to apply Piaget's theory to psychotherapy because the place of affect in it is ambiguous. When the alternatives are considered, it seems most consistent with Piaget's ideas to regard both cognitive and affective phenomena as problem-solving organizations. Piaget's remarkable discoveries in the cognitive sphere are a consequence of the easy access in that sphere to the kind of problems that need solving, and the phasic development of solutions. But the nature of the problems to be solved or the values to be guarded by a patient in psychotherapy are not knowable independently of the patient's actual behavior. In one respect all that is left from Piaget's approach for psychotherapy generally is the truism that therapy fosters differentiation and integration. However, even if we cannot frame a peculiarly Piagetian paradigm of psychotherapy, Piaget is valuable in posing a subsidiary question, namely, what in therapy fosters problem-solving activity. A reading of Piaget suggests that a patient learns by acting on his therapist and tacitly interpreting the results of his actions, that difficulties in therapy are the material from which therapy proceeds, and that in order to grasp the situation of the patient, the therapist himself may need to act on him and not just think about him. An implied lesson for training would be that supervision should instill a professional identity that is reinforced rather than challenged by therapy difficulties, and does not rely solely on theoretical categorizing.

  8. Assessing Attachment in Psychotherapy

    DEFF Research Database (Denmark)

    Talia, Alessandro; Miller-Bottome, Madeleine; Daniel, Sarah I.F.

    2017-01-01

    The authors present and validate the Patient Attachment Coding System (PACS), a transcript-based instrument that assesses clients' in-session attachment based on any session of psychotherapy, in multiple treatment modalities. One-hundred and sixty clients in different types of psychotherapy...... (cognitive–behavioural, cognitive–behavioural-enhanced, psychodynamic, relational, supportive) and from three different countries were administered the Adult Attachment Interview (AAI) prior to treatment, and one session for each client was rated with the PACS by independent coders. Results indicate strong...... inter-rater reliability, and high convergent validity of the PACS scales and classifications with the AAI. These results present the PACS as a practical alternative to the AAI in psychotherapy research and suggest that clinicians using the PACS can assess clients' attachment status on an ongoing basis...

  9. Cognitive Behavioral Psychotherapies: History and Development

    Directory of Open Access Journals (Sweden)

    M. Hakan Türkçapar

    2012-04-01

    Full Text Available Cognitive behavioral therapies are one of the most leading theories between current psychotherapies. As a psychotherapy school, besides sharing the common points reached collectively by the humanity throughout the history, it also achieved in integrating scientific and ampirical experiences into the psychotherapy practice. Having included mainstreams like Stoicism, Kantian philosopy in its historical roots, this approach has similarities with eastern philosophies, budism and sufism. Apart from its historical and cultural roots, cognitive approach integrated with behaviorism which applied scientific method in human psychology for the first time, and also implemented the scientific method in the cognitive field. Cognitive behavioral approaches shall make important contributions in the pathway that psychotherapies will cover. [JCBPR 2012; 1(1.000: 7-14

  10. Naikan psychotherapy for alcohol dependence syndrome

    OpenAIRE

    堀井, 茂男

    1987-01-01

    To evaluate the therapeutic effect of Naikan psychotherapy for alcohol dependence syndrome, a comparison was made between 31 patients who were treated with Naikan psychotherapy (Naikan group) and 34 patients who were not treated with Naikan psychotherapy (non-Naikan group) on the following profiles : general characteristics, social adaptation occuring 6 months to 2 years 6 months after discharge (short-term follow-up) and social adaptation occuring 3 years 5 months to 5 years 5 months after d...

  11. Three Psychotherapies Examined: Ellis, Rogers, Perls

    Science.gov (United States)

    Stoten, J.; Goos, W.

    1974-01-01

    This study uses Bales' Interaction Process Analysis (I. P. A.) to identify significant process elements in counselling and psychotherapy. For this purpose, the film "Three Approaches to Psychotherapy" was analysed. (Editor)

  12. Cognitive Behavioral Analysis System of Psychotherapy as group psychotherapy for chronically depressed inpatients: a naturalistic multicenter feasibility trial.

    Science.gov (United States)

    Sabaß, Lena; Padberg, Frank; Normann, Claus; Engel, Vera; Konrad, Carsten; Helmle, Kristina; Jobst, Andrea; Worlitz, Andrew; Brakemeier, Eva-Lotta

    2017-09-27

    The Cognitive Behavioral Analysis System of Psychotherapy (CBASP) is a relatively new approach in the treatment of chronic depression (CD). Adapted as group psychotherapy for inpatients, CBASP is attracting increasing attention. In this naturalistic multicenter trial, we investigated its feasibility after 10 sessions of CBASP group therapy over a treatment time of at least 5 to a maximum of 10 weeks. Treatment outcome was additionally assessed. Across four centers, 116 inpatients with CD (DSM-IV-TR) attended CBASP group psychotherapy. Feasibility was focused on acceptance, and evaluated for patients and therapists after five (t1) and ten sessions (t2) of group psychotherapy. Observer- and self-rating scales (Hamilton Depression Rating Scale-24 items, HDRS 24 ; Beck Depression Inventory-II, BDI-II; World Health Organization Quality of Life assessment, WHOQOL-BREF) were applied before group psychotherapy (t0) and at t2. Dropouts were low (10.3%). Patients' evaluation improved significantly from t1 to t2 with a medium effect size (d = 0.60). Most of the patients stated that the group had enriched their treatment (75.3%), that the size (74.3%) and duration (72.5%) were 'optimal' and 37.3% wished for a higher frequency. Patients gave CBASP group psychotherapy an overall grade of 2 ('good'). Therapists' evaluation was positive throughout, except for size of the group. Outcome scores of HDRS 24 , BDI-II, and WHOQOL-BREF were significantly reduced from t0 to t2 with medium to large effect sizes (d = 1.48; d = 1.11; d = 0.67). In this naturalistic open-label trial, CBASP, when applied as inpatient group psychotherapy, was well accepted by patients and therapists. The results point towards a clinically meaningful effect of inpatient treatment with CBASP group psychotherapy on depression and quality of life. Other potential factors that could have promoted symptom change were discussed. A future controlled study could investigate the safety and efficacy of CBASP

  13. Psychotherapy Outcome Research: Issues and Questions.

    Science.gov (United States)

    Shean, Glenn

    2016-03-01

    Emphasis on identifying evidence-based therapies (EBTs) has increased markedly. Lists of EBTs are the rationale for recommendations for how psychotherapy provider training programs should be evaluated, professional competence assessed, and licensure and reimbursement policies structured. There are however methodological concerns that limit the external validity of EBTs. Among the most salient is the circularity inherent in randomized control trials (RCTs) of psychotherapy that constrains the manner in which the psychological problems are defined, psychotherapy can be practiced, and change evaluated. RCT studies favor therapies that focus of specific symptoms and can be described in a manual, administered reliably across patients, completed in relatively few sessions, and involve short-term evaluations of outcome. The epistemological assumptions of a natural science approach to psychotherapy research limit how studies are conducted and assessed in ways that that advantage symptom-focused approaches and disadvantage those approaches that seek to bring broad recovery-based changes. Research methods that are not limited to RCTs and include methodology to minimize the effects of "therapist allegiance" are necessary for valid evaluations of therapeutic approaches that seek to facilitate changes that are broader than symptom reduction. Recent proposals to adopt policies that dictate training, credentialing, and reimbursement based on lists of EBTs unduly limit how psychotherapy can be conceptualized and practiced, and are not in the best interests of the profession or of individuals seeking psychotherapy services.

  14. Individual Psychotherapy and Changes in Self-Experience in Schizophrenia: A Qualitative Comparison of Patients in Metacognitively Focused and Supportive Psychotherapy.

    Science.gov (United States)

    Lysaker, Paul H; Kukla, Marina; Belanger, Elizabeth; White, Dominique A; Buck, Kelly D; Luther, Lauren; Firmin, Ruth L; Leonhardt, Bethany

    2015-01-01

    Deficits in metacognition, or the ability to form complex ideas about self and others, may be a root cause of dysfunction in schizophrenia. Accordingly, forms of psychotherapy have been proposed to address metacognitive deficits. This study explored whether metacognitively focused individual psychotherapy can affect self-experience by conducting narrative interviews of patients with a schizophrenia spectrum disorder enrolled in either metacognitively oriented psychotherapy (n = 12) or supportive psychotherapy (n = 13) in a naturalistic setting. Participants in both groups completed a narrative interview consisting of questions that focused on perceptions and process of psychotherapy and its impact on outcomes. Interviews were audiotaped, transcribed, and coded using an inductive process informed by grounded theory. Qualitative analyses revealed all participants reported psychotherapy led to improvements in self-esteem and the ability to think more clearly and set meaningful goals. The group receiving metacognitively oriented therapy, in contrast to those receiving supportive therapy, reported being able to integrate their current experiences into the larger narratives of their lives and an increased experience of sense of agency and the ability to understand and manage pain. Results provide evidence that metacognitively oriented psychotherapy may promote subjective forms of recovery.

  15. Efterskrift til den reviderede udgave

    DEFF Research Database (Denmark)

    Nielsen, Carsten Fogh

    2017-01-01

    Opsummering af tendenser og udviklingstræk inden for den nyere forskning i Kants historiefilosofi.......Opsummering af tendenser og udviklingstræk inden for den nyere forskning i Kants historiefilosofi....

  16. INTEGRATIVE PSYCHOTHERAPY AND MINDFULNESS: THE CASE OF SARA

    OpenAIRE

    Mihael Černetič

    2015-01-01

    The article explores the relationship between Integrative Psychotherapy and mindfulness on a theoretical as well as practical level. Although mindfulness is not an explicit constituent of Integrative Psychotherapy, the two are arguably a natural fit. Mindfulness has the potential to enhance internal and external contact, a central concept in Integrative Psychotherapy, as well as strengthen a client’s Adult ego state. This article presents a case study whereby Integrative Psychotherapy is ana...

  17. Human disturbances of denning polar bears in Alaska

    International Nuclear Information System (INIS)

    Amstrup, S.C.

    1993-01-01

    Polar bears (Ursus maritimus) give birth in dens of snow and ice. The altricial neonates cannot leave the den for >2 months post-partum and are potentially vulnerable to disturbances near dens. The coastal plain (1002) area of Alaska's Arctic National Wildlife Refuge (ANWR) lies in a region of known polar bear denning and also may contain >9 billion barrels of recoverable oil. Polar bears in dens could be affected in many ways by hydrocarbon development. The distribution of dens on ANWR was documented between 1981 and 1992 and responses of bears in dens to various anthropogenic disturbances were observed. Of 44 dens located by radiotelemetry on the mainland coast of Alaska and Canada, 20 (45%) were on ANWR and 15 (34%) were within the 1002 area. Thus, development of ANWR will increase the potential that denning polar bears are disturbed by human activities. However, perturbations resulting from capture, marking, and radiotracking maternal bears did not affect litter sizes or stature of cubs produced. Likewise, 10 of 12 denned polar bears tolerated exposure to exceptional levels of activity. This tolerance and the fact that investment in the denning effort increases through the winter indicated that spatial and temporal restrictions on developments could prevent the potential for many disruptions of denned bears from being realized. 16 refs., 1 fig., 2 tabs

  18. Den medicinal-industrielle logik

    DEFF Research Database (Denmark)

    Børsen, Tom

    2008-01-01

    Et kig på medicinalindustrien og den logik der styrer udviklingen af nye lægemidler. Antagelsen er, at der også eksisterer et medicinalindustrielt kompleks, bestående af ledende industrifolk, læger, forskere og regeringsembedsmænd, der alle har kommercielle interesser i den herskende lægemiddeltæ...

  19. Power Politics of Family Psychotherapy.

    Science.gov (United States)

    Whitaker, Carl A.

    It is postulated that the standard framework for psychotherapy, a cooperative transference neurosis, does not validly carry over to the successful psychotherapy of a two-generation family group. In many disturbed families, the necessary and sufficient dynamics for change must be initiated, controlled, and augmented by a group dynamic power-play,…

  20. How Do Trainees Choose Their First Psychotherapy Training? The Case of Training in Psychotherapy Integration

    Science.gov (United States)

    Plchová, Romana; Hytych, Roman; Rihácek, Tomáš; Roubal, Jan; Vybíral, Zbynek

    2016-01-01

    Future trainees go through difficult decision-making processes when starting their first psychotherapy training. The choice of training in psychotherapy integration is a specific type of this process. In this study, qualitative data were obtained from the motivational letters, in-depth semi-structured interviews and e-mail questionnaires of 26…

  1. Den sociale stofmisbrugsbehandling. Del 1

    DEFF Research Database (Denmark)

    Heltberg, Therese

    Denne rapport er den første delrapport i en undersøgelse af den sociale stofmisbrugsbehandling i Danmark, som SFI har gennemført for Servicestyrelsen i perioden december 2007 til maj 2009. Undersøgelsen omhandler den sociale stofmisbrugsbehandling efter § 101 i Serviceloven, mens undersøgelsen i ...

  2. Den positive psykologis metoder

    DEFF Research Database (Denmark)

    Andersen, Frans Ørsted; Mørck, Line Lerche; Nissen, Poul Erik

    En antologi der giver en introduktion til en række af de metoder der anvendes til forskning, assessment, test, udviklingsarbejde og intervention indenfor den positive psykologi.......En antologi der giver en introduktion til en række af de metoder der anvendes til forskning, assessment, test, udviklingsarbejde og intervention indenfor den positive psykologi....

  3. Den svage tænkning

    DEFF Research Database (Denmark)

    Dehs, Jørgen

    1994-01-01

    Interview med Gianni Vattimos. Italiensk politisk kultur, forholdet mellem politikeren og den intelektuelle og Gianni Vattimos program.......Interview med Gianni Vattimos. Italiensk politisk kultur, forholdet mellem politikeren og den intelektuelle og Gianni Vattimos program....

  4. Treatment preferences of psychotherapy patients with chronic PTSD.

    Science.gov (United States)

    Markowitz, John C; Meehan, Kevin B; Petkova, Eva; Zhao, Yihong; Van Meter, Page E; Neria, Yuval; Pessin, Hayley; Nazia, Yasmin

    2016-03-01

    Patient treatment preference may moderate treatment effect in major depressive disorder (MDD) studies. Little research has addressed preference in posttraumatic stress disorder (PTSD); almost none has assessed actual patients' PTSD psychotherapy preferences. From a 14-week trial of chronic PTSD comparing prolonged exposure, relaxation therapy, and interpersonal psychotherapy, we report treatment preferences of the 110 randomized patients, explore preference correlates, and assess effects on treatment outcome. Patients recruited between 2008 and 2013 with chronic DSM-IV PTSD (Clinician-Administered PTSD Scale [CAPS] score ≥ 50) received balanced, scripted psychotherapy descriptions prerandomization and indicated their preferences. Analyses assessed relationships of treatment attitudes to demographic and clinical factors. We hypothesized that patients randomized to preferred treatments would have better outcomes, and to unwanted treatment worse outcomes. Eighty-seven patients (79%) voiced treatment preferences or disinclinations: 29 (26%) preferred prolonged exposure, 29 (26%) preferred relaxation therapy, and 56 (50%) preferred interpersonal psychotherapy (Cochran Q = 18.46, P psychotherapy (Cochran Q = 22.71, P psychotherapy preferences to outcome. Despite explanations emphasizing prolonged exposure's greater empirical support, patients significantly preferred interpersonal psychotherapy. Preference subtly affected psychotherapy outcome; depression appeared an important moderator of the effect of unwanted treatment on outcome. Potential biases to avoid in future research are discussed. ClinicalTrials.gov identifier: NCT00739765. © Copyright 2015 Physicians Postgraduate Press, Inc.

  5. [Von den Restgütern zu den Sowchosen in Estland 1939-1953. Dokumentensammlung] / Olev Liivik

    Index Scriptorium Estoniae

    Liivik, Olev, 1975-

    2011-01-01

    Arvustus: Von den Restgütern zu den Sowchosen in Estland 1939-1953 : Dokumentensammlung / Hrsg. von David Feest, Karsten Brüggemann. Berlin : Lit Verlag, 2010. (Schriften der Baltischen historischen Kommission ; Bd. 15)

  6. Psychotherapies for adult depression: recent developments.

    Science.gov (United States)

    Cuijpers, Pim

    2015-01-01

    Much has been learned from the 400 randomized trials on psychotherapies for adult depression that have been conducted, but much is also still unknown. In this study some recent attempts to further reduce the disease burden of depression through psychotherapies are reviewed. In the past, many new psychotherapies have promised to be more effective than existing treatments, usually without success. We describe recent research on two new therapies, acceptance and commitment therapy and cognitive bias modification, and conclude that both have also not shown to be more effective than existing therapies. A growing number of studies have also focused on therapies that may be successful in further reducing the disease burden, such as treatments for chronic depression and relapse prevention. Other studies are aimed at scaling up psychological services, such as the training of lay health counselors in low-income and middle-income countries, telephone-based, and internet-based therapies. Psychotherapies are essential tools in the treatment of adult depression. Randomized trials have shown that these treatments are effective, and by focusing on key issues, such as chronic depression, relapse, and scaling them up, psychotherapies contribute more and more to the reduction of the disease burden of depression.

  7. Da den moderne jazz kom til Danmark

    DEFF Research Database (Denmark)

    Høyer, Ole Izard; Nielsen, Anders H.U.

    som tog over, deriblandt Erik Moseholm, Bent Axen og Jørn Elniff. Denne bog forklarer, hvordan den moderne jazz kom til Danmark, og hvordan den udviklede det danske jazzmiljø. Den inddrager faktorer som udenlandske musikeres besøg, koncerter og efterfølgende jazzsessions. Hvilken betydning havde disse...... for den danske jazzudvikling? Hvor blev musikken spillet, og hvordan blev den behandlet af medierne og af samfundet? Sammen med beskrivelser af de vigtigste moderne jazzmusikere fra perioden, analyseres og beskrives en række indspilninger af moderne dansk jazz for at undersøge hvornår, og hvilke af de nye...

  8. Criteria of validity in the measurement of shearing fracture toughness; Gueltigkeitskriterien zur Bestimmung von Scherbruchzaehigkeiten

    Energy Technology Data Exchange (ETDEWEB)

    Hiese, W

    2000-01-01

    The investigations aimed at the development of criteria for measuring valid shearing fracture toughness data K{sub IIc} in analogy to the measurement of mode-I fracture toughness K{sub Ie}. Details are presented, and practical recommendations are given. [German] Die Brucheigenschaften von Werkstoffen werden ueblicherweise unter Zugbeanspruchungsbedingungen (Mode-I) bestimmt. Im Anwendungsbereich der linear-elastischen Bruchmechanik bzw. des Kleinbereichsfliessens geschieht dieses in Form der Bruchzaehigkeit K{sub Ic}. Es existieren entsprechende Richtlinien zur Durchfuehrung des Tests sowie zur Registrierung und Auswertung der Daten. Diese Kriterien sind in Standards festgelegt. Empfehlungen zur Bestimmung der Bruchzaehigkeit K{sub IIc} unter ebener Scherbelastung (Mode-II) fuer Werkstoffe mit im wesentlichen linear-elastischem Verhalten existieren nicht. Im Rahmen dieser Arbeit werden durch den Vergleich der Groesse der plastischen Rissspitzenzonen im Verhaeltnis zu den Abmessungen von Probe bzw. Bauteil Kriterien zur Messung gueltiger Scherbruchzaehigkeiten K{sub IIc} analog zur Messung der Mode-I-Bruchzaehigkeit K{sub Ic} entwickelt. Der Groessenvergleich der plastischen Rissspitzenzonen fuer beide Beanspruchungsarten zeigt unter aequivalenten Beanspruchungen, d.h. K{sub II}=K{sub I}, dass bei Mode-II beanspruchten Rissen die plastischen Zonen groesser, aber die Differenzen in der Groesse der plastischen Zonen fuer die Zustaende ebener Spannung und ebener Dehnung kleiner sind als unter entsprechenden Mode-I-Beanspruchungen.

  9. Positionsspezifischer Nachweis und relative Quantifizierung von Modifikationen des alpha-s1-Caseins in Milch mittels MALDI-TOF-MS

    OpenAIRE

    Vollmer, Gregor

    2013-01-01

    Milch und Milchprodukte spielen eine bedeutende Rolle in der menschlichen Ernährung. Vor der Abgabe an den Verbraucher wird Milch in den allermeisten Fällen hitzebehandelt, um mikrobielle Stabilität sicherzustellen und die Haltbarkeit zu verlängern. Allerdings kann diese Hitzebehandlung die in Milch enthaltenen Nährstoffe, unter anderem Kohlenhydrate, Lipide, Proteine und Vitamine, erheblich schädigen. Vitamine werden durch starke Erhitzung zerstört, bei den Lipiden kann es zu Abbaureaktionen...

  10. INTEGRATIVE PSYCHOTHERAPY AND MINDFULNESS: THE CASE OF SARA

    Directory of Open Access Journals (Sweden)

    Mihael Černetič

    2015-02-01

    Full Text Available The article explores the relationship between Integrative Psychotherapy and mindfulness on a theoretical as well as practical level. Although mindfulness is not an explicit constituent of Integrative Psychotherapy, the two are arguably a natural fit. Mindfulness has the potential to enhance internal and external contact, a central concept in Integrative Psychotherapy, as well as strengthen a client’s Adult ego state. This article presents a case study whereby Integrative Psychotherapy is analysed from the perspective of mindfulness. Within the course of therapy, parallels were observed between the client's increased mindfulness, improved internal and external contact, strengthened Adult ego state, mastery of introjections, as well as diminished feelings of guilt, improved mood, self care and ability to engage in appropriate separation and individuation. These gains support the conclusion that Integrative Psychotherapy and mindfulness are inherently related and that explicit incorporation of mindfulness may enhance the therapeutic process of Integrative Psychotherapy.

  11. Spiritually and religiously integrated group psychotherapy

    DEFF Research Database (Denmark)

    Viftrup, Dorte Toudal; Hvidt, Niels Christian; Buus, Niels

    2013-01-01

    WE SYSTEMATICALLY REVIEWED THE RESEARCH LITERATURE ON SPIRITUALLY AND RELIGIOUSLY INTEGRATED GROUP PSYCHOTHERAPY TO ANSWER THE FOLLOWING THREE QUESTIONS: first, how are spirituality and religiosity defined; second, how are spiritual and religious factors characterized and integrated into group......, 8 articles were considered eligible for the review. Findings from the evaluation suggested that the concepts of spirituality and religiosity were poorly conceptualized and the way in which spiritual and religious factors were integrated into such group psychotherapies, which distinguished it from...... for spiritually or religiously integrated group psychotherapy and conducting research in this field are propounded....

  12. The Psychotherapy Process with Adolescents: A First Pilot Study and Preliminary Comparisons between Different Therapeutic Modalities Using the "Adolescent Psychotherapy Q-Set"

    Science.gov (United States)

    Bychkova, Tetyana; Hillman, Saul; Midgley, Nick; Schneider, Celeste

    2011-01-01

    An innovative methodology is presented for describing the therapeutic processes involved in five types of adolescent treatments: psychoanalysis, psychodynamic psychotherapy, cognitive-behavioural therapy, mentalisation-based treatment and interpersonal psychotherapy. Using the "Adolescent Psychotherapy Q-Set" (APQ), 18 experienced clinicians…

  13. Den guddommelige æstetik

    DEFF Research Database (Denmark)

    Moutamid, Mina El

    2007-01-01

    I denne artikel anlægges to perspektiver på det æstetiske i et forsøg på at identificere et forhold mellem det æstetiske og det religiøse. Med udgangspunkt i en fænomenologisk karakteristik af den religiøse oplevelse påvises en række lighedspunkter med den æstetiske oplevelse. Desuden defineres d...

  14. Den Blå Drage

    DEFF Research Database (Denmark)

    Ingerslev, Gitte Holten

    Denne publikation i serien Læselyst tjener tre formål. Den evaluerer læseprojektet Den blå drage i efteråret 2004 på Byskolen i Svendborg ? et projekt ledet af forfatteren Josefine Ottesen. Desuden gøres der rede for nogle af de teorier der støtter og begrunder arbejdsmåde og resultater i projektet...

  15. 3D-Druck von Metallen als Substitution und Wettbewerb von Gussteilen?: Vortrag gehalten auf dem 26. Ledebur-Kolloquium, 27. und 28. Oktober 2016, Freiberg

    OpenAIRE

    Müller, Bernhard

    2016-01-01

    Das Fraunhofer-Institut für Werkzeugmaschinen und Umformtechnik IWU ist kompetenter Partner für anwendungsorientierte Forschung im Automobil- und Maschinenbau an den Standorten Chemnitz, Dresden, Zittau unter dem Leitthema „Ressourceneffiziente Produktion“. Die Kernkompetenzen des Instituts in der Werkzeugmaschinenentwicklung, der Umform- und Zerspanungstechnik, der Mechatronik, dem Funktionsleichtbau sowie der Systemtechnologie werden durch den Einsatz generativer Fertigungs-verfahren ergänz...

  16. Applied philosophy and psychotherapy: Heraclitus as case study

    Directory of Open Access Journals (Sweden)

    Johann Beukes

    2002-10-01

    Full Text Available This article investigates a recent attempt to apply philosophy within the discipline of psychotherapy and to investigate the somewhat undefined realm of philosophical counselling. After introducing the claims of this interdisciplinary exercise and after addressing the problems involved in crossing the boundaries between philosophy and psychotherapy, the article elaborates on  Alex Howard’s (2000 [Philosophy for counselling and psychotherapy: Pythagoras to post-modernism. London: Macmillan] attempt to make explicit use of philosophy in psychotherapy, using his interpretation and application of Heraclitus’ philosophy as case study.

  17. [Psychanalitic psychotherapy: practice and indications in the aged].

    Science.gov (United States)

    Claudel, Bertrand

    2004-09-01

    Use of psychoanalytic psychotherapy for the elderly remains an issue. Even though regular psychoanalysis cure is contraindicated for elderly patients in most cases, yet, face-to-face psychotherapies can prove useful. The methods used for psychoanalytic psychotherapy for elderly patients are different from those applicable to middle age patients. These methods take into account the mourning process experienced by the elderly patient in three spheres: loss of object, loss of function and loss of oneself. Indications concerning psychoanalytic psychotherapy for the elderly have to be carefully assessed and will be detailed throughout the paper.

  18. Succession and survival in psychotherapy organizations.

    Science.gov (United States)

    Khaleelee, Olya

    2008-11-01

    This paper examines the world of psychotherapy by applying a systemic and psychodynamic understanding of the family business as a way of understanding the dilemmas and challenges of leadership succession. Oedipal factors are explored as an important theme within the succession process. This exploration is set within the context of what function psychotherapy has performed in society over the last thirty years. The hypothesis is that the first generation of leaders aimed to provide containment for the individual citizen at a time of failed dependency in society. The suggestion is that this gave way to the primary task for the second generation, which has been to focus on the therapist in training. The challenge for the third generation is to develop a meaningful role for psychotherapy today and to ensure survival at a time when other shorter therapies such as CBT are gaining ascendancy over longer term psychoanalytic psychotherapy.

  19. [Method of existence analytic psychotherapy].

    Science.gov (United States)

    Längle, A

    1990-01-01

    Introducing questions of individual purpose and meaning into psychotherapy was an important contribution of Viktor Frankl and a necessary supplement to traditional psychotherapy. V. Frankls "Logotherapy" (logos = meaning) however has found its main application in counselling (especially bereavement and grief processes) and prophylactic endeavours (e.g. pedagogics). Suffering from meaninglessness, on the other hand, showed up to be a respectively rare indication for psychotherapeutic interventions in its proper sense. Thus the question was arising how to apply Frankl's valuable meaning-centered concept of man (which he called "Existential Analysis") in a genuine way to other neurosis and to personality disorders, so far "unspecific indications" to Logotherapy. This paper gives an outline and methodological foundation of "Existential Analysis Psychotherapy". A case study finally is illustrating its phenomenological proceeding.

  20. Psychotherapy: a profile of current occupational therapy practice in Ontario.

    Science.gov (United States)

    Moll, Sandra E; Tryssenaar, Joyce; Good, Colleen R; Detwiler, Lisa M

    2013-12-01

    Psychotherapy can be an important part of psychosocial occupational therapy practice; however, it requires specialized training to achieve and maintain competence. Regulation varies by province, and in Ontario, occupational therapists were recently authorized to perform psychotherapy. The purpose of this study was to explore the psychotherapy practice, training, and support needs of Ontario occupational therapists. An online survey was sent to occupational therapists who had clients with mental health or chronic pain issues, asking about their expertise and support needs in relation to nine psychotherapy approaches. Of the 331 therapists who responded, there were variations in the nature and frequency of psychotherapy practice. Experienced therapists in outpatient settings were more likely to practice psychotherapy, and cognitive-behaviour therapy, motivational interviewing, and mindfulness were the most common approaches. Supervision and training varied, with many therapists interested in occupational therapy-specific training. Recommendations for a framework of support include education about the nature of psychotherapy, training and supervision guidelines, and advocacy for occupational therapy and psychotherapy.

  1. Dorte Nors "Den store tomat"

    DEFF Research Database (Denmark)

    Michelsen, Jimmi

    2017-01-01

    Tekstgennemgang og undervisningsforløb til Dorte Nors "Den store tomat". Undervisningsforløbet er henvendt til elever i folkeskolens udskoling......Tekstgennemgang og undervisningsforløb til Dorte Nors "Den store tomat". Undervisningsforløbet er henvendt til elever i folkeskolens udskoling...

  2. Radiology in managed care environment: Opportunities for cost savings in an HMO; Radiologie unter Managed-Care-Bedingungen. Einsparpotenziale aus der Sicht einer Krankenversicherung in den USA

    Energy Technology Data Exchange (ETDEWEB)

    Schmidt, C. [Universitaet Kiel (Germany). Klinik fuer Allgemeine Chirurgie und Thoraxchirurgie; Mohr, A. [University of California, San Francisco (United States). Dept. of Radiology; Universitaet Kiel (Germany). Klinik fuer Radiologische Diagnostik; Moeller, J. [Universitaet Bielefeld (Germany). Fakultaet fuer Gesundheitswissenschaften; Levin-Scherz, J. [Tufts Healthplan, Boston (United States); Heller, M. [Universitaet Kiel (Germany). Klinik fuer Radiologische Diagnostik

    2003-09-01

    : Darstellung des Einsparungspotenzials, welches einer effizienten Nutzung von Radiologieleistungen in einer Health-Maintenance-Organisation (HMO) innewohnt, und der zur Realisierung verwendeten Managed-Care-Techniken. Material und Methoden: Im Rahmen eines Projektes zur Kostenreduktion an einer HMO in den USA wurden die Ursachen fuer gestiegene Ausgaben im Bereich Radiologie (''Radiology-Utilisation-Line'') untersucht. Durch umfassende Datenanalysen, Ueberpruefungen der Kodierlogik, Interviews mit Angestellten sowie kritische Beleuchtung der Vertragsbeziehungen zu Leistungserbringern konnte das Einsparpotenzial beziffert werden. Saemtliche Daten wurden in Microsoft Excel {sup trademark} dokumentiert und unter Verwendung von SPSS 8.0 (Statistical Package for the Social Sciences) fuer Windows {sup trademark} mithilfe nicht-parametrischer Tests ausgewertet. Ergebnisse: Hauptursache war eine verstaerkte Verordnung von Radiologieleistungen pro versichertem Patienten, wobei die Kosten pro Untersuchung annaehernd gleich blieben. Ein wesentlicher Kostenhebel lag in der Verbesserung des elektronischen Abrechnungssystems, welches fuer eine Ueberbezahlung von Leistungen verantwortlich war. Die Gestaltung der vertraglichen Risikovereinbarungen zwischen Versicherer und Leistungserbringer sowie die Qualitaet der Managementstrukturen innerhalb der radiologischen Einrichtungen hatten einen signifikanten Einfluss auf deren Wirtschaftlichkeit. Ferner konnte nachgewiesen werden, dass Aerzte mit eigenen Roentgenanlagen bis zu 4-5-mal mehr Untersuchungen veranlassen als Aerzte ohne eigene Roentgenausstattung und so einen erheblichen Kostentreiber darstellen. (orig.)

  3. Luftstaub über den Meeren

    DEFF Research Database (Denmark)

    Kacunko, Slavko; Kacunko, Sabine; Gorbushina, Ana

    2013-01-01

    Staub umgibt uns überall und alles wird auch irgendwann zu Staub - ob wir wollen oder nicht. Staub nicht nur zu bekämpfen, sondern zu untersuchen, bildet den Ausgangspunkt zahlreicher Forschungen in den Natur-, Ingenieur- und Kulturwissenschaften. Der vorliegende Band verbindet solche Beiträge au...

  4. Integrative dimensions of psychotherapy training.

    Science.gov (United States)

    Greben, Daniel H

    2004-04-01

    This paper investigates the influence of integrative factors on psychotherapy education. The broad relevance of integrative psychotherapy to residency training and continuing mental health education is discussed. Following a review of the existing literature on the education of integrative psychotherapists, the article systematically examines the integrative and pedagogic issues to be considered in planning psychotherapy training informed by integrative principles. The integrative issues are organized into 5 categories: attitudinal set, knowledge base, clinical techniques and skills, developmental tasks and challenges, and systemic institutional factors. The educational issues can be divided into 4 categories: content, format and process, sequence, and faculty development. Brief descriptions of actual educational interventions illustrate the implementation of such ideas. Specific recommendations are made regarding the development of integrative educational initiatives and future study of unresolved questions.

  5. Denning of grizzly bears in the Yellowstone National Park area

    Science.gov (United States)

    Judd, Steven L.; Knight, Richard R.; Blanchard, Bonnie M.

    1986-01-01

    Radiotelemetry was used to locate 101 grizzly bear (Ursus arctos) dens from 1975 to 1980; 35 dens were examined on the ground. Pregnant females denned in late October, and most other bears denned by mid-November. Duration of denning average 113, 132, and 170 days for males, females, and females with new cubs, respectively. Males emerged from mid-February to late March, followed by single females and females with yearlings and 2-year-olds. Females with new cubs emerged from early mid-April. Den sites were associated with moderate tree cover (26%-75% canopy cover) on 30°-60° slopes. Dens occurred on all aspects, although northerly exposures were most common. Grizzly bears usually dug new dens but occasionally used natural cavities or a den from a previous year. Males usually dug larger dens than females with young. Eight excavated and 2 natural dens of the 35 examined dens were used for more than 1 year.

  6. Skype for Business - Eine Einschätzung: Kurzstudie

    OpenAIRE

    Messerer, Thomas

    2016-01-01

    Die Firma Microsoft bietet mit Skype for Business ein Kommunikationssystem für die geschäftliche Nutzung an. Die Entwicklung von Skype for Business begann im Jahre 2002/2003 unter dem Namen Live Communications Server (LCS). Spätere Versionen wurden unter den Bezeichnungen OCS (Office Communications Server) und schließlich Lync vertrieben. Das System ist ein lokal installierter VoIP- und IM-Server, der in lokale Windows-Infrastrukturen eingebunden ist. Die Kommunikation im lokalen Netz erfolgt...

  7. [Summary: Scientific evaluation of EMDR psychotherapy].

    Science.gov (United States)

    Haour, F; de Beaurepaire, C

    2016-06-01

    The evaluation of psychotherapy methods is made difficult by their practical and theoretical diversities as well as the increasing number of available therapies. Evaluation based on scientific criteria in randomized control trials is providing the highest level of proof and recognition by Health Agencies. A recently described integrative psychotherapy, eye movement desensitization and reprocessing (EMDR), developed by F. Shapiro since 1989, has been confronted with the validation procedure used in pharmacological treatment. It was of interest to review the scientific validation steps carried out for this EMDR psychotherapy and for its mechanisms of action. The practical and methodological protocol of the EMDR psychotherapy for trauma integration is reviewed as well as clinical results and mechanisms. This EMDR therapy, focused on the resolutions of traumas, was started by treating patients with post-traumatic stress disorders (PTSD). The integrative EMDR protocol obtained the highest level of efficiency, for PTSD treatment, twenty years after its first publication. The efficiency of the protocol is now under study and scientific evaluation for troubles in which the trauma experiences are triggers or factors of maintenance of the troubles: anxiety, depression, phobia, sexual troubles, schizophrenia, etc. This new integrative psychotherapy follows the pathways and the timing observed for the evaluation and the validation of other therapies. Copyright © 2016 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  8. 371 Exhumierungen : eine Untersuchung aus morphologischer, versicherungsmedizinischer und rechtsmedizinischer Sicht

    OpenAIRE

    Ulm, Kristin

    2008-01-01

    In der vorliegenden Arbeit wurden die Ergebnisse von 371 Exhumierungen aus den Jahren 1967 bis 1998 ausgewertet unter der Fragestellung, ob aussagekräftige morphologische Befunde auch noch nach einer längeren Leichenliegezeit erhoben werden und versicherungsmedizinische Fragen hierdurch beantwortet werden können. Die erhobenen morphologischen Befunde sowohl auf mikroskopischer als auch auf makroskopischer Ebene wurden zu einem Erwartungskatalog zusammengefasst und mit den Ergebnissen der...

  9. Narrative Expositionstherapie (NET) für Menschen nach Gewalt und Flucht : Ein Einblick in das Verfahren

    OpenAIRE

    Schauer, Maggie; Elbert, Thomas; Neuner, Frank

    2017-01-01

    Die Narrative Expositionstherapie (NET) ist ein effizientes Kernelement der Behandlung von Kindern und Erwachsenen, die unter den Folgen von Mehrfach- und Komplextraumatisierung nach Gewalt und Flucht leiden. Die chronologische Erarbeitung einer Narration, der individuellen Lebensgeschichte in der NET ermöglicht Traumaüberlebenden eine Gesamtschau ihres Lebens und so die Integration der Lebenserfahrungen in den biografischen Zusammenhang. Sie aktiviert Ressourcen und erlaubt korrigierende Bez...

  10. Ayurvedic concepts related to psychotherapy.

    Science.gov (United States)

    Behere, Prakash B; Das, Anweshak; Yadav, Richa; Behere, Aniruddh P

    2013-01-01

    The perfect balance of mind, body and soul is considered as complete health in Ayurveda. Ayurveda has its own identity as most ancient and traditional System of Medicine in India. Even Ayurveda emphasizes its treatment modalities into three parts viz. Satwawajay Chikitsa, Yuktivyapashray and Daivyapashray Chikitsa. Sattvavajaya therapy mentioned in Charakasamhita and it used as new concept of psychotherapy in Ayurveda. The effectiveness of "traditional mental health promoting practices" was identified as health regimens (swasthvrtt), correct behavior (sadvrtt), and yoga. Sattvavajaya as psychotherapy, is the mental restraint, or a "mind control" as referred by Caraka, is achieved through "spiritual knowledge, philosophy, fortitude, remembrance and concentration. Ayurvedic psychotherapy would play a dual role: First, as a revival of authentic medical culture, the exercise of a practice with an assumed primordial dimension, and second as a discovery of authentic subjectivity, the revelation of a self with an assumed interior depth. When we integrate the contemporary art of psychotherapy with the ancient science of Ayurveda, it becomes a powerful combination that is called Psycho Veda. The integration of Psycho and Veda is motivated by the complete integration of the immense but fairly contemporary view of the mind, emotions and psyche and how this performs in our lives. Integrating Psychotherapy and Vedic principles teaches us how to rediscover critical knowledge and awareness of the natural forces and rhythms that compliment and strengthen our human experience, through the understanding of the psyche and what our inner experiences are and also involving practical daily activities with thorough attention to our total environment to bring about radical changes in our mental outlook and in physical health.

  11. Short and long term supply curves for crude oil and the consequences for the market; Kurz- und langfristige Angebotskurven fuer Rohoel und die Konsequenzen fuer den Markt

    Energy Technology Data Exchange (ETDEWEB)

    Schlothmann, Daniel

    2016-03-08

    In this work, supply curves for 22 major oil producing countries were identified and then aggregated into global supply curves. According to the identified supply curves, almost all oil-producing oil projects currently under development in the study countries are also profitable at the current oil price of $ 35 to $ 40 per barrel, taking short-term marginal costs into account. However, if the price of oil remains at this level in the coming years, a supply bottleneck on the global oil market will occur until 2024, as the development of cost-intensive, unconventional deposits and of deposits in deep and very deep waters is necessary to meet future demand. In order to avoid such a supply bottleneck by 2024, an oil price of at least US $ 80 per barrel is required, according to the long-term market equilibrium determined. [German] In dieser Arbeit wurden Angebotskurven fuer 22 bedeutende Oelfoerderlaender ermittelt und anschliessend zu globalen Angebotskurven aggregiert. Gemaess den ermittelten Angebotskurven sind nahezu alle gegenwaertig in der Foerderphase befindlichen Oelprojekte in den Untersuchungslaendern auch beim aktuellen Oelpreis von 35 bis 40 US-$ je Barrel unter Beruecksichtigung der kurzfristigen Grenzkosten rentabel. Sollte der Oelpreis jedoch in den kommenden Jahren auf diesem Niveau verharren, wird es bis zum Jahr 2024 zu einem Angebotsengpass auf dem globalen Oelmarkt kommen, da zur Deckung der zukuenftigen Nachfrage die Erschliessung kostenintensiver, unkonventioneller Lagerstaetten und von Lagerstaetten in tiefen und sehr tiefen Gewaessern notwendig ist. Damit es bis zum Jahr 2024 nicht zu einem solchen Angebotsengpass kommt, ist gemaess des ermittelten langfristigen Marktgleichgewichts ein Oelpreis von mindestens 80 (2014er) US-$ je Barrel notwendig.

  12. Group Analytic Psychotherapy in Brazil.

    Science.gov (United States)

    Penna, Carla; Castanho, Pablo

    2015-10-01

    Group analytic practice in Brazil began quite early. Highly influenced by the Argentinean Pichon-Rivière, it enjoyed a major development from the 1950s to the early 1980s. Beginning in the 1970s, different factors undermined its development and eventually led to its steep decline. From the mid 1980s on, the number of people looking for either group analytic psychotherapy or group analytic training decreased considerably. Group analytic psychotherapy societies struggled to survive and most of them had to close their doors in the 1990s and the following decade. Psychiatric reform and the new public health system have stimulated a new demand for groups in Brazil. Developments in the public and not-for-profit sectors, combined with theoretical and practical research in universities, present promising new perspectives for group analytic psychotherapy in Brazil nowadays.

  13. Hyldest til den destruktive feminist

    DEFF Research Database (Denmark)

    Hansen, Brian Benjamin

    2017-01-01

    Den destruktive feminist er kommet for at uddele røvfulde og slikkepinde – og hun er netop løbet tør for slikkepinde.......Den destruktive feminist er kommet for at uddele røvfulde og slikkepinde – og hun er netop løbet tør for slikkepinde....

  14. American black bear denning behavior: Observations and applications using remote photography

    Science.gov (United States)

    Bridges, A.S.; Fox, J.A.; Olfenbuttel, C.; Vaughan, M.B.

    2004-01-01

    Researchers examining American black bear (Ursus americanus) denning behavior have relied primarily on den-site visitation and radiotelemetry to gather data. Repeated den-site visits are time-intensive and may disturb denning bears, possibly causing den abandonment, whereas radiotelemetry is sufficient only to provide gross data on den emergence. We used remote cameras to examine black bear denning behavior in the Allegheny Mountains of western Virginia during March-May 2003. We deployed cameras at 10 den sites and used 137 pictures of black bears. Adult female black bears exhibited greater extra-den activity than we expected prior to final den emergence, which occurred between April 12 and May 6, 2003. Our technique provided more accurate den-emergence estimation than previously published methodologies. Additionally, we observed seldom-documented behaviors associated with den exits and estimated cub age at den emergence. Remote cameras can provide unique insights into denning ecology, and we describe their potential application to reproductive, survival, and behavioral research.

  15. Konservatismen og den højreradikale terror

    DEFF Research Database (Denmark)

    Skov, Christian Houlberg

    2011-01-01

    Den norske højreekstremist Anders Behring Breiviks terror mod det norske samfund har herhjemme ledt til en voldsom debat om blandt andet forbindelsen mellem tonen i debatten og terrorangrebet og forholdet mellem den siden 2001 meget omtalte kulturkonservatisme og Anders Breiviks terrorhandling....... Essayet Konservatismen og den højreradikale terror forsøger dels at skabe klarhed over fronterne i debatten, dels at rette en kritik mod såvel tendensen til at afskrive handlingen som uforståelig som af tendensen til at slå den bredere højrefløjs kritik af multikulturalismen i hartkorn med Breiviks...

  16. Development and application of a NaNiCl{sub 2}-battery for industrial trucks regarding the requirements cycle life, safety and reliability. Final report; Entwicklung und Erprobung einer NaNiCl{sub 2}-Batterie fuer Flurfoerderzeuge unter besonderer Beruecksichtigung der Aspekte Lebensdauer, Sicherheit und Zuverlaessigkeit. Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Boehm, H.; Beyermann, G.; Bulling, M.

    1996-07-01

    Two NaNiCl{sub 2}-battery types including the battery controller and peripheral equipment have been developed for the application in fork lift trucks and driverless transportation. The batteries have been tested and evaluated on bench testing as well as in fork lift trucks and driverless trucks in practical application. The field tests have been performed by the subcontractors Still, Mercedes-Benz and Indumat. All test results have shown that the NaNiCl{sub 2}-battery (ZEBRA-battery) is well suited for the application in industrial traction. A series development together with a cost reduction programme have to be performed ahead of the introduction of the ZEBRA-battery into the market for industrial traction batteries. (orig.) [Deutsch] Im Rahmen des Vorhabens wurden zwei NaNiCl{sub 2}-Batterietypen, eine fuer die Anwendung in Gabelstaplern, die andere fuer den Einsatz in fahrerlosen Transportsystemen (FTS), einschliesslich des Batteriesteuergeraetes und der Batterieperipherie entwickelt. Die Batterien wurden auf Teststaenden im Labor sowie in Gabelstaplern und FTS unter Praxisbedingungen erprobt. Der praktische Einsatz erfolgte bei den Unterauftragnehmern Still, Mercedes-Benz und Indumat. Die Ergebnisse haben gezeigt, dass die NaNiCl{sub 2}-Batterie (ZEBRA-Batterie) fuer die Anwendung in Gabelstaplern und FTS geeignet ist. Insbesondere wurde nachgewiesen, dass die NaNiCl{sub 2}-Batterie im Gegensatz zu anderen Batteriesystemen einen Zweischichtbetrieb von Gabelstaplern ohne Batteriewechsel ermoeglicht. Vor Einfuehrung der ZEBRA-Batterie in den Flurfoerdermarkt muss die Serienentwicklung bei gleichzeitiger Senkung der Herstellkosten durchgefuehrt werden. (orig.)

  17. Multicultural approaches in psychotherapy: A rejoinder.

    Science.gov (United States)

    Owen, Jesse; Leach, Mark M; Wampold, Bruce; Rodolfa, Emil

    2010-12-20

    In this rejoinder, the authors address several issues raised by R. L. Worthington and F. R. Dillon (2011) and C. R. Ridley and M. Shaw-Ridley (2011) regarding (a) the measurement of multicultural competencies (MCCs), (b) sampling considerations in multicultural research, and (c) the conceptual frame of multicultural psychotherapy research. The authors challenge the wisdom of exploring MCCs in psychotherapy research and provide a different framework to understand therapists' multicultural effectiveness with clients based on their cultural race/ethnicity. Additionally, the concept of therapists' multicultural orientation or approach is introduced to illuminate the process of aligning with clients about salient cultural issues in psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  18. Group Supervision in Psychotherapy. Main Findings from a Swedish Research Project on Psychotherapy Supervision in a Group Format

    Science.gov (United States)

    Ogren, Marie-Louise; Sundin, Eva C.

    2009-01-01

    Psychotherapy supervision is considered crucial for psychotherapists in training. During the last decades, group supervision has been a frequently used format in many countries. Until recently, very few studies had evaluated the small-group format for training of beginner psychotherapists and psychotherapy supervisors. This article aims to…

  19. Comparison calculation/experiment on the load case ``shutdown of TH high pressure pumps under consideration of fluid structure interaction``; Vergleich Rechnung/Messung zum Lastfall ``Abschaltung der TH-Hochdruckpumpen unter Beruecksichtigung der Fluid-Struktur-Wechselwirkung``

    Energy Technology Data Exchange (ETDEWEB)

    Erath, W.; Nowotny, B.; Maetz, J. [KED, Rodenbach (Germany)

    1998-11-01

    Measurements of an experiment in a pipe system with pump shutdown and valve closing have been performed in the nuclear power plant KRB II. Comparative calculations of fluid and structure including interaction show an excellent agreement with the measured results. Theory and implementation of the fluid/structure interaction and the results of the comparison are described. It turns out that the consideration of the fluid/structure interaction is mostly a significant increase of the effective structural damping. (orig.) [Deutsch] Es wurden Messungen am nuklearen Nachkuehlsystem des Kernkraftwerks Gundremmingen (KRB II) bei einem Versuche mit Pumpenabschalten und Ventilschliessen durchgefuehrt. Vergleichsrechnungen der Fluid-Strukturdynamik unter echter Beruecksichtigung der Wechselwirkung ergaben eine ausgezeichnete Uebereinstimmung der Rechnung mit den Messungen. Es werden Theorie und Implementierung der Koppelung der Fluid- und Struktur-Berechnungen sowie die Vergleiche von Messung und Rechnung beschrieben. Es ergibt sich, dass die Beruecksichtigung der Wechselwirkung notwendig ist zur genaueren Berechnung von `weichen` Rohrleitungsystemen. Eine wichtige Folge der Wechselwirkung ist meist eine deutliche Erhoehung der effektiven Strukturdaempfung. (orig.)

  20. Gratitude in cognitive psychotherapy

    Directory of Open Access Journals (Sweden)

    Natalia C. Moyano

    2015-08-01

    Full Text Available Gratitude is a cognitive-affective state caused by the recognition that one has received a benefit from an external agent, due to the good intentions of this agent. Despite the evidence that associate gratitude with subjective well being, psychological well being, physical health and copping with stressful events, it is not enough taken in consideration in an academic level and in its interaction with psychotherapy instruments as well. In this article, the central concepts and information provided by the research are revised, intending to analyze possible ways to include gratitude into Cognitive Psychotherapy

  1. 'Den danske model' som tema

    DEFF Research Database (Denmark)

    Caraker, Emmett; Juul, Ida; Klindt, Mads Peter

    2012-01-01

    Tidsskrift for Arbejdsliv vol. 14, nr. 2, 5-8. Tema: 'Den danske model'. Redigeret af Emmett Caraker, Ida Juul, Mads peter Klindt & Jens Lind. 2011. København. 128 s.......Tidsskrift for Arbejdsliv vol. 14, nr. 2, 5-8. Tema: 'Den danske model'. Redigeret af Emmett Caraker, Ida Juul, Mads peter Klindt & Jens Lind. 2011. København. 128 s....

  2. Den tabte fortælling

    DEFF Research Database (Denmark)

    Jørgensen, Kenneth Mølbjerg

    2008-01-01

    Ledelse er et af nøgleordene i fornyelsen af den offentlige sektor. Vi har imidlertid glemt et væsentligt aspekt af ledelse. Dette skyldes ikke mindst, at omgangsformen i dag er reguleret af information, mens den tidligere var reguleret af fortælleevnen. Evnen til dialog, indlevelse og nærvær er...

  3. Culture and demoralization in psychotherapy.

    Science.gov (United States)

    de Figueiredo, John M; Gostoli, Sara

    2013-01-01

    In most societies, members of a culture have attempted to help each other in times of trouble with various types of healing methods. Demoralization - an individual experience related to a group phenomenon - responds to certain elements shared by all psychotherapies. This article has three objectives: (1) to review the theoretical background leading to our current views on culture and demoralization in psychotherapy, (2) to discuss the methodological challenges faced in the cross-cultural study of demoralization and psychotherapy, and (3) to describe the clinical applications and research prospects of this area of inquiry. Demoralization follows a shattering of the individual's assumptive world and it is different from homeostatic responses to a stressful situation or from depressive disorders. Only a few comparative studies of this construct across cultures have been undertaken. The presentation of distress may vary widely from culture to culture and even within the same culture. To avoid 'category fallacy', it is important to understand the idioms of distress peculiar to a cultural group. A cultural psychiatrist or psychotherapist would have to identify patient's values and sentiments, reconstruct his/her personal and collective ambient worlds, and only then study demoralization. The limitations of our current diagnostic systems have resulted in methodological challenges. Cultural clinicians should consider using a combination of both 'clinimetric' and 'perspectivistic' approaches in order to arrive at a diagnosis and identify the appropriate intervention. The presenting problem has to be understood in the context of the patient's individual, social and cultural background, and patients unfamiliar with Western-type psychotherapies have to be prepared to guide their own expectations before the former are used. Future research should identify the gaps in knowledge on the effectiveness of cultural psychotherapy at reversing or preventing demoralization. Copyright

  4. Development of CaO-swelling cements for cementing of natural gas underground storage wells in field trial (temperature range {<=} 60 C) and composition of CaO and MgO-swelling cements for a temperature range between 60 C-105 C. Final report; Entwicklung von CaO-Quellzementen fuer die Zementation von Erdgasspeicherbohrungen im Feldversuch (Temperaturbereich {<=} 60 C) sowie Formulierung von CaO- und MgO-Quellzementen fuer den Einsatz im Temperaturbereich 60 C-105 C. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Ghofrani, R.; Gheorghiu, A.S.; Radu, G.; Rogojinoiu, E.; Stan, M.; Miehe, H.

    2000-11-01

    of their investigations regarding the longterm stability were positively assessed. (orig.) [German] Die Untersuchungen im Rahmen dieses Projektes bauen auf den am ITE bereits durchgefuehrten Arbeiten, insbesondere DGMK-Forschungsvorhaben 444-1, 444-2 und 444-3 auf, und sollen zu einer Praxiserprobung ausgewaehlter CaO-Quellzementrezepturen fuehren. Wesentliche Untersuchungsgroessen sind das HPHT-Konsistenzverhalten, das HPHT-Ausdehnungsverhalten und das Langzeitstabilitaetsverhalten von CaO-Quellzementen unter bohrlochaehnlichen Bedingungen. Dabei wird der Quellzement mit dem ITE-Equipment in Korrelation zu den Praxisanmachmethoden angesetzt; der Quellzementschlamm wird anschliessend in der ITE-Zementschlammzirkulationsanlage entsprechend den Bohrlochbedingungen scher- und temperaturbelastet; anlagenbedingt wird die Druckbelastung auf max. 15 [MPa] beschraenkt. Der in der ITE-Zirkulationsanlage entsprechend den Bohrlochbedingungen belastete Zementschlamm wird anschliessend auf das HPHT-Konsistenz- und HPHT-Ausdehnungsverhalten hin untersucht. Hinsichtlich des Langzeitstabilitaetsverhaltens wird der in der Zirkulationsanlage behandelte Quellzementschlamm unter entsprechenden pT-Bedingungen autoklavengelagert. Nach der Evakuierung aus den Autoklaven erfolgt die Messung der Druckfestigkeit, der Haftscherfestigkeit und der Systempermeabilitaet der Proben. Anhand der unter gleichen Versuchsbedingungen gemessenen Eigenschaften einer CaO-Referenzquellzementrezeptur konnte die ITE-Anmachmethode mit den gaengigen Praxisanmachmethoden LPHM, LPRM und HPRM korreliert werden; die Angleichung der ITE-Anmachmethode an die fuer die entsprechende Zementation geplante Praxisanmachmethode soll sicherstellen, dass die im Labor ermittelten Eigenschaften des Quellzementes praxisrelevant sind. (orig.)

  5. CASE STUDIES IN INTEGRATIVE PSYCHOTHERAPY PART 2 (EDITORIAL

    Directory of Open Access Journals (Sweden)

    Gregor Žvelc

    2013-05-01

    Full Text Available Announcement of the special issue of the International Journal of Integrative Psychotherapy, which is dedicated to the exploration and discussion of an integrative psychotherapy case study.

  6. Den udenlandske udtales finurligheder

    DEFF Research Database (Denmark)

    Davidsen-Nielsen, Niels

    2017-01-01

    Eftertanken. Det er ikke altid nemt at tale om store, internationale kunstnere som Mozart eller Gabriel García Márquez. For hvordan skal den danske mund udtale z'et i Mozart og lægge trykket i García?......Eftertanken. Det er ikke altid nemt at tale om store, internationale kunstnere som Mozart eller Gabriel García Márquez. For hvordan skal den danske mund udtale z'et i Mozart og lægge trykket i García?...

  7. Skywards - climate design for the Moscow Federation Tower; Dem Himmel entgegen - Klimadesign fuer den Federation Tower Moskau

    Energy Technology Data Exchange (ETDEWEB)

    Reiser, Claudius [Ebert-Ingenieure GmbH and Co. KG, Competence Center Nachhaltiges Bauen, Nuernberg (Germany)

    2008-06-15

    Advanced simulation tools were used in developing the climate design for the roof covering the taller of the two blocks at Moscow's Federation Tower. The all-glass roof space at a height of 365 m is designed to accommodate the finest and most exclusive hotel areas. Several restaurants, bars and lounges and a Sky Dance Club will offer entertainment and fabulous views across the whole city. Simulations were used to develop and verify a design that ensures thermal comfort taking into account architectural, climate and utilisation requirements. The structure and the building services were simulated based on a 3D model, and simulations were carried out for summer and winter scenarios. This paper describes the design process including load calculations and the development and assessment of the climate design by means of simulation. (Abstract Copyright [2008], Wiley Periodicals, Inc.) [German] In der Entwicklung des Klimakonzeptes der Turmkappe Ost des Federation Towers in Moskau wurden modernste Simulationswerkzeuge eingesetzt. Die vollstaendig glaeserne Turmkappe in 365 m Hoehe soll Raum fuer einen der schoensten und exklusivsten Bereiche des Hotels geben. Diverse Restaurants, Bars und Lounges sowie ein Sky Dance Club sollen einmal zum Verweilen und zur naechtlichen Vergnuegung einladen und dabei stets einen traumhaften Blick ueber die gesamte Stadt ermoeglichen. Mit Hilfe der Simulation wurde fuer die Turmkappe ein Klimakonzept entwickelt und ueberprueft, das die thermische Behaglichkeit unter Beruecksichtigung von Architektur, Klima und Nutzung gewaehrleistet. Dazu wurde die Architektur inklusive der Klimatechnik in einem 3D-Modell abgebildet und fuer den Sommer- und Winterfall berechnet. Der vorliegende Beitrag vollzieht den Planungsablauf von der Lastberechnung bis hin zur Erstellung und Bewertung des Klimakonzeptes in der Simulation. (Abstract Copyright [2008], Wiley Periodicals, Inc.)

  8. PERSONALITY THEORY IN INTEGRATIVE PERSONALITY-ORIENTED RECONSTRUCTIVE PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    V I Kurpatov

    2010-01-01

    approaches. V.N. Myasishchev's theory of personality relations in association with its universality, as well as pathogenetic psychotherapy may be the basis for the integration of other methods of psychotherapy

  9. Practice Parameter for Psychodynamic Psychotherapy with Children

    Science.gov (United States)

    Medicus, Jennifer

    2012-01-01

    This Practice Parameter describes the principles of psychodynamic psychotherapy with children and is based on clinical consensus and available research evidence. It presents guidelines for the practice of child psychodynamic psychotherapy, including indications and contraindications, the setting, verbal and interactive (play) techniques, work with…

  10. Interpersonal Psychotherapy: Past, Present and Future

    OpenAIRE

    Markowitz, John C.; Weissman, Myrna M.

    2012-01-01

    The authors briefly describe the origins, theory, and development of interpersonal psychotherapy: its roots in clinical outcome research, its spread from major depression to other psychiatric disorders and its increasing dissemination as an empirically validated clinical intervention included in treatment guidelines. They attempt to forecast research, organizational and training issues the growing interpersonal psychotherapy community may face in the future.

  11. Further development of microparticle image velocimetry analysis for characterisation of gas streams as a novel method of fuel cell development. Final report; Weiterentwicklung des Mikro-Particle Image Velocimetry Analyseverfahrens zur Charakterisierung von Gasstroemungen als neuartige Entwicklungsmethodik fuer Brennstoffzellen. Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    The project aimed at a better understanding of the complex fluid-mechanical processes in the small ducts of bipolar plates. So far, an appropriate technology for in-situ measurement was lacking. The project therefore focused on the further development of microparticle image velocimetry in order to enable analyses of the local velocity distribution of a gas stream in a microduct. Further, measurements were carried out in the microducts of a fuel cell in the more difficult conditions of actual operation. (orig./AKB) [German] Anlass des Forschungsvorhabens war die komplizierten stroemungsmechanischen Zusammenhaenge in den kleinen Kanaelen der Bipolarplatten zu verstehen. Bisher stand keine Messtechnik zur Verfuegung, dies es erlaubt, die stroemungsmechanischen Prozesse in den Mikrokanaelen unter Realbedingungen in situ zu vermessen und mit der instantanen Zellleistung zu korrelieren, Ziel des Projektes war es daher, die Methode der Mikro-Partikel-Image-Velocimetry in der Art weiterzuentwickeln, dass eine Analyse der lokalen Geschwindigkeitsverteilung einer Gasstroemung in einem Mikrokanal ermoeglicht wird. Darueber hinaus wird als zweites Ziel des Projekts eine solche Messung unter den erschwerten Bedingungen einer betriebenen Brennstoffzelle in Mikrokanaelen einer Zelle durchgefuehrt.

  12. [Psychotherapy of depression in old age].

    Science.gov (United States)

    Wächtler, C

    2013-02-01

    Depression in old age is common and also dangerous due to somatic comorbidity and suicide; however, it is often not recognized and not adequately treated. Psychotherapy is almost never offered to the elderly. However, clinical experience, single-case studies and some controlled trials show effectiveness--at least to the age of 75. The psychotherapist must be aware of unusual transference and countertransference between a younger therapist and elderly patient. Psychotherapy in old age requires some modifications, especially concerning special interest in biography and history, strong empathy, "container function", and focusing. In the future, psychotherapy for the elderly should be both investigated and educated more. In addition, it is hoped that psychotherapists offer to treat elderly people with depression and that more older patients accept this professional help.

  13. Investigations of the boundary conditions of acicular ferrite formation in fast-quenched welded materials. Final report; Untersuchungen der Randbedingungen fuer die Bildung von 'acicular ferrite' in Schweissguetern bei schneller Abkuehlung. Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Dilthey, U.; Biesenbach, M.

    2000-06-19

    The authors investigated the boundary conditions in which a fine-grained ferritic needle structure with sufficient low-temperature toughness is obtained in conditions of extreme heating and cooling. Alloy compositions and welding boundary conditions were investigated for laser welding, electron beam welding in a vacuum and electron beam welding at atmospheric pressure. [German] Im Rahmen dieser Arbeit soll untersucht werden, welche Randbedingungen erfuellt sein muessen, damit sich unter extremen Aufheiz- und Abkuehlbedingungen, wie sie bei den Strahlschweissverfahren vorliegen, ein feinkoerniges nadelferritisches Gefuege mit ausreichend hoher Tieftemperaturzaehigkeit bildet. Diesbezueglich ist fuer die Strahlschweissverfahren Laserstrahlschweissen, Elektronenstrahlschweissen im Vakuum und Elektronenstrahlschweissen unter Atmosphaerendruck zu ermitteln, welche Legierungszusammensetzungen diese Voraussetzungen erfuellen und wie sie unter realen Schweissbedingungen verwirklicht werden koennen. (orig.)

  14. Metaphor in Psychotherapy

    Directory of Open Access Journals (Sweden)

    Nergis Lapsekili

    2014-08-01

    Full Text Available A metaphor is a figüre of speech in which a word or phrase is applied to an object or an action that it does not literally denote in order to imply a resemblence. Metaphor has been an essential feature of human communication from time immemorial: fairy tales, parables, provers are all examples of metaphor. Human beings regularly use metaphors to communicate with each other, so it is reasonable to expect this figüre of speech to have a place in the process of communication we call psychotherapy. As well as carefully planned and developed majör metaphoric stories to achieve specific therapeutic goals, anectodes, similes, analogies, parables and other brief metaphorical statements, relationship metaphors, tasks with metaphorical meanings, objects can be used with their metaphorican meaning in psychotherapy. Stories when properly constucted and told, are usually more interesting than straight expositions of the points one wishws to make. Of course it is possible to construct boring stories or to tell good stories in a boring way. But well thought out and well narrated stories, told in the right context ca inspire people to undertake tasks and think about things they would not have considered before. Stories, because they deal indirectly with issues and have meanings that are in varying degrees veiled, tend to be less threatening and confronting than direct statements. Listeners are free to take stories at their face value, if their implicit meaning is unacceptable to them at the time. And this result will not damage the existing therapist-client rapport. Suggesting solutions to problems, helping people to recognize themselves, increasing motivation, reframing and redefining problems, reminding subjects of their own resources are all the benefits of clinical uses of metaphors in psychotherapy. In this text, the description of metaphor and usage of metaphor in psychotherapy will be reviewed with samples. [JCBPR 2014; 3(2.000: 116-125

  15. Den tidslogiske analyse af determinismeproblemet

    DEFF Research Database (Denmark)

    Øhrstrøm, Peter

    2010-01-01

    Artiklen diskuterer den filosofiske tidslogik med særligt henblik på A.N. Priors bidrag hertil. Det logiske determinismeproblem benyttes som gennemgående eksempel. Det vises endvidere, hvordan tidslogikken kan udnyttes til at analysere de logisk mulige positioner i en videnskabelig eller videnska...... videnskabsteoretisk debat. Her bruges den videnskabshistorisk betydende diskussion mellem Charles Darwin og Asa Gray som eksempel....

  16. Ensretning i den internationale skatteret

    DEFF Research Database (Denmark)

    Schmidt, Peter Koerver; Bundgaard, Jakob

    2015-01-01

    I lyset af den seneste tids begivenheder (herunder særligt Luxleaks-sagerne) og tiltag på den internationale skattescene ses der i artiklen nærmere på en række af de forhold, som trækker i retning af øget ensretning af selskabsskattereglerne i store dele af verden. Det gøres gældende, at staternes...

  17. Events i den globale bykonkurrence

    DEFF Research Database (Denmark)

    Østergaard, Katrine

    2005-01-01

    Paper til ph.d. workshop, d. 9. december 2005. Dette paper beskriver, hvorfor og hvordan events kan bruges som strategi for byplanlægning og byudvikling i den globale bykonkurrence.......Paper til ph.d. workshop, d. 9. december 2005. Dette paper beskriver, hvorfor og hvordan events kan bruges som strategi for byplanlægning og byudvikling i den globale bykonkurrence....

  18. Ernährungszustand bei Patienten mit chronisch entzündlichen Darmerkrankungen

    OpenAIRE

    Blunk, Christine

    2009-01-01

    Zahlreiche internationale Studien konnten den negativen Einfluss einer bestehenden Malnutrition auf den Verlauf einer Erkrankung belegen. Dies gilt insbesondere für Patienten mit chronisch entzündlichen Darmerkrankungen wie Morbus Crohn und Colitis ulcerosa, die wie klinische Studien gezeigt haben besonders häufig unter einer Malnutrition leiden. In der vorliegenden Studie wurde der Ernährungszustand von 127 Patienten mit chronisch entzündlichen Darmerkrankungen anhand verschiedener etabli...

  19. Tax Shield, Insolvenz und Zinsschranke

    OpenAIRE

    Arnold, Sven; Lahmann, Alexander; Schwetzler, Bernhard

    2010-01-01

    Dieser Beitrag analysiert den Wertbeitrag fremdfinanzierungsbedingter Steuervorteile (Tax Shield) unter realistischen Bedingungen (keine Negativsteuer; mögliche Insolvenz) für unterschiedliche Finanzierungspolitiken. Zusätzlich wird der Effekt der sogenannten Zinsschranke auf den Wert des Tax Shield ermittelt. Die Bewertung des Tax Shield mit und ohne Zinsschranke findet im einperiodigen Fall auf der Basis von Optionspreismodellen und im mehrperiodigen Fall auf der Basis von Monte Carlo Simul...

  20. Protection of the switches in a three-level inverter by using modified switching schemes for the redistribution of losses

    OpenAIRE

    Phan, The Minh

    2016-01-01

    Elektronische Ventile (IGBT, IGCT, usw.) eines Drei-Punkt-Wechselrichters (3L-NPC-VSI) für Mittelspannungsanwendungen werden üblicherweise auf separaten Kühlkörpern montiert, als Folge entsteht eine schwache thermische Kopplung zwischen den Ventilen. Wie aus der Literatur bekannt ist, kann im normalen Betrieb des Wechselrichters die Wärmeverteilung zwischen den Schaltern mit Hilfe verschiedener Verfahren verbessert werden. Trotzdem ist die Entstehung von lokalen Hotspots unter bestimmten Fehl...

  1. "making moves": Eine empirische Untersuchung zur Zweierbeziehung von Jugend und Sport im neuen Jahrtausend

    OpenAIRE

    Boszczyk, Christian

    2010-01-01

    Nach den Hochrechnungen des Marktforschungsinstituts "iconkids & youth" gaben in 2006 deutsche Teenager in der Alterskategorie von 13 – 19 Jahren insgesamt rund 468 Millionen Euro für Sportartikel aus. Diese imposante Zahl alleine ist Grund genug für einen Absolventen eines Studiums der Wirtschaftswissenschaften, sich mit der Zweierbeziehung "Jugend und Sport" auseinanderzusetzen. Betrachtet man den Jugendmarkt in Deutschland unter ökonomischen Gesichtspunkten, so entpuppt sich diese junge Kä...

  2. Einfluss von Thujonen und Omeprazol auf die Aktivität der glatten Muskelzelle im Ileum der Ratte

    OpenAIRE

    Huhnstock, Stefan

    2010-01-01

    Untersucht wurde der Einfluss von Thujonen (α Thujon, αβThujon, natürliches Mischthujon) und Omeprazol auf die Ruheaktivität, den Basaltonus, die pharmakologisch vorstimulierte glatte Muskulatur ,sowie die elektrisch induzierte Kontraktionen und die elektrisch induzierte Relaxation unter nicht-adrenergen nicht-cholinergen Bedingungen an der glatten Muskelzelle im Ileum von Ratten. Auf die Ruheaktivität und den Basaltonus hatten die Substanzen keinen Einfluss. Thujone hatten einen signifikante...

  3. Consequences of Psychotherapy Clients' Mental Health Ideology.

    Science.gov (United States)

    Milling, Len; Kirsch, Irving

    Current theoretical approaches to understanding emotional difficulties are dominated by the medical model of mental illness, which assumes that emotional dysfunction can be viewed the same way as physical dysfunction. To examine the relationship between psychotherapy clients' beliefs about the medical model of psychotherapy and their behavior…

  4. Book Review Psychotherapy and Phenomenology By Ian Rory ...

    African Journals Online (AJOL)

    Book Review Psychotherapy and Phenomenology By Ian Rory Owen (2006) ... Psychotherapy and Phenomenology: On Freud, Husserl and Heidegger. New York: iUniverse. Soft Cover (352 ... AJOL African Journals Online. HOW TO USE ...

  5. [Systemic therapies--a contribution to psychotherapy integration].

    Science.gov (United States)

    Schiepek, Günter

    2012-06-01

    Some converging lines from neuroscience, neurobiological psychotherapy research, process-outcome-research, internet-based change monitoring and the systems and complexity sciences actually allow for an open and generic definition of systemic therapies. The "family" of systemic therapies as designed here is not restricted to the field of psychotherapy. It is a scientifically founded and engaged, bio-psycho-social multi-level approach to a common or integrative psychotherapy, not restricted to a psychotherapeutic confession or exclusively to family or couples therapy. A core element of systemic therapy is the support of self-organizing processes and the use of data-driven feedback tools. The conclusion goes to a modified concept of evidence-based practice and, vice versa, practice-based evidence, to an integration of the medical model and the common factors model into a self-organization theory of human change processes, and to a list of criteria for scientifically based practice in psychotherapy. © Georg Thieme Verlag KG Stuttgart · New York.

  6. Kosmetisk kirurgi og den transformérbare krop -en analyse af den amerikanske tv-serie Nip/Tuck

    DEFF Research Database (Denmark)

    Jerslev, Anne

    2009-01-01

    En analyse af krops- og kønsiscenesættelser i den amerikanske tv-serie om kosmetisk kirurgi Nip/Tuck......En analyse af krops- og kønsiscenesættelser i den amerikanske tv-serie om kosmetisk kirurgi Nip/Tuck...

  7. The contribution of diffusion to methane transport in deep underground gas deposits; Der Beitrag der Diffusion zum Methantransport in tiefliegenden Gas-Lagerstaetten

    Energy Technology Data Exchange (ETDEWEB)

    Sachs, W. [Institut fuer Erdoel- und Erdgasforschung, Clausthal-Zellerfeld (Germany)

    1998-12-31

    Optimisation of gas production necessitates accurate knowledge of gas transport mechanisms. In view of the extreme temperatures, pressures, and permeability conditions of underground gas deposits, linear transfer of existing knowledge will be inappropriate. The author therefore uses a simple capillary bundle model with exemplary pressures, temperatures and permeabilities in order to assess the contribution of transport by diffusion. The diffusion coefficients, which are required for this and so far could not be measured under pressure, were determined by a new experimental method whose results will permit a better interpretation of the concentration dependence of the diffusion coefficient. The velocity of methane inflow and outflow in the water-filled pore space may provide knowledge on problems of gas storage in the pore space. (orig.) [Deutsch] Fuer den Foerderprozess und insbesondere seine Optimierung ist eine genaue Kenntnis der Transportmechanismen wesentlich. Unter den drastischen Bedingungen fuer Temperatur, Druck und Permeabilitaet tiefliegender Gas-Lagerstaetten mag die Uebertragung der bisherigen Vorstellungen ueber den Transport in der Lagerstaette zu einer unvollstaendigen Beschreibung fuehren. Unter Anwendung eines einfachen Kapillarbuendelmodells wird mit Beispielen fuer Druck, Temperatur und Permeabilitaet der moegliche Beitrag des Transports durch Diffusion abgeschaetzt. Zur Bestimmung der hierfuer notwendigen und bisher unter Druckbeaufschlagung nicht gemessenen Diffusionskoeffizienten wurde eine neue experimentelle Methode angewandt, deren Ergebnisse eine weiterfuehrende Interpretation der Konzentrationsabhaengigkeit des Diffusionskoeffizienten ermoeglichen. Auch fuer Fragestellungen der Speicherung von Gas im Porenraum kann die Geschwindigkeit der Ein- und Ausloesung von Methan im wasserhaltigen Porenraum von Interesse sein. (orig.)

  8. Grizzly bear denning chronology and movements in the Greater Yellowstone Ecosystem

    Science.gov (United States)

    Haroldson, Mark A.; Ternent, Mark A.; Gunther, Kerry A.; Schwartz, Charles C.

    2002-01-01

    Den entrance and emergence dates of grizzly bears (Ursus arctos) in the Greater Yellowstone Ecosystem are important to management agencies that wish to minimize impacts of human activities on bears. Current estimates for grizzly bear denning events use data that were collected from 1975–80. We update these estimates by including data obtained from 1981–99. We used aerial telemetry data to estimate week of den entry and emergence by determining the midpoint between the last known active date and the first known date denned, as well as the last known date denned and the first known active date. We also investigated post emergence movement patterns relative to den locations. Mean earliest and latest week of den entry and emergence were also determined. Den entry for females began during the fourth week in September, with 90% denned by the fourth week of November. Earliest den entry for males occurred during the second week of October, with 90% denned by the second week of December. Mean week of den entry for known pregnant females was earlier than males. Earliest week of den entry for known pregnant females was earlier than other females and males. Earliest den emergence for males occurred during the first week of February, with 90% of males out of dens by the fourth week of April. Earliest den emergence for females occurred during the third week of March; by the first week of May, 90% of females had emerged. Male bears emerged from dens earlier than females. Denning period differed among classes and averaged 171 days for females that emerged from dens with cubs, 151 days for other females, and 131 days for males. Known pregnant females tended to den at higher elevations and, following emergence, remained at higher elevation until late May. Females with cubs remained relatively close (grizzly bear populations in the southern Rocky Mountains. 

  9. Types of Psychotherapy for Pathological Gamblers

    OpenAIRE

    Fong, Timothy W.

    2005-01-01

    Several types of psychotherapy are currently used to treat pathological gamblers. These include Gambler's Anonymous, cognitive behavioral therapy, behavioral therapy, psychodynamic therapy, and family therapy. Research into which types of psychotherapy are the most effective for pathological gambling is limited but is a growing area of study. Group therapy, namely Gambler's Anonymous, provides peer support and structure. Cognitive behavior therapy aims to identify and correct cognitive distor...

  10. Women, money, and psychodynamic group psychotherapy.

    Science.gov (United States)

    Motherwell, Lise

    2002-01-01

    Developmental concerns and sociocultural expectations may keep female patients and therapists from addressing financial issues openly in group psychotherapy. Interpersonal theory provides a different view of nurturing that may help women leaders deal better with financial discussions in group. This paper includes a review of the literature on group psychotherapy and fees; feminist literature relevant to leadership; money management in group therapy; countertransference; and case examples.

  11. Nyliberalisme, universiteter og den akademiske frihed

    DEFF Research Database (Denmark)

    Madsen, Mogens Ove

    2012-01-01

    Akademisk frihed er uløseligt forbundet med det, der er selve universitetets væsen. New Public Management er dog sevet ind i den offentlige forvaltning og kapitlet giver et signalement af, hvilke konsekvenser dette har haft for universiteterne og den akademiske frihed...

  12. Vergleich vom Einsatz Standardisierter Patienten mit Computerfällen in der Psychiatrie und Psychotherapie [Training with standardized patients versus computerized case simulations in psychiatry and psychotherapy: a comparison

    Directory of Open Access Journals (Sweden)

    Mathiak, Klaus

    2010-02-01

    mehreren Bereichen signifikant bessere Bewertungen. Diese Einschätzung war unabhängig von den individuellen Lernstilen der Studierenden. Schlussfolgerung: Die Ergebnisse zeigen, dass der Vergleich unterschiedlicher Lehrmethoden in einer kontrollierten Studie möglich ist. Beide Unterrichtsformen bieten die Möglichkeit, praxisrelevante Fertigkeiten zu trainieren. Jedoch stellt gerade der Unterricht mit Standardisierten Patienten im Fachgebiet der Psychiatrie und Psychotherapie eine wichtige Ergänzung zu anderen Lehrmethoden dar, um kommunikative Kompetenzen im Umgang mit psychisch kranken Patienten einzuüben.

  13. Dens evaginatus and dens invaginatus in a double tooth: A rare case report

    Directory of Open Access Journals (Sweden)

    Gaurav Sharma

    2015-01-01

    Full Text Available The presence of dens invaginatus (DI and dens evaginatus (DE on same tooth is a rare phenomenon. However, when these dental anomalies occur on a double tooth, it becomes an extremely rare phenomenon. The authors report a rare case of DI and DE on fused permanent maxillary central incisor with supernumerary tooth in a 40-year-old male. The present article also focuses on the differentiating fusion from gemination and also reviews preventive and management strategies for tooth with complex dental anatomy.

  14. Is Exposure Necessary? A Randomized Clinical Trial of Interpersonal Psychotherapy for PTSD

    Science.gov (United States)

    Markowitz, John C.; Petkova, Eva; Neria, Yuval; Van Meter, Page E.; Zhao, Yihong; Hembree, Elizabeth; Lovell, Karina; Biyanova, Tatyana; Marshall, Randall D.

    2015-01-01

    Background Exposure to trauma reminders has been considered imperative in psychotherapy for posttraumatic stress disorder (PTSD). No treatment benefits all patients, however. We tested Interpersonal Psychotherapy, which has demonstrated antidepressant efficacy and showed promise in pilot PTSD research, as a non-exposure-based, non-cognitive behavioral PTSD treatment. Methods A randomized, fourteen-week trial compared Interpersonal Psychotherapy; Prolonged Exposure, an exposure-based exemplar; and Relaxation Therapy, an active control psychotherapy. Subjects were 110 unmedicated patients having DSM-IV chronic PTSD and Clinician-Administered PTSD Scale (CAPS) score >50. Randomization stratified for comorbid major depression. We hypothesized Interpersonal Psychotherapy would be no more than minimally inferior (CAPS difference 30% CAPS improvement) were: Interpersonal Psychotherapy 63%, Prolonged Exposure 47%, Relaxation Therapy 38% (n.s.). Interpersonal psychotherapy and Prolonged Exposure CAPS outcome differed by 5.5 points (n.s.); the null hypothesis of more than minimal Interpersonal Psychotherapy inferiority was rejected (p=0.035). Patients with comorbid major depression dropped out from Prolonged Exposure nine times more than non-depressed Prolonged Exposure patients. Interpersonal Psychotherapy and Prolonged Exposure improved quality of life and social functioning more than Relaxation Therapy. Conclusions This first controlled study of individual Interpersonal Psychotherapy for PTSD demonstrated non-inferiority to the “gold standard” PTSD treatment. Interpersonal Psychotherapy had (non-significantly) lower attrition and higher response rates than Prolonged Exposure. Contradicting a widespread clinical belief, PTSD treatment may not require cognitive behavioral exposure to trauma reminders. Moreover, as differential therapeutics, patients with comorbid major depression may fare better in Interpersonal Psychotherapy than Prolonged Exposure. PMID:25677355

  15. THE FEMINIST APPROACH TO PSYCHOTHERAPY INTEGRATION

    Directory of Open Access Journals (Sweden)

    Lorena Božac Deležan

    2011-12-01

    Full Text Available The goal of Integrative Psychotherapy is to establish full inner and external contact (Moursund & Erskine, 2004. The most important goal in feminist therapy is the transformation of an individual as well as the transformation of the society as a whole (Herlihy & Corey, 2004. In my work I attempt to integrate both: to help the client establish inner and external contact, but also help him/her to become aware and recognize inner messages connected with his/her gender and replace them with constructive beliefs of his/her own, as well as for him/her to learn, regardless of his/her gender, to trust his/her intuition and experience. In this article I present my approach to integration in psychotherapy and the way I use feminist principles in Integrative Psychotherapy.

  16. Powertrain definitions for Opel's brand sound considering the vehicle portfolio; Gestaltung des Powertrains fuer den Opel-Brand-Sound unter Beruecksichtigung der unterschiedlichen Positionierung der Fahrzeugpalette

    Energy Technology Data Exchange (ETDEWEB)

    Bernhard, U.; Herrmann, G.; Schmidt, G.O. [Adam Opel AG, Ruesselsheim (Germany)

    2002-07-01

    The change of value orientation in Western Europe lead to an increase of emotions buying a car. In addition to classic factors like design, today the carmakers use elements of emotion like brand sound to inspire the customers. On the one hand the job of the acoustic engineers is to meet the acoustic expectations depending on driving conditions. On the other hand there are to develop both combining elements over the whole portfolio and elements which allow a defined position of a carline-powertrain combination in the market. (orig.) [German] Im Zuge der Wandlung der westlichen Gesellschaften spielen Emotionen beim Kauf eines Automobils eine immer staerkere Rolle. Zur Unterstuetzung klassischer Mittel wie dem Design werden heute weitere emotionalisierende Elemente zur Begeisterung der Kunden eingesetzt, unter anderem auch das Klangbild eines Fahrzeugs. Dabei liegt die Aufgabe einerseits darin, der unterschiedlichen Erwartungshaltung in Abhaengigkeit vom Fahrzustand des Fahrzeugs gerecht zu werden. Andererseits die Gestaltung des Klangbildes so durchzufuehren, dass innerhalb des Portfolios sowohl verbindende Elemente als markentypisch zu finden sind als auch der Marktpositionierung gerecht werdende Elemente der einzelnen Fahrzeugtypen zu generieren. (orig.)

  17. The Effectiveness of Western Psychotherapy in treating ...

    African Journals Online (AJOL)

    Background: Psychotherapy has been shown to be effective in the treatment of mental disorders in the western world but viewed as an alien method of treatment to Africans. Aim: To review the literature on the effectiveness of psychotherapy in sub- Saharan Africa. Method: A systematic search of Medline, PsychINFO, ...

  18. koncernbegrebet og tilbudspligtens indtræden

    DEFF Research Database (Denmark)

    Clausen, Nis Jul; sørensen, karsten engsig

    2010-01-01

      Med den nye selskabslov og de hertil knyttede ændringer i værdipapirhandelslovens regler om tilbudspligt har man fastholdt ønsket om parallelitet mellem det selskabsretlige koncernbegreb og kriterierne for tilbudspligtens indtræden. Det drøftes, om koncernbegrebet reelt er overført til tilbudsp...

  19. Ueber die arten und den Skelettbau von Culcita

    NARCIS (Netherlands)

    Hartlaub, Clemens

    1892-01-01

    Das Genus Culcita Agass. zählt durch die merkwürdige Form und die ansehnliche Grösse seiner Arten zu den interessantesten Asteriden, und gut conservirte Exemplare davon gehören zu den Zierden unsrer Museen. Um so bedauerlicher erschien es mir, als ich vor einiger Zeit den Versuch machte die von

  20. Promoting Efficacy Research on Functional Analytic Psychotherapy

    Science.gov (United States)

    Maitland, Daniel W. M.; Gaynor, Scott T.

    2012-01-01

    Functional Analytic Psychotherapy (FAP) is a form of therapy grounded in behavioral principles that utilizes therapist reactions to shape target behavior. Despite a growing literature base, there is a paucity of research to establish the efficacy of FAP. As a general approach to psychotherapy, and how the therapeutic relationship produces change,…

  1. Characteristics of Patients Involved in Psychotherapy in Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Sabina Alispahić

    2014-04-01

    Full Text Available Introduction: The aim of this study was to determine the demographic and clinical characteristics of Bosnian and Herzegovinian patients involved in psychotherapeutic treatments in order to explore the current situation of psychotherapy in Bosnia and Herzegovina.Methods: The study included 213 patients (154 women and 47 men undergoing diverse psychotherapeutic treatments. Data about demographic and clinical characteristics were collected by questionnaire. Following characteristics were documented: age, sex, education, employment status, marital status, specific problem that got the client involved in psychotherapy, type of psychotherapy, and use of psychopharmacology.Results: Majority of the patients undergoing psychotherapy are age up to 40 and female. They are by vast majority holding a university degree and are employed. Nearly equal number of patients is living in partnership or marriage compared to single or never been married. Most frequent reasons for getting involved in the psychotherapy treatment are of the intrapersonal nature (depression, anxiety and panic attacks. Majority of the patients were involved in gestalt and cognitive behavioral psychotherapy, and at the same time majority of those were not prescribed medicaments.Conclusions: We point out and overview some of the most prominent socio-demographic traits of patients undergoing psychotherapy, the ones that could be important in the future research with the higher degree of control. In the terms of personal initiative, psychotherapy stops being a taboo in Bosnia and Herzegovina. However, there is still a long path until it reaches integration in daily life of the people.

  2. Affirmative LGBT psychotherapy: Outcomes of a therapist training protocol.

    Science.gov (United States)

    Pepping, Christopher A; Lyons, Anthony; Morris, Eric M J

    2018-03-01

    Lesbian, gay, bisexual, and transgender (LGBT) people seek psychotherapy at high rates, and the importance of providing culturally appropriate and LGBT-affirmative psychotherapy has been widely acknowledged. Despite this, remarkably little research has investigated the effects of therapist training in LGBT-affirmative psychotherapy. Here we examined the effectiveness of a training protocol for LGBT-affirmative psychotherapy with 96 mental health professionals, ranging in therapeutic experience from LGBT clients following the training. Therapists also displayed reductions in homo-negativity and trans-negativity. Therapists' characteristics did not influence the extent to which they benefited from training. Specifically, years of clinical experience, therapist religiosity, and therapist psychological flexibility were unrelated to changes in attitudes, knowledge, and skills. The results of this study clearly suggest that providing training in LGBT-affirmative psychotherapy can enhance therapists' attitudes, knowledge, and skills. Of particular importance is that the benefits associated with such training appear to hold regardless of therapists' characteristics. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  3. Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

    Directory of Open Access Journals (Sweden)

    Borut ŠKODLAR

    2016-08-01

    Full Text Available Mindfulness has without doubt been the fastest spreading and most popular concept in psychotherapy in the last two decades. Its influence exceeds that of any other individual concept or approach in modern psychotherapy. However, there are many dilemmas, open questions and controversies related to this rapid, almost fanatic spread, which obviously compensates for a certain lack in modern Euro- and Americo-centric societies. Similarly, we are witnessing in the West a lack of reflection, a process of limitless idealization, and the search for a panacea. This all flows with a tint of colonialism, presumptuously taking over ideas, concepts and techniques without a proper study of the primary sources, and with all the accompanying negative side-effects: profiteering, self-promotion, unethical conduct, empty promises of instant rewards, and so on. In the present paper, the development of interest in mindfulness in psychotherapy, as well as the research findings and dilemmas, and concepts and mechanisms of applying mindfulness in psychotherapy, will be reviewed. The main purpose of the paper is to contribute to the critical reflection in studying and applying mindfulness in psychotherapy.

  4. Integrative Treatment of Personality Disorder. Part I: Psychotherapy.

    Science.gov (United States)

    Jovanovic, Mirjana Divac; Svrakic, Dragan

    2017-03-01

    In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality, which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a positive feedback modulation of their respective effects. We argue that pharmacotherapy and psychotherapy of personality disorder complement each other. Pharmacological control of disruptive affects clears the stage, in some cases builds the stage, for the psychotherapeutic process to take place. In turn, psychotherapy promotes integration of personality fragments into more cohesive structures of self and identity, ultimately establishing self-regulation of mood and anxiety. We introduce our original method of psychotherapy, called reconstructive interpersonal therapy (RIT). The RIT integrates humanistic-existential and psychodynamic paradigms, and is thereby designed to accomplish a deep reconstruction of core psychopathology within the setting of high structure. We review and comment the current literature on the strategies, goals, therapy process, priorities, and phases of psychotherapy of borderline disorders, and describe in detail the fundamental principles of RIT.

  5. dens festival

    DEFF Research Database (Denmark)

    Agerholm, Frank Juul

    2012-01-01

    Som den italienske antropolog og folklorist Alessandro Falassi gør opmærksom på i antologien Time out of Time: Essays on the Festival, så er det sparsomt, hvad der er gjort af teoretiske forsøg på definere, hvad en festival er. Det står altså skidt til med et begreb om festivalen, og dette endog...... til trods for, at der er forsket i festivalen som fænomen siden det 19. århundrede – tilmed inden for en række forskellige faglige discipliner såsom religionsvidenskab, sociologi, antropologi, folklore m.fl. Endnu mere sparsomt må det vel så også stå til med bud på, hvad fødens festival er for en...

  6. Filosofisk terapi som træning til døden

    DEFF Research Database (Denmark)

    Dræby, Anders

    Den eksistentielfænomenologiske terapi deler den opfattelse med stoicismen, at filosofiens hovedopgave er at hjælpe mennesket med at finde vej i en problematisk verden. Oplægget udforsker desuden et overlap, som består i den indsigt, at terapeutisk udfrielse fra menneskelig lidelse til livsduelig......Den eksistentielfænomenologiske terapi deler den opfattelse med stoicismen, at filosofiens hovedopgave er at hjælpe mennesket med at finde vej i en problematisk verden. Oplægget udforsker desuden et overlap, som består i den indsigt, at terapeutisk udfrielse fra menneskelig lidelse til...

  7. Den kontraktstyrede og kontraktstyrende offentlige sektor

    DEFF Research Database (Denmark)

    Schulze, Christiane; Greve, Carsten

    Kontraktbaseret styring har været på den politiske agenda i OECD landene siden de tidlige 1980’erne og i dag er kontrakter et helt centralt element i den moderne regering ((Ejersbo & Greve 2005: 62, Greve 2008a: 4). Internationalt var det især med Reagon-regeringen i USA og Thatcher-regeringen i...... den private sektor og [som] brug af markedsmekanismer”(Greve 2003). Ved siden af privatisering og deregulering iagttages kontrakter som et determinerende element i NPM (Fortin 2000:1). Kontrakter kan helt grundlæggende defineres som en aftale mellem bestiller og leverandør, der angiver vilkårene...

  8. Establishing psychiatric registrars' competence in psychotherapy: a portfolio based model.

    Science.gov (United States)

    Naidu, T; Ramlall, S

    2008-11-01

    During most of the latter part of the last century, South Africa has followed international trends in the training of psychiatrists. Training programmes have become increasingly focused on the neurobiological aspects of psychiatric disorders with less attention being paid to psychotherapy. This is consistent with developments in psychiatric research. In the clinical arena this manifests as a focus on pharmacological and medically based interventions and a resulting relative inattention to non-pharmacological interventions, most especially psychotherapy. In an effort to address this imbalance there has been an international initiative, over the past two decades, to establish an acceptable level of competence in psychotherapy in the training of psychiatrists. A South African programme is needed that can take account of international trends and adapt them for the local context. In order to produce a programme for establishing competence in psychotherapy for psychiatric registrars at the Nelson R. Mandela School of Medicine, the authors examine directives for the development of psychotherapy skills from international regulatory bodies for graduate medical training and their application. Defining and setting preliminary standards for competence is emphasized. A programme based on five core psychotherapy components using a portfolio based model to facilitate learning and assessment of competence in psychotherapy, is proposed.

  9. Bentuhua: culturing psychotherapy in postsocialist China.

    Science.gov (United States)

    Zhang, Li

    2014-06-01

    The breathless pace of market reform in China has brought about profound ruptures in socioeconomic structures and increased mental distress in the population. In this context, more middle-class urbanites are turning to nascent psychological counseling to grapple with their problems. This article examines how Chinese psychotherapists attempt to "culture" or indigenize (bentuhua) three imported psychotherapy models in order to fit their clients' expectations, desires, and sensibilities: the Satir family therapy, cognitive behavioral therapy, and sandplay therapy. It addresses three interrelated questions: What is the role of culture in adopting, translating, and recasting psychotherapy in contemporary China? How is cultural difference understood and mobilized by therapists in the therapeutic encounter? What kind of distinct therapeutic relationship is emerging in postsocialist China? Data presented here are drawn from my semistructured interviews and extensive participant observation at various counseling offices and psychotherapy workshops in the city of Kunming. My ethnographic account suggests that it is through constant dialog, translation, and re-articulation between multiple regimes of knowledge, cultural values, and social practices that a new form of talk therapy with "Chinese characteristics" is emerging. Finally, I reflect upon what this dialogic process of transformation means for psychotherapy as a form of globally circulating knowledge/practice.

  10. Deconstructing Risk Management in Psychotherapy Supervision.

    Science.gov (United States)

    Kroll, Jerome; Radden, Jennifer

    2017-12-01

    In the ongoing controversy over how much regulation and standardization to impose on clinical practice and research, it is not surprising that the activity of psychotherapy supervision should be swept up in the drive for uniformity. The managers amongst us want to regulate and institutionalize all aspects of practice. In opposition, many clinicians resist the relentless march toward the safety of uniformity travel alongside managerial imposition of regulations. Psychotherapy supervision's method of a close apprenticeship relationship between supervisor and trainee and its focus on the process and ethics of professional interaction stand at the humanistic core of what is otherwise becoming an increasingly mechanistic model of providing care to persons with mental illness. Our commentary picks up on these themes as it reviews the work by Mehrtens et al about strengthening awareness of liability in psychiatry residency training programs. We argue that the practice of psychiatry is overburdened by documentation requirements. In imposing further record-keeping on psychotherapy supervision, we lose much more than we gain. We recommend that the supervisory process focus on the characterological virtues essential to functioning as an ethical therapist. We also argue that self-protective rules place restraints on possibilities for imaginative insights and innovations in psychotherapy. © 2017 American Academy of Psychiatry and the Law.

  11. Narrative research in psychotherapy: a critical review.

    Science.gov (United States)

    Avdi, Evrinomy; Georgaca, Eugenie

    2007-09-01

    This paper is a review of studies which utilise the notion of narrative to analyse psychotherapy. Its purpose is to systematically present this diverse field of research, to highlight common themes and divergences between different strands and to further the development and integration of narrative research in psychotherapy. The paper reviews studies which employ an applied textual analysis of narratives produced in the context of psychotherapy. Criteria for inclusion of studies are, firstly, the analysis of therapeutic and therapy-related texts and, secondly, the adoption of a narrative psychological perspective. The studies were examined on the basis of the notion of narrative they employ and the aspects of client narratives they focus on, and were grouped accordingly in the review. The majority of the studies reviewed assume a constructivist approach to narrative, adopt a representational view of language, focus primarily on client micro-narratives and relate to cognitive-constructivist and process-experiential psychotherapeutic approaches. A smaller group of studies assume a social constructionist approach to narrative and a functional view of language, focus on micro-narratives, highlight the interactional and wider social aspects of narrative and relate to postmodern trends in psychotherapy. The range of conceptualisations of narrative in the studies reviewed, from a representational psychological view to a constructionist social view, reflects tensions within narrative psychology itself. Moreover, two trends can be discerned in the field reviewed, narrative analysis of therapy, which draws from narrative theory and utilises the analytic approaches of narrative research to study psychotherapy, and analyses of narrative in therapy, which study client narratives using non-narrative qualitative methods. Finally, the paper highlights the need for integration of this diverse field of research and urges for the development of narrative studies of psychotherapy

  12. New parity, same old attitude towards psychotherapy?

    Science.gov (United States)

    Clemens, Norman A

    2010-03-01

    Full parity of health insurance benefits for treatment of mental illness, including substance use disorders, is a major achievement. However, the newly-published regulations implementing the legislation strongly endorse aggressive managed care as a way of containing costs for the new equality of coverage. Reductions in "very long episodes of out-patient care," hospitalization, and provider fees, along with increased utilization, are singled out as achievements of managed care. Medical appropriateness as defined by expert medical panels is to be the basis of authorizing care, though clinicians are familiar with a history of insurance companies' application of "medical necessity" to their own advantage. The regulations do not single out psychotherapy for attention, but long-term psychotherapy geared to the needs of each patient appears to be at risk. The author recommends that the mental health professions strongly advocate for the growing evidence base for psychotherapy including long-term therapy for complex mental disorders; respect for the structure and process of psychotherapy individualized to patients' needs; awareness of the costs of aggressive managed care in terms of money, time, administrative burden, and interference with the therapy; and recognition of the extensive training and experience required to provide psychotherapy as well as the stresses and demands of the work. Parity in out-of-network benefits could lead to aggressive management of care given by non-network practitioners. Since a large percentage of psychiatrists and other mental health professionals stay out of networks, implementation of parity for out-of-network providers will have to be done in a way that respects the conditions under which they would be willing and able to provide services, especially psychotherapy, to insured patients. The shortage of psychiatrists makes this an important access issue for the insured population in need of care.

  13. Technology-enhanced human interaction in psychotherapy.

    Science.gov (United States)

    Imel, Zac E; Caperton, Derek D; Tanana, Michael; Atkins, David C

    2017-07-01

    Psychotherapy is on the verge of a technology-inspired revolution. The concurrent maturation of communication, signal processing, and machine learning technologies begs an earnest look at how these technologies may be used to improve the quality of psychotherapy. Here, we discuss 3 research domains where technology is likely to have a significant impact: (1) mechanism and process, (2) training and feedback, and (3) technology-mediated treatment modalities. For each domain, we describe current and forthcoming examples of how new technologies may change established applications. Moreover, for each domain we present research questions that touch on theoretical, systemic, and implementation issues. Ultimately, psychotherapy is a decidedly human endeavor, and thus the application of modern technology to therapy must capitalize on-and enhance-our human capacities as counselors, students, and supervisors. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  14. Enterprise Portals und Enterprise Application Integration - Begriffsbestimmung und Integrationskonzeptionen

    OpenAIRE

    Schelp, Joachim; Winter, Robert

    2002-01-01

    Unter den Stichworten »Enterprise Portals« und »Enterprise Application Integration« werden neue Herausforderungen an die Applikationsarchitektur der Unternehmungen gestellt. Bei beiden spielt die Integration vorhandener und das Einfügen neuer Applikationen eine große Rolle. Beiden Themen ist gemein, dass sie die Diskussion bestimmter technischer Konzepte aus den vergangenen Jahren fortsetzen: Portale stellen das moderne Frontend dar, über das die verschiedenen E-Business-Konzepte umgesetzt we...

  15. Christian Birch - den korrupte konferensråd

    DEFF Research Database (Denmark)

    Jensen, Mette Frisk

    2005-01-01

      http://www.sidensaxo.dk/fileadmin/saxo-abstract-uploads/christian_birch_den_korrupte_konferensraad_2005_3.pdf......  http://www.sidensaxo.dk/fileadmin/saxo-abstract-uploads/christian_birch_den_korrupte_konferensraad_2005_3.pdf...

  16. Optimisation of a truck diesel engine with a view to environmental pollution. Interstate research project. Final report; Optimierung eines mit Rapsoelmethylester betriebenen Nutzfahrzeug-Dieselmotors unter besonderer Beruecksichtigung der Umweltvertraeglichkeit. Laenderuebergreifendes Verbundforschungsvorhaben. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Hattingen, U.; Adt, H.U. [Kaiserslautern Univ. (Germany). Arbeitsgruppe Verbrennungskraftmaschinen; Sauer, B.; Ruhl, C.; Huber, M. [Kaiserslautern Univ. (Germany). Lehrstuhl fuer Maschinenelemente und Getriebetechnik; Regitz, M.; Weber, B. [Kaiserslautern Univ. (Germany). Lehrstuhl fuer Organische Chemie; Bereswill, S. [Motoren-Werke Mannheim AG (Germany); Luther, R.; Acker, I. [Fuchs Mineraloelwerke GmbH, Eschweiler (Germany)

    1999-05-01

    Detailed rheological analyses of lubricants are carried out with a view to the temperature dependence of the viscosity functions. Two sliding bearings of similar design but made of different materials were tested on a test bench after lubrication with an oil of the SAE grade 10W-40 diluted with increasing concentrations of rapeseed oil methyl ester. The results were analyzed and compared with the bearings characteristics calculated according to DIN 31652. The measurements were found to be in good agreement with calculated values. [German] Im Rahmen dieses Projektes wurden zunaechst detaillierte rheologische Untersuchungen der Schmierstoffeigenschaften unter Beruecksichtigung der Schmieroelverduennung mit RME und DK vorgenommen und die Temperaturabhaengigkeit der jeweiligen Viskositaetsfunktion ermittelt. Auf einem geeigneten Gleitlagerpruefstand wurden zwei bezueglich der Motorenhauptlager geometrisch aehnliche Lager unterschiedlichen Werkstoffes untersucht. Die Schmierung erfolgte dabei mit einem Motorenoel der SAE-Klasse 10W-40, welches zuvor jeweils mit einem im Verlauf der Versuchsreihe ansteigenden Anteil an Rapsoelmethylester verduennt wurde. Die Messergebnisse wurden ausgewertet und den nach DIN 31652 berechneten Lagerkennzahlen gegenuebergestellt. Danach ergeben sich fuer die gemessenen Lagerkenngroessen qualitativ aehnliche Abhaengigkeiten von der Schmieroelverduennung wie berechnet. (orig.)

  17. [Body-centered psychotherapy IKP (Institute of Body-Centered Psychotherapy): holistic psychotherapy].

    Science.gov (United States)

    Maurer-Groeli, Y

    1996-03-01

    Body centered Psychotherapy IKP is treated in this article under the aspect of a holistic approach. First the theory and the system of science are summarised and shown as to which amount they are changing concerning knowledge of details and wholeness. It is pointed out that the actual paradigma "to the depth" has to be completed by that of "wideness". The way of holistic-multirelational thinking, stating a diagnosis and doing therapy is demonstrated along a case study going on at the background of a therapeutic encounter-relationship which is emotionally warm (Gestalt-approach).

  18. Lost in Transition: Examining Transitions in Psychotherapy Training.

    Science.gov (United States)

    Tan, Adrienne; Philipp, Diane; Malat, Jan; Feder, Victor; Kulkarni, Chetana; Lawson, Andrea; So, Vivien; Ravitz, Paula

    2015-10-01

    Disruptions are inevitable during psychiatry residency training and can affect resident learning and patient care. This exploratory study examined the nature and impact of transitions in psychotherapy training. PGY2-5 residents (45/150; 30% response rate) and psychotherapy supervisors (46/247; 18.6% response rate) were surveyed about transitional events during residency training in psychotherapy. Supervisors and residents ranked the frequency of occurrence of transitional events and their impact very similarly, as well as the "feed forward" items when transitioning to a new supervisor. Residents feeling confused or overwhelmed with the balancing of learning differing models with differing levels of comfort or knowledge was ranked as the issue that occurred most frequently by both supervisors and residents. This study highlights issues that arise at transitions during psychotherapy training in psychiatry residency. Strategies for managing these periods are discussed, with a focus on resident learning and improved continuity of patient care.

  19. Interference immunity of blasting circuits in underground coal mining; Zur Stoerfestigkeit von Sprengzuendsystemen im untertaegigen Steinkohlenbergbau

    Energy Technology Data Exchange (ETDEWEB)

    Pfeiler, C.

    1995-02-14

    Blasting technique with electric detonators is a standard instrument e.g. for drift heading in underground coal mining. The simultaneous increase of compactness and efficiency of electrical devices especially in underground mining calls for a careful consideration of susceptibility problems. As an interference of an inadmissible high level might cause a hazardous ignition limiting values and technical parameters of interference to electrical blasting circuits are evaluated. The sources of interference are classified into communication and power technique devices. Typical interference field strengths are determined by exemplary measurements and a model of wave propagation in underground galleries. An equivalent circuit of the impedance of typical electro-explosive devices used in German coal mining is evaluated and extended by an electro-thermal part based on the `Rosenthal equation`. By this means it is possible to determine a feasible ignition during a simulation using the calculated bridge wire temperature. (orig.) [Deutsch] Fuer den untertaegigen Steinkohlenbergbau ist die Sprengtechnik sowohl im Bereich der Streckenauffahrung als auch beim Schachtabteufen heute noch ein wichtiges Arbeitsinstrument. Dabei wird ausschliesslich die elektrische Zuendung eingesetzt. Durch den Trend zu kompakteren elektrischen Systemen bei gleichzeitiger Leistungssteigerung in Verbindung mit den geringen raeumlichen Abstaenden unter Tage gewinnen Phaenomene der elektromagnetischen Beeinflussung auch im Steinkohlenbergbau an Bedeutung. Eine unzulaessig hohe Beeinflussung des elektrischen Zuendsystems kann eine unerwuenschte Fruehzuendung verursachen. Dieses Gefahrenpotential erfordert eine gesonderte Untersuchung der Stoerfestigkeit elektrischer Zuendsysteme, zumal die Normen fuer den uebertaegigen Sprengbetrieb unter Tage aufgrund der unterschiedlichen Randbedingungen der Ausbreitung elektromagnetischer Wellen nicht uneingeschraenkt angewendet werden koennen. Die Stoerquellen der

  20. Competency in integrative psychotherapy: perspectives on training and supervision.

    Science.gov (United States)

    Boswell, James F; Nelson, Dana L; Nordberg, Samuel S; McAleavey, Andrew A; Castonguay, Louis G

    2010-03-01

    Increasingly, many psychotherapists identify with an integrative approach to psychotherapy. In recent years, more attention has been directed toward the operationalization and evaluation of competence in professional psychology and health care service delivery. Aspects of integrative psychotherapy competency may differ from competency in other psychotherapy orientations, although convergence is more often the case. Despite the potential differences, there exist very few formal training programs or guidelines to systematically guide clinicians in developing a competent integrative practice. This paper attempts to distill the essential elements of competent integrative psychotherapy practice and focuses on how these might be developed in training and supervision. We address most of these complex issues from a specific integrative perspective: principle-based assimilative integration. PsycINFO Database Record (c) 2010 APA, all rights reserved

  1. The Grandmaternal Transference in Parent-Infant/Child Psychotherapy

    Science.gov (United States)

    Dugmore, Nicola

    2013-01-01

    The psychic significance of the figure of the grandmother in psychodynamic psychotherapy has received scant attention. This paper develops the concept of the "grandmaternal transference" in parent-infant psychotherapy and explores its identification, its possible functions and its therapeutic significance. The grandmaternal transference has…

  2. Psychotherapy Utilization Among Rural and Urban Veterans From 2007 to 2010.

    Science.gov (United States)

    Mott, Juliette M; Grubbs, Kathleen M; Sansgiry, Shubhada; Fortney, John C; Cully, Jeffrey A

    2015-01-01

    This study evaluated change in rural and urban veterans' psychotherapy use during a period of widespread effort within the Veterans Health Administration (VHA) to engage rural veterans in mental health care. National VHA administrative databases were queried for patients receiving a new diagnosis of depression, anxiety, or posttraumatic stress disorder in fiscal years (FY) 2007 and 2010. Using the US Department of Agriculture Rural-Urban Continuum Codes, we identified urban (FY 2007: n = 192,347; FY 2010: n = 231,471) and rural (FY 2007: n = 72,923; FY 2010: n = 81,905) veterans. Veterans' psychotherapy use during the 12 months following diagnosis was assessed. From FY 2007 to 2010, the proportion of veterans receiving any psychotherapy increased from 17% to 22% for rural veterans and 24% to 28% for urban veterans. Rural veterans were less likely to receive psychotherapy across both fiscal years; however, the magnitude of this disparity decreased significantly from 2007 (odds ratio [OR] = 1.51) to 2010 (OR = 1.41). Similarly, although urban veterans received more psychotherapy sessions, urban-rural disparities in the receipt of 8 or more psychotherapy sessions decreased over the study period (2007: OR = 2.32; 2010: OR = 1.69). Rural and urban veterans are increasingly making use of psychotherapy, and rural-urban gaps in psychotherapy use are shrinking. These improvements suggest that recent VHA efforts to engage rural veterans in care have been successful at reducing differences between rural and urban veterans with respect to access and engagement in psychotherapy. © 2014 National Rural Health Association.

  3. NONVERBAL STORIES: THE BODY IN PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    Richard G. Erskine

    2014-11-01

    Full Text Available Emotional experience is stored within the amygdala and the limbic system of the brain as affect, visceral, and physiological sensation without symbolization and language. These significant memories are expressed in affect and through our bodily movements and gestures. Such body memories are unconscious non-symbolized patterns of self-in-relationship. Several methods of a body centered psychotherapy are described and clinical case examples illustrate the use of expressive methods within a relational psychotherapy.

  4. Denning behaviour of non-gravid wolves, Canis lupus

    Science.gov (United States)

    Mech, L.D.; Phillips, M.K.; Smith, D.W.; Kreeger, T.J.

    1996-01-01

    Wild wolves (Canis lupus) that had produced pups in earlier years but were not currently pregnant, and ovariectomized captive wolves, dug dens during and after the whelping season even though they produced no pups. These observations suggest that den digging is not a function of pregnancy or of ovarian estrogen or progesterone. We hypothesize that increasing prolactin in spring elicits or mediates den-digging behavior.

  5. Reflections on Individual Psychotherapy with University Students: What Seems to Work

    Science.gov (United States)

    Pinkerton, Rolffs; Talley, Joseph E.; Cooper, Stacie L.

    2009-01-01

    The authors offer reflections on what seems to work in individual psychotherapy with university students. Discussion centers around the topics of triage and disposition, referral, crisis intervention, stress management, open-ended psychotherapy, extratherapeutic factors, and the psychotherapy relationship. These observations are not intended to be…

  6. Psychotherapy use in bipolar disorder: Association with functioning and illness severity.

    Science.gov (United States)

    Sylvia, Louisa G; Thase, Michael E; Reilly-Harrington, Noreen A; Salcedo, Stephanie; Brody, Benjamin; Kinrys, Gustavo; Kemp, David; Shelton, Richard C; McElroy, Susan L; Kocsis, James H; Bobo, William V; Kamali, Masoud; McInnis, Melvin; Friedman, Edward; Tohen, Mauricio; Bowden, Charles L; Ketter, Terence A; Singh, Vivek; Calabrese, Joseph; Nierenberg, Andrew A; Rabideau, Dustin J; Elson, Constance M; Deckersbach, Thilo

    2015-05-01

    This study examines characteristics of individuals with bipolar disorder who sought psychotherapy versus those who did not. Bipolar CHOICE was an 11-site comparative effectiveness study of lithium versus quetiapine in symptomatic outpatients (N = 482) with bipolar disorder. At baseline, participants' psychotherapy use within the past 3 months, mood, functioning, and overall health were assessed. Logistic regressions were used to test whether psychotherapy users and non-users differed on various demographic and clinical variables at baseline. Mixed-effects regression was used to determine whether psychotherapy groups differed on response to treatment over the 6-month study. Kaplan-Meier plots and log-rank tests were employed to test whether there were any differences in time to recovery (CGI-BP ≤ 2 for at least 8 weeks) between the groups. Thirty one percent of participants reported using psychotherapy services. Psychotherapy users reported greater medication side effect burden than non-users and were more likely to have moderate to high suicide risk and at least one anxiety disorder. Participants not utilizing medications or psychotherapy had greater mania symptom severity, were younger, and less educated than medication only users. Medication only users were more likely to be married than the other participants. These data suggest that a minority of individuals with bipolar disorder attend psychotherapy services, and those that do have greater illness burden. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  7. Selection of den sites by black bears in the southern Appalachians

    Science.gov (United States)

    Reynolds-Hogland, M. J.; Mitchell, M.S.; Powell, R.A.; Brown, D.C.

    2007-01-01

    We evaluated selection of den sites by American black bears (Ursus americanus) in the Pisgah Bear Sanctuary, western North Carolina, by comparing characteristics of dens at 53 den sites with availability of habitat characteristics in annual home ranges of bears and in the study area. We also tested whether den-site selection differed by sex, age, and reproductive status of bears. In addition, we evaluated whether the den component of an existing habitat model for black bears predicted where bears would select den sites. We found bears selected den sites far from gravel roads, on steep slopes, and at high elevations relative to what was available in both annual home ranges and in the study area. Den-site selection did not differ by sex or age, but it differed by reproductive status. Adult females with cubs preferred to den in areas that were relatively far from gravel roads, but adult females without cubs did not. The habitat model overestimated the value of areas near gravel roads, underestimated the value of moderately steep areas, and did not include elevation as a predictor variable. Our results highlight the importance of evaluating den selection in terms of both use and availability of den characteristics. ?? 2007 American Society of Mammalogists.

  8. The influence of psychotherapy on marriage typology

    Directory of Open Access Journals (Sweden)

    Staniszewski Mirosław

    2016-07-01

    Full Text Available The article analyses the influence of psychotherapeutic group work on matrimonial relations. Such questions are put up in the research as if participating of one of the married couples in a group psychotherapy could indirectly influence the other partner, and also if the type of matrimony could change under the influence of psychotherapy, for example from hierarchical to the partner’s. The article generalizes the classification of marriage types and pays special attention on the types that can be subject to the positive changes as a result of psychotherapeutic influence. Actuality and value of this research lay in estimation of the ability of psychotherapy to influence the matrimony on the whole in case when only one of the partners takes part in the therapy.

  9. HELPFUL ASPECTS OF THE THERAPEUTIC RELATIONSHIP IN INTEGRATIVE PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    Karmen Urška Modic

    2015-12-01

    Full Text Available This article describes a qualitative study of helpful aspects of the therapeutic relationship in Integrative Psychotherapy. Participants of the study were sixteen clients who were in the process of Integrative Psychotherapy for at least a year. Participants were interviewed with the adapted version of the Change Interview (Elliott, 1999, which involves a semi-structured empathic exploration of the client's experience in therapy. The analysis of the clients’ experience of Integrative Psychotherapy revealed six categories of helpful aspects of therapeutic relationship: the therapist’s empathic attunement, the therapist’s acceptance, the match between the client and the therapist, feelings of trust and safety, feeling of connection, and experience of a new relational experience. Based on results of the research, we developed a model of the healing relationship in integrative psychotherapy. This model describes the interrelatedness of these six helpful aspects of the therapeutic relationship. The categories of empathic attunement and acceptance proved to be the most important categories relating to the therapist’s contribution to the healing therapeutic relationship. Clients described that the therapist’s empathic attunement and acceptance influenced the development of safety and trust, feelings of connection and promotion of new relational experiences. The results of this study are discussed in relation to the theories of Integrative Psychotherapy and research regarding the therapeutic relationship in psychotherapy.

  10. The Therapy Process Observational Coding System for Child Psychotherapy Strategies Scale

    Science.gov (United States)

    McLeod, Bryce D.; Weisz, John R.

    2010-01-01

    Most everyday child and adolescent psychotherapy does not follow manuals that document the procedures. Consequently, usual clinical care has remained poorly understood and rarely studied. The Therapy Process Observational Coding System for Child Psychotherapy-Strategies scale (TPOCS-S) is an observational measure of youth psychotherapy procedures…

  11. Bildanalyse in Medizin und Biologie

    Science.gov (United States)

    Athelogou, Maria; Schönmeyer, Ralf; Schmidt, Günther; Schäpe, Arno; Baatz, Martin; Binnig, Gerd

    Heutzutage sind bildgebende Verfahren aus medizinischen Untersuchungen nicht mehr wegzudenken. Diverse Methoden - basierend auf dem Einsatz von Ultraschallwellen, Röntgenstrahlung, Magnetfeldern oder Lichtstrahlen - werden dabei spezifisch eingesetzt und liefern umfangreiches Datenmaterial über den Körper und sein Inneres. Anhand von Mikroskopieaufnahmen aus Biopsien können darüber hinaus Daten über die morphologische Eigenschaften von Körpergeweben gewonnen werden. Aus der Analyse all dieser unterschiedlichen Arten von Informationen und unter Konsultation weiterer klinischer Untersuchungen aus diversen medizinischen Disziplinen kann unter Berücksichtigung von Anamnesedaten ein "Gesamtbild“ des Gesundheitszustands eines Patienten erstellt werden. Durch die Flut der erzeugten Bilddaten kommt der Bildverarbeitung im Allgemeinen und der Bildanalyse im Besonderen eine immer wichtigere Rolle zu. Gerade im Bereich der Diagnoseunterstützung, der Therapieplanung und der bildgeführten Chirurgie bilden sie Schlüsseltechnologien, die den Forschritt nicht nur auf diesen Gebieten maßgeblich vorantreiben.

  12. Ungarn seit der Wahl: Demokratie unter Druck

    NARCIS (Netherlands)

    Freyberg-Inan, A.; Varga, M.

    2011-01-01

    Die Verfasser zeigen, dass die Orban-Regierung legitime Probleme benennt, wie etwa Ungarns extrem niedrige Beschäftigungsrate, die mit zu den großen wirtschaftliche Schwierigkeiten des Landes beiträgt. Doch packt sie die identifizierten Probleme zu oft auf eine Weise an, die ganz nebenbei dem

  13. Ethics and aims in psychotherapy: a contribution from Kant.

    Science.gov (United States)

    Callender, J S

    1998-08-01

    Psychotherapy is an activity which takes many forms and which has many aims. The present paper argues that it can be viewed as a form of moral suasion. Kant's concepts of free will and ethics are described and these are then applied to the processes and outcome of psychotherapy. It is argued that his ideas, by linking rationality, free will and ethics into a single philosophical system, offer a valuable theoretical framework for thinking about aims and ethical issues in psychotherapy.

  14. Mozart, Karl Barth, og den kristne troslæren

    DEFF Research Database (Denmark)

    Petersen, Nils Holger

    2010-01-01

    En diskussion af Karl Barths teologiske brug af W.A.Mozart i den kirchliche Dogmatik med kontekstuel inddragelse af en til en vis grad tilsvarende overordnet diskussion af Mozart, skrevet af en samtidig musiker, den fremtrædende Mozart-dirigent Ferenc Fricsay. ......En diskussion af Karl Barths teologiske brug af W.A.Mozart i den kirchliche Dogmatik med kontekstuel inddragelse af en til en vis grad tilsvarende overordnet diskussion af Mozart, skrevet af en samtidig musiker, den fremtrædende Mozart-dirigent Ferenc Fricsay. ...

  15. DYNAMICS OF THE ANXIETY DISORDERS IN THE COURSE OF SHORT-TERM PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    T.N. Hmylova

    2008-06-01

    Full Text Available The tendency of psychotherapy modern concepts referring to the short-term forms having been taken into account, we carried out the research aimed at the study of short-term form personality-oriented psychotherapy effect on the anxiety disorder dynamics. 103 patients with neurotic disorders were examined in the neurosis and psychotherapy department of the Bekhterev Psychoneurological Research Institute. The findings revealed the situational and personal anxiety level to be objectively decreased in the short-term group psychotherapy course. The short-term group psychotherapy was proved to bean effective method in anxiety disorders treatment considering indications and limitations.

  16. Use of Psychotherapy by Rural and Urban Veterans

    Science.gov (United States)

    Cully, Jeffrey A.; Jameson, John P.; Phillips, Laura L.; Kunik, Mark E.; Fortney, John C.

    2010-01-01

    Purpose: To examine whether differences exist between rural and urban veterans in terms of initiation of psychotherapy, delay in time from diagnosis to treatment, and dose of psychotherapy sessions. Methods: Using a longitudinal cohort of veterans obtained from national Veterans Affairs databases (October 2003 through September 2004), we extracted…

  17. Obstacles to early career psychiatrists practicing psychotherapy.

    Science.gov (United States)

    Clemens, Norman A; Plakun, Eric M; Lazar, Susan G; Mellman, Lisa

    2014-09-01

    Though psychiatric residents are expected to be competent psychotherapists on graduation, further growth in skill and versatility requires continued experience in their ongoing career. Maturity as a psychotherapist is essential because a psychiatrist is the only mental health provider who, as a physician, can assume full responsibility for biopsychosocial patient care and roles as supervisor, consultant, and team leader. Graduating residents face an environment in which surveys show a steady and alarming decline in practice of psychotherapy by psychiatrists, along with a decline in job satisfaction. High educational debts, practice structures, intrusive management, and reimbursement policies that devalue psychotherapy discourage early career psychiatrists from a practice style that enables providing it. For the early-career psychiatrist there is thus the serious risk of being unable to develop a critical mass of experience or a secure identity as a psychiatric psychotherapist. Implementation of parity laws and the Affordable Care Act (ACA) will affect the situation in unpredictable ways that call for vigilance and active response. Additional service and administrative demands may result from the ACA, creating ethical dilemmas about meeting urgent patient needs versus biopsychosocial standards of care. The authors recommend 1) vigorous advocacy for better payment levels for psychotherapy and freedom from disruptive management; 2) aggressive action against violations of the parity act, 3) active preparation of psychiatric residents for dealing with career choices and the environment for providing psychotherapy in their practice, and 4) post-graduate training in psychotherapy through supervision/consultation, continuing education courses, computer instruction, and distance learning.

  18. Review of Psychoanalytic Psychotherapy: A Practitioner's Guide.

    Science.gov (United States)

    Papouchis, Nicholas

    2006-01-01

    Reviews the book, Psychoanalytic Psychotherapy: A Practitioner's Guide by Nancy McWilliams (see record 2004-16060-000). Nancy McWilliams' book on analytic therapy is her latest contribution to the training needs of young clinicians. The book is organized into chapters that address fundamental issues clinical trainees typically face as they work with patients. To establish the context for describing psychoanalytic work, the first chapter defines what she means by psychoanalytic therapy. The three chapters that follow address what McWilliams means by a psychoanalytic sensibility: how the therapist may be prepared for doing therapy and how the client may be prepared for the experience of psychoanalytic psychotherapy. The next three chapters address the maintenance of boundaries and basic therapy processes. Two case examples follow in chapters eight and nine, and each example is a richly evocative description of the complexity of psychoanalytic psychotherapy. The last three chapters of the book deal with the ancillary lessons of psychoanalytic therapy, the occupational hazards and gratifications of the work, and a final chapter on self-care. This is an excellent book, but it should be read together with other texts on psychoanalytic psychotherapy that describe the treatment process systematically in more technical terms. This is a book written for clinicians in training or for experienced clinicians to use in working with clinical trainees. In this sense, Nancy McWilliams has more than achieved her goal of writing a book that will introduce clinical trainees to the psychoanalytic sensibility of doing psychoanalytic psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  19. Untersuchung der Di-(2-ethylhexyl)phthalat (DEHP)-Belastung der Allgemeinbevölkerung – Durchführung eines Human-Biomonitorings

    OpenAIRE

    Koch, Holger Martin

    2007-01-01

    i-(2-ethylhexyl)phthalat (DEHP) ist einer der bedeutendsten Weichmacher für PVC-Polymere mit Produktionszahlen im Bereich um 1 Million Tonnen pro Jahr weltweit. Als sog. äußerer Weichmacher ist DEHP nicht kovalent an den Kunststoff gebunden und blutet so mehr oder weniger schnell aus diesem aus und kann so die Umwelt, Nahrungsmittel oder den Menschen belasten. DEHP steht unter dringendem Verdacht, als Endokriner Disruptor/Modulator ins menschliche Hormonsystem einzugreifen und so eine Vielzah...

  20. Der Ritter mit dem Hemd : drei Fassungen einer mittelalterlichen Erzählung

    OpenAIRE

    Dunphy, Graeme

    2011-01-01

    Unter den zahlreichen Motiven, die in der mittelalterlichen Literatur mit Frauendienst verbunden sind, gehört das vom Ritter mit dem Hemd zu den besonders interessanten. Es erscheint zunächst in dem ersten von fünf Fabliaux aus einer verlorenen Turiner Handschrift, die dem sonst unbekannten altfranzösischen Dichter Jacques de Baisieux zugeschrieben werden, einer heiteren Kurzgeschichte mit dem Titel "Des trois chevaliers et del chainse". In der vorliegenden Untersuchung gilt es, der Frage der...

  1. A New Language for Child Psychotherapy: A Response to Jerald Kay

    Science.gov (United States)

    Clark, James J.; Borden, William

    2009-01-01

    Jerald Kay's article in this issue reviews important research in the areas of adult psychotherapy and neuroscience, and their implications for child psychotherapy. We respond by exploring some of the strengths and limitations of these lines of research and their implications for child psychotherapy development and research. The paper closes with…

  2. Medical psychotherapy of schizophrenia--a dynamic/supportive approach.

    Science.gov (United States)

    Corradi, Richard B

    2004-01-01

    Split psychiatric treatment-a psychiatrist prescribing medication while a nonphysician provides or coordinates psychosocial treatments-is common practice, especially in the managed care setting. This influence, along with a focus on the biology of mental illness, has shifted the emphasis in psychiatric education and practice away from psychotherapy. In particular, "psychotherapy" of schizophrenia has gotten short shrift. Since our drugs for schizophrenia do not cure, but only ameliorate, it would be unfortunate if psychiatrists were to become marginalized in a largely prescriptive role. This paper discusses medical psychotherapy of schizophrenia-an integrated treatment in which the psychiatrist provides the comprehensive care that such a chronic biopsychosocial illness requires.

  3. Attachment style and readiness for psychotherapy among psychiatric outpatients.

    Science.gov (United States)

    Kealy, David; Tsai, Michelle; Ogrodniczuk, John S

    2017-06-01

    Ninety-two adults attending outpatient mental health services completed measures of attachment style and readiness to engage in psychotherapy. Correlation and linear regression analyses found anxious attachment to be positively associated with treatment-seeking distress and found avoidant attachment to be negatively associated with openness to personal disclosure in the therapy relationship. Insecure attachment may influence prospective patients' readiness for psychotherapy. Patients with an avoidant attachment style may need assistance in preparing for the relational aspects of psychotherapy. © 2016 The British Psychological Society.

  4. Therapy 101: A Psychotherapy Curriculum for Medical Students

    Science.gov (United States)

    Aboul-Fotouh, Frieda; Asghar-Ali, Ali Abbas

    2010-01-01

    Objective: This pilot project, designed and taught by a resident, created a curriculum to introduce medical students to the practice of psychotherapy. Medical students who are knowledgeable about psychotherapy can become physicians who are able to refer patients to psychotherapeutic treatments. A search of the literature did not identify a…

  5. Development of the air actuated disk brakes for the MAN L2000; Die Druckluft-Scheibenbremsen-Entwicklung fuer den MAN L2000

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, W.; Roehling, W.; Mueller, H.W.

    1996-11-01

    The latest MAN truck type L2000 (GVW 7.5 to 11 t) is the first vehicle in this range to be equipped with air actuated disc brakes on both axles. As this product group is subject to extreme price pressure and increased technical requirements, the existing braking system had to be replaced by a new one. The new wheel brake system demonstrates that objectives, especially with regard to vehicle handling and brake performance reserves, were met. At the same time the conditions for applying electronic braking systems were set up and cost targets reached. (orig.) [Deutsch] Beim neuen MAN L2000 mit einem zulaessigen Fahrzeuggewicht von 7,5 bis 11 t handelt es sich um das erste Automobil seiner Klasse, das auf beiden Achsen mit druckluftbetaetigten Scheibenbremsen ausgeruestet ist. Da diese Fahrzeugklasse unter einem hohen Kostendruck steht und die technischen Anforderungen erweitert wurden, musste die vorliegende Bremsenausruestung durch ein neues System ersetzt werden. Das neue Radbremsensystem zeigt, dass die gesteckten Ziele insbesondere in bezug auf Fahrverhalten und Reserven bei der Bremsleistung erreicht werden konnten. Gleichzeitig wurden die Voraussetzungen fuer den Einsatz elektronischer Bremssysteme geschaffen und die Kostenziele erreicht. (orig.)

  6. Transnational organisatorisk innovation i den offentlige sektor

    DEFF Research Database (Denmark)

    Hansen, Morten Balle

    2013-01-01

    Artiklen undersøger tre problemstillinger: 1) Hvor udbredt er forskellige former for transnational organisatorisk innovation i den danske offentlige sektor? 2) Hvordan er disse organisatoriske innovationer relateret til hinanden? 3) Er forskelle i deres udbredelse relateret til forskelle mellem den...... forskelle og ligheder mellem statslige og kommunale organisationer. 11 former for organisatorisk innovation, hvoraf mange ofte forbindes med New Public Management (NPM), er inkluderet i de empiriske analyser: privatisering/udlicitering, Bestiller-Udfører-model, kontraktstyring, mål- og rammestyring...... innovationer. Forskellige fortolkninger af den større udbredelse i kommuner end i stat drøftes....

  7. Internet-mediated psychotherapy: Are we ready for the ethical challenges?

    Science.gov (United States)

    Satalkar, Priya; Shrivastava, Shivanshu; Desousa, Avinash

    2015-01-01

    Advances in information and communication technology have facilitated the development of online psychotherapy. This form of psychotherapy would provide the developing world with better access to professional mental healthcare services. At the same time, it is prudent to carefully consider the various ethical, legal and regulatory issues involved in online psychotherapy. This paper highlights the major ethical issues involved in the use of online psychotherapy, whether conducted via e-mail, chat rooms or interactive video, and identifies practical solutions for the ethical dilemmas that exist. Many authors and organisations have expressed their opinions on the subject, but no consensus has evolved. The advice offered to psychologists is mostly skewed and the scarcity of literature available to those considering expanding their practice to include online psychotherapy is certainly a source of vexation. While reviewing the existing literature, this paper seeks to describe and discuss the major ethical issues in this area, particularly in India, but many of these issues will be equally applicable to any developing world settings.

  8. Psychotherapy, consciousness, and brain plasticity

    Directory of Open Access Journals (Sweden)

    Daniel eCollerton

    2013-09-01

    Full Text Available Purely psychological treatments for emotional distress produce lasting, measureable, and reproducible changes in cognitive and emotional consciousness and brain function. How these changes come about illustrates the interplay between brain and consciousness. Studies of the effects of psychotherapy highlight the holistic nature of consciousness. Pre and post treatment functional Magnetic Resonance Imaging localises the brain changes following psychotherapy to frontal, cingulate, and limbic circuits, but emphasise that these areas support a wide range of conscious experiences. Multivoxel Pattern Analysis of distributed changes in function across these brain areas may be able to provide the ability to distinguish between different states of consciousness.

  9. Groups as a part of integrated treatment plans : Inpatient psychotherapy for outpatients?

    NARCIS (Netherlands)

    Staats, H

    2005-01-01

    Group psychotherapy in Germany is well established as part of an integrative treatment plan in inpatient treatment. Outpatient group psychotherapy, however, is conceptualized as a separate treatment option in competition with individual therapy. German guidelines for outpatient psychotherapy exclude

  10. Denver District Laboratory (DEN)

    Data.gov (United States)

    Federal Laboratory Consortium — Program CapabilitiesDEN-DO Laboratory is a multi-functional laboratory capable of analyzing most chemical analytes and pathogenic/non-pathogenic microorganisms found...

  11. Samarbejdets betydning i den ’klassiske udlicitering’

    DEFF Research Database (Denmark)

    Lindholst, Andrej Christian

    2015-01-01

    Hvilken betydning har ’samarbejde’ i kontraktstyringen mellem offentlige myndigheder og private entreprenører inden for de ’klassiske’ udbudsområder? I både den administrative praksis og den politologiske litteratur betragtes en effektiv anvendelse af udlicitering på de klassiske udbudsområder of...

  12. Investigations on radionuclide release and on the corrosion behaviour of spent fuels from research reactors under disposal conditions. Final report; Untersuchungen zur Radionuklidfreisetzung und zum Korrosionsverhalten von bestrahltem Kernbrennstoff aus Forschungsreaktoren unter Endlagerbeedingungen. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Bruecher, H.; Curtius, H.; Fachinger, J.; Kaiser, G.; Mazeina, L.; Nau, K.

    2003-12-01

    und zum Korrosionsverhalten von bestrahltem Kernbrennstoff aus Forschungsreaktoren unter Endlagerbedingungen' mit dem Foerderkennzeichen FKZ 9108, der im Zeitraum vom 01.06.98 bis 30.11.2001 durchgefuehrt wurde, sind folgende Ergebnisse zu entnehmen: U/Al-FR-Brennelemente korrodierten unter anaeroben Bedingungen bei 90 C in Granitwasser (Grimsel-West) so langsam, dass die Aufloesung des gesamten Brennelements nach bisherigen konservativen Ergebnissen im Bereich von 10{sup 3} Jahren liegen wuerde. In Salzlaugen, speziell in magnesiumchloridreichen Laugen, ist die Korrosionsrate dagegen hoch. Einen beschleunigenden Effekt hat die Zugabe von GGG40 (Werkstoff des Brennelementbehaelters, in dem Eisen der Hauptbestandteil ist). Eine vollstaendige Aufloesung des Brennelementes wird in wenigen Monaten erreicht. Unter aeroben als auch unter anaeroben Bedingungen zeigte sich, dass ein Grossteil der freigesetzten Radionuklide an und/oder in den Korrosionsprodukten (sekundaeren Phasen) gebunden werden. Eine Veraenderung der Ionenstaerke des Auslaugmediums fuehrte allerdings zur Remobilisierung der Aktiniden. Fuer diese Radionuklidfreisetzungen koennen Umwandlungsprozesse innerhalb der sekundaeren Phasen verantwortlich sein. Sekundaere Phasen, entstanden bei der Korrosion eines unbestrahlten U/Al-FR-Brennelementes wurden erstmalig analysiert und Hydrotalkite als Phasenbestandteile konnten identifiziert werden. Dieses Ergebnis berechtigt zur Annahme, dass Hydrotalkite Bestandteile der sekundaeren Phasen von bestrahlten U/Al-FR-Brennelemente sind. Zur Klaerung der Frage, welche Bindungsverhaeltnisse zwischen Radionuklid und sekundaerer Phase vorliegen, wurden Sorptionsuntersuchungen mit endlagerrelevanten Radionukliden an Mineralien (diese Mineralien koennen als thermodynamische Endstufen der Korrosionsprodukte angesehen werden) in Salzlaugen und Granitwasser durchgefuehrt. In Salzlaugen zeigte Pu quantitative Sorptionstendenzen, wobei Pu in kationischer Form kovalent bindet

  13. Die ausbildung von wertbedeutungen im schuljugendalter*

    Directory of Open Access Journals (Sweden)

    Siegfried Heusinger

    1978-12-01

    Full Text Available Die folgenden Darlegungen stützen sich auf Untersuchungsergebnisse des Verlassers zur Sprachentwicklung in der Ontogenese. Angeregt wurde die UnterSuchung durch die besonders in den letzten Jahren in mehreren Ländern verstärkt erhobenen Forderungen, nicht nur die Sprache des Klein­ kindes, sondern vornehmlich den Entwicklungsstand der Schülersprache auf den einzelnen Klassenstufen zu erforschen und den Prozeß der Sprachentwicklung des Schülers genauer zu bestimmen. Die Forderungen sind (so z. B. in der DDR durch das Bestreben motiviert, weitere wissenschaftliche Voraussetzungen für die Verbesserung der muttersprachlichen Bildung und Erzliehung zu schaffen. Es geht also vor allem um Bedürfnisse des Muttersprachunterrichts, die aus der gesellschaftlichen Bedeutung der Sprache überhaupt und den steigenden Anforderungen an die gesellschaftliche Kommunikation insbesondere erwachsen.

  14. Effects of trauma-focused psychotherapy upon war refugees.

    Science.gov (United States)

    Kruse, Johannes; Joksimovic, Ljiljana; Cavka, Majda; Wöller, Wolfgang; Schmitz, Norbert

    2009-12-01

    The aim of this study is to evaluate the effects of a trauma-focused psychotherapy upon war refugees from Bosnia. Seventy refugees who met the criteria for posttraumatic stress disorder (PTSD) and somatoform disorders were included. The first 35 refugees were offered psychotherapy and the following 35 refugees received usual care. Outcome variables were changes in self-reported PTSD symptoms, psychological symptoms, and health status. At 12-month follow-up, participants in the intervention group reported significantly lower scores on the PTSD scale and the measure of psychological symptoms than the comparison group participants. Our results suggest that psychotherapy reduces symptoms of PTSD and somatoform disorders among war refugees even in the presence of insecure residence status.

  15. MR-imaging of finger osteoarthritis: Morphology and cartrilage signal intensity before and after treatment with ademetionin; Magnetresonanztomographie der Fingerpolyarthrose: Morphologie und Knorpelsignalverhalten unter Ademetonintherapie

    Energy Technology Data Exchange (ETDEWEB)

    Koenig, H. [Radiologische Klinik, Abt. fuer Roentgendiagnostik und Nuklearmedizin, Univ.-Klinikum Steglitz, FU Berlin (Germany); Stahl, H. [Radiologische Klinik, Univ.-Klinikum Rudolf-Virchow, FU Berlin (Germany); Sieper, J. [Medizinische Klinik und Poliklinik, Univ.-Klinikum Steglitz, FU Berlin (Germany); Wolf, K.J. [Radiologische Klinik, Abt. fuer Roentgendiagnostik und Nuklearmedizin, Univ.-Klinikum Steglitz, FU Berlin (Germany)

    1995-01-01

    This report deals with a prospective study of 21 patients with finger osteoarthritis treated over a period of three months with either Ademetionin (therapy group: 14/21) or without (control group: 7/21). MR-Imaging was carried out before and after treatment using spin-echo and 3D-Flash sequences. Morphological parameters and signal intensity changes of the hyaline cartilage were evaluated. The increase of the cartilage signal intensity was significant in the therapy group, this can be interpreted as an structural improvement. Also a decrease of the cartilage signal intensity with age was found. The morphological parameters showed no significant changes in the therapy and control groups. (orig.) [Deutsch] Im Rahmen einer prospektiven Studie wurden magnetresonanztomographische Untersuchungen bei Patientinnen mit Fingerpolyarthrose vor und nach Ademetionintherapie durchgefuehrt. Es erfolgten zwei Messungen an einer Kontrollgruppe (n=7, keine Ademetionintherapie) und an der Therapiegruppe (n=14) im Abstand von drei Monaten. Zur Anwendung kamen eine Doppel-Spin-Echo-Sequenz sowie eine 3D-Flash-Sequenz. Ausgewertet wurden neben morphologischen Parametern auch der Signalintensitaetsverlauf im Bereich des hyalinen Gelenkknorpels der Interphalangealgelenke. Signifikant war der Knorpelsignalzuwachs unter Ademetionintherapie, dies kann als Zeichen einer strukturellen Befundbesserung interpretiert werden. Ebenfalls signifikant zeigte sich die Abnahme der Knorpelsignalintensitaet mit zunehmendem Lebensalter der Patientinnen. Bei den morphologischen Befundaenderungen konnte kein signifikanter Therapieeffekt festgestellt werden. (orig.)

  16. [Utilization of self-help groups and psychotherapy after psychosomatic-psychotherapeutic in-patient treatment].

    Science.gov (United States)

    Höflich, Anke; Matzat, Jürgen; Meyer, Friedhelm; Knickenberg, Rudolf J; Bleichner, Franz; Merkle, Wolfgang; Reimer, Christian; Franke, Wolfram; Beutel, Manfred E

    2007-05-01

    Until now little is known about the role of participation in self-help groups alone or combined with psychotherapy in post-in-patient care. In the present study 2933 patients were questioned about their experience of self-help groups and psychotherapy after discharge from a clinic for psychosomatic medicine and psychotherapy. Nearly 8 % of them utilized self-help groups (mostly combined with out-patient psychotherapy), and altogether 68 % out-patient psychotherapy following in-patient treatment. Patients without out-patient treatment were psychologically less burdened and had better resources than participants of self-help groups or psychotherapy. Self-help group members differed from patients in out-patient psychotherapy by expressing a more positive opinion of groupwork and higher openness to new experiences. Additionly, they had discussed the topic of self-help groups more frequently with their therapists. This may be a starting-point for promoting more self-help activities of patients in the future.

  17. Den professionelle rolle

    DEFF Research Database (Denmark)

    Præstegaard, Jeanette; Sørensen, Kirsten

    2009-01-01

    Psykiatri er den disciplin indenfor lægevidenskaben, der beskæftiger sig med at forebygge, diagnosticere og helbrede psykiske sygdomme. I “Lærebog i psykiatri” giver Lene Nyboe sig bud på ergoterapeutisk og fysioterapeutisk kernefaglighed indenfor det psykiatriske område. Behandlingstraditionerne...

  18. MC-PELMO 3.0 - a computer model to estimate groundwater contamination caused by leaching of wood preservatives from storage sites of treated wood in Germany; Grundwassergefaehrdung durch Holzschutzmittel. MCPELMO 3.0 - ein mathematische Simulationsprogramm zur Abschaetzung der Grundwassergefaehrdung unter Holzlagerflaechen in Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Klein, M. [Fraunhofer-Inst. fuer Molekularbiologie und Angewandte Oekologie, Schmallenberg-Grafschaft (Germany); Herrmann, M. [Umweltbundesamt, Berlin (Germany)

    2004-07-01

    verarbeitet dabei 22 ausgewaehlte Versickerungsszenarien, die ihrerseits aus der Verknuepfung von Leitboeden aus 12 Bodenregionen und Wetterdaten von 9 Klimastationen abgeleitet wurden. Diese Szenarien werden gewichtet mit den Standortdaten von Holzimpraegnierbetrieben in Deutschland. Als Ergebnis der Simulationsrechnungen werden statistische Wahrscheinlichkeiten fuer die Konzentrationen im Sickerwasser unter Holzlagerplaetzen in den vom Anwender ausgewaehlten Regionen angegeben. Ergebnisse und Diskussion. Die Ergebnisprotokolle der Simulationsrechnungen beinhalten sowohl mittlere Sickerwasserkonzentrationen als auch frei waehlbare Perzentile (50-99), sowie die jeweils maximale Standortkonzentration. Die Ergebnisse koennen in Relation zur Gesamtflaeche der Bundesrepublik, den jeweiligen forstlich genutzten Flaechenanteilen, oder zur Dichte von Holzschutzmittel anwendenden Betrieben dargestellt werden. Neben der Konzentration der Ausgangssubstanz koennen auch fuer mehrere Abbauprodukte Konzentrationen in der Grundwasserneubildung berechnet werden. Schlussfolgerungen. Das beschriebene Modell ist insbesondere zum Vergleich der Grundwassergefaehrdung durch verschiedene Holzschutzmittel geeignet. Die vergleichende Bewertung stellt ein neues Element der EU-Politik zur Chemikaliensicherheit dar, das zum ersten Mal in der Biozidrichtlinie 98/8/EG festgeschrieben wurde. Die Ergebnisse der Modellrechnungen identifizieren aber auch besonders gefaehrdete Regionen in Deutschland, fuer die geeignete Risikominderungsmassnahmen ergriffen werden muessen um das dortige Grundwasser zu schuetzen. (orig.)

  19. Konsulenten i den anden nat

    DEFF Research Database (Denmark)

    Kirkegaard, Line

    for i sit deres liv og den eksistensmåde, der hermed muliggøres. Med dette ønsker jeg at bidrage til de eksisterende work-life balance teorier. Min vej ind i teorierne er nemlig, at logikken i mit empiriske materiale forekommer så forskelligt fra de traditionelle work-life balance teorier, at disse ikke...... lader sig forene. Jeg foretage derfor en analyse af den eksisterende litteratur, og rejser i den forbindelse en grundlæggende kritik af work-life balance teorierne, for at operere med falske problemstillinger på en måde, så svaret allerede indgår i de spørgsmål, der stilles. Jeg argumenterer således for......, at det problematiske forhold ved work-life balance teorierne allerede skal søges i konstitueringen af deres problematik, hvor arbejde og fritid indgår som to distinkte og kontrasterende sfærer. Ubalance eller problemer søges således altid i relationen her imellem. I forlængelse heraf argumenterer jeg for...

  20. Naturalismus als Herausforderung für den Religionsunterricht

    Directory of Open Access Journals (Sweden)

    Christian Feichtinger

    2015-11-01

    Full Text Available ENGLISH: This paper reflects on statements and attitudes of pupils in religion classes that represent a perspective of naturalism, and on teachers’ possibilities of reacting to such statements. We define the term ‘naturalism’ and explain, in which way naturalistic attitudes may occur and which questions they are related to. Based on a theological and philosophical criticism of naturalism we want to encourage teachers of religion to openly question such worldviews. To do so, we refer to the concept of ‘philosophy/theology for children/adolescents’. We argue to use the so-called ‘Socratic Method’ in its original sense, namely the challenging of alleged certainties (elenchus. The Socratic Method can and should be used not only to philosophize freely, but also to question pupils’ (naturalistic worldviews and attitudes, not with the purpose to then impose a ‘correct’ worldview onto them, but to help deconstructing alleged certainties and opening new horizons of thought. DEUTSCH: Der Beitrag befasst sich mit naturalistischen Aussagen und Einstellungen von SchülerInnen im Religionsunterricht und einer didaktischen Reflexion über den angemessenen Umgang mit ihnen durch die Lehrperson. Es wird dargelegt, was unter Naturalismus zu verstehen ist, auf welche Weise er im Unterricht auftauchen kann und welche Fragen davon betroffen sind. Gestützt auf eine theologisch-philosophische Kritik am Naturalismus sehen wir es als Aufgabe des Religionsunterrichts an, naturalistische Einstellungen kritisch zu hinterfragen. Hierzu beziehen wir uns auf das Konzept der ‚Kinder-/Jugendtheologie‘ bzw. im Speziellen auf eine ‚Theologie für Kinder/Jugendliche‘. Dabei plädieren wir dafür, die sog. ‚sokratische Methode‘ in ihrem ursprünglichen Sinn, nämlich der Infragestellung von vermeintlichen Gewissheiten (elenchus, zu verwenden. Die sokratische Methode kann und soll auch dafür verwendet werden, (naturalistische Weltsichten der Sch

  1. Neues über das Tertiär von Java und die mesozoischen Schichten von West-Borneo

    NARCIS (Netherlands)

    Martin, K.

    1888-01-01

    Die Monographie, welche unter dem Titel Die Fossilien von Java herausgegeben wird ¹), ist so weit fortgeschritten, dass sich aus den in ihr beschriebenen Gastropoden bereits eine Anzahl von Schlussfolgerungen ableiten lässt, welche für die in Bearbeitung begriffene, geologische Karte von Java von

  2. Redefining Outcome Measurement: A Model for Brief Psychotherapy.

    Science.gov (United States)

    McGuinty, Everett; Nelson, John; Carlson, Alain; Crowther, Eric; Bednar, Dina; Foroughe, Mirisse

    2016-05-01

    The zeitgeist for short-term psychotherapy efficacy has fundamentally shifted away from evidence-based practices to include evidence-informed practices, resulting in an equally important paradigm shift in outcome measurement designed to reflect change in this short-term modality. The present article delineates a short-term psychotherapy structure which defines four fundamental stages that all brief therapies may have in common, and are represented through Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, Narrative Therapy, and Emotion-Focused Therapy. These four theoretical approaches were analyzed via a selected literature review through comparing and contrasting specific and common tasks as they relate to the process of psychotherapy and change. Once commonalities were identified within session, they were categorized or grouped into themes or general stages of change within the parameters of a four to six session model of short-term therapy. Commonalities in therapeutic stages of change may more accurately and uniformly measure outcome in short-term work, unlike the symptom-specific psychometric instruments of longer-term psychotherapy. A systematic framework for evaluating the client and clinician adherence to 20 specific tasks for these four short-term therapies is presented through the newly proposed, Brief Task Acquisition Scale (BTAS). It is further proposed that the client-clinicians' adherence to these tasks will track and ultimately increase treatment integrity. Thus, when the client-clinician relationship tracks and evaluates the three pillars of (1) stage/process change, (2) task acquisition, and (3) treatment integrity, the culmination of these efforts presents a new way of more sensitively measuring outcome in short-term psychotherapy. Data collection is suggested as a first step to empirically evaluate the testable hypotheses suggested within this current model. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Message The

  3. Evaluation der Kurse 'Deutsch als Fremdsprache' im Akademischen Auslandsamt Siegen : ein Beitrag zur Qualitätssicherung und -entwicklung

    OpenAIRE

    Moll, Katharina

    2011-01-01

    Der Begriff "Qualität" im Kontext von Lehre und Unterricht ist schon seit Jahren in aller Munde. Nicht erst, aber insbesondere seit der Veröffentlichung der ersten PISA-Studie fordern Politiker umfassende Managementsysteme zur Verbesserung der Qualität von Bildungseinrichtungen in Deutschland. In diesem Zusammenhang wurden in den letzten Jahren viele Ideen entwickelt, die helfen sollen, die Qualität der Bildung zu verbessern. Vor allem für den schulischen Bereich, der besonders unter Druck ge...

  4. Leadership pipeline i den offentlige sektor

    DEFF Research Database (Denmark)

    Dahl, Kristian Aagaard; Molly-Søholm, Thorkil

    en rejse ind i hjertet af offentlig ledelse med fokus på lederniveauerne: topchef, funktionel chef, leder af ledere og leder af medarbejdere. Med afsæt i righoldige eksempler og fortællinger fra virkeligheden introduceres læseren for ledelsesteorien den Offentlige Leadership Pipeline, som giver...... enkelte lederniveauer og udvikle ledertalenter. Teorien byder på et detaljeret ledelsesgrundlag, hvorudfra den offentlige organisation kan bygge en professionel værdikæde for ledelse ved at forme lederprofiler, -rekruttering, -uddannelse, -evaluering m.m. Leadership Pipeline i den offentlige sektor er...... baseret på et treårigt dansk praksisorienteret forskningsprojekt med deltagelse af 15 offentlige organisationer, som repræsenterer kommunerne, regionerne og staten. Projektet har videreudviklet en af de sidste 10 års mest indflydelsesrige ledelseteorier i de største private organisationer, Leadership...

  5. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy.

    Science.gov (United States)

    Berghout, Caspar C; Zevalkink, Jolien; Hakkaart-van Roijen, Leona

    2010-01-01

    Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility study, we examined the incremental cost-effectiveness ratio (ICER) of psychoanalysis versus psychoanalytic psychotherapy. Incremental costs and effects were estimated by means of cross-sectional measurements in a cohort design (psychoanalysis, n = 78; psychoanalytic psychotherapy, n = 104). Quality-adjusted life-years (QALYs) were estimated for each treatment strategy using the SF-6D. Total costs were calculated from a societal perspective (treatment costs plus other societal costs) and discounted at 4 percent. Psychoanalysis was more costly than psychoanalytic psychotherapy, but also more effective from a health-related quality of life perspective. The ICER--that is, the extra costs to gain one additional QALY by delivering psychoanalysis instead of psychoanalytic psychotherapy--was estimated at 52,384 euros per QALY gained. Our findings show that the cost-utility ratio of psychoanalysis relative to psychoanalytic psychotherapy is within an acceptable range. More research is needed to find out whether cost-utility ratios vary with different types of patients. We also encourage cost-utility analyses comparing psychoanalytic treatment to other forms of (long-term) treatment.

  6. A manifesto of community-focused psychotherapy for the social participation: Does individual and group psychotherapy still meet the care needs of the society?

    Directory of Open Access Journals (Sweden)

    Simone Bruschetta

    2015-10-01

    Full Text Available This paper presents a critical, on a social-political level, of development of psychotherapy, seen as the health discipline, especially in that part of the world called West, scientifically established itself through the evaluation of the effectiveness of its two most common types of setting: Individual and Group- Psychotherapy. Through a social-anthropological interpretation of mental processes which it underpins, and a group analytical analysis of organizational and institutional dynamics that led to its evolution, the authors highlight the significant impasse in which psychotherapy finds itself today compared to new and more pervasive forms of mental suffering. Following on of the latest scientific research on the functioning of the mind and of new policy proposals from the World Health Organization, it is suggested so a form of basic psychotherapy, focused on the quality of the mental health of human contexts, defined Community-Focused Psychotherapy. This new form of psychotherapy is wrong simply understood as a new setting, alongside the classic individual, group, or family setting, but as a political-cultural background and a theoretical-methodological framework, so for different psychotherapeutic treatment (individual, group , family put in place in cases of specific psychopathological symptoms, as for a number of other clinical and social programs, carried out by professionals, workers and (formerly users, who support the empowerment of people, with serious psychological disorders or severe mental illness, in their own social contexts of belonging, and in their own recovery, through the active participation of all those therapeutic processes that support their care. 

  7. Depressed patients’ preferences for type of psychotherapy: a preliminary study

    Directory of Open Access Journals (Sweden)

    Yrondi A

    2015-09-01

    Full Text Available Antoine Yrondi,1 Julie Rieu,1 Claire Massip,1 Vanina Bongard,2 Laurent Schmitt1 1Department of Psychiatry and Medical Psychology, 2Public Health Service, CHU Toulouse, Toulouse, France Background: The treatment recommendations for depressed patients by the American Psychiatric Association encourage a focus on the patient’s preferences. The focus of this study was the preference of depressed inpatients for the type of psychotherapy. Methods: Twenty-nine subjects of both sexes who were hospitalized with a major depressive episode were interviewed at 5-day intervals with the same questions after the depressive episode resolved, as indicated by a score less than 7 on the Hamilton Depression Rating Scale (HDRS. The selection of items was performed by expert consensus. Results: The supportive psychotherapy scores were the highest, followed by psychodynamic psychotherapy and cognitive behavioral therapy. The two sessions conducted at 5-day intervals showed no significant difference, which reflected the stability of choices and preferences of patients. Conclusion: In this study, the patients preferred supportive psychotherapy as first-line therapy compared to psychodynamic psychotherapy and cognitive behavioral therapy. Keywords: depression, depressive disorder, psychodynamic psychotherap, supportive psychotherapy, cognitive behavioral therapy

  8. Psychotherapy in psychiatry: the current situation and future directions in Germany.

    Science.gov (United States)

    Schnell, Knut; Herpertz, Sabine C

    2011-11-01

    The aim of this article is to review how psychotherapy is dispensed to patients in psychiatric treatment and to render the future perspectives of psychotherapy in psychiatric outpatient and inpatient care in Germany. We demonstrate that--according to the currently available data about healthcare providers, allocation of financial resources and curricular regulations--the presently used definition of the term "psychotherapy" is ambiguous. One major problem for the application of psychotherapy in psychiatry is obviously constituted by the dominance of the major guideline therapies ("Richtlinienverfahren") within psychiatric services. Here, guideline therapies do not meet the needs of a significant proportion of acutely, severely and/or chronically ill psychiatric patients and restrain the application of scientifically approved, disorder-oriented and context compliant interventions in psychiatric practice. As a future perspective, we suggest that the training of psychiatrists should impart profound interpersonal skills and provide the competence to offer psychotherapy within a multimodal, modular, and flexible treatment plan on the background of the self-conception of psychiatry as a medical discipline. Moreover, future concepts of psychiatric psychotherapy should promote an evidence-based selection and application of scientifically approved, disorder-oriented, and integrative treatment methods, which are available in growing number.

  9. Cornelis den Hartog: an outstanding aquatic ecologist

    NARCIS (Netherlands)

    Velde, van der G.; Brock, T.C.M.; Kempers, A.J.

    1996-01-01

    A survey is given of the work and life of Cornelis den Hartog up to the date in 1996 on which he retired from his position as a professor at the University of Nijmegen. Cornelis (Kees) den Hartog made important contributions to aquatic ecology in the widest sense, e.G. On brackish water typology,

  10. Den danske regionskonstruktion

    DEFF Research Database (Denmark)

    Klausen, Kurt Klaudi; Christoffersen, Henrik

    Region Midtjylland er i centrum for analysen men den omfatter også regionsdannelsen i almindelighed. Der anlægges i analysen på samme tid et politologisk, organisationsteoretisk og økonomisk resonnement. Regionsdannelsen finder sted på baggrund af de setup Strukturreformen har sat, men udfoldes p...

  11. Empirisme, rationalisme og den moralske følelse

    DEFF Research Database (Denmark)

    Nielsen, Carsten Fogh

    2003-01-01

    Sammenlignende diskussion af David Humes og Immanuel Kants syn på følelsernes rolle for den moralske dom......Sammenlignende diskussion af David Humes og Immanuel Kants syn på følelsernes rolle for den moralske dom...

  12. Den farefulde gyngeleg

    DEFF Research Database (Denmark)

    Karoff, Helle Skovbjerg

    2014-01-01

    I lyset af samtidens diskussioner af sikkerhed og det farefulde (Sandseter, 2009) i børns fysiske leg skal artiklen udforske forholdet mellem den interaktive gynge SON-X, legeaktiviteterne og det farefulde. Formålet er at undersøge, hvordan børn håndterer det farefulde og sikkerhed i deres gyngeleg......, og det formål skal udforskes gennem stemningsperspektivet (Karoff, 2010, 2013). Stemningsperspektivet er et livsfilosofisk perspektiv på legeaktiviteterne (Schiller, 1996, Nietzsche, 1996, Huizinga, 1956, Gadamer, 1966), der anskuer legeaktiviteterne som praksis, der har til formål at sætte de...... deltagende i en særlig stemning. En stemning er en måde at være til på i verden, der præges af åbenhed over for øjeblikket, over for andre mennesker og over for nye muligheder for at skabe mening (Heidegger, 2005). Afslutningsvist skal artiklen reflektere over teknologiens rolle – eksemplificeret med den...

  13. Psychotherapy for Suicidal Clients.

    Science.gov (United States)

    Lester, David

    1994-01-01

    Reviews various systems of psychotherapy for suitability for suicidal clients. Discusses psychoanalysis, cognitive therapy, primal therapy, transactional analysis, Gestalt therapy, reality therapy, person-centered therapy, existential analysis, and Jungian analysis in light of available treatment options. Includes 36 citations. (Author/CRR)

  14. Using Media to Teach How Not to Do Psychotherapy

    Science.gov (United States)

    Gabbard, Glen; Horowitz, Mardi

    2010-01-01

    Objective: This article describes how using media depictions of psychotherapy may help in teaching psychiatric residents. Methods: Using the HBO series "In Treatment" as a model, the authors suggest how boundary transgressions and technical errors may inform residents about optimal psychotherapeutic approaches. Results: The psychotherapy vignettes…

  15. Conceptual Frame for Selecting Individual Psychotherapy in the Schools

    Science.gov (United States)

    Hughes, Tammy L.; Theodore, Lea A.

    2009-01-01

    Psychotherapy is a service-delivery that is provided for both general and special education students. This manuscript examines a conceptual framework for determining when to employ psychotherapy within the school-based setting. Decisions are informed by the relationship between problem behavior, therapeutic techniques, short-term outcomes, and…

  16. Effekt einer ad libitum verzehrten fettreduzierten Kost, reich an Obst, Gemüse und Milchprodukten auf den Blutdruck bei Borderline-Hypertonikern

    Science.gov (United States)

    Möseneder, Jutta M.

    2002-01-01

    In der randomisierten, multizentrischen DASH-Studie (Dietary Approaches to Stop Hy-pertension), die unter kontrollierten Bedingungen stattfand, führte eine fettreduzierte Mischkost, reich an Obst, Gemüse und Milchprodukten, bei Borderline-Hypertonikern zu einer signifikanten Blutdrucksenkung. Während der Studienphase wurden Körpermasse, Natrium-Aufnahme sowie Alkoholzufuhr aufgrund der bekannten Einflussnahme auf den Blutdruck konstant gehalten. In der eigenen Pilot-Studie sollte untersucht werden, ob das Ergebnis der DASH-Studie (i) mit deutschen Hypertonikern und (ii) unter habituellen Ernährungs- und Lebensbedingungen mit regelmäßig durchgeführter Ernährungsberatung und ad libitum Verzehr anstelle des streng kontrollierten Studienansatzes bestätigt werden kann. Eine Konstanz der Körpermasse, der Natrium-Urinausscheidung (unter diesem Studienansatz valider als die Aufnahme) und des Alkoholkonsums wurde vorausgesetzt. Die Studienpopulation setzte sich aus 53 übergewichtigen Probanden mit einer nicht medikamentös therapierten Borderline-Hypertonie und ohne Stoffwechselerkrankungen zusammen. Die Studienteilnehmer wurden randomisiert entweder der Idealgruppe mit einer fettarmen Kost reich an Milchprodukten, Obst und Gemüse (ähnlich der DASH-Idealgruppe) oder der Kontrollgruppe mit habitueller Ernährungsweise zugeteilt. Über einen Zeitraum von fünf Wochen wurde den Probanden etwa 50% ihres täglichen Lebensmittelbedarfes entsprechend ihrer Gruppenzugehörigkeit kostenfrei zur Verfügung gestellt. Gelegenheitsblutdruckmessungen und 24h-Blutdruckmessungen, Ernährungs- und Aktivitätsprotokolle, Blut- und Urinproben sowie anthropometrische Messungen wurden vor, während und fünf Wochen nach der Interventionsphase durchgeführt. Die Ergebnisse zeigen, dass in der Idealgruppe keine signifikante Blutdrucksenkung beobachtet werden konnte. Dies lässt sich durch die Tatsache erklären, dass die Lebens-mittel- und Nährstoffaufnahme der deutschen

  17. Skønhed og rædsel i den nye Pharma Science Building

    DEFF Research Database (Denmark)

    Reeh, Henrik

    2016-01-01

    Reportage fra et fælles besøg i den nyligt indviede PharmaScience Building, Københavns Universitet, juni 2016. Teksten om mødet mellem journalist og forsker på den ene side og bygningen og dens brugere på den anden side. Journalist Christoffer Zieler henviser til Henrik Reehs separat offentliggjo......Reportage fra et fælles besøg i den nyligt indviede PharmaScience Building, Københavns Universitet, juni 2016. Teksten om mødet mellem journalist og forsker på den ene side og bygningen og dens brugere på den anden side. Journalist Christoffer Zieler henviser til Henrik Reehs separat...

  18. Advancing psychotherapy and evidence-based psychological interventions.

    Science.gov (United States)

    Emmelkamp, Paul M G; David, Daniel; Beckers, Tom; Muris, Peter; Cuijpers, Pim; Lutz, Wolfgang; Andersson, Gerhard; Araya, Ricardo; Banos Rivera, Rosa M; Barkham, Michael; Berking, Matthias; Berger, Thomas; Botella, Christina; Carlbring, Per; Colom, Francesc; Essau, Cecilia; Hermans, Dirk; Hofmann, Stefan G; Knappe, Susanne; Ollendick, Thomas H; Raes, Filip; Rief, Winfried; Riper, Heleen; Van Der Oord, Saskia; Vervliet, Bram

    2014-01-01

    Psychological models of mental disorders guide research into psychological and environmental factors that elicit and maintain mental disorders as well as interventions to reduce them. This paper addresses four areas. (1) Psychological models of mental disorders have become increasingly transdiagnostic, focusing on core cognitive endophenotypes of psychopathology from an integrative cognitive psychology perspective rather than offering explanations for unitary mental disorders. It is argued that psychological interventions for mental disorders will increasingly target specific cognitive dysfunctions rather than symptom-based mental disorders as a result. (2) Psychotherapy research still lacks a comprehensive conceptual framework that brings together the wide variety of findings, models and perspectives. Analysing the state-of-the-art in psychotherapy treatment research, "component analyses" aiming at an optimal identification of core ingredients and the mechanisms of change is highlighted as the core need towards improved efficacy and effectiveness of psychotherapy, and improved translation to routine care. (3) In order to provide more effective psychological interventions to children and adolescents, there is a need to develop new and/or improved psychotherapeutic interventions on the basis of developmental psychopathology research taking into account knowledge of mediators and moderators. Developmental neuroscience research might be instrumental to uncover associated aberrant brain processes in children and adolescents with mental health problems and to better examine mechanisms of their correction by means of psychotherapy and psychological interventions. (4) Psychotherapy research needs to broaden in terms of adoption of large-scale public health strategies and treatments that can be applied to more patients in a simpler and cost-effective way. Increased research on efficacy and moderators of Internet-based treatments and e-mental health tools (e.g. to support

  19. Psychotherapy and Cognitive Behavioral Therapy Supervision in Danish Psychiatry: Training the Next Generation of Psychiatrists.

    Science.gov (United States)

    Schmidt, Lasse M; Foli-Andersen, Nina J

    2017-02-01

    Psychotherapy training is mandatory for physicians to qualify as psychiatrists in Denmark. Evidence for the effectiveness of psychotherapy has increased, and psychotherapy is increasingly included in international treatment guidelines. The authors investigated how psychiatrists in training in Denmark evaluate the opportunities to practice psychotherapy in their training and the quality of the supervision they receive in psychotherapy training, particularly for cognitive behavioral therapy (CBT). The authors conducted a survey regarding psychotherapy training and CBT supervision among psychiatrists in training at Danish psychiatric specialist training courses. They investigated respondents' interest and experience in psychotherapy and respondents' views on the relevance and feasibility of performing psychotherapy and receiving supervision in their psychiatry training. Eighty-eight percent of the psychiatrists in training found psychotherapy to be a relevant part of their training; however, 77 % found it difficult to find time to practice psychotherapy and 44 % felt that practicing psychotherapy was a strain on their employer. Thirty-six percent and 53 %, respectively, had difficulties securing psychodynamic and CBT supervision. In CBT supervision, more than 60 % reported supervision that appeared to be below the expected CBT supervision standard and often so much below it might not qualify as CBT supervision. There is a need to focus on how to better integrate psychotherapy and supervision in the Danish psychiatric training program. Good CBT supervision may be lacking, and a way to ensure high-quality supervision is required.

  20. Den skjulte Oldtid – den nye udstilling på Nationalmuseet

    DEFF Research Database (Denmark)

    Ingemann, Bruno

    2009-01-01

    Enhver udstilling konstruerer sin besøgende! Man skal som besøgende have bestemte forudsætninger, en vis viden, kende bestemte kategorier, have en bestemt form for nysgerrighed – og det er udstillingen som skaber dette særsprog med dets muligheder for at udelukke eller inkludere den besøgende. De...

  1. Rezension von: Alexandra Weiss: Regulation und Politisierung von Geschlechterverhältnissen im fordistischen und postfordistischen Kapitalismus. Münster: Verlag Westfälisches Dampfboot 2012.

    Directory of Open Access Journals (Sweden)

    Heike Kahlert

    2013-12-01

    Full Text Available In ihrer uneingeschränkt lesenswerten Monographie setzt sich Alexandra Weiss mit Stabilität, Wandel und Widersprüchen der Geschlechterordnung in den Transformationen des Kapitalismus am Beispiel Österreichs auseinander. Dabei zeigt sie den Maskulinismus der neoliberalen Idee und Politik auf, analysiert die Re-Traditionalisierung des Politischen im Postfordismus und reflektiert über Handlungsperspektiven feministischer Politik unter den Bedingungen gegenwärtiger Staatlichkeit. Im Zentrum emanzipatorischer (Geschlechter-Politik sieht sie die Re-Etablierung von Gleichheit als Voraussetzung von Freiheit in einer demokratischen Gesellschaft. Die kraftvolle gesellschaftsanalytische Studie überzeugt schließlich durch eine stringente Argumentation und eine erfreulich klare Sprache.

  2. Den kaotiske organisation

    DEFF Research Database (Denmark)

    Helms, Niels Henrik

    2006-01-01

    Præsentation af den britiske organisationsteoretiker Ralph Stacey: Stacey mener samlet, at organisationer ikke skal ses som systemer, der opstår, når individer interagerer med hinanden. Det er selve interaktionen, der er organisationen. Staceys kernebegreb er temporære processer. Når vi interager...

  3. The current status of psychotherapy | Gureje | West African Journal ...

    African Journals Online (AJOL)

    A fundamental understanding about the mechanisms of action of psychotherapy is a promising new development that is emanating from modern techniques of neurosciences and neuroimaging. Whether such understanding will lead to a renaissance in the clinical utility of psychotherapy is still early to say. However, there is ...

  4. Psychotherapy and Women's Liberation

    Science.gov (United States)

    Holroyd, Jean

    1976-01-01

    Personality theories and scientific data on women frequently contribute negatively to the psychotherapy of female clients. This paper examines some of the background factors which have shaped our information about women, and then reviews some contemporaneous approaches to the therapy of women. (Author)

  5. Diana og Kirke. Den klassiske mytes metamorfose i italienske Renæssance

    DEFF Research Database (Denmark)

    Cecchini, Leonardo

    Den klassiske myte har en særlig stilling i det, Aleida Assmann har kaldt kulturelle Gedächtnis. Takket være dens store udbredelse i den vestlige kultur (både i litteratur, kunst og i andre områder), har den en tendens til at virke, snarere end som konkret ”tekst”, som et udbredt kulturel registe...... renæssancekulturen omarbejder den klassiske myte. Som case-stories vil jeg anvende Kirke-myten og ”den mytiske jagt” (Diana og Aktæon) og vise, hvordan de bliver genanvendt, tilpasset og fortolket i tekster af Petrarca, Boccaccio, Machiavelli og Gelli....

  6. [The Application of Body-Mind-Spirit Integrated Psychotherapy in Nursing Practice].

    Science.gov (United States)

    Hsiao, Fei-Hsiu

    2017-06-01

    Body-mind-spirit integrated psychotherapy reflects the core value of nursing by emphasizing the inseparable concept of body, mind, and spirit and caring for the holistic needs of the patient. Body-mind-spirit integrated psychotherapy was developed based on Western psychotherapy (positive psychology and forgiveness therapy), traditional Chinese medicine, and the Eastern philosophies of Buddhism, Taoism, and Confucianism. The present paper describes the holistic concepts that underpin this therapeutic approach. Physical health is sustained through proper nutrition, physical relaxation, and harmonized breathing; psychological well-being helps maintain inner peace and harmony in interpersonal relationships; and spiritual well-being helps develop an optimistic and meaningful life. We report on several cases in which body-mind-spirit integrated psychotherapy was applied to the care of clients with depressive disorders and of breast cancer survivors and their partners as well as the related efficacy of this intervention in these cases. Finally, we discuss the potential for culturally-enriched psychotherapy to help clients transform illness suffering into life-growth experiences.

  7. Benefits of Combining Massage Therapy with Group Interpersonal Psychotherapy in Prenatally Depressed Women

    OpenAIRE

    Field, Tiffany; Deeds, Osvelia; Diego, Miguel; Hernandez-Reif, Maria; Gauler, Andy; Sullivan, Susan; Wilson, Donna; Nearing, Graciela

    2009-01-01

    One hundred twelve pregnant women who were diagnosed depressed were randomly assigned to a group who received group Interpersonal Psychotherapy or to a group who received both group Interpersonal Psychotherapy and massage therapy. The group Interpersonal Psychotherapy (one hour sessions) and massage therapy (30 minute sessions) were held once per week for six weeks. The data suggested that the group who received psychotherapy plus massage attended more sessions on average, and a greater perce...

  8. Dwellers in dens on sandy bottoms: Ecological and behavioural traits of Octopus vulgaris

    Directory of Open Access Journals (Sweden)

    Ángel Guerra

    2014-09-01

    Full Text Available Four visual censuses targeting Octopus vulgaris living in dens on sandy bottoms were carried out from June to October 2013 in the National Park of the Atlantic Galician Islands (NW Spain. Censuses were undertaken by scuba diving between 5 and 21 m depth in daytime. The total area swept was 13.75 ha. There were no significant differences between octopus presence in dens during open and closed fishing seasons. Depth had a significant negative relationship with occupancy. The average number of dens per 1000 m2 was 3.84±0.84 in June and 3.89 in October. The area per den was 260 m2. Den number estimations varied between 1586 and 2057. The largest number of dens (76.5% was found between 5 and 10 m depth. Den distribution was clumped. No significant differences were found between octopus size classes (small, medium and large and den diameter. Associate dens were observed. There were no significant differences in den diameter and shell types found around the middens. Many dens could be “permanent”. Drilling bivalve shell behaviour is discussed. The surveyed area had around 1100 individuals, mainly small specimens. No significant differences were found between octopus size and depth. Substrate, den type and food abundance and availability (especially razors Ensis arcuatus seem to be the main factors influencing dens and octopus density and distribution. Den availability does not appear to be a limiting factor in this case. Temperature, den availability, predators and fishing pressure influencing density and distribution are discussed. Rodas inlet may be a preferential habitat for O. vulgaris individuals ranging from 200 to 2000 g, but especially small specimens ( ≤ 1000 g.

  9. Trump, NATO og den europæiske sikkerhedsarkitektur

    DEFF Research Database (Denmark)

    Ringsmose, Jens; Henriksen, Anders

    Manglende klarhed i den amerikanske linje over for det NATO, landet indtil nu har taget føringen i, vil få konsekvenser for Europa og for Danmarks muligheder og valg. Denne rapport ser på konsekvenserne for den europæiske sikkerhedsarkitektur....

  10. [Psychoanalysis and psychoanalytic oriented psychotherapy: differences and similarities].

    Science.gov (United States)

    Rössler-Schülein, Hemma; Löffler-Stastka, Henriette

    2013-01-01

    Psychoanalysis as well as Psychoanalytic Psychotherapy derived from Psychoanalysis are efficient methods offered by the Austrian health care system in the treatment for anxiety, depression, personality disorders, neurotic and somatoform disorders. In both methods similar basic treatment techniques are applied. Therefore differentiation between both treatment options often is made pragmatically by the frequency of sessions or the use of the couch and seems to be vague in the light of empirical studies. This overview focuses a potential differentiation-the objective and subjective dimensions of the indication process. Concerning the latter it is to investigate, if reflective functioning and ego-integration can be enhanced in the patient during the interaction process between patient and psychoanalyst. Empirical data underline the necessity to investigate to which extent externalizing defence processes are used and to integrate such factors into the decision and indication process. Differing treatment aims display another possibility to differentiate psychoanalysis and psychoanalytic psychotherapy. Psychoanalytic psychotherapy aims for example more at circumscribed problem-foci, the capability for self-reflexion is one of the most prominent treatment effects in psychoanalysis that results in on-going symptom reduction and resilience. The most prominent differentiation lies in the utilization of technical neutrality. Within Psychoanalytic Psychotherapy neutrality has sometimes to be suspended in order to stop severe acting out. Empirical evidence is given concerning the differentiation between psychoanalysis and psychoanalytic psychotherapy, that treatment efficacy is not correlated with the duration of the treatment, but with the frequency of sessions. Results give support to the assumption that the dosage of specific and appropriate psychoanalytic techniques facilitates sustained therapeutic change.

  11. Mod en ny forståelse af den digitaliseringsstrategiske proces

    DEFF Research Database (Denmark)

    Ivang, Reimer

    2007-01-01

    Den digitale teknologi er vigtig, og vigtigheden kan ikke kun afspejles i den konstant stigende mængde af litteratur, der relaterer sig til fænomenet. Men vigtigheden er også identificeret på Danfoss, der er afhandlingens empiriske kontekst. Der synes at være enighed om, at den digitale teknologi...

  12. Den koreanske bølgen - En kulturvitenskapelig studie av sørkoreansk populærkultur, og hvordan den har nådd Vesten

    OpenAIRE

    Kvinge, Kristin Øyvindsdatter

    2016-01-01

    Hensikten med denne oppgaven er å se på den koreanske bølgen, som ofte refereres til som Hallyu. Den tar for seg både Hallyu som innhold og Hallyu som fenomen. Den koreanske bølgen har spredd seg hurtig i løpet av de siste 20 årene, noe som har bidratt til å gjøre Korea til en av de hurtigst økende økonomiene i den moderne tid. Denne oppgaven forsøker å se nærmere på hvordan Hallyu har nådd Vesten, med fokus på Europa og Norge. Før analysen vil oppgaven se nærmere på hv...

  13. Research on psychotherapy integration: building on the past, looking to the future.

    Science.gov (United States)

    Castonguay, Louis G; Eubanks, Catherine F; Goldfried, Marvin R; Muran, J Christopher; Lutz, Wolfgang

    2015-01-01

    Integration has become an important and influential movement within psychotherapy practice, reflected by the fact that many treatment providers now identify as integrative. However, integration has not had as great an influence on psychotherapy research. The goal of this paper is to highlight the growing body of research on psychotherapy integration, and to identify future directions for research that may strengthen the integration movement as well as the field of psychotherapy as a whole. We first summarize the past 25 years of research on integration, with a focus on four approaches to integration: theoretical integration, technical eclectic, common factors, and assimilative integration. Next, we identify directions of research within these four areas that could strengthen and support integrative practice. We then propose ways in which the perspective of integrationists could contribute to psychotherapy research in the critical areas of harmful effects, therapist effects, practice-oriented research, and training. We end this paper by suggesting that a greater collaboration between integrationists and psychotherapy researchers will help to create a unified landscape of knowledge and action that will benefit all participants and advance the field.

  14. Meaning in life in psychotherapy: The perspective of experienced psychotherapists.

    Science.gov (United States)

    Hill, Clara E; Kanazawa, Yoshi; Knox, Sarah; Schauerman, Iris; Loureiro, Darren; James, Danielle; Carter, Imani; King, Shakeena; Razzak, Suad; Scarff, Melanie; Moore, Jasmine

    2017-07-01

    Our goal was to explore the meaning experienced psychotherapists derive from providing psychotherapy, their beliefs about the role of meaning in life (MIL) in psychotherapy, how they worked with MIL with a client who explicitly presented concerns about MIL, and how they worked with a different client for whom MIL was a secondary and more implicit concern. Thirteen experienced psychotherapists were interviewed and data were analyzed using consensual qualitative research. Therapists derived self-oriented meaning (e.g., feeling gratified, fulfilled, connected) and other-oriented meaning (helping others, making the world a better place) from providing psychotherapy. They believed that MIL is fundamental and underlies all human concerns, including those brought to therapy. In contrast to the clients who had implicit MIL concerns, clients who explicitly presented MIL concerns were reported to have more interpersonal problems and physical problems, but about the same amount of psychological distress and loss/grief. Therapists used insight-oriented interventions, support, action-oriented interventions, and exploratory interventions to work with MIL with both types of clients, but used more exploratory interventions with implicit than explicit MIL clients. MIL is a salient topic for experienced, existentially oriented psychotherapists; they work with MIL extensively with some clients in psychotherapy. We recommend that therapists receive training to work with MIL in therapy, and that they pay attention to MIL concerns when they conduct psychotherapy. We also recommend additional research on MIL in psychotherapy.

  15. [Identification of Dens Draconis and Os Draconis by XRD method].

    Science.gov (United States)

    Chen, Guang-Yun; Wu, Qi-Nan; Shen, Bei; Chen, Rong

    2012-04-01

    To establish an XRD method for evaluating the quality of Os Draconis and Dens Draconis and applying in judgement of the counterfeit. Dens Draconis, Os Draconis and the counterfeit of Os Draconis were analyzed by XRD. Their diffraction patterns were clustered analysis and evaluated their similarity degree. Established the analytical method of Dens Draconis and Os Draconis basing the features fingerprint information of the 10 common peaks by XRD pattern. Obtained the XRD pattern of the counterfeit of Os Draconis. The similarity degree of separate sources of Dens Draconis was high,while the similarity degree of separate sources of Os Draconis was significant different from each other. This method can be used for identification and evaluation of Os Draconis and Dens Draconis. It also can be used for identification the counterfeit of Os Draconis effectively.

  16. Investigating Psychometric Properties of the Persian Version of Positive Psychotherapy Inventory

    Directory of Open Access Journals (Sweden)

    Z Ghorbani

    2015-08-01

    Full Text Available The purpose of the study was to investigate psychometric properties of the Persian version of positive psychotherapy inventory in university students. Research method was descriptive, correlational type. The sample of the study consist of 432 MS and PhD students, 225 female and 207 male, aged between 23 to 45 of state universities of Tehran who were selected through multi-stage random sampling. To study reliability, convergent and structural validity of instrument the sample group completed, positive psychotherapy inventory (Rashid and Oxford Happiness Inventory (Argyle and Hills. To investigating the reliability Cronbach alpha and test- retest method, and for validity of instrument structural validity exploratory factor analysis method and convergent validity were used. Results showed the total internal consistency of positive psychotherapy inventory was 0.80 and subscales internal consistency was between 0.80 to 0.92 respectively. In addition test-retest reliability coefficient was 0.70 for total inventory and between 0.63 to 0.73 for the subscales. Also the correlation coefficients between positive psychotherapy inventory and oxford happiness inventory were 0.73, which indicated a satisfactory convergent validity for positive psychotherapy inventory. Confirmatory factor analysis results showed three factors model of positive psychotherapy inventory in the Iranian sample. These three factors explained 79.99 variance of total inventory.

  17. Interpersonal psychotherapy (IPT) in major depressive disorder.

    Science.gov (United States)

    Brakemeier, Eva-Lotta; Frase, Lukas

    2012-11-01

    In this article, we will introduce interpersonal psychotherapy as an effective short-term treatment strategy in major depression. In IPT, a reciprocal relationship between interpersonal problems and depressive symptoms is regarded as important in the onset and as a maintaining factor of depressive disorders. Therefore, interpersonal problems are the main therapeutic targets of this approach. Four interpersonal problem areas are defined, which include interpersonal role disputes, role transitions, complicated bereavement, and interpersonal deficits. Patients are helped to break the interactions between depressive symptoms and their individual interpersonal difficulties. The goals are to achieve a reduction in depressive symptoms and an improvement in interpersonal functioning through improved communication, expression of affect, and proactive engagement with the current interpersonal network. The efficacy of this focused and structured psychotherapy in the treatment of acute unipolar major depressive disorder is summarized. This article outlines the background of interpersonal psychotherapy, the process of therapy, efficacy, and the expansion of the evidence base to different subgroups of depressed patients.

  18. Design challenges in transdiagnostic psychotherapy research: Comparing Transdiagnostic Behavior Therapy (TBT) to existing evidence-based psychotherapy in veterans with affective disorders.

    Science.gov (United States)

    Gros, Daniel F

    2015-07-01

    To address the limitations of disorder-specific approaches, newer transdiagnostic approaches to psychotherapy have been developed to provide a single treatment that is capable of addressing several, related disorders. However, the recruitment of multiple diagnoses presents many challenges to the traditional design of psychotherapy randomized controlled trials (RCTs). The goal of the manuscript is to present the challenges and rationale for designing a RCT for transdiagnostic treatment to inform and aid in the development of future investigations. A recently funded and ongoing RCT for Transdiagnostic Behavior Therapy (TBT) is used as an example to discuss the related design challenges. The TBT study involves the recruitment of 96 veteran participants with any of the following eight principal diagnoses: posttraumatic stress disorder, panic disorder, social anxiety disorder, obsessive compulsive disorder, generalized anxiety disorder, specific phobia, major depressive disorder, or persistent depressive disorder. Within the TBT study, participants will complete a semi-structured diagnostic interview and a series of transdiagnostic self-report measures to determine eligibility and assess baseline symptomatology. Qualifying participants will be randomized to TBT or control psychotherapy. Additional assessments will be completed at post-treatment and 6-month follow-up. Due to the transdiagnostic nature of the sample, adjustments to the recruitment and randomization procedures, selection of measures, selection of control psychotherapy, and analysis plan were required. These adjustments have implications to future trials on transdiagnostic psychotherapy protocols as well as future research in line with the transdiagnostic focus of the National Institute of Mental Health's Research Domain Criteria (RDoC) funding strategy. Published by Elsevier Inc.

  19. I den sidste time

    DEFF Research Database (Denmark)

    Norup, Lis

    : Dekadencens teori. Arthur William Symons: Dekadencens litteratur. Oscar Wilde: Kritikeren som kunstner) Noter I tekster skrevet i 1800-tallet udfoldes dekadencekunsten som den forfinede sensibilitets, de forstyrrede sansers og det oprevne sinds digtning. Med litteraturhenvisninger....

  20. Social Problem Solving and Depressive Symptoms over Time: A Randomized Clinical Trial of Cognitive-Behavioral Analysis System of Psychotherapy, Brief Supportive Psychotherapy, and Pharmacotherapy

    Science.gov (United States)

    Klein, Daniel N.; Leon, Andrew C.; Li, Chunshan; D'Zurilla, Thomas J.; Black, Sarah R.; Vivian, Dina; Dowling, Frank; Arnow, Bruce A.; Manber, Rachel; Markowitz, John C.; Kocsis, James H.

    2011-01-01

    Objective: Depression is associated with poor social problem solving, and psychotherapies that focus on problem-solving skills are efficacious in treating depression. We examined the associations between treatment, social problem solving, and depression in a randomized clinical trial testing the efficacy of psychotherapy augmentation for…

  1. “Gold Standards,” Plurality and Monocultures: The Need for Diversity in Psychotherapy

    Directory of Open Access Journals (Sweden)

    Falk Leichsenring

    2018-04-01

    Full Text Available For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT. Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders. A critical review, however, shows that the available evidence for the theoretical foundations of CBT, assumed mechanisms of change, quality of studies, and efficacy is not as robust as some researchers claim. Most important, there is no consistent evidence that CBT is more efficacious than other evidence-based approaches. These findings do not justify regarding CBT as the gold standard psychotherapy. They even provide less justification for the idea that the future of psychotherapy lies in one integrated CBT-based form of psychotherapy as the only type of psychotherapy. For the different psychotherapeutic approaches a growing body of evidence is available. These approaches have their strengths because of differences in their respective focus on interpersonal relationships, affects, cognitions, systemic perspectives, experiential, or unconscious processes. Different approaches may be suitable to different patients and therapists. As generally assumed, progress in research results from openness to new ideas and learning from diverse perspectives. Thus, different forms of evidence-based psychotherapy are required. Plurality is the future of psychotherapy, not a uniform “one fits all” approach.

  2. “Gold Standards,” Plurality and Monocultures: The Need for Diversity in Psychotherapy

    Science.gov (United States)

    Leichsenring, Falk; Abbass, Allan; Hilsenroth, Mark J.; Luyten, Patrick; Munder, Thomas; Rabung, Sven; Steinert, Christiane

    2018-01-01

    For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders. A critical review, however, shows that the available evidence for the theoretical foundations of CBT, assumed mechanisms of change, quality of studies, and efficacy is not as robust as some researchers claim. Most important, there is no consistent evidence that CBT is more efficacious than other evidence-based approaches. These findings do not justify regarding CBT as the gold standard psychotherapy. They even provide less justification for the idea that the future of psychotherapy lies in one integrated CBT-based form of psychotherapy as the only type of psychotherapy. For the different psychotherapeutic approaches a growing body of evidence is available. These approaches have their strengths because of differences in their respective focus on interpersonal relationships, affects, cognitions, systemic perspectives, experiential, or unconscious processes. Different approaches may be suitable to different patients and therapists. As generally assumed, progress in research results from openness to new ideas and learning from diverse perspectives. Thus, different forms of evidence-based psychotherapy are required. Plurality is the future of psychotherapy, not a uniform “one fits all” approach. PMID:29740361

  3. Gasphasen-Emissionskontrolle für Gießereien

    DEFF Research Database (Denmark)

    Meusinger, Carl

    2014-01-01

    . Basierend auf den natürlichen Reinigungsprozessen der Atmosphäre werden Schadstoffe in Partikel umgewandelt und dann elektrostatisch gefiltert. Eine Testreihe bei einer großen deutschen Gießerei im Saargebiet zeigt dass die Konzentrationen von Benzol um bis zu 90 % reduziert werden und die Konzen- trationen...... von anderen Kohlenwasserstoffen in der Abluft über mehrere Tage hinweg um mehr als 80 % reduziert werden. Es hat sich erwiesen, dass die neue Technologie unter den Real- bedingungen einer laufenden Gießerei Benzolkonzentrationen regelbar minimieren kann....

  4. Computational psychotherapy research: scaling up the evaluation of patient-provider interactions.

    Science.gov (United States)

    Imel, Zac E; Steyvers, Mark; Atkins, David C

    2015-03-01

    In psychotherapy, the patient-provider interaction contains the treatment's active ingredients. However, the technology for analyzing the content of this interaction has not fundamentally changed in decades, limiting both the scale and specificity of psychotherapy research. New methods are required to "scale up" to larger evaluation tasks and "drill down" into the raw linguistic data of patient-therapist interactions. In the current article, we demonstrate the utility of statistical text analysis models called topic models for discovering the underlying linguistic structure in psychotherapy. Topic models identify semantic themes (or topics) in a collection of documents (here, transcripts). We used topic models to summarize and visualize 1,553 psychotherapy and drug therapy (i.e., medication management) transcripts. Results showed that topic models identified clinically relevant content, including affective, relational, and intervention related topics. In addition, topic models learned to identify specific types of therapist statements associated with treatment-related codes (e.g., different treatment approaches, patient-therapist discussions about the therapeutic relationship). Visualizations of semantic similarity across sessions indicate that topic models identify content that discriminates between broad classes of therapy (e.g., cognitive-behavioral therapy vs. psychodynamic therapy). Finally, predictive modeling demonstrated that topic model-derived features can classify therapy type with a high degree of accuracy. Computational psychotherapy research has the potential to scale up the study of psychotherapy to thousands of sessions at a time. We conclude by discussing the implications of computational methods such as topic models for the future of psychotherapy research and practice. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  5. Digital kommunikation med den offentlige sektor

    DEFF Research Database (Denmark)

    Berger, Jesper; Andersen, Kim Normann

    2013-01-01

    Denne rapport sammenfatter hovedresultaterne af en undersøgelse gennemført i juni måned 2013 om besvarelse af e-mail og digital post i den statslige, regionale og kommunale sektor. Allerede med eDag3 1. nov. 2010 skulle alle myndigheder have oprettet en digital postkasse, som borgerne kunne skrive...... til. I denne undersøgelse sættes der fokus på myndighedernes besvarelse af den digitale post. Digital post blev bl.a. etableret som et alternativ til almindelig e-mail for at det offentlige kan kommunikere med borgere og virksomheder på en sikker måde, dvs. uden at uvedkommende kan få adgang til...... følsomme oplysninger. Fokus for undersøgelsen er hvordan håndterer myndighederne besvarelserne i den digitale postkasse: svarer de på digital post og e-mail, hvor hurtigt svarer de og er svarene brugbare? Undersøgelsen medtager myndighedernes besvarelse af digital post og e-mail, dels for at kunne...

  6. Digital kommunikation med den offentlige sektor

    DEFF Research Database (Denmark)

    Berger, Jesper Bull; Andersen, Kim Normann

    Denne rapport sammenfatter hovedresultaterne for styrelser og statslige organisationer af en undersøgelse gennemført i sommeren 2013 om besvarelse af e-mail og digital post i den statslige, regionale og kommunale sektor. Allerede med eDag3 1. nov. 2010 skulle alle myndigheder have oprettet en...... digital postkasse, som borgerne kunne skrive til. I denne undersøgelse sættes der fokus på myndighedernes besvarelse af den digitale post. Digital post blev bl.a. etableret som et alternativ til almindelig e-mail for at det offentlige kan kommunikere med borgere og virksomheder på en sikker måde, dvs....... uden at uvedkommende kan få adgang til følsomme oplysninger. Fokus for undersøgelsen er hvordan håndterer myndighederne besvarelserne i den digitale postkasse: svarer de på digital post og e-mail, hvor hurtigt svarer de og er svarene brugbare? Vi har også undersøgt besvarelse af e-mail, dels...

  7. Asymptomatic ''crowned dens'' calcification in CT images for the craniovertebral junction

    International Nuclear Information System (INIS)

    Kubota, Gen; Mori, Masataka; Fukushima, Tatsuro

    2007-01-01

    Calcification around the odontoid process suggests 'crowned dens' syndrome, when accompanied with acute occipital headache or neck pain and with inflammatory signs. We retrospectively searched for calcification around the odontoid process in routine CT images of 282 patients emcompassing the craniovertebral junction, and found 13 (4.6%) had 'crowned dens' calcifications with neither characteristic symptoms nor signs suggestive for crowned dens' syndrome. Females of older ages frequently showed asymptomatic crowned dens' calcifications. (author)

  8. "Den lille havfrue" som digital pop op-bog

    DEFF Research Database (Denmark)

    Mygind, Sarah

    2017-01-01

    Anmeldelse af: DIGITAL POP OP-BOG H. C. ANDERSEN OG BOOKS & MAGIC DEN LILLE HAVFRUE Bog og App til iOS & Android 5......Anmeldelse af: DIGITAL POP OP-BOG H. C. ANDERSEN OG BOOKS & MAGIC DEN LILLE HAVFRUE Bog og App til iOS & Android 5...

  9. Clients' and therapists' stories about psychotherapy.

    Science.gov (United States)

    Adler, Jonathan M

    2013-12-01

    This article provides an overview of the emerging field of research on clients' stories about their experiences in psychotherapy. The theory of narrative identity suggests that individuals construct stories about their lives in order to provide the self with a sense of purpose and unity. Psychotherapy stories serve both psychological functions. Focusing on the theme of agency as a vehicle for operationalizing purpose and coherence as a way of operationalizing unity, this article will describe the existing scholarship connecting psychotherapy stories to clients' psychological well-being. Results from cross-sectional qualitative and quantitative studies as well as longitudinal research indicate a connection between the stories clients tell about therapy and their psychological well-being, both over the course of treatment and after it is over. In addition, a preliminary analysis of therapists' stories about their clients' treatment is presented. These analyses reveal that the way therapists recount a particular client's therapy does not impact the relationships between clients' narratives and their improvement. The article concludes with a discussion of how this body of scholarship might be fruitfully applied in the realm of clinical practice. © 2012 Wiley Periodicals, Inc.

  10. Materials model for describing the austenite-martensite phase transformation considering transformation-induced plasticity; Ein Materialmodell zur Beschreibung der Austenit-Martensit Phasentransformation unter Beruecksichtigung der transformationsinduzierten Plastizitaet

    Energy Technology Data Exchange (ETDEWEB)

    Oberste-Brandenburg, C.

    1999-06-01

    In this thesis, a model to describe the austenite martensite transformation was developed. The transformation induced plasticity (TRIP) was taken into consideration. The model can be used to design complex structures. A local examination of the energy and entropy balance at the phase boundary serves as the starting point for the identification of the thermodynamical driving force and the thermodynamic flow. For both, a tensorial description is necessary for a general nonhydrostatically stressed solid. In the second part, a material law for the description of TRIP-Steels was developed based on the values derived in the first part. The different mechanical behavior of the phases, especially the differing yield stresses, was taken into account. The model developed was implemented into the finite element program MARC. Simulations of the material and the structural behavior were performed. The experimentally observed strong dependence of the transformation kinetics on the yield stress of the austenite and the dependence of the orientation of the martensite inclusion on the stress state could be verified. (orig.) [German] Im Rahmen dieser Arbeit wurde ein Materialmodell zur Beschreibung der Austenit-Martensit Phasenumwandlung unter Beruecksichtigung der transformationsinduzierten Plastizitaet (TRIP) entwickelt. Das Modell ist zur Berechnung ausgedehnter Strukturen einsetzbar. Eine lokale Betrachtung der Energie- und Entropiebilanz an der Phasengrenze bildet den Ausgangspunkt zur Identifikation der thermodynamischen Kraft und des thermodynamischen Flusses bei Beschreibung der Transformationskinetik. Fuer beide Groessen muss fuer den allgemein nichthydrostatischen Spannungszustand eine tensorielle Beschreibung verwendet werden. Im zweiten Teil der Arbeit bilden diese Groessen die Basis zur Entwicklung eines Stoffgesetzes zur Beschreibung des TRIP-Phaenomens. Es wird das unterschiedliche mechanische Verhalten der Phasen, insbesondere die stark unterschiedlichen

  11. The role of identification in dynamic psychiatry and psychotherapy.

    Science.gov (United States)

    Corradi, Richard B

    2011-01-01

    Identification-a psychic process in which a person takes on characteristics of another-is a concept important to the understanding of human nature. It plays an important role in how our personalities develop, in our ability to deal with life's stresses, and in how we interact with other people. Knowledge of its manifestations is essential to dynamic psychiatry and to its applications in psychotherapy. This article defines identification and reviews its role in development and as a defense. It discusses its role in the psychopathology of disorders commonly encountered in psychotherapy practice-depression and anxiety states reactive to losses in life, and borderline states. Clinical vignettes illustrate how identification functions in these conditions, and also how identifications reveal themselves in the transference and are utilized in psychotherapy. A teaching vignette illustrates how important it is that residents learning the art of psychotherapy appreciate the therapeutic potential of identification. The article maintains that, although it often goes unrecognized, identification with the therapist is one of the most effective therapeutic devices in the transference.

  12. The Theory and Art of Child Psychotherapy: A Corrective Developmental Approach.

    Science.gov (United States)

    Friedman, Robert

    2017-10-01

    The history of child psychotherapy is sketched from the psychoanalytic pioneers Anna Freud and Melanie Klein to the popular "nondirective" approach of Virginia Axline. The author's approach to child psychotherapy, based on contemporary psychoanalytic theories, allows the therapist to play any parental role that helps to repair developmental deficiencies and conflicts. These include nurturing, supporting, mirroring, role modeling, challenging, and limit setting. Following Winnicott, psychotherapy is conceived as a play space in which therapist and child are both spontaneous. The value of interpretation and insight in child therapy is discussed. There follows a more detailed discussion of three major problem areas in child psychotherapy: handling anger and hostile aggression; handling issues related to sexuality; and handling narcissistic issues of inferiority and shame.

  13. Psychotherapy for chronic major depression and dysthymia: A meta analysis.

    NARCIS (Netherlands)

    Cuijpers, P.; Straten, van A.; Schuurmans, J.; Oppen, van P.C.; Hollon, S.D.; Andersson, G.

    2009-01-01

    Abstract Although several studies have examined the effects of psychotherapy on chronic depression and dysthymia, no meta-analysis has been conducted to integrate results of these studies. We conducted a meta-analysis of 16 randomized trials examining the effects of psychotherapy on chronic

  14. Winifred Rushforth and the Davidson Clinic for Medical Psychotherapy: a case study in the overlap of psychotherapy, Christianity and New Age spirituality.

    Science.gov (United States)

    Miller, Gavin

    2015-09-01

    The activities of both Winifred Rushforth (1885-1983), and the Edinburgh-based Davidson Clinic for Medical Psychotherapy (1941-73) which she directed, exemplify and elaborate the overlap in Scotland of religious discourses and practices with psychoanalytic psychotherapy. Even as post-war secularization began to affect Scottish culture and society, Rushforth and the Davidson Clinic attempted to renew the biographical discourses of Christianity using the idioms and practices of psychoanalytic psychotherapy. Furthermore, alongside these Christian-inflected activities, Rushforth promoted a psychoanalytically-informed New Age spirituality. This parallel mode of belief and practice drew on Christian life-narrative patterns, preserving them within psychoanalytic forms grafted onto a vitalist worldview informed by the work of Pierre Teilhard de Chardin. © The Author(s) 2015.

  15. Premolarized double dens in dente in albinism - A case report

    Directory of Open Access Journals (Sweden)

    Suprabha B

    2005-09-01

    Full Text Available Dens in dente are known to be associated with many dental abnormalities such as taurodontism microdontia, gemination, and dens evaginatus. This paper describes a rare case of double dens in dente in a lateral incisor with crown morphology similar to a premolar present in a patient with features of albinism. Problems associated with this condition and their management is discussed.

  16. Despotism and risk of infanticide influence grizzly bear den-site selection.

    Science.gov (United States)

    Libal, Nathan S; Belant, Jerrold L; Leopold, Bruce D; Wang, Guiming; Owen, Patricia A

    2011-01-01

    Given documented social dominance and intraspecific predation in bear populations, the ideal despotic distribution model and sex hypothesis of sexual segregation predict adult female grizzly bears (Ursus arctos) will avoid areas occupied by adult males to reduce risk of infanticide. Under ideal despotic distribution, juveniles should similarly avoid adult males to reduce predation risk. Den-site selection and use is an important component of grizzly bear ecology and may be influenced by multiple factors, including risk from conspecifics. To test the role of predation risk and the sex hypothesis of sexual segregation, we compared adult female (n = 142), adult male (n = 36), and juvenile (n = 35) den locations in Denali National Park and Preserve, Alaska, USA. We measured elevation, aspect, slope, and dominant land cover for each den site, and used maximum entropy modeling to determine which variables best predicted den sites. We identified the global model as the best-fitting model for adult female (area under curve (AUC) = 0.926) and elevation as the best predictive variable for adult male (AUC = 0.880) den sites. The model containing land cover and elevation best-predicted juvenile (AUC = 0.841) den sites. Adult females spatially segregated from adult males, with dens characterized by higher elevations (mean= 1,412 m, SE = 52) and steeper slopes (mean = 21.9°, SE = 1.1) than adult male (elevation: mean = 1,209 m, SE = 76; slope: mean = 15.6°, SE = 1.9) den sites. Juveniles used a broad range of landscape attributes but did not avoid adult male denning areas. Observed spatial segregation by adult females supports the sex hypothesis of sexual segregation and we suggest is a mechanism to reduce risk of infanticide. Den site selection of adult males is likely related to distribution of food resources during spring.

  17. Den sundhedsvidenskabelige opgave

    DEFF Research Database (Denmark)

    Lindahl, Marianne Pia; Juhl, Carsten Bogh

    troværdigheden af sine resultater. Bogen er opdateret, så den refererer til Microsoft Office 2013, og giver instruktioner og tips til: • Hvordan man bruger Word til hjælp med indholdsfortegnelse, overskrifter og korrektur • Hvordan man bruger Word til hjælp med diagrammer og tabeller• Hvordan man bruger Excel...

  18. The ethics of providing hope in psychotherapy.

    Science.gov (United States)

    Dembo, Justine Sarah; Clemens, Norman A

    2013-07-01

    The instillation of hope is a common factor in most psychotherapies. A considerable literature exists on the ethics of providing false or positively biased hope in non-psychiatric medical settings, and ethicists have generally concluded that this practice is unethical. However, the literature on the ethics of encouraging hope in psychotherapy, especially in the case of treatment-resistant mental illness, is sparse. The author explores two clinical cases with the intention of examining the nature of hope, false hope, positive illusions, and denial, as they relate to our definitions of mental health and psychotherapy. The cases highlight the ethics of balancing an acknowledgment of likely treatment futility with a desire to hope. Clinical psychological studies on depressive realism and optimistic bias indicate that some degree of positive bias, referred to by some authors as "the optimal margin of illusion," is in fact necessary to promote what we define as "good mental health;" conversely, stark realism is correlated with mild to moderate depression. An examination of the existential literature, including Ernest Becker's work, The Denial of Death, indicates that without the defense mechanism of denial, human beings tend to experience paralytic despair as a result of being fallible, mortal creatures in a frightening world. The combination of these diverse bodies of literature, along with the surprising outcomes of our case examples, leads to an unexpected conclusion: it may occasionally be ethical to encourage some degree of optimistic bias, and perhaps even positive illusion, when treating patients in psychotherapy.

  19. Serious Games for Psychotherapy: A Systematic Review.

    Science.gov (United States)

    Eichenberg, Christiane; Schott, Markus

    2017-06-01

    In the evolving digital age, media applications are increasingly playing a greater role in the field of psychotherapy. While the Internet is already in the phase of being established when it comes to the care of mental disorders, experimentation is going on with other modern media such as serious games. A serious game is a game in which education and behavior change is the goal, alongside with entertainment. The objective of the present article was to provide a first empirical overview of serious games applied to psychotherapy and psychosomatic rehabilitation. Therefore, a systematic literature search, including the terms "serious game" or "computer game" and "psychotherapy" or "rehabilitation" or "intervention" or "mental disorders" in the databases Medline and PsycINFO, was performed. Subsequently, an Internet search was conducted to identify studies not published in journals. Publications not providing empirical data about effectiveness were excluded. On the basis of this systematic literature review, the results of N = 15 studies met inclusion criteria. They utilized primarily cognitive behavioral techniques and can be useful for treating a range of mental disorders. Serious games are effective both as a stand-alone intervention or part of psychotherapy and appeal to patients independent of age and sex. Included serious games proved to be an effective therapeutic component. Nonetheless, findings are not conclusive and more research is needed to further investigate the effectiveness of serious games for psychotherapeutic purposes.

  20. Nelipühad Mozarti ooperitega Berliinis

    Index Scriptorium Estoniae

    2002-01-01

    Berliini Staatsoper Unter den Lindenil toob 18.-26. maini peadirigent Daniel Barenboimi juhatusel välja kolm Mozarti Lorenzo da Ponte libretole komponeeritud ooperit: "Figaro pulm", "Don Giovanni" ja "Cosi fan tutte". Talvise hooaja lõpetasid märtsis Staatsoperis Albert Lortzingi "Zar und Zimmermann" ja Gioachino Rossini "Sevilla habemeajaja"

  1. Den positive psykologis metoder

    DEFF Research Database (Denmark)

    Bogen introducerer til de mange metoder, som anvendes i positiv psykologi. dette sker ud fra en reflekteret tilgang, der ligeledes rummer bidrag fra kritisk psykologi med det formål at nuancere den positive psykologis forståelser...

  2. Psychotherapy for neurologists.

    Science.gov (United States)

    Hobday, Gabrielle S; Gabbard, Glen O

    2009-07-01

    Psychotherapy has traditionally been regarded as the purview of psychiatry rather than neurology. Yet, the doctor-patient relationship is fundamental to both specialties, and the principles that derive from psychotherapy theory and practice apply to that relationship regardless of the specialty. It is common knowledge that a large proportion of patients seen in the context of the practice of medicine have some kind of emotional disturbance. Moreover, patients with organic disease may also have significant emotional difficulties that complicate both the primary illness and its treatment. This experience inevitably has drawn attention to the need for the nonpsychiatric physician to have an understanding and proficiency in psychiatric diagnosis and psychotherapeutic principles. In this article, we consider basic psychotherapeutic principles that are useful in the everyday practice of neurologists and other nonpsychiatric physicians. These skills are important not only for practical reasons, but also because responsiveness to their emotional distress is essential to maintain empathy and caring as cornerstones of the art of medicine. With the use of clinical examples to illustrate these principles, we hope that readers can apply them to their own clinical experiences.

  3. Psychotherapy for chronic major depression and dysthymia: A meta analysis

    NARCIS (Netherlands)

    Cuijpers, P.; van Straten, A.; Schuurmans, J.; van Oppen, P.C.; Hollon, S.D.; Andersson, G.

    2010-01-01

    Although several studies have examined the effects of psychotherapy on chronic depression and dysthymia, no meta-analysis has been conducted to integrate results of these studies. We conducted a meta-analysis of 16 randomized trials examining the effects of psychotherapy on chronic depression and

  4. Psychotherapy for chronic major depression and dysthymia: A meta analysis.

    NARCIS (Netherlands)

    Cuijpers, P.; van Straten, A.; Schuurmans, J.; van Oppen, P.C.; Hollon, S.D.; Andersson, G.

    2009-01-01

    Although several studies have examined the effects of psychotherapy on chronic depression and dysthymia, no meta-analysis has been conducted to integrate results of these studies. We conducted a meta-analysis of 16 randomized trials examining the effects of psychotherapy on chronic depression and

  5. The self is an illusion: a conceptual framework for psychotherapy.

    Science.gov (United States)

    Stankevicius, Steve

    2017-06-01

    To explain the illusory nature of the self and explore its implications for psychotherapy. Our usual experience of the self is an illusion. Rather than a discrete entity, it is a network of processes that maintains apparent irreducible unity via alterations of perceptions, beliefs, intentions and memories. By providing an efficient summary of an individual and its surroundings, the self-illusion allows one to predict, experience and interact with the world efficiently. Targeting mechanisms that preserve the self-illusion could provide a focus for psychotherapy. Viewing the self as a complex network offers a valuable conceptual framework for psychotherapy.

  6. Psychotherapies for Children and Adolescents

    Science.gov (United States)

    ... in intentionally self-harmful behaviors, or have Borderline Personality Disorder. DBT emphasizes taking responsibility for one's problems and ... is a form of psychotherapy where there are multiple patients led by one or more therapists. It ...

  7. Hypnotic Psychotherapy with Sex Offenders

    Science.gov (United States)

    Moseley, Sullivan; Briggs, Wanda P.; Magnus, Virginia

    2005-01-01

    The authors review the literature on the prevalence of sex offenders; multiple treatment modalities; and implications of the use of hypnotic psychotherapy, coupled with cognitive behavioral treatment programs, for treating sex offenders. (Contains 2 tables.)

  8. Mobile Phone-Based Mood Ratings Prospectively Predict Psychotherapy Attendance.

    Science.gov (United States)

    Bruehlman-Senecal, Emma; Aguilera, Adrian; Schueller, Stephen M

    2017-09-01

    Psychotherapy nonattendance is a costly and pervasive problem. While prior research has identified stable patient-level predictors of attendance, far less is known about dynamic (i.e., time-varying) factors. Identifying dynamic predictors can clarify how clinical states relate to psychotherapy attendance and inform effective "just-in-time" interventions to promote attendance. The present study examines whether daily mood, as measured by responses to automated mobile phone-based text messages, prospectively predicts attendance in group cognitive-behavioral therapy (CBT) for depression. Fifty-six Spanish-speaking Latino patients with elevated depressive symptoms (46 women, mean age=50.92years, SD=10.90years), enrolled in a manualized program of group CBT, received daily automated mood-monitoring text messages. Patients' daily mood ratings, message response rate, and delay in responding were recorded. Patients' self-reported mood the day prior to a scheduled psychotherapy session significantly predicted attendance, even after controlling for patients' prior attendance history and age (OR=1.33, 95% CI [1.04, 1.70], p=.02). Positive mood corresponded to a greater likelihood of attendance. Our results demonstrate the clinical utility of automated mood-monitoring text messages in predicting attendance. These results underscore the value of text messaging, and other mobile technologies, as adjuncts to psychotherapy. Future work should explore the use of such monitoring to guide interventions to increase attendance, and ultimately the efficacy of psychotherapy. Copyright © 2017. Published by Elsevier Ltd.

  9. Plain film emergency radiology of child abuse: a strategy; Die akute Roentgendiagnostik der Kindesmisshandlung: Eine Strategie

    Energy Technology Data Exchange (ETDEWEB)

    Oestreich, A.E. [Children`s Hospital Medical Center, Cincinnati OH (United States). Dept. of Radiology

    1998-04-01

    A strategy is proposed for the dedicated interpretation of possible radiographic plain film signs that are suspicious for indicating child abuse. For each sign, the features `PRO` raise the question of abuse, while radiographic or clinical findings `CON` suggest an alternate explanation. Birth trauma, oesteogenesis imperfecta, rescue trauma, and metastatic neuroblastoma are among the many entities cited. A triad of situations may lead a radiologist to look systematically for changes from abuse; a triad of resolutions may result from the search. Periosteal reaction is the major factor in dating of fractures; physiologic periosteal reaction of infancy and periosteal reaction from previous fracture must be considered when so dating fractures. (orig.) [Deutsch] Es wird eine Strategie fuer die genaue Interpretation roentgenologischer Befunde, die auf eine Kindesmisshandlung hindeuten koennen, vorgeschlagen. Fuer jeden Befund werfen die unter `PRO` aufgefuehrten Merkmale die Frage nach einer Kindesmisshandlung auf, waehrend radiologische und klinische Befunde unter `CON` andere Erklaerungen nahelegen. Geburtstrauma, Osteogenesis imperfecta, Rettungstrauma und metastasierendes Neuroblastom sind unter den vielen zitierten Differentialdiagnosen. Drei moegliche Situationen koennen den Radiologen dazu veranlassen, systematisch nach Zeichen einer Kindesmisshandlung zu suchen, 3 moegliche Loesungen koennen aus dieser Suche hervorgehen. Eine Periostreaktion ist ein Kardinalbefund zur Datierung von Frakturen. Physiologische Periostreaktionen im fruehen Kindesalter und Periostreaktionen durch fruehere Frakturen muessen bei einer solchen Datierung von Frakturen mitbedacht werden. (orig.)

  10. GMO-afgrøder ikke den eneste løsning

    DEFF Research Database (Denmark)

    Jacobsen, Niels; Jacobsen, Sven-Erik; Sørensen, Marten

    2010-01-01

    Er GMO-afgrøder den optimale løsning på klodens fremtidige plantebaserede fødevareproduktion? Findes der alternativer? Det er der to meget klare svar på:GMOafgrøderer ikke den eneste løsning, og ja, der findes mange og langt mere attraktive, bæredygtige løsninger......Er GMO-afgrøder den optimale løsning på klodens fremtidige plantebaserede fødevareproduktion? Findes der alternativer? Det er der to meget klare svar på:GMOafgrøderer ikke den eneste løsning, og ja, der findes mange og langt mere attraktive, bæredygtige løsninger...

  11. Individual Psychotherapy ("Talking Therapy"): A Survey of Attitudes among Residents & Specialists in Psychiatry, Israel 2010-2011.

    Science.gov (United States)

    Levi Shachar, Orit; Mendlovic, Shlomo; Hertzberg, Libi; Baruch, Yehuda; Lurie, Ido

    2016-01-01

    Individual psychotherapy is an efficient tool and an integral part of psychiatric treatment. However, its status among psychiatrists in Israel has never been explored. To explore and map the attitudes of psychiatrists in Israel regarding psychotherapy and psychotherapy training during residency, with comparisons between residents vs. specialists, peripheral vs. central institutions and mental health vs. medical centers. We conducted a cross-sectional survey to examine the attitudes toward individual psychotherapy. The questionnaire was delivered via email and direct approach to psychiatrists in Israel. The survey was completed by 229 of 1,502 registered psychiatrists (15.3%). While 96% (n=218) had positive attitudes towards psychotherapy, 93.1% (n=215) thought psychotherapy was less available than pharmacotherapy. Psychiatrists from peripheral institutions prefer cognitive behavioral therapy, while psychiatrists from central institutions prefer dynamic psychotherapy. Psychiatrists from mental health centers use more dynamic psychotherapy compared to psychiatrists from medical centers. The number of dynamic psychotherapy treatments psychiatrists delivered during their residencies has been decreasing over time, meaning residents today deliver fewer dynamic psychotherapy treatments compared to the number of treatments specialists delivered during their residencies. Additionally, 97.4% (n=225) believed psychotherapy training should be included in the psychiatric residency and 87.3% thought that the training should be improved to a great extent. The survey demonstrates mixed but overall positive attitudes towards psychotherapy among psychiatrists in Israel. The findings should be taken into consideration by psychiatrists who design the residency program and by policy makers who are in charge of the mental health reform in Israel, or the psychotherapy usage and therapeutic potential may diminish, as has happened in other countries.

  12. Den skjulte religion

    DEFF Research Database (Denmark)

    Rubow, Cecilie

    2001-01-01

    Kulturbegrebet har længe været genstand for kritik i human- og samfundsvidenskaberne. Studier i Vesteuropa, blandt andet i det danske folkekirkelige felt, viser, at der er flere paralleller at drage til religionsbegrebet. Der er behov for at bevæge sig væk fra den rutineprægede beskrivelse og gøre...

  13. A Systematic Review of the Combined Use of Electroconvulsive Therapy and Psychotherapy for Depression

    Science.gov (United States)

    McClintock, Shawn M.; Brandon, Anna R.; Husain, Mustafa M.; Jarrett, Robin B.

    2011-01-01

    Objective Electroconvulsive therapy (ECT) is one of the most effective treatments for severe Major Depressive Disorder (MDD). However, after acute phase treatment and initial remission, relapse rates are significant. Strategies to prolong remission include continuation phase ECT, pharmacotherapy, psychotherapy, or their combinations. This systematic review synthesizes extant data regarding the combined use of psychotherapy with ECT for the treatment of patients with severe MDD and offers the hypothesis that augmenting ECT with depression-specific psychotherapy represents a promising strategy for future investigation. Methods The authors performed two independent searches in PsychInfo (1806 – 2009) and MEDLINE (1948 – 2009) using combinations of the following search terms: Electroconvulsive Therapy (including ECT, ECT therapy, electroshock therapy, EST, shock therapy) and Psychotherapy (including cognitive behavioral, interpersonal, group, psychodynamic, psychoanalytic, individual, eclectic, and supportive). We included in this review a total of six articles (English language) that mentioned ECT and psychotherapy in the abstract, and provided a case report, series, or clinical trial. We examined the articles for data related to ECT and psychotherapy treatment characteristics, cohort characteristics, and therapeutic outcome. Results Although research over the past seven decades documenting the combined use of ECT and psychotherapy is limited, the available evidence suggests that testing this combination has promise and may confer additional, positive functional outcomes. Conclusions Significant methodological variability in ECT and psychotherapy procedures, heterogeneous patient cohorts, and inconsistent outcome measures prevent strong conclusions; however, existing research supports the need for future investigations of combined ECT and psychotherapy in well-designed, controlled clinical studies. Depression-specific psychotherapy approaches may need special

  14. Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement

    Directory of Open Access Journals (Sweden)

    Hamm JA

    2013-08-01

    Full Text Available Jay A Hamm,1 Ilanit Hasson-Ohayon,2 Marina Kukla,3 Paul H Lysaker11Richard L Roudebush VA Medical Center, Department of Psychiatry, Indianapolis, IN, USA; 2Bar-Ilan University, Department of Psychology, Ramat Gan, Israel; 3Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, Richard L Roudebush VA Medical Center, Indianapolis, IN, USAAbstract: Although the role and relative prominence of psychotherapy in the treatment of schizophrenia has fluctuated over time, an analysis of the history of psychotherapy for schizophrenia, focusing on findings from the recovery movement, reveals recent trends including the emergence of the development of integrative psychotherapy approaches. The authors suggest that the recovery movement has revealed limitations in traditional approaches to psychotherapy, and has provided opportunities for integrative approaches to emerge as a mechanism for promoting recovery in persons with schizophrenia. Five approaches to integrative psychotherapy for persons with schizophrenia are presented, and a shared conceptual framework that allows these five approaches to be compatible with one another is proposed. The conceptual framework is consistent with theories of recovery and emphasizes interpersonal attachment, personal narrative, and metacognitive processes. Implications for future research on integrative psychotherapy are considered.Keywords: schizophrenia, psychotherapy, recovery, metacognition, psychosis, integrative psychotherapy

  15. Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement.

    Science.gov (United States)

    Hamm, Jay A; Hasson-Ohayon, Ilanit; Kukla, Marina; Lysaker, Paul H

    2013-01-01

    Although the role and relative prominence of psychotherapy in the treatment of schizophrenia has fluctuated over time, an analysis of the history of psychotherapy for schizophrenia, focusing on findings from the recovery movement, reveals recent trends including the emergence of the development of integrative psychotherapy approaches. The authors suggest that the recovery movement has revealed limitations in traditional approaches to psychotherapy, and has provided opportunities for integrative approaches to emerge as a mechanism for promoting recovery in persons with schizophrenia. Five approaches to integrative psychotherapy for persons with schizophrenia are presented, and a shared conceptual framework that allows these five approaches to be compatible with one another is proposed. The conceptual framework is consistent with theories of recovery and emphasizes interpersonal attachment, personal narrative, and metacognitive processes. Implications for future research on integrative psychotherapy are considered.

  16. Individual psychotherapy for schizophrenia: trends and developments in the wake of the recovery movement

    Science.gov (United States)

    Hamm, Jay A; Hasson-Ohayon, Ilanit; Kukla, Marina; Lysaker, Paul H

    2013-01-01

    Although the role and relative prominence of psychotherapy in the treatment of schizophrenia has fluctuated over time, an analysis of the history of psychotherapy for schizophrenia, focusing on findings from the recovery movement, reveals recent trends including the emergence of the development of integrative psychotherapy approaches. The authors suggest that the recovery movement has revealed limitations in traditional approaches to psychotherapy, and has provided opportunities for integrative approaches to emerge as a mechanism for promoting recovery in persons with schizophrenia. Five approaches to integrative psychotherapy for persons with schizophrenia are presented, and a shared conceptual framework that allows these five approaches to be compatible with one another is proposed. The conceptual framework is consistent with theories of recovery and emphasizes interpersonal attachment, personal narrative, and metacognitive processes. Implications for future research on integrative psychotherapy are considered. PMID:23950665

  17. Is There Room for Criticism of Studies of Psychodynamic Psychotherapy?

    Science.gov (United States)

    Thombs, Brett D.; Jewett, Lisa R.; Bassel, Marielle

    2011-01-01

    Comments on the original article, "The efficacy of psychodynamic psychotherapy," by J. Shedler. Shedler declared unequivocally that "empirical evidence supports the efficacy of psychodynamic therapy" (p. 98). He did not mention any specific criticisms that have been made of evidence on psychodynamic psychotherapies or address possible distinctions…

  18. [SOPHO-NET - a research network on psychotherapy for social phobia].

    Science.gov (United States)

    Leichsenring, Falk; Salzer, Simone; Beutel, Manfred E; von Consbruch, Katrin; Herpertz, Stephan; Hiller, Wolfgang; Hoyer, Jürgen; Hüsing, Johannes; Irle, Eva; Joraschky, Peter; Konnopka, Alexander; König, Hans-Helmut; de Liz, Therese; Nolting, Björn; Pöhlmann, Karin; Ruhleder, Mirjana; Schauenburg, Henning; Stangier, Ulrich; Strauss, Bernhard; Subic-Wrana, Claudia; Vormfelde, Stefan V; Weniger, Godehard; Willutzki, Ulrike; Wiltink, Jörg; Leibing, Eric

    2009-01-01

    This paper presents the Social Phobia Psychotherapy Research Network (SOPHO-NET). SOPHO-NET is among the five research networks on psychotherapy funded by "Bundesministerium für Bildung und Forschung". The research program encompasses a coordinated group of studies of social phobia. In the central project (Study A), a multi-center randomized controlled trial, refined models of manualized cognitive-behavioral therapy (CBT) and manualized short-term psychodynamic psychotherapy (STPP) are compared in the treatment of social phobia. A sample of n=512 outpatients will be randomized to either CBT, STPP or wait list. For quality assurance and treatment integrity, a specific project has been established (Project Q). Study A is complemented by four interrelated projects focusing on attachment style (Study B1), cost-effectiveness (Study B2), polymorphisms in the serotonin transporter gene (Study C1) and on structural and functional deviations of hippocampus and amygdala (Study C2). Thus, the SOPHO-NET program allows for a highly interdisciplinary research of psychotherapy in social phobia.

  19. Training Psychiatry Residents in Psychotherapy: The Role of Manualized Treatments.

    Science.gov (United States)

    Pagano, Joshua; Kyle, Brandon N; Johnson, Toni L; Saeed, Sy Atezaz

    2017-06-01

    Evidence-based treatment and manualized psychotherapy have a recent but rich history. As interest and research have progressed, defining the role of treatment manuals in resident training and clinical practice has become more important. Although there is not a universal definition of treatment manual, most clinicians and researchers agree that treatment manuals are an essential piece of evidence-based therapy, and that despite several limitations, they offer advantages in training residents in psychotherapy. Requirements for resident training in psychotherapy have changed over the years, and treatment manuals offer a simple and straightforward way to meet training requirements. In a search limited to only depression, two treatment manuals emerged with the support of research regarding both clinical practice and resident training. In looking toward the future, it will be important for clinicians to remain updated on further advances in evidence based manualized treatment as a tool for training residents in psychotherapy, including recent developments in online and smartphone based treatments.

  20. [New Paradigms? Current Trends within National and International Psychotherapy Research].

    Science.gov (United States)

    Strauß, Bernhard

    2015-09-01

    This article is devoted to the question which paradigms currently determine psychotherapy and psychotherapy research, and if there are indicators of paradigm changes in this field. The question of the efficacy and effectiveness (including the effectiveness of a transfer of psychotherapeutic knowledge to service) is specifically focussed as well as the question of the central therapeutic factors and the significance of the person of the therapist. It is argued that there are really some signals of a paradigm switch, with a turn away from controlled outcome research, representing only a minor part of patients in need of psychotherapy, towards a more specific process oriented research, also considering differential effects of the therapist. The most prominent indicator of a paradigm change is reflected by an increasing influence of patient oriented psychotherapy research which - consequently - should also be supported by the insurances as well as the funding organisations. © Georg Thieme Verlag KG Stuttgart · New York.

  1. Qualitative psychotherapy research: the journey so far and future directions.

    Science.gov (United States)

    Levitt, Heidi M

    2015-03-01

    This article documents the evolution of qualitative psychotherapy research over the past 3 decades. Clients' and therapists' accounts of their experiences in psychotherapy provide a window into the psychotherapy relationship and its mechanisms of change. A sizable body of literature has been generated that uses qualitative methods to collect and analyze these accounts and to shed light on the psychotherapy process. It notes changes in the field such as growing numbers of dissertations and publications using qualitative methods as well as a strengthening emphasis on qualitative research within graduate education and research funding bodies. Future recommendations include developing principles for practice from qualitative methods and conducting qualitative meta-analyses. Other recommendations include forming journal review policies that support the publication of qualitative research and that focus on coherence in adapting methods to meet research goals, in light of a study's characteristics and epistemological framework, rather than focusing on sets of procedures. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

  2. The cost-effectiveness of psychotherapy for the major psychiatric diagnoses.

    Science.gov (United States)

    Lazar, Susan G

    2014-09-01

    Psychotherapy is an effective and often highly cost-effective medical intervention for many serious psychiatric conditions. Psychotherapy can also lead to savings in other medical and societal costs. It is at times the firstline and most important treatment and at other times augments the efficacy of psychotropic medication. Many patients are in need of more prolonged and intensive psychotherapy, including those with personality disorders and those with chronic complex psychiatric conditions often with severe anxiety and depression. Many patients with serious and complex psychiatric illness have experienced severe early life trauma in an atmosphere in which family members or caretakers themselves have serious psychiatric disorders. Children and adolescents with learning disabilities and those with severe psychiatric disorders can also require more than brief treatment. Other diagnostic groups for whom psychotherapy is effective and cost-effective include patients with schizophrenia, anxiety disorders (including posttraumatic stress disorder), depression, and substance abuse. In addition, psychotherapy for the medically ill with concomitant psychiatric illness often lowers medical costs, improves recovery from medical illness, and at times even prolongs life compared to similar patients not given psychotherapy. While "cost-effective" treatments can yield savings in healthcare costs, disability claims, and other societal costs, "cost-effective" by no means translates to "cheap" but instead describes treatments that are clinically effective and provided at a cost that is considered reasonable given the benefit they provide, even if the treatments increase direct expenses. In the current insurance climate in which Mental Health Parity is the law, insurers nonetheless often use their own non-research and non-clinically based medical necessity guidelines to subvert it and limit access to appropriate psychotherapeutic treatments. Many patients, especially those who need

  3. Personality Theory and Psychotherapy

    Science.gov (United States)

    Fagan, Joen; And Others

    1974-01-01

    This group of articles discusses various aspects of Gestalt Therapy including its major contributions, role in psychotherapy, and contributions of Gestalt psychology in general. There is some discussion of the philosophical background of Gestalt therapy along with Gestalt theory of emotion. A case study and an annotated bibliography are included…

  4. Towards a taxonomy of common factors in psychotherapy-results of an expert survey.

    Science.gov (United States)

    Tschacher, Wolfgang; Junghan, Ulrich Martin; Pfammatter, Mario

    2014-01-01

    How change comes about is hotly debated in psychotherapy research. One camp considers 'non-specific' or 'common factors', shared by different therapy approaches, as essential, whereas researchers of the other camp consider specific techniques as the essential ingredients of change. This controversy, however, suffers from unclear terminology and logical inconsistencies. The Taxonomy Project therefore aims at contributing to the definition and conceptualization of common factors of psychotherapy by analyzing their differential associations to standard techniques. A review identified 22 common factors discussed in psychotherapy research literature. We conducted a survey, in which 68 psychotherapy experts assessed how common factors are implemented by specific techniques. Using hierarchical linear models, we predicted each common factor by techniques and by experts' age, gender and allegiance to a therapy orientation. Common factors differed largely in their relevance for technique implementation. Patient engagement, Affective experiencing and Therapeutic alliance were judged most relevant. Common factors also differed with respect to how well they could be explained by the set of techniques. We present detailed profiles of all common factors by the (positively or negatively) associated techniques. There were indications of a biased taxonomy not covering the embodiment of psychotherapy (expressed by body-centred techniques such as progressive muscle relaxation, biofeedback training and hypnosis). Likewise, common factors did not adequately represent effective psychodynamic and systemic techniques. This taxonomic endeavour is a step towards a clarification of important core constructs of psychotherapy. This article relates standard techniques of psychotherapy (well known to practising therapists) to the change factors/change mechanisms discussed in psychotherapy theory. It gives a short review of the current debate on the mechanisms by which psychotherapy works. We

  5. Vrouekarakters in enkele prosawerke van C.M. van den Heever

    Directory of Open Access Journals (Sweden)

    E. Botha

    2003-08-01

    Full Text Available The role of women in some prose works of C.M. van den Heever Re-reading the C.M. van den Heever “classics” Somer (1935 and Laat vrugte (1939 within the framework of Van den Heever criticism through the years, one becomes aware that central themes in his oeuvre are acted out by women. The beautiful young girl Linda in Somer embodies the sadness of the transcience of beauty and happiness. Through Ouma Willa, Betta and Johanna – three women from three generations in Laat vrugte – the theme of the endurance of the memory of love and passion beyond decay and death is expressed. A cursory examination of other and earlier works by Van den Heever – Op die plaas (1927, Langs die grootpad (1928, Kromburg (1937 and the short story “Leuens” (Lies from Vuurvlieg en sterre (1934 – bears out the observation that women express core meanings in C.M. van den Heever’s prose works.

  6. Vildsvin uønsket i den danske natur

    DEFF Research Database (Denmark)

    Andersen, Camilla Brasch; Bald, Caroline; Uttenthal, Åse

    2011-01-01

    Vildsvin ønskes fortsat ikke etableret i den danske natur, da de udgør en smitterisiko for husdyr og mennesker. det er helt essentielt for bekæmpelsen, at lodsejere og jægere deltager aktivt. de skal lokalisere de vildsvin, der allerede findes i den danske natur, og nedlægge dem....

  7. Kontrastmittelverstärkte Magnet-Resonanz-Urographie unter forcierter Diurese - Stellenwert in der Differentialdiagnostik bei Obstruktionen des oberen Harntraktes

    Directory of Open Access Journals (Sweden)

    Jung P

    2001-01-01

    Full Text Available Die Magnet-Resonanz-Urographie (MRU ist ein relativ neues Verfahren in der Diagnostik des oberen Harntraktes. Das Ziel dieser Studie war der Vergleich der Aussagefähigkeit der MRU unter Gabe von Gadolinium und Furosemid und dem konventionellen Urogramm (IVU in der Diagnostik der Ursache von Obstruktionen im Bereich des Harnleiters. 82 Patienten mit im IVU nachgewiesener Obstruktion des oberen Harntraktes oder urographisch stummer Niere bei sonographisch nachgewiesener Dilatation wurden der MRU zugeführt. Die Bilder beider Untersuchungsmethoden wurden von voneinander unabhängigen Untersuchern befundet. Zwei Urologen befundeten die IVU-Bilder, zwei Radiologen die MRU-Bilder, die Radiologen kannten die IVU-Diagnose nicht. Bei unklarer Diagnose wurden weitere Untersuchungen wie Computertomographie, retrograde Pyelographie oder Ureteroskopie durchgeführt. Die Diagnosen waren: Harnleitersteine bei 72 Patienten, Harnleitertumore bei 8 Patienten und extraureterale Tumore bei 2 Patienten. Eine richtige Diagnose bei den Steinpatienten wurde durch IVU bei 49 von 72 Patienten und durch MRU bei 64 von 72 Patienten gestellt. In dieser Patientengruppe wurden durch die MRU zwei falsche Diagnosen gestellt. Fehlende Kontrastmittelausscheidung war der Hauptgrund für Versagen der IVU. 3 der 8 Patienten mit Harnleitertumoren wurden durch die IVU richtig dignostiziert, bei dreien wurde eine falsche Diagnose gestellt. Durch die MRU konnten in dieser Gruppe 7 von 8 Patienten korrekt diagnostiziert werden, es wurde keine falsche Diagnose erhoben. IVU wird zunächst die Standarduntersuchungstechnik zur Darstellung des oberen Harntraktes bleiben, aber durch diese Studie konnte die Möglichkeit gezeigt werden, die in der MRU in Kombination mit Gadolinium und Furosemid liegt. Die größte Bedeutung dieser Untersuchung liegt in der urographisch stummen Niere, bei Untersuchungen in der Schwangerschaft, bei Kindern und bei Patienten mit Kontrastmittelunverträglichkeit.

  8. Skaber den nye økonomi højere produktivitet?

    DEFF Research Database (Denmark)

    Dilling-Hansen, Mogens; Madsen, Erik Strøjer; Smith, Valdemar

    2001-01-01

    Den kraftige og vedvarende vækst i USA og det tilhørende boom i IT-sektoren er grundlaget for begrebet 'Den nye Økonomi', der er dukket op i sidste halvdel af 90'erne. Den grundlæggende sammenhæng mellem de to fænomener er, at IT-industrien i sig selv og produktivitetsstigninger i de øvrige branc......-sektoren i servicesektoren, der har haft store produktivitetsstigninger. Det gælder også for telekommunikationssektoren, medens der blandt IT-konsulentvirksomheder lidt overraskende ikke kan påvises tilsvarende produktivitetsstigninger....

  9. Interpersonal Psychotherapy for Depressed Adolescents (IPT-A): A Case Illustration

    Science.gov (United States)

    Hall, Elisabeth Baerg; Mufson, Laura

    2009-01-01

    This article describes the treatment of a depressed adolescent (15 years of age) boy using Interpersonal Psychotherapy for depressed adolescents (IPT-A). IPT-A is an empirically supported psychosocial intervention for adolescents suffering from a depressive episode. It is delivered as an individual psychotherapy with a minimum of parental…

  10. [Psychotherapy research in the German-speaking community--a bibliometric analysis of three journals].

    Science.gov (United States)

    Petermann, Franz; Schüssler, Gerhard

    2010-01-01

    Psychotherapy research has often been considered a neglected topic in clinical psychology, psychosomatic medicine, and psychiatry because of its massive organizational and financial demands. However, it is unclear whether this assumption actually reflects the research activities in the field. We conducted a bibliometric analysis of the annual volumes for 2008 and 2009 of three clinical journals published in German. All publications referring to facets of psychotherapy research were analysed. About 30% of the publications dealt with issues of psychotherapy research. Outcome and process studies were about equally distributed. Process research frequently focused on patient variables as outcome predictors. Outcome studies most often presented effectiveness studies with rather small sample sizes. Psychotherapy research is a well-represented and multifaceted field in the German speaking research community. However, the traditional distinction between efficacy and process research among the various schools of psychotherapy research may be hampering further developments in this branch. The government-funded research networks may turn out to be promising approaches to overcoming some of the obstacles of classic psychotherapy research.

  11. [Attitudes towards psychotherapy in South Korea and Germany : A cross-cultural comparative study].

    Science.gov (United States)

    Schulz, W; Shin, M A; Schmid-Ott, G

    2018-01-01

    Due to the relatively recent introduction of psychotherapy in South Korea and against the background of collectivist and Confucian values, it has been suggested that South Koreans harbor more negative attitudes towards psychotherapy compared to Germans and that the social acceptance of psychotherapy is lower. We compared the attitudes of 99 women from South Korea with 98 German women using the questionnaire on attitudes towards psychotherapeutic treatment (FEP). For the study of the South Korean women we translated the questionnaire into the Korean language. The results of the psychometric analysis suggest that the Korean version of the FEP is of acceptable quality. South Korean women reported a significantly more negative attitude towards psychotherapy compared to German women. Furthermore, South Korean women anticipated a more skeptical social attitude towards psychotherapy compared to Germans. The presented results suggest the relevance of cultural imprinting in psychotherapy. They are discussed with respect to culture-specific self-concepts, concepts of disease and healing expectations and the increase of individualistic values in the Korean society.

  12. Counselling/psychotherapy and older people in medical settings.

    OpenAIRE

    Trethewey-Spurgeon, Celia.

    2004-01-01

    This study explores the nature of the need for counselling/psychotherapy for older people who suffer a debilitating physical injury or illness. This topic is investigated within a medical setting where the emphasis is on physical rehabilitation. The relevance of this inquiry is highlighted by the paucity of literature about the individual impact of such an event and the need for counselling/psychotherapy in these situations. Theories, on the ageing process, the body, and the self, are used to...

  13. Mathematisches Bewusstsein

    Science.gov (United States)

    Kaenders, Rainer; Kvasz, Ladislav

    Wenn jemand sagt, dass ein Bus um 9 Uhr abfährt - weiß man es dann? Angenommen, man ist darüber unterrichtet, dass die Busse unter der Woche immer zur vollen Stunde abfahren - von 7 Uhr morgens bis 7 Uhr abends, weiß man es dann mit dem Wissen um diese allgemeine Regel besser, dass der Bus um 9 Uhr abfährt? Macht es einen Unterschied, ob man den Fahrplan erstellt, den Bus lenkt oder nur mitfährt, um sich dieser Tatsache bewusst zu sein?

  14. Den europæiske sukkersektor - efter reformerne

    DEFF Research Database (Denmark)

    Hansen, Henning Otte

    2017-01-01

    Med reformerne af EU’s sukkerpolitik ændredes vilkårene for hele den europæiske sukkersektor. Resultatet ses nu i form af stærkere struktur- og produktivitetsudvikling og dermed en stigende international konkurrenceevne.......Med reformerne af EU’s sukkerpolitik ændredes vilkårene for hele den europæiske sukkersektor. Resultatet ses nu i form af stærkere struktur- og produktivitetsudvikling og dermed en stigende international konkurrenceevne....

  15. Dansk udlevering efter den europæiske arrestordre

    DEFF Research Database (Denmark)

    Elholm, Thomas; Bang Fuglsang Madsen Sørensen, Henning

    2016-01-01

    Den europæiske arrestordre, der blev vedtaget af EU i 2002, har haft stor betydning for retsudviklingen vedrørende udlevering af personer til strafforfølgning eller strafafsoning i EU. Danmark er - trods retsforbeholdet - fuldt ud med i ordningen om arrestordren, og mange danske domstole har...... efterhånden haft sådanne sager. Det har givet anledning til en række vanskelige juridiske spørgsmål. I den sidste tid har det især drejet sig om, hvorvidt udlevering kan afslås med henvisning til urimelige fængselsforhold i andre lande. EU-domstolen har den 5. april 2016 afsagt en vigtig dom om spørgsmålet...

  16. Predicting the service life of connecting rod and main bearings, taking into account different engine loads. Final report; Lebensdauervorhersage fuer Pleuel- und Hauptlager unter Beruecksichtigung unterschiedlicher Motorlastkollektive. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Berkowitz, B.; Lueneburg, B.; Liu, J.

    1994-12-31

    Connecting rod and main bearings of internal combustion engines are among the most heavily stressed components in modern engines. It was found that these engine components are increasingly reaching the limits of their strength and therefore become the components limiting engine life. However, there is no known process which makes a calculated prediction of the service life of modern connecting rod and main bearings possible, taking into account various engine loads. In this research project, a new concept for the calculated prediction of the service life of non-static highly loaded radial sliding bearings is worked out. The basis is a process of calculation which realistically determines the pressure and gap course in highly loaded sliding bearings. Apart from the viscosity depending on pressure and temperature, the elastic deformations of the system sliding bearing/conn rod are also taken into account. Calculations are done for different operating points for a complete cycle of a four stroke Diesel engine (Daimler-Benz OM 364 LA). The results are compared with the present conventional process of calculation and the effects which occur are discussed. Based on the elasto-hydrodynamic calculation, a method of calculating the service life of non-statically loaded sliding bearings, taking into account various motor loads, is worked out. (orig./HW) [Deutsch] Pleuel- und Hauptlager von Verbrennungskraftmaschinen zaehlen mit zu den spezifisch am hoechsten beanspruchten Bauteilen in modernen Motoren. Es hat sich gezeigt, dass vor allem diese Maschinenelemente zunehmend an die Grenzen ihrer Belastbarkeit stossen und so zum lebensdauerbegrenzenden Bauteil werden. Es ist jedoch kein Verfahren bekannt, das eine rechnerische Lebensdauervorhersage moderner Pleuel- und Hauptlager unter Beruecksichtigung unterschiedlicher Motorlastkollektive ermoeglicht. Im vorliegenden Forschungsvorhaben wird daher ein neuartiges Konzept zur rechnerischen Lebensdauervorhersage von instationaeren

  17. Den Dansk-Engelske Regnskabsordbog/Danish-English Dictionary of Accounting

    DEFF Research Database (Denmark)

    Nielsen, Sandro; Mourier, Lise; Bergenholtz, Henning

    Den Dansk-Engelske Regnskabsordbog. Hver af ordbøgerne har 4.100 opslagsord og ca. 15.000 ordforbindelser. Ordbøgerne bygger primært på den gældende danske årsregnskabslov, danske regnskabsvejledninger og internationale regnskabsstandarder (IAS/IFRS)....

  18. Investigations of pollutant migration using lysimeters; Untersuchungen zur Schadstoff-Migration in Lysimetern

    Energy Technology Data Exchange (ETDEWEB)

    Klotz, D. (ed.)

    2002-07-01

    The third GSF Lysimeter Workshop focused on pollutant migration in underground strata, i.e. the dispersion of water constituents as referred to water transport on the basis of ideal tracer investigations. [German] Der am 29./30.04.2002 stattgefundene Workshop 'Untersuchungen zur Schadstoffmigration in Lysimetern' war der dritte GSF-Lysimeterworkshop nach denen in den Jahren 1998 und 2000 veranstalteten. Nachdem in den Jahren 1998 und 2000 der Wassertransport und die Bestimmung der Sickerwassergeschwindigkeit in Lysimetern im Mittelpunkt standen, war 2002 die Schadstoffmigration im Untergrund der Schwerpunkt der Vortraege und Poster. Unter Migration wird das Ausbreitungsverhalten von Wasserinhalts-(Fremd-, Schad-)Stoffen bezogen auf den Wassertransport, bestimmt mit idealen Tracern, verstanden. (orig.)

  19. [MBA - The Physician of Tomorrow?

    Science.gov (United States)

    Bork, U; Welsch, T; Weitz, J

    2015-12-01

    In den letzten zehn Jahren hat sich das deutsche Gesundheitssystem zunehmend gewandelt. Kliniken stehen unter deutlichem ökonomischen Druck und betriebswirtschaftliches Wissen wird auch für Mediziner immer wichtiger, auch um mit der Klinikverwaltung optimal im Sinne der Patienten zusammenarbeiten zu können. Medizin und Ökonomie stehen hierbei nicht im Widerspruch zueinander. Durch effizientere Leitung einer Abteilung lassen sich häufig Ressourcen einsparen, Prozessabläufe besser gestalten und auch für den Patienten vorteilhafte Ergebnisse bezüglich Service und medizinischer Qualität erzielen.In den letzten Jahren hat das Angebot an ökonomischen und betriebswirtschaftlichen Zusatzstudiengängen und Weiterbildungsangeboten für Mediziner stetig zugenommen und wird im Folgenden beleuchtet.

  20. Despotism and risk of infanticide influence grizzly bear den-site selection.

    Directory of Open Access Journals (Sweden)

    Nathan S Libal

    Full Text Available Given documented social dominance and intraspecific predation in bear populations, the ideal despotic distribution model and sex hypothesis of sexual segregation predict adult female grizzly bears (Ursus arctos will avoid areas occupied by adult males to reduce risk of infanticide. Under ideal despotic distribution, juveniles should similarly avoid adult males to reduce predation risk. Den-site selection and use is an important component of grizzly bear ecology and may be influenced by multiple factors, including risk from conspecifics. To test the role of predation risk and the sex hypothesis of sexual segregation, we compared adult female (n = 142, adult male (n = 36, and juvenile (n = 35 den locations in Denali National Park and Preserve, Alaska, USA. We measured elevation, aspect, slope, and dominant land cover for each den site, and used maximum entropy modeling to determine which variables best predicted den sites. We identified the global model as the best-fitting model for adult female (area under curve (AUC = 0.926 and elevation as the best predictive variable for adult male (AUC = 0.880 den sites. The model containing land cover and elevation best-predicted juvenile (AUC = 0.841 den sites. Adult females spatially segregated from adult males, with dens characterized by higher elevations (mean= 1,412 m, SE = 52 and steeper slopes (mean = 21.9°, SE = 1.1 than adult male (elevation: mean = 1,209 m, SE = 76; slope: mean = 15.6°, SE = 1.9 den sites. Juveniles used a broad range of landscape attributes but did not avoid adult male denning areas. Observed spatial segregation by adult females supports the sex hypothesis of sexual segregation and we suggest is a mechanism to reduce risk of infanticide. Den site selection of adult males is likely related to distribution of food resources during spring.

  1. Psychotherapy, psychopathology, research and practice: pathways of connections and integration.

    Science.gov (United States)

    Castonguay, Louis G

    2011-03-01

    This paper describes three pathways of connections between different communities of knowledge seekers: integration of psychotherapeutic approaches, integration of psychotherapy and psychopathology, and integration of science and practice. Some of the issues discussed involve the delineation and investigation of common factors (e.g., principles of change), improvement of major forms of psychotherapy, clinical implications of psychopathology research, as well as current and future directions related to practice-research networks. The aim of this paper is to suggest that building bridges across theoretical orientations, scientific fields, professional experiences, and epistemological views may be a fruitful strategy to improve our understanding and the impact of psychotherapy.

  2. Exploring Psychotherapy Clients' Independent Strategies for Change While in Therapy

    Science.gov (United States)

    Mackrill, Thomas

    2008-01-01

    Psychotherapy research usually describes how client change is caused by therapist interventions. This article describes how clients change by continuing to use and revising the strategies for change that they bring with them when they first enter therapy. This article presents data from a qualitative diary study of psychotherapy. Three cases…

  3. Humor and creativity in psychotherapy

    Directory of Open Access Journals (Sweden)

    Javier Martín Camacho

    2015-09-01

    Full Text Available In the current article principal theories on humor are analyzed, relating them to different conceptions of creativity. Finally, some indications for the use of humor in psychotherapy are introduced, highlighting their positive and negative aspects. 

  4. Psychiatric Residents' Views of Quality of Psychotherapy Training and Psychotherapy Competencies: A Multisite Survey

    Science.gov (United States)

    Calabrese, Christina; Sciolla, Andres; Zisook, Sidney; Bitner, Robin; Tuttle, Jeffrey; Dunn, Laura B.

    2010-01-01

    Objective: Few studies of residents' attitudes toward psychotherapy training exist. The authors examined residents' perceptions of the quality of their training, support for training, their own competence levels, and associations between self-perceived competence and perceptions of the training environment. Methods: An anonymous, web-based…

  5. The effect of medical comorbidities on male and female Veterans' use of psychotherapy for PTSD.

    Science.gov (United States)

    Breland, Jessica Y; Greenbaum, Mark A; Zulman, Donna M; Rosen, Craig S

    2015-04-01

    Posttraumatic stress disorder (PTSD) is associated with an increased risk for medical comorbidities that may prevent participation in psychotherapy. The present study investigated whether medical comorbidities were associated with lower initiation rates and fewer psychotherapy visits for PTSD. Because women are more likely to initiate psychotherapy after traumatic events, we also assessed whether relationships were weaker among women. Veterans (N=482, 47% women) recently diagnosed with PTSD completed a survey assessing demographics, mood, functional status, and interest in treatment. Data on medical comorbidities, psychotherapy visits, antidepressant prescriptions, and service connection were assessed longitudinally through administrative files. Logistic and negative binomial regressions assessed associations between number of medical comorbidities in the 2 years before the survey and the initiation and number of psychotherapy visits for PTSD in the year after the survey. All analyses were stratified by sex and controlled for survey and administrative variables. The relationship between medical comorbidities and number of psychotherapy visits was stronger among women than among men. A greater number of medical comorbidities was associated with significantly fewer psychotherapy visits in the total sample [incidence rate ratio: 0.91; 95% confidence interval (CI): 0.83, 1.00] and among women (incidence rate ratio: 0.87; 95% CI: 0.77, 0.99), but not among men (95% CI: 0.75, 1.01). Medical comorbidities were not associated with the initiation of psychotherapy among men or women. Addressing medical comorbidities may help individuals remain in psychotherapy for PTSD. Medical comorbidities may play a larger role in the number of psychotherapy visits among women than men.

  6. Internet and video technology in psychotherapy supervision and training.

    Science.gov (United States)

    Wolf, Abraham W

    2011-06-01

    The seven articles in this special section on the use of Internet and video technology represent the latest growth on one branch of the increasingly prolific and differentiated work in the technology of psychotherapy. In addition to the work presented here on video and the Internet applications to supervision and training, information technology is changing the field of psychotherapy through computer assisted therapies and virtual reality interventions.

  7. Stephen Schwartz og den folkelige lyd

    DEFF Research Database (Denmark)

    Kreutzfeldt, Jacob

    2013-01-01

    Stephen Schwartz døde i foråret 2013. I denne artikel forsøger Jacob Kreutzfeldt, der gennemførte en række interviews med Schwartz gennem hans sidste år, at indkredse den æstetiske grundholdning, der prægede hans arbejde med radiomontagen i DR.......Stephen Schwartz døde i foråret 2013. I denne artikel forsøger Jacob Kreutzfeldt, der gennemførte en række interviews med Schwartz gennem hans sidste år, at indkredse den æstetiske grundholdning, der prægede hans arbejde med radiomontagen i DR....

  8. Den empiriske uddannelsesvidenskab og kvalitet i studieaktivitet

    DEFF Research Database (Denmark)

    Keiding, Tina Bering; Qvortrup, Ane

    2015-01-01

    Bidraget kobler studieaktivitetesmodellen med kvalitetsindikatorer for god undervisning, og viler blandt andet, hvorledes modellen kan støtte samtænkning af forskellige undervisnings- og læringsformater med henblik på øge den aktive læretid......Bidraget kobler studieaktivitetesmodellen med kvalitetsindikatorer for god undervisning, og viler blandt andet, hvorledes modellen kan støtte samtænkning af forskellige undervisnings- og læringsformater med henblik på øge den aktive læretid...

  9. Solicited Diary Studies of Psychotherapy in Qualitative Research - Pros and Cons

    DEFF Research Database (Denmark)

    Mackrill, Thomas

    2008-01-01

    Diary studies are scarce within the field of qualitative psychotherapy research. In this article arguments for and against the employment of solicited diaries studies in qualitative psychotherapy research are investigated. The strengths of diary studies are presented along with arguments concerning...

  10. [Meaning in life and mental health: personal meaning systems of psychotherapists and psychotherapy patients].

    Science.gov (United States)

    Löffler, Sabine; Knappe, Rainer; Joraschky, Peter; Pöhlmann, Karin

    2010-01-01

    This study investigated differences in the personal meaning systems of psychotherapists and psychotherapy patients as well as correlations between meaning in life and mental health. We qualitatively assessed the content and structure of the personal meaning systems of 41 psychotherapists and 77 psychotherapy patients. In addition, the participants completed questionnaires measuring meaning in life (LRI-r-d), sense of coherence (SOC-9L), self-esteem (RSES), satisfaction with life (SWLS), self-efficacy (SWK), and depression (BDI). The personal meaning systems of psychotherapists were more complex and coherent compared to psychotherapy patients. In the group of psychotherapy patients, a more elaborate structure of the personal meaning system correlated with the subjective sense of meaning. We were able to confirm correlations between meaning in life and mental health for most of the instances. Psychotherapists had more elaborate and coherent meaning systems than psychotherapy patients. Especially for psychotherapy patients elaborate and coherent meaning systems turned out to be important for mental health.

  11. Development of a concept for sustainable agriculture in the Elbe wetlands of Niedersachsen; Konzeptentwicklung fuer eine nachhaltige Landbewirtschaftung in den niedersaechsischen Elbtalauen

    Energy Technology Data Exchange (ETDEWEB)

    Prueter, J. [Alfred Toepfer Akademie fuer Naturschutz (NNA), Schneverdingen (Germany); Horlitz, T.; Sander, A. [Arbeitsgemeinschaft Umweltplanung (ARUM), Hannover (Germany)

    2000-07-01

    Since late 1997, a cooperative project headed by Alfred Toepfer Akademie fuer Naturschutz has been investigating ''Models of conservation and its application in agriculture - goals, instruments and cost of sustainable, environment-friendly agriculture in the Elbe river valley in Niedersachsen''. The project receives funds in the context of the BMBF project ''Elbe river ecology''. Using the specific methods and tools of ecology, landscaping, agriculture and economics, the fundamentals for future interdisciplinary landscape development concepts will be established. The contribution presents the methodology of concept development and some exemplary goals for sustainable agricultural development in the context of the project. [German] Seit Ende 1997 widmet sich im Rahmen der BMBF-Forschungsfoerderung ''Elbe-Oekologie'' ein Verbundforschungsvorhaben unter Federfuehrung der Alfred Toepfer Akademie fuer Naturschutz dem Thema ''Leitbilder des Naturschutzes und deren Umsetzung mit der Landwirtschaft - Ziele, Instrumente und Kosten einer umweltschonenden und nachhaltigen Landwirtschaft im niedersaechsischen Elbetal''. Mit den spezifischen Methoden und fachlichen Instrumenten der Oekologie, der Landschaftsplanung sowie der Agrarwissenschaften einschliesslich Oekonomie sollen Grundlagen fuer moegliche ressortuebergreifend getragene Konzepte fuer die zukuenftige Landschaftsentwicklung erarbeitet werden. Im folgenden werden methodische Grundlagen der Konzeptentwicklung und beispielhafte Zielaussagen fuer eine nachhaltige Landbewirtschaftung aus dem laufenden Projekt vorgestellt. (orig.)

  12. Philipp van den Bossche – Sac. Caes. Mai. Phrygiarius

    Czech Academy of Sciences Publication Activity Database

    Bukovinská, Beket

    -, č. 0130 (2015), s. 1-18 ISSN 2190-3328 Institutional support: RVO:68378033 Keywords : Philipp van den Bossche * Prague court * Rudolph II * Kunstkammer Subject RIV: AL - Art, Architecture, Cultural Heritage http://www.riha-journal.org/articles/2015/2015-oct-dec/bukovinska-philipp-van-den-bossche

  13. Malaysia. Kan den politiske fred fortsætte?

    DEFF Research Database (Denmark)

    Fleming, Daniel; Søborg, Henrik

    2008-01-01

    Der er valg i det muslimske Malaysia den 8. marts 2008. Et land med klar etnisk opdeling, men også med stor politisk stabilitet. Hvordan hænger det sammen?......Der er valg i det muslimske Malaysia den 8. marts 2008. Et land med klar etnisk opdeling, men også med stor politisk stabilitet. Hvordan hænger det sammen?...

  14. Brief Psychotherapy for Maternal Depression: Impact on Mothers and Children.

    Science.gov (United States)

    Swartz, Holly A; Cyranowski, Jill M; Cheng, Yu; Zuckoff, Allan; Brent, David A; Markowitz, John C; Martin, Stacy; Amole, Marlissa C; Ritchey, Fiona; Frank, Ellen

    2016-06-01

    Two-generation studies demonstrate that treating maternal depression benefits school-age children. Although mothers prefer psychotherapy to medication, little is known about how psychotherapy for maternal depression affects offspring, especially in very high-risk families in which both mothers and children concurrently meet syndromal criteria for psychiatric disorders. This trial evaluated the effects of 2 brief psychotherapies for maternal depression on very high-risk families. Mothers with major depressive disorder were randomly assigned to 9 sessions of either brief interpersonal psychotherapy for mothers (IPT-MOMS; n = 85) or brief supportive psychotherapy (BSP; n = 83). Independent assessors evaluated mothers and their children, ages 7 to 18 years, diagnosed with at least 1 internalizing disorder, every 3 months over the course of 1 year. Symptoms and functioning of mothers and children improved significantly over time, with no between-group differences. However, children of mothers assigned to BSP had more outpatient mental health visits and were more likely to receive antidepressant medication. Mothers reported greater satisfaction with IPT-MOMS than BSP. Improvement in mothers' depressive symptoms was associated with improvement in child functioning in time-lagged fashion, with children improving 3 to 6 months after mothers improved. Antidepressant medication use and number of mental health visits received by children did not affect outcomes. IPT-MOMS and BSP demonstrated comparable beneficial effects on maternal depression. Children's functioning improved following maternal improvement, independent of youths' treatment. Children of mothers randomized to IPT-MOMS, compared with BSP, achieved comparable outcomes despite less follow-up treatment. Observation of lagged association between maternal improvement and change in child functioning should influence treatment planning for families. Clinical trial registration information-Psychotherapy for Depressed

  15. Research on Psychotherapy Integration: Recommendations and Conclusions from an NIMH Workshop.

    Science.gov (United States)

    Wolfe, Barry E.; Goldfried, Marvin R.

    1988-01-01

    Describes National Institute of Mental Health (NIMH) workshop (March 1986) which invited 14 psychotherapy researchers to consider key issues associated with psychotherapy integration. Discusses recommendations developed to initiate a research program encompassing conceptual clarification, efficacy studies of systematic eclectic therapies, the role…

  16. An Anglo-German dialogue the Munich lectures on the history of international relations

    CERN Document Server

    Birke, Adolf M; Searle, Alaric

    2015-01-01

    Die Prinz-Albert-Gesellschaft hat sich zur Aufgabe gemacht, die britisch-deutschen Beziehungen in Wissenschaft, Kultur und Politik zu pflegen. Alljährlich finden unter dieser Prämisse Tagungen statt, deren Beiträge in den Prinz-Albert-Studien veröffentlicht werden und die viele interessante Aspekte der britisch-deutschen Beziehungen verdeutlichen.

  17. Place of psychotherapy in psychology movement toward cognitivism

    Directory of Open Access Journals (Sweden)

    Todorović Milorad V.

    2015-01-01

    Full Text Available Psychology striving to make us more aware of our own nature dominantly, if not exclusively, is realized through psychotherapy. Psychotherapy as a praxis of psychology, which only follows the psychological theory and without it we can hardly call it that, is largely dependent on the prevailing social trends and the dominant form of pathology that can occur in them. That theoretical aspects of many forms of pathology are not completely understood and not give the right to cancel the search for the unconscious forces that determine the subject. Dominant tendencies in contemporary psychology not only do not favor psychotherapy, but are directly aimed against it. At least against that psychotherapy which is based on the split subject, the interior space in which the physical and perceptual sensations, moral rules, mood depression and everything else that we call 'mental'. The great danger that is above psycho­therapy activity comes by pharmacology and cognitivism (lat. Cognitio 'knowledge' and the intellectual soul. Equating the mind and the brain makes psychotherapy unnecessary in relation to the pharmacology whose power impact becomes decisive on each deviation and every suffering. The fact that in the psychology shortens the long and uncertain path of mental knowledge that does not correspond to the nature of 'psychological' seems to be replaced by those efforts which are only concerned with the question of science. The fact that there is no comprehensive theory of emotions that can not be resolved by cognitivism which is opposite to emotional. Rorty's cynicism towards such efforts, which emphasize that the spirit is the same as that stimulate the brain and that the theorem symphonies and excreted in the same way that the spleen is excreted dark juices (Rorty 1990: 54 exhorts the psychology of the fact that instead of being which has a spirit, that is different from the 'physical body', 'matter', the central nervous system, has been the

  18. Multiple attachments and group psychotherapy: implications for college counseling centers.

    Science.gov (United States)

    Marmarosh, Cheri L

    2009-10-01

    A large body of literature has supported the application of attachment theory to the understanding of college student development and the process of individual psychotherapy. Despite group treatment being one of the major methods of intervention in college counseling centers, there has been very little research guided by attachment theory that has been applied to the area of group psychotherapy. Many current assessment instruments used in college counseling centers can be supported with attachment theory, and many group therapy interventions are aimed at facilitating secure working models of self, other, and groups. This paper explores the importance of personal and group attachments in group psychotherapy and specifically addresses implications for clinical training and research in university counseling centers.

  19. Klimagasudledning i kæden fra foder- til mælkeproduktion

    DEFF Research Database (Denmark)

    Mogensen, Lisbeth; Lund, Peter; Kristensen, Troels

    2012-01-01

    Når man skal vurdere effekten af forskellige tiltag til reduktion af klimagasudledningen, f.eks. via ændret fodersammensætning, er det vigtigt at se på den samlede effekt i hele kæden. Ellers kan man mindske udledning et sted i kæden og øge udledningen et andet sted, og samlet set ikke opnå en...

  20. Vidensledelse og den sociale dimension i deling af viden

    DEFF Research Database (Denmark)

    Lauring, Jakob

    2004-01-01

    imidlertid et alternativt syn på viden som i højere grad inddrager den sociale dimension ved vidensdeling - den socialkonstruktivistiske opfattelse. I denne artikel vil jeg beskæftige mig med den socialkonstruktivistiske opfattelse af viden og beskrive, hvorledes denne synsvinkel kan rette fokus mod nogle...... meget væsentlige problemstillinger ved organisatorisk adfærd, som man ofte kommer til at ignorere, hvis man i for høj grad baserer ledelsen på en funktionalistisk opfattelse af viden. Delingen af viden er en aktuel udfordring for anvendelse af viden i forretningssammenhæng. Det er hovedsageligt det, som...... gør vidensbegrebet interessant i forhold til ledelse af virksomheder. - Fokus på de sociale barrierer for deling af viden Jeg vil i det kommende illustrere, hvilke betydninger den sociale dimension i deling af viden kan have for videnledelse. Det vil jeg gøre gennem beskrivelser af to forskellige...

  1. Change mechanisms of schema-centered group psychotherapy with personality disorder patients.

    Directory of Open Access Journals (Sweden)

    Wolfgang Tschacher

    Full Text Available BACKGROUND: This study addressed the temporal properties of personality disorders and their treatment by schema-centered group psychotherapy. It investigated the change mechanisms of psychotherapy using a novel method by which psychotherapy can be modeled explicitly in the temporal domain. METHODOLOGY AND FINDINGS: 69 patients were assigned to a specific schema-centered behavioral group psychotherapy, 26 to social skills training as a control condition. The largest diagnostic subgroups were narcissistic and borderline personality disorder. Both treatments offered 30 group sessions of 100 min duration each, at a frequency of two sessions per week. Therapy process was described by components resulting from principal component analysis of patients' session-reports that were obtained after each session. These patient-assessed components were Clarification, Bond, Rejection, and Emotional Activation. The statistical approach focused on time-lagged associations of components using time-series panel analysis. This method provided a detailed quantitative representation of therapy process. It was found that Clarification played a core role in schema-centered psychotherapy, reducing rejection and regulating the emotion of patients. This was also a change mechanism linked to therapy outcome. CONCLUSIONS/SIGNIFICANCE: The introduced process-oriented methodology allowed to highlight the mechanisms by which psychotherapeutic treatment became effective. Additionally, process models depicted the actual patterns that differentiated specific diagnostic subgroups. Time-series analysis explores Granger causality, a non-experimental approximation of causality based on temporal sequences. This methodology, resting upon naturalistic data, can explicate mechanisms of action in psychotherapy research and illustrate the temporal patterns underlying personality disorders.

  2. Die Deutsche Statistische Gesellschaft in der Weimarer Republik und während der Nazidiktatur

    Science.gov (United States)

    Wilke, Jürgen

    Nach anfänglichen Schwierigkeiten durch den 1. Weltkrieg erlangte die Deutsche Statistische Gesellschaft (DStatG) unter dem renommierten Statistiker und Vorsitzenden der DStatG, Friedrich Zahn, durch eine Vielzahl von Aktivitäten hohes Ansehen. Es gab Bestrebungen, Statistiker aus allen Arbeitsfeldern der Statistik in die DStatG zu integrieren, wobei die "Mathematische Statistik" nur zögerlich akzeptiert wurde (Konjunkturforschung, Zeitreihenanalyse). Nach der Machtübernahme 1933 durch Adolf Hitler geriet die DStatG in das Fahrwasser nationalsozialistischer Ideologie und Politik (Führerprinzip, Gleichschaltung des Vereinswesens). Damit war eine personelle Umstrukturierung in der DStatG verbunden. Politisch Missliebige und rassisch Verfolgte mussten die DStatG verlassen (Bernstein, Freudenberg, Gumbel u.a.). Unter den Statistikern gab es alle Abstufungen im Verhalten zum Regime von Ablehnung und zwangsweiser Anpassung über bereitwilliges Mitläufertum bis zu bewusster Täterschaft. Besonders die Bevölkerungsstatistik wurde durch die NS- Rassenpolitik auf lange Sicht diskreditiert. Im Rahmen von Wirtschaftsplanung und Aufrüstung wurden neue zukunftsträchtige statistische Modelle (Grünig, Bramstedt, Leisse) entwickelt.

  3. Datenschutz in den sozialen Medien aus privatrechtlicher Perspektive

    Directory of Open Access Journals (Sweden)

    Hager, Johannes

    2017-12-01

    Full Text Available Der Datenschutz in den sozialen Medien wirft eine Reihe von Problemen auf. Zum einen geht es um das Verhältnis des Datenschutzgesetzes zum Persönlichkeitsrecht; hier wird sich eine Kombinationslehre wie bei sonstigen besonderen Persönlichkeitsrechten – etwa dem Bildnisschutz – als überlegen erweisen. Die §§ 7 ff dTMG privilegieren die Provider in mehrfacher Hinsicht. Freilich bleibt deren Haftung oft unberührt. So kann der Content-Provider zur Verantwortung gezogen werden auch wenn er sich fremde Nachrichten nur zu eigen macht. Der Host-Provider haftet ab Kenntnis des rechtswidrigen Inhalts; auch treffen ihn eine Reihe von Prüfungspflichten. Entgegen der Auffassung des BGH ist er auch verpflichtet, den Namen des Content-Providers zu nennen. Schließlich kommt eine Haftung des Access-Providers in Betracht, wenn er die rechtswidrigen Inhalte wissentlich weiterleitet. Entgegen der Auffassung des EuGH besteht ein Gerichtsstand überall dort, wo sich die unerlaubte Handlung – die Verletzung des Persönlichkeitsrechts – verwirklicht; sie ist nicht auf den Tatort und den Ort beschränkt, an dem sich das Opfer befindet.

  4. Believing is seeing: an evolving research program on patients' psychotherapy expectations.

    Science.gov (United States)

    Constantino, Michael J

    2012-01-01

    In this article I discuss one facet of my evolving research program focused on patients' psychotherapy-related expectations. Although generally considered a common psychotherapeutic factor, expectations have been historically undervalued conceptually, empirically, and clinically. Attempting to somewhat redress this slight, I will (a) define the various forms of patients' psychotherapy-related expectations, (b) present relevant findings from research that my colleagues, students, and I have conducted, (c) summarize an integrative psychotherapy approach that underscores expectations as an explanatory construct for patients' corrective experiences, and (d) highlight future research directions for increasing our understanding of the nature and functions of the expectancy construct.

  5. A comparative trial of psychotherapy and pharmacotherapy for "pure" dysthymic patients.

    Science.gov (United States)

    Markowitz, John C; Kocsis, James H; Bleiberg, Kathryn L; Christos, Paul J; Sacks, Michael

    2005-12-01

    Psychotherapy of "pure" dysthymic disorder remains understudied. This article reports outcomes of an acute randomized trial of 94 subjects treated for 16 weeks with either interpersonal psychotherapy (IPT), brief supportive psychotherapy (BSP), sertraline, or sertraline plus IPT. Recruited by clinical referral and advertising, subjects met DSM-IV criteria for early onset dysthymic disorder, with no episode of major depression in the prior six months. They were randomly assigned to one of four 16-week treatments, with options for crossover or continuation treatment. Results were analyzed from the intention-to-treat sample by ANCOVA, controlling for baseline depressive severity. Subjects improved in all conditions over time, with the cells including sertraline pharmacotherapy showing superiority over psychotherapy alone for response and remission. Response rates were 58% for sertraline alone, 57% for combined treatment, 35% for IPT, and 31% for BSP. The study was underpowered and may have employed too "active" a control condition. Follow-up data were unobtainable. In this acute trial for "pure" dysthymic disorder, sertraline with or without IPT showed advantages relative to IPT and BSP. Methodological difficulties may have limited differential outcome findings. This study bolsters a small but growing literature on the treatment of dysthymic disorder, suggesting that pharmacotherapy may acutely benefit patients more than psychotherapy.

  6. The Arts, Crafts, and Sciences of Psychotherapy.

    Science.gov (United States)

    Benjamin, Lorna Smith

    2015-11-01

    Contemporary training and practice of psychotherapy and the research that supports it is the subject of this review. I discuss it in the light of what I value most from my own professional training, which was, in my opinion, highly privileged by comparison with what is offered today. A minimal hoped-for outcome is that younger readers will find valuable tidbits here and there that will be useful in their own versions of psychotherapy. A maximal hope is that a few individuals who choose to maintain clinical skills as well as emphasize psychotherapy research might be encouraged to follow their instincts toward excellence. They would allow their curiosity to bloom and their work to be creative and more adherent to the rules of natural science than time allows in these days of dashboards that count funding associated with numbers of publications, grants, teaching, and service hours. Admittedly, that path less well traveled would be risky, because what truly is new takes time to develop and implement and the outcomes when research truly can disconfirm hypotheses (as distinct from fail to confirm them) are, well, uncertain. © 2015 Wiley Periodicals, Inc.

  7. Uddrag af Ph.d.-afhandlingen Den groteske modernisme

    DEFF Research Database (Denmark)

    Lübker, Henrik

    2011-01-01

    Om forholdet mellem "det groteske" og "den groteske modernisme" eksemplificeret i en læsning af E.A. Poes "The Fall of the House of Usher" og flere af Francis Bacons malerier.......Om forholdet mellem "det groteske" og "den groteske modernisme" eksemplificeret i en læsning af E.A. Poes "The Fall of the House of Usher" og flere af Francis Bacons malerier....

  8. Social Problem Solving and Depressive Symptoms Over Time: A Randomized Clinical Trial of Cognitive Behavioral Analysis System of Psychotherapy, Brief Supportive Psychotherapy, and Pharmacotherapy

    Science.gov (United States)

    Klein, Daniel N.; Leon, Andrew C.; Li, Chunshan; D’Zurilla, Thomas J.; Black, Sarah R.; Vivian, Dina; Dowling, Frank; Arnow, Bruce A.; Manber, Rachel; Markowitz, John C.; Kocsis, James H.

    2011-01-01

    Objective Depression is associated with poor social problem-solving, and psychotherapies that focus on problem-solving skills are efficacious in treating depression. We examined the associations between treatment, social problem solving, and depression in a randomized clinical trial testing the efficacy of psychotherapy augmentation for chronically depressed patients who failed to fully respond to an initial trial of pharmacotherapy (Kocsis et al., 2009). Method Participants with chronic depression (n = 491) received Cognitive Behavioral Analysis System of Psychotherapy (CBASP), which emphasizes interpersonal problem-solving, plus medication; Brief Supportive Psychotherapy (BSP) plus medication; or medication alone for 12 weeks. Results CBASP plus pharmacotherapy was associated with significantly greater improvement in social problem solving than BSP plus pharmacotherapy, and a trend for greater improvement in problem solving than pharmacotherapy alone. In addition, change in social problem solving predicted subsequent change in depressive symptoms over time. However, the magnitude of the associations between changes in social problem solving and subsequent depressive symptoms did not differ across treatment conditions. Conclusions It does not appear that improved social problem solving is a mechanism that uniquely distinguishes CBASP from other treatment approaches. PMID:21500885

  9. Effectiveness of Psychotherapy in Personality Disorders Not Otherwise Specified: A Comparison of Different Treatment Modalities.

    Science.gov (United States)

    Horn, Eva K; Bartak, Anna; Meerman, Anke M M A; Rossum, Bert V; Ziegler, Uli M; Thunnissen, Moniek; Soons, Mirjam; Andrea, Helene; Hamers, Elisabeth F M; Emmelkamp, Paul M G; Stijnen, Theo; Busschbach, Jan J V; Verheul, Roel

    2015-01-01

    Although personality disorder not otherwise specified (PDNOS) is highly prevalent and associated with a high burden of disease, only a few treatment studies in this patient group exist. This study is the first to investigate the effectiveness of different modalities of psychotherapy in patients with PDNOS, i.e., short-term (up to 6 months) and long-term (more than 6 months) outpatient, day hospital, and inpatient psychotherapy. A total of 205 patients with PDNOS were assigned to one of six treatment modalities. Effectiveness was assessed over 60 months after baseline. The primary outcome measure was symptom severity, and the secondary outcome measures included psychosocial functioning and quality of life. The study design was quasi-experimental, and the multiple propensity score was used to control for initial differences between treatment groups. All treatment modalities showed positive outcomes, especially in terms of improvements of symptom severity and social role functioning. At 12-month follow-up, after adjustment for initial differences between the treatment groups, short-term outpatient psychotherapy and short-term inpatient psychotherapy showed most improvement and generally outperformed the other modalities concerning symptom severity. At 60 months after baseline, effectiveness remained but observed differences between modalities mostly diminished. Patients with PDNOS benefit from psychotherapy both at short-term and long-term follow-up. Short-term outpatient psychotherapy and short-term inpatient psychotherapy seem to be superior to the other treatment modalities at 12-month follow-up. At 60-month follow-up, treatments showed mostly comparable effectiveness. The effectiveness of different modalities of psychotherapy in patients with PDNOS (i.e., short-term vs long-term; outpatient versus day hospital versus inpatient psychotherapy) has not yet been compared. Different modalities of psychotherapy are effective for patients with PDNOS, and positive

  10. 'Welzijnsvloer verdient zich op den duur terug'; van den Berg beproeft de groene vlag roostervloer

    NARCIS (Netherlands)

    Anoniem,

    2010-01-01

    Het onderzoek van Wageningen UR naar de welzijnsvloeren is nog in volle gang. Maar vleeskalverhouder Wijnand van den Berg uit Kootwijkerbroek heeft op eigen initiatief al een welzijnsrooster in zijn stal op proef

  11. Efficacy of pharmacotherapy and psychotherapy for adult psychiatric disorders: a systematic overview of meta-analyses.

    Science.gov (United States)

    Huhn, Maximilian; Tardy, Magdolna; Spineli, Loukia Maria; Kissling, Werner; Förstl, Hans; Pitschel-Walz, Gabriele; Leucht, Claudia; Samara, Myrto; Dold, Markus; Davis, John M; Leucht, Stefan

    2014-06-01

    There is debate about the effectiveness of psychiatric treatments and whether pharmacotherapy or psychotherapy should be primarily used. To perform a systematic overview on the efficacy of pharmacotherapies and psychotherapies for major psychiatric disorders and to compare the quality of pharmacotherapy and psychotherapy trials. We searched MEDLINE, EMBASE, PsycINFO, and the Cochrane Library (April 2012, with no time or language limit) for systematic reviews on pharmacotherapy or psychotherapy vs placebo, pharmacotherapy vs psychotherapy, and their combination vs either modality alone. Two reviewers independently selected the meta-analyses and extracted efficacy effect sizes. We assessed the quality of the individual trials included in the pharmacotherapy and psychotherapy meta-analyses with the Cochrane risk of bias tool. The search yielded 45,233 results. We included 61 meta-analyses on 21 psychiatric disorders, which contained 852 individual trials and 137,126 participants. The mean effect size of the meta-analyses was medium (mean, 0.50; 95% CI, 0.41-0.59). Effect sizes of psychotherapies vs placebo tended to be higher than those of medication, but direct comparisons, albeit usually based on few trials, did not reveal consistent differences. Individual pharmacotherapy trials were more likely to have large sample sizes, blinding, control groups, and intention-to-treat analyses. In contrast, psychotherapy trials had lower dropout rates and provided follow-up data. In psychotherapy studies, wait-list designs showed larger effects than did comparisons with placebo. Many pharmacotherapies and psychotherapies are effective, but there is a lot of room for improvement. Because of the multiple differences in the methods used in pharmacotherapy and psychotherapy trials, indirect comparisons of their effect sizes compared with placebo or no treatment are problematic. Well-designed direct comparisons, which are scarce, need public funding. Because patients often benefit

  12. Practice Study Outpatient Psychotherapy - Switzerland (PAP-S) : Study design and feasibility (Revised edition)

    OpenAIRE

    Wyl, Agnes von; Crameri, Aureliano; Koemeda, Margit; Tschuschke, Volker; Schulthess, Peter

    2016-01-01

    Revised edition of Von Wyl, A., Crameri, A., Koemeda, M., Tschuchke, V. & Schulthess, P. (2013). The PAP-S (Practice of Ambulant Psychotherapy-Study), Switzerland: Study Design and Feasibility. Zurich University of Applied Sciences, Zurich. The original article was published in German: von Wyl, A., Crameri, A., Koemeda, M., Tschuschke, V. & Schulthess, P. (2013). Praxisstudie ambulante Psychotherapie Schweiz (PAP-S): Studiendesign und Machbarkeit. Psychotherapie-Wissenschaft, 1, 6-22; op...

  13. Læringsfremmende evaluering i den lægelige videreuddannelse

    DEFF Research Database (Denmark)

    Madsen, Bjørn; Klitmøller, Anders

    2011-01-01

    Denne statusartikel omhandler evaluering af læger, og hvorledes evaluering kan anvendes som en læringsfremmende foranstaltning. Fokus i artiklen er på den formelle evaluering, som den kommer til udtryk i de kliniske vejledersamtaler. Da de fleste læger i deres karriere fungerer som vejleder, er d...

  14. Den postmoderne konstruktivismes inkongruenser

    DEFF Research Database (Denmark)

    Cristoffanini, Pablo Rolando

    2011-01-01

    europæiske intellektuelle og akademikere gjorde teorierne og ideerne om underudvikling og afhængighed, der stammede fra Latinamerika, til deres egne. Også i den sidste tid har latinamerikanske intellektuelle, som fx Nestor García Canclini, haft indflydelse i Europa og USA med sin teori om hybriditet og...

  15. Psychosis and the dynamics of the psychotherapy process

    DEFF Research Database (Denmark)

    Rosenbaum, Bent; Harder, Susanne

    2007-01-01

    The role of psychotherapy in the treatment of psychoses remains controversial but there is improving acceptance that an understanding of the dynamics of the psychological processes involved in treatment and in the disorder itself may be important. Psychosis is understood as a detachment of the 's......The role of psychotherapy in the treatment of psychoses remains controversial but there is improving acceptance that an understanding of the dynamics of the psychological processes involved in treatment and in the disorder itself may be important. Psychosis is understood as a detachment...

  16. Physikochemische Untersuchung der Analyt – HKUST-1 Wechselwirkung unter Verwendung der inversen Gaschromatographie

    OpenAIRE

    Münch, Alexander

    2013-01-01

    Die vorliegende Arbeit hat neben der Untersuchung der Synthese über den Controlled SBU-Approach von HKUST-1, ein poröses Kupfertrimesat, die Abscheidung dieses Metal-Organic Frameworks in dünnen Quarzglaskapillaren mit einer Länge von 10 bis 30 m und Innendurchmessern zwischen 0,53 und 0,25 mm zum Thema. Diese Säulen werden zur gaschromatographischen Trennung wie auch zur Bestimmung physikochemischer Kenngrößen, die den Adsorptionsvorgang verschiedener Analyten auf der HKUST-1 Oberfläche besc...

  17. Den moderne bevidstheds katedral

    DEFF Research Database (Denmark)

    Ostenfeld Pedersen, Simon

    2002-01-01

    Interview med idéhistorikeren Dorthe Jørgensen der under overskriften ”Den moderne bevidstheds katedral” blotlægger hendes mangeårige arbejde med Hegel, og hvor hun giver en række relevante bud på en aktualiserende Hegel-læsning centreret omkring felter som metafysik, historiefilosofi og æstetik....

  18. Culturally Adapted Psychotherapy and the Legitimacy of Myth: A Multilevel Model, Direct Comparison Meta-Analysis

    Science.gov (United States)

    Benish, Steven G.

    2010-01-01

    Culturally adapted psychotherapy has potential to improve psychotherapy outcomes for ethnic and racial minorities and solve a decades-long conundrum that alteration of specific ingredients does not improve psychotherapy outcomes. Adaptation of the cultural explanation of illness, known as the anthropological Myth in universal healing practices…

  19. Psychotherapy research needs theory. Outline for an epistemology of the clinical exchange.

    Science.gov (United States)

    Salvatore, Sergio

    2011-09-01

    This paper provides an analysis of a basic assumption grounding the clinical research: the ontological autonomy of psychotherapy-based on the idea that the clinical exchange is sufficiently distinguished from other social objects (i.e. exchange between teacher and pupils, or between buyer and seller, or interaction during dinner, and so forth). A criticism of such an assumption is discussed together with the proposal of a different epistemological interpretation, based on the distinction between communicative dynamics and the process of psychotherapy-psychotherapy is a goal-oriented process based on the general dynamics of human communication. Theoretical and methodological implications are drawn from such a view: It allows further sources of knowledge to be integrated within clinical research (i.e. those coming from other domains of analysis of human communication); it also enables a more abstract definition of the psychotherapy process to be developed, leading to innovative views of classical critical issues, like the specific-nonspecific debate. The final part of the paper is devoted to presenting a model of human communication--the Semiotic Dialogical Dialectic Theory--which is meant as the framework for the analysis of psychotherapy.

  20. Efficacy of group psychotherapy for social anxiety disorder: A meta-analysis of randomized-controlled trials.

    Science.gov (United States)

    Barkowski, Sarah; Schwartze, Dominique; Strauss, Bernhard; Burlingame, Gary M; Barth, Jürgen; Rosendahl, Jenny

    2016-04-01

    Group psychotherapy for social anxiety disorder (SAD) is an established treatment supported by findings from primary studies and earlier meta-analyses. However, a comprehensive summary of the recent evidence is still pending. This meta-analysis investigates the efficacy of group psychotherapy for adult patients with SAD. A literature search identified 36 randomized-controlled trials examining 2171 patients. Available studies used mainly cognitive-behavioral group therapies (CBGT); therefore, quantitative analyses were done for CBGT. Medium to large positive effects emerged for wait list-controlled trials for specific symptomatology: g=0.84, 95% CI [0.72; 0.97] and general psychopathology: g=0.62, 95% CI [0.36; 0.89]. Group psychotherapy was also superior to common factor control conditions in alleviating symptoms of SAD, but not in improving general psychopathology. No differences appeared for direct comparisons of group psychotherapy and individual psychotherapy or pharmacotherapy. Hence, group psychotherapy for SAD is an efficacious treatment, equivalent to other treatment formats. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Psychodramatic psychotherapy combined with pharmacotherapy in major depressive disorder: an open and naturalistic study

    Directory of Open Access Journals (Sweden)

    Costa Elisabeth Maria Sene

    2006-01-01

    Full Text Available OBJETIVE: Recent literature has highlighted the role of psychotherapy in the treatment of major depressive disorder. Combined therapies comprising both psychotherapy and pharmacotherapy have presented the best results. Although several kinds of psychotherapies have been studied in the treatment of depressive disorders, there remains a lack of data on psychodramatic psychotherapy in the treatment of major depressive disorder. The objective of this study was to evaluate the impact of psychodramatic psychotherapy (in a sample of major depressive disorder patients. METHOD: This is an open, naturalistic, controlled, non-randomized study. Twenty major depressive disorder patients (according to the DSM-IV criteria, under pharmacological treatment for depression, with Hamilton Depression Scale total scores between 7 and 20 (mild to moderate depression, were divided into two groups. Patients in the psychotherapeutic group took part in 4 individual and 24 structured psychodramatic group sessions, whilst subjects in the control group did not participate in this psychodramatic psychotherapy. Both groups were evaluated with the Social Adjustment Scale - Self Report and the Hamilton Depression Scale. RESULTS: Psychotherapeutic group patients showed a significant improvement according to the Social Adjustment Scale - Self Report and the Hamilton Depression Scale scores at endpoint, compared to those of the control group. CONCLUSIONS: Results suggest that individual and group psychodramatic psychotherapy, associated to pharmacological treatment, provides good clinical benefits in the treatment of major depressive disorder.

  2. Das Bild behinderter Menschen in den Medien

    OpenAIRE

    Radtke, Peter

    2006-01-01

    „Das Bild von Behinderung und behinderten Menschen in den Medien“ - dieses Thema führt sehr leicht zur Schwarz-Weiß-Malerei. Bekanntlich fällt es schwer, es allen recht zu machen. So nimmt es nicht Wunder, dass sich Betroffene und ihre Angehörigen in den Medien sowohl quantitativ als auch qualitativ oftmals nicht angemessen repräsentiert fühlen. [...] In dieser Situation bilden die Medien die wichtigste und oft einzige Informationsquelle über das Leben und die Möglichkeiten von Menschen mit e...

  3. History of Division 29, 1993-2013: another 20 years of psychotherapy.

    Science.gov (United States)

    Williams, Elizabeth Nutt; Barnett, Jeffrey E; Canter, Mathilda B

    2013-03-01

    The history of Division 29 (Psychotherapy) of the American Psychological Association (APA) from 1993 to 2013 is reviewed. The 20 years of history can be traced via the Division's primary publications (the journal Psychotherapy and its newsletter Psychotherapy Bulletin) as well as the history of those who have served leadership roles in the Division and have won Divisional awards. Several recurring themes emerge related to the Division's articulations of its own identity, the Division's advocacy efforts vis-à-vis the profession and the APA, and the work of the Division on behalf of major social issues (such as disaster relief and the nation's health care).

  4. Emerging and continuing trends in psychotherapy: views from an editor's eye.

    Science.gov (United States)

    Gelso, Charles J

    2011-06-01

    It is proposed that six major trends in psychotherapy have continued or emerged over the course of the author's editorship of Psychotherapy, the past seven years. These trends are (a) the increasing integration of techniques and the therapeutic relationship; (b) increasing focus on theoretical integration; (c) increasing efforts at research-practice integration; (d) increases in more specific, integrative reviews; (e) integration of biological, neuroscience understandings; and (f) integration of diversity and cultural considerations into psychotherapy. Each trend is described and its impact on the field is discussed. Cautions about each trend are also noted. The six trends are discussed in the context of integration.

  5. Modern tendencies in psychotherapy: The specialisation of practice and knowledge integration

    Directory of Open Access Journals (Sweden)

    Gavrilov-Jerković Vesna

    2003-01-01

    Full Text Available The paper considers chronological and theoretical development of psychotherapy with the aim of formulating psychotherapeutic paradigm as an expression of scientific improvement in this field, as well as methodological and empirical assumption of integrative models in the psychotherapy. Special attention is paid to the phenomena that have characterised the field of psychotherapy in recent time, such as, on one hand, the emphasis on the increased need for the empirical evaluation of practice and accompanied trend regarding specialisation, and, on the other hand, the strengthening of the trend towards defining and researching general change mechanisms from wider, more integrative and transtheoretical perspective.

  6. Marginal flow in compressor cascades. Influence of gap, cascade geometry, loads and inflow boundary layer. Final report; Randstroemung in Verdichtergittern. Untersuchung der Randstroemung in Verdichtergittern unter dem Einfluss von Spalt, Gittergeometrie, Gitterbelastung und Zustroemgrenzschicht. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Huebner, J

    1996-07-01

    der Abstroemwinkelverteilung zusammengestellt und mit den Messungen verglichen. Dabei ergab sich eine grosse Streubreite der Korrelationen, die auf eine unterschiedliche Bewertung der Spaltweite und der aerodynamischen Belastung zurueckzufuehren ist. Die haeufig anzutreffende Trennung in einen reinen Spaltverlust und einen von der Spaltstroemung unbeeinflussten Sekundaerverlust erscheint physikalisch nicht sinnvoll. Unter Beruecksichtigung der experimentellen Ergebnisse wurden verbesserte Spaltverlust- und Abstroemwinkelkorrelationen erarbeitet. (orig.)

  7. Cross-sectoral modeling and optimization of a future German energy system, taking energy efficiency measures into account in the building sector; Sektoruebergreifende Modellierung und Optimierung eines zukuenftigen deutschen Energiesystems unter Beruecksichtigung von Energieeffizienzmassnahmen im Gebaeudesektor

    Energy Technology Data Exchange (ETDEWEB)

    Palzer, Andreas

    2016-07-01

    With the aim of reducing greenhouse gas emissions, comprehensive climate protection measures have already been adopted both nationally and internationally. This raises the question of how economically and ecologically useful system infrastructure looks, which at the same time ensures the supply reliability of all consumers. The regenerative energy model (REMod) presented in this book has been developed to provide answers. The sectors electricity, heat, transport and industry are considered for the first time simultaneous in an energy system model. In particular, in order to satisfy the criterion of reliability of supply, the model calculates the energy flows in hourly resolution for the period from today (2015) to 2050. The system is optimized with regard to minimum overall costs and under the boundary condition that a maximum set quantity of permitted greenhouse gas emissions is not exceed. On the example of Germany (REMod-D), the results show that, in particular, the interaction of the sectors can lead to strong differences in the design of the system infrastructure. [German] Mit dem Ziel den Ausstoss der Treibhausgase zu reduzieren, wurden bereits national wie international umfangreiche Klimaschutzmassnahmen verabschiedet. Hieraus ergibt sich die Frage wie eine oekonomisch und oekologisch sinnvolle Systeminfrastruktur aussieht, die gleichzeitig die Versorgungssicherheit aller Verbraucher gewaehrleistet. Das in diesem Buch vorgestellte Regenerative Energien Modell (REMod) wurde entwickelt um hierauf Antworten zu liefern. Beruecksichtigt werden erstmalig in einem Energiesystemmodell die Sektoren Strom, Waerme, Verkehr und Industrie gleichzeitig. Insbesondere um dem Kriterium der Versorgungssicherheit gerecht zu werden, berechnet das Modell die Energiefluesse in stuendlicher Aufloesung fuer den Zeitraum von heute (2015) bis 2050. Optimiert wird das System hinsichtlich minimaler Gesamtkosten und unter der Randbedingung, dass eine maximal vorgegebene Menge erlaubter

  8. Laika – den første hund i rummet

    DEFF Research Database (Denmark)

    Alstrup, Aage Kristian Olsen

    2013-01-01

    DETTE ER DEN FØRSTE ARTIKEL I EN SERIE OM FORSØGSDYRENES ROLLE I RUMFORSKNINGEN. DYRENE SPILLEDE EN CENTRAL ROLLE I RUSSERNES OG AMERIKANERNES RUMKAPLØB UNDER DEN KOLDE KRIG. I DAG BRUGES DYRENE TIL MEDICINSKE FORSØG UDFØRT I VÆGTLØS TILSTAND. FØRSTE ARTIKEL HANDLER OM GADEKRYDSET LAIKA, SOM BLEV...

  9. Forårets konflikter godt for den danske model

    DEFF Research Database (Denmark)

    Scheuer, Steen

    2008-01-01

    Den store vinder ved forårets konflikter var den danske model for aftaler på arbejdsmarkedet. De offentlige fagforeninger fik sig en lærestreg, da regeringen og Folketinget til de flestes overraskelse lod de lovlige konflikter løbe i ugevis. For hermed tvang man parterne, og især forbundene, til...

  10. Parent-Infant Psychotherapy and Postpartum Depression: The Fathers Participation

    Directory of Open Access Journals (Sweden)

    Milena da Rosa Silva

    2013-05-01

    Full Text Available Given the specificities of postpartum maternal depression, the literature recommends that fathers become involved in psychological interventions within this context. This study presents an investigation of the participation of fathers in parent-infant psychotherapy in the context of maternal postpartum depression. Two families participated in this study, both with a child aged between 7 and 8 months old, whose mothers showed depressive symptoms. These families participated in parent-infant psychotherapy lasting approximately 12 sessions. Analysis of the fathers’ participation in psychotherapy showed that their presence during sessions enables the therapy to address aspects of parenthood, and also reduce the feeling of mothers as being the only ones responsible for the family’s process of change. In regard to the technique, the presence of fathers during sessions allows the therapist to see and address the issues concerning mother-father-infant during sessions.

  11. Content Coding of Psychotherapy Transcripts Using Labeled Topic Models.

    Science.gov (United States)

    Gaut, Garren; Steyvers, Mark; Imel, Zac E; Atkins, David C; Smyth, Padhraic

    2017-03-01

    Psychotherapy represents a broad class of medical interventions received by millions of patients each year. Unlike most medical treatments, its primary mechanisms are linguistic; i.e., the treatment relies directly on a conversation between a patient and provider. However, the evaluation of patient-provider conversation suffers from critical shortcomings, including intensive labor requirements, coder error, nonstandardized coding systems, and inability to scale up to larger data sets. To overcome these shortcomings, psychotherapy analysis needs a reliable and scalable method for summarizing the content of treatment encounters. We used a publicly available psychotherapy corpus from Alexander Street press comprising a large collection of transcripts of patient-provider conversations to compare coding performance for two machine learning methods. We used the labeled latent Dirichlet allocation (L-LDA) model to learn associations between text and codes, to predict codes in psychotherapy sessions, and to localize specific passages of within-session text representative of a session code. We compared the L-LDA model to a baseline lasso regression model using predictive accuracy and model generalizability (measured by calculating the area under the curve (AUC) from the receiver operating characteristic curve). The L-LDA model outperforms the lasso logistic regression model at predicting session-level codes with average AUC scores of 0.79, and 0.70, respectively. For fine-grained level coding, L-LDA and logistic regression are able to identify specific talk-turns representative of symptom codes. However, model performance for talk-turn identification is not yet as reliable as human coders. We conclude that the L-LDA model has the potential to be an objective, scalable method for accurate automated coding of psychotherapy sessions that perform better than comparable discriminative methods at session-level coding and can also predict fine-grained codes.

  12. New placement of TIPS during pregnancy for recurring esophageal variceal bleeding: Estimation of fetal radiation exposure; TIPS-Neuanlage in der Schwangerschaft bei rezidivierender Oesophagusvarizenblutung - Abschaetzung der fetalen Strahlenexposition

    Energy Technology Data Exchange (ETDEWEB)

    Wildberger, J.E.; Vorwerk, D.; Stargardt, A.; Guenther, R.W. [Technische Hochschule Aachen (Germany). Klinik fuer Radiologische Diagnostik; Winograd, R.; Busch, N. [Technische Hochschule Aachen (Germany). Medizinische Klinik 3

    1998-10-01

    Recurrent variceal bleeding due to liver cirrhosis led to treatment with a transjugular intrahepatic portosystemic shunt (TIPS) in a pregnant woman at 20 weeks` gestation. Fetal radiation exposure was estimated to be less than 10 mSv. The use of a graduated catheter allowed measurement of field size and reliable determination of the patient`s entrance dose. Radiation exposure of an approximated fetal dosage of 5.2 mSv did not justify abortion for medical reasons. Therefore, TIPS procedure is not generally contraindicated during pregnancy itself. TIPS placement may be a therapeutic option related to the severity of the underlying maternal disease, after radiation exposure of the fetus has been estimated. (orig.) [Deutsch] Bei rezidivierender Oesophagusvarizenblutung auf dem Boden einer Leberzirrhose wurde bei bestehender Schwangerschaft der 20. Woche ein transjugulaerer portosystemischer Stent-Shunt (TIPS) neu angelegt. Praeinterventionell wurde die zu erwartende Strahlenexposition fuer den Feten kleiner 10 mSv abgeschaetzt. Der Einsatz eines Messkatheters waehrend des Eingriffs ermoeglichte die genaue Bestimmung der Feldgroesse und somit eine verlaessliche Berechnung der Einfallsdosis. Die applizierte Strahlendosis lag mit 5,2 mSv unter der praeinterventionellen Abschaetzung. Eine Strahlenexposition in diesem Dosisbereich stellt keine Indikation fuer einen medizinisch induzierten Schwangerschaftsabbruch dar. Eine intakte Graviditaet ist keine absolute Kontraindikation zur TIPS-Neuanlage. Diese muss unter Beruecksichtigung der Schwere des muetterlichen Krankheitsbildes und unter Vorausabschaetzung der zu erwartenden Strahlenexposition fuer den Feten als moegliche Therapieoption geprueft werden. (orig.)

  13. Psychotherapy via Videoconferencing: A Review

    Science.gov (United States)

    Simpson, Susan

    2009-01-01

    Research into the use of videoconferencing for clinical purposes, in particular psychotherapy, is gradually expanding. A number of case studies and case series have suggested that videoconferencing can be clinically effective and acceptable to patients. Nevertheless, there is a lack of methodologically rigorous studies with adequate sample sizes…

  14. Ueber den begriff "Kinoplasma" in der spermiogenese von Australorbis Glabratus Olivaceus (Mollusca, Pulmonata, Planorbidae

    Directory of Open Access Journals (Sweden)

    Rudolf Barth

    1960-11-01

    Full Text Available Zur Klaerung der Frage, ob der Begriff "Kinoplasma" fuer gewisse, von MERTON (1924,1926, 1930 beobachtete Bildungen an den reifenden Spermiden von pulmonaten Mollusken oder fuer Bestandteile des Cytoplasmas im Sinne von STRASBURGER und SCARTH zu verwenden ist, werden in der vorliegenden Mitteilung die Vorgaenge bei der Spermiohistogenese von Australorbis glabratus olivaceus untersucht. Es ergibt sich: 1. Das von MERTON bezeichnete "Kinoplasma" existiert nicht als solches, es handelt sich bei den von ihm dargestellten Protoplasmabildungen um kugelige, von den Spermiden abgeschnuerte Restkoerper nicht verwendeten Baumaterials, bestehend aus Protoplasma und einigen Mitochondrien. Sie werden von den Naehr- oder Bazalzellen phagozytiert. Der Ausdruck "Kinoplasma" kann nur fuer die submikroskopischen, geformten, faedigen Elemente des Cytoplasmas reserviert bleiben, die den geradlinigen Fall der uebrigen nicht geformten Komponenten bremst oder ablenkt; damit muss das Kinoplasma aber aus dem Begriff des Cytoplasmas herausgenommen werden, da es, wenn auch vermutlich reversibel, eine Differenzierung darstellt. 2. Der Spermienfaden wird von den Centriolen (Axialfilament und den Mitochondrien (zwei peripher gelegene Spiralfilamente, sowie einem Plasmamantel gebildet. 3. Nach Beendigung des Auswachsens der Spermiengeissel, die zu diesem Zeitpunkt nur aus dem Achsenfaden und dem Protoplasmazylinder besteht, setzt sich eine Protoplasmamasse vom Kopf in Richtung zum Geisselende in Bewegung. Sie fuehrt den Golgi-Koerper und sehr viele Mitochondrien mit sich. Aus diesen entwickeln sich Fibrillen, die sich zu den beiden Spiralfilamenten zusammenfuegen. Diese Masse entspricht der von MERTON in seiner Theorie als Kinoplasma bezeichneten Komponente. 4. Die Bewegung dieses Protoplasmateils wird auf den Schub zurueckgefuehrt, den die sich bildenden Fibrillen auf die Mitochondrien ausueben. 5. Die Rueckwaertsbewegung dieses Protoplasmakoerpers beruht wahrscheinlich auf

  15. Den amoralske liberalisme

    DEFF Research Database (Denmark)

    Skov, Christian Houlberg

    2011-01-01

    Fra både højre og venstre skydes der i disse år med skarpt mod liberalismen; i denne artikel anmelder Christian H. Skov Against Liberalism af John Kekes, der søger at påvise liberalismens mangler fra et logisk-filosofisk udgangspunkt, med den grundlæggende påstand, at liberalismens to mål, at fre......, at fremelske autonomi og begrænse ondskab, er uforenelige....

  16. Psychiatric and psychotherapeutic literacy: attitudes to, and knowledge of, psychotherapy.

    Science.gov (United States)

    Furnham, Adrian

    2009-11-01

    Whereas there is now a rapidly emerging literature on psychiatric literacy (Jorm, 2000), there is much less work on the public's knowledge of, and beliefs about the purpose of, and processes involved in, psychotherapy. This study looked at what lay people think happens during psychotherapy; what the processes and aims are; and the aetiology, treatment and prognosis for a mood and psychotic (bipolar, schizophrenia) and two neurotic (depression, obsessive-compulsive) disorders. In total 185 British adults, recruited by a market research company, completed a four-part questionnaire, lasting about 20 minutes. Participants were generally very positive about psychotherapy believing the experience to be highly beneficial. Schizophrenia was seen to have a biological basis; depression and bipolar disorder were perceived to have family, work and other stress-related causal issues; obsessive-compulsive disorder was seen to be caused by stress and family-related issues. Participants thought psychotherapy a very effective treatment but drug treatments more effective for schizophrenia and bipolar disorder. 'Talking it over' was judged highly relevant, specifically to depression. Participants believed that depression had a good chance of cure, and remission, but that neither schizophrenia nor bipolar disorder had much chance of an effective cure. Lay people show a curious pattern on insight, ignorance and naivety with regard to the cause and cure of mental disorders. They appear to have a modestly realistic but somewhat naive view of the process and efficacy of psychotherapy. This may influence how they react to their own and others' mental illness. It has clear implications for education in psychiatric literacy.

  17. den og morderen

    DEFF Research Database (Denmark)

    Hansen, Kim Toft

    2014-01-01

    forskellige versioner af Forbrydelsen: DR's oprindelige udgave, AMC's udgave The Killing og David Hewsons roman Forbrydelsen, der er baseret på manuskriptet til DR-serien. Grundfortællingen under disse tre versioner relaterer jeg til H.C. Andersens "Historien om en Moder" og tilskrivningen af mening til døden....

  18. The many secure knowledge bases of psychotherapy.

    Science.gov (United States)

    Bergner, Raymond M

    2006-01-01

    Psychotherapeutic practice, while it has benefited greatly from scientific research, rests on many further secure epistemic foundations. In the present article, this thesis is argued in two stages. First, a brief review of some elementary epistemological findings is presented. In this review, the generally acknowledged degree of certainty attributed to different knowledge sources, and thus the confidence with which we may believe and act upon them, are recounted. Second, an extended analysis of the ways in which each of these knowledge sources enter into the practice of psychotherapy is developed. In the end, what is proffered here is a demonstration that well conducted psychotherapy is an activity whose judgments and decisions rest on many secure foundations.

  19. Constructivism and psychotherapy.

    Science.gov (United States)

    Mahoney, Michael J; Granvold, Donald K

    2005-06-01

    Constructivism is a metatheoretical perspective that embraces diverse traditions in medicine, philosophy, psychology, and spiritual wisdom. Constructive psychotherapy emphasizes complex cycles in the natural ordering and reorganizing processes that characterize all development in living systems. Individuals are encouraged to view themselves as active participants in their lives. Within rich contexts of human relationship and symbol systems, people make new meanings as they develop. Techniques from many different traditions can help people find and refine their sense of balance as they develop.

  20. Synteserapport & 1. Indenrigspolitiske forhold i Den Islamiske Republik Iran

    DEFF Research Database (Denmark)

    Pedersen, Claus Valling

    Rapport til Udenrigsministeriet om de indenrigspolitiske forhold i Iran samt et syntese af hele rapporten: Iran som regional og international medspiller i den globale verdensorden samt Irans indenrigspolitik......Rapport til Udenrigsministeriet om de indenrigspolitiske forhold i Iran samt et syntese af hele rapporten: Iran som regional og international medspiller i den globale verdensorden samt Irans indenrigspolitik...

  1. Den første Karl Gustav-krig 1657-58

    DEFF Research Database (Denmark)

    Olden-Jørgensen, Sebastian

    2008-01-01

    Artiklen diskuterer den første Karl Gustav-krig i forskellige persketiver og konkluderer, at krigen ikke bør opfattes som et dårligt forberedt og uigennemtænkt forsøg på dansk revanche inden for rammerne af en nordisk rivalisering, men snarere som  en velovervejet satsning og et led i den dansk-s...

  2. Nye militære trends i den syriske borgerkrig

    DEFF Research Database (Denmark)

    Engen, Torben Toftgaard; Kjellund, Jon

    2018-01-01

    I den flerårige syriske borgerkrig har der fundet tre nye militære trends sted, der peger imod, at fremtidens landmilitære kampplads vil være væsensforskellig fra indsatserne i Irak og Afghanistan. Denne rapport analyserer de tre trends inden for digitaliseringen af den hybride krigsførelse og ka...

  3. Brief Adlerian psychodynamic psychotherapy: theoretical issues and process indicators.

    Science.gov (United States)

    Fassino, S; Amianto, F; Ferrero, A

    2008-06-01

    Brief psychotherapy is gaining interest worldwide, because of its good cost/effectiveness ratio and proved efficacy. The aim of the paper was to describe the brief Adlerian psychodynamic psychotherapy (B-APP): a brief, psychodynamically oriented psychotherapy referring to the individual psychology (IP). The B-APP theory refers to the following paradigms: 1) the individual represents a psychosomatic unity integrated in the social context; 2) the individual needs to build and regulate the image of the self; 3) bond patterns regulate human relationships and represent the symbolic ''fil rouge'' connecting the elements of the life-style. Its objectives are: 1) an at least partial resolution of the focus problem; 2) a decrease or a non-increase of symptoms; 3) a global increase of quality of life. The results depend on intrapsychic and relational changes. Indications are more relative than absolute. The possibility of identifying a meaningful focus is fundamental. The treatment scheme includes 15 sessions subdivided into 5 phases. B-APP offers a technical approach to brief psychotherapy which is suitable in many fields of psychiatry and liaison medicine such as preventive interventions in at-risk subjects, somatopsychic disorders and liaison psychiatry, personality and eating disorders, and treatment of emotionally disturbed children. It was applied as psychotherapeutic approach in some clinical outcome studies about eating disorders and severe personality disorders displaying a good efficacy.

  4. Entwicklungstrends bei landwirtschaftlichen Applikationen - ein Zwischenfazit

    Directory of Open Access Journals (Sweden)

    Christa Hoffmann

    2014-10-01

    Full Text Available Globalisierung, volatile Märkte und der vermehrte Rückzug der Agrarpolitik aus der Marktregulierung sorgen dafür, dass die Entscheidungsfindungsprozesse auf landwirtschaftlichen Betrieben an Komplexität zunehmen. Applikationen bieten durch ihre Mobilität und individuellen Ausgestaltungsmöglichkeiten Optionen, um den Landwirt bei seiner täglichen Arbeit zu unterstützen. In diesem Kontext nimmt diese Arbeit eine Bestandsaufnahme und Kategorisierung nativer Applikationen mit landwirtschaftlichem Bezug vor. Die Ergebnisse zeigen unter anderem einen Angebotsschwerpunkt im Produktionszweig Pflanzenbau und bei den Funktionen bestimmte häufig auftretende bedarfsbedingte Kombinationen (z. B. Planung und Analyse.

  5. [Need of specific criteria for psychotherapy referral in the public health system: A proposal].

    Science.gov (United States)

    García-Haro, J; Fernández-Briz, N

    2015-01-01

    This study discusses the need of specific criteria for psychotherapy referral in the public services. the use of psychotherapy as a supplement to traditional medication, and its comparison with informal methods of support, has been questioned. This study proposes the establishment of basic criteria for the integration of psychotherapy, based on an analysis of the conditions that allow it to function. It thus aims to contribute to improving the reputation and the practice conditions of psychotherapy in the public health system. Copyright © 2013 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance

    Science.gov (United States)

    Koole, Sander L.; Tschacher, Wolfgang

    2016-01-01

    During psychotherapy, patient and therapist tend to spontaneously synchronize their vocal pitch, bodily movements, and even their physiological processes. In the present article, we consider how this pervasive phenomenon may shed new light on the therapeutic relationship– or alliance– and its role within psychotherapy. We first review clinical research on the alliance and the multidisciplinary area of interpersonal synchrony. We then integrate both literatures in the Interpersonal Synchrony (In-Sync) model of psychotherapy. According to the model, the alliance is grounded in the coupling of patient and therapist’s brains. Because brains do not interact directly, movement synchrony may help to establish inter-brain coupling. Inter-brain coupling may provide patient and therapist with access to another’s internal states, which facilitates common understanding and emotional sharing. Over time, these interpersonal exchanges may improve patients’ emotion-regulatory capacities and related therapeutic outcomes. We discuss the empirical assessment of interpersonal synchrony and review preliminary research on synchrony in psychotherapy. Finally, we summarize our main conclusions and consider the broader implications of viewing psychotherapy as the product of two interacting brains. PMID:27378968

  7. Synchrony in Psychotherapy: A Review and an Integrative Framework for the Therapeutic Alliance.

    Science.gov (United States)

    Koole, Sander L; Tschacher, Wolfgang

    2016-01-01

    During psychotherapy, patient and therapist tend to spontaneously synchronize their vocal pitch, bodily movements, and even their physiological processes. In the present article, we consider how this pervasive phenomenon may shed new light on the therapeutic relationship- or alliance- and its role within psychotherapy. We first review clinical research on the alliance and the multidisciplinary area of interpersonal synchrony. We then integrate both literatures in the Interpersonal Synchrony (In-Sync) model of psychotherapy. According to the model, the alliance is grounded in the coupling of patient and therapist's brains. Because brains do not interact directly, movement synchrony may help to establish inter-brain coupling. Inter-brain coupling may provide patient and therapist with access to another's internal states, which facilitates common understanding and emotional sharing. Over time, these interpersonal exchanges may improve patients' emotion-regulatory capacities and related therapeutic outcomes. We discuss the empirical assessment of interpersonal synchrony and review preliminary research on synchrony in psychotherapy. Finally, we summarize our main conclusions and consider the broader implications of viewing psychotherapy as the product of two interacting brains.

  8. Simultaneous Occurrence of Dens Invaginatus and Fusion

    Directory of Open Access Journals (Sweden)

    Amit Mhapuskar

    2013-01-01

    Full Text Available Although Dens invaginatus and fusion are well-known and well established dental anomalies, they are rarely seen in supernumerary teeth. In this article, simultaneous occurrence of Dens invaginatus and fusion between maxillary lateral incisor and a supernumerary tooth is described. Dens invaginatus is clinically significant due to the possibility of the pulpal involvement; pulpitis, necrotic pulps and chronic periapical lesions are often associated with this anomaly without clinical symptoms. Fusion has a negative impact on the aesthetics, especially when it occurs in maxillary anterior teeth. It is difficult to clinically make differential diagnosis between fused teeth and geminated teeth, especially when these anomalies take place together with hypodontia or supernumerary tooth. It has been found that sequel of such teeth may result in delayed eruption, ectopic eruption or even impaction of permanent teeth; hence proper diagnosis by clinical and radiographic methods and intervention at appropriate time is of paramount importance. The accurate knowledge of variations in morphology of tooth and pulp cavity greatly assists the dentist in planning successful treatment options.

  9. RELATIONAL GROUP PSYCHOTHERAPY: THE HEALING OF STRESS, NEGLECT AND TRAUMA

    Directory of Open Access Journals (Sweden)

    Richard G. Erskine

    2010-01-01

    Full Text Available This article is the Keynote Address given at the 4th International Integrative Psychotherapy Association Conference, April 17, 2009. In speaking to the conference theme of “Acute Trauma, Cumulative Neglect, and Chronic Stress” the article describes some of the principles of Relational Group Psychotherapy. The theory of methods is based on the concept that the healing of trauma, neglect and stress occurs through a contactful therapeutic relationship. Relational group psychotherapy draws from several developments in group therapy, particularly the cybernetic feedback and other-centered models. It emphasizes the healing power of relationships between group members and the importance of phenomenological inquiry, affective attunement, identification, and relational-needs. The leader’s tasks are to stimulate the flow of contactful dialogue and to teach about human needs and healthy relationships.

  10. Playing off the beat: Applying the jazz paradigm to psychotherapy.

    Science.gov (United States)

    Johnson, David Read

    2018-02-01

    A jazz paradigm is applied to traditional psychotherapy practice, illuminating the links between psychotherapy and the Romantic aesthetic tradition, primarily in the centrality of concepts such as attunement. Modernist disruptions of realism during the early 20 th century, such as jazz, elaborated dissonant and improvisational artistic impulses that brought new vitality to their art forms. The psychotherapeutic relationship also has potential avenues for multilevel and discrepant communication that open possibilities of freedom. However, the limitations imposed by the single channel nature of comprehended language, compared with the capacity of artistic media to express multiple sensory information simultaneously, remain the most significant obstacle to dimensionalizing the psychotherapeutic dialogue. Psychotherapy may have much to gain from embracing some of the concepts underlying the jazz aesthetic. © 2018 Wiley Periodicals, Inc.

  11. Gestalt Therapy: Student Perceptions of Fritz Perls in "Three Approaches to Psychotherapy"

    Science.gov (United States)

    Reilly, Joe; Jacobus, Veronica

    2009-01-01

    The "Three Approaches to Psychotherapy" ("TAP") videotape series introduces students to three major schools of psychotherapy: client-centered therapy, Gestalt therapy, and rational-emotive therapy. A sample of undergraduate students viewed the "TAP" series. The students were surveyed about their observations of…

  12. Psychotherapy

    Science.gov (United States)

    Sansone, Lori A.

    2009-01-01

    Clinicians have a number of treatment options for dealing with the emotional ills of patients, including psychoeducation, psychotherapy, and pharmacotherapy. However, after years of experience in the clinical field, we have recognized that these treatment options may not be sufficient to adequately address the problems of some patients. We have found that adding a metaphysical/spiritual component may be helpful, particularly for those patients with histories of childhood trauma. In this edition of The Interface, we discuss four metaphysical techniques for facilitating patient healing—1) refocusing on the present, 2) reframing adversity, 3) practicing surrender, and 4) meditation. These approaches can be mutually integrated and compliment a psychological treatment in either the psychiatric or primary care setting, regardless of whether or not the patient has formal religious beliefs. PMID:20104289

  13. Palmistry, tarot cards, and psychotherapy.

    Science.gov (United States)

    Pejic, Nicholas G

    2008-01-01

    The author summarizes his experience with palm and Tarot card readers in New Orleans. The history, practice, and psychodynamics of palmistry and Tarot are explored. It's postulated that these practices are forms of archaic psychotherapy, which employ supportive treatment and placebo. These tactics are used to elicit hope for its clients.

  14. The relationship between clients' depression etiological beliefs and psychotherapy orientation preferences, expectations, and credibility beliefs.

    Science.gov (United States)

    Tompkins, Kelley A; Swift, Joshua K; Rousmaniere, Tony G; Whipple, Jason L

    2017-06-01

    The purpose of this study was to examine the relationship between clients' etiological beliefs for depression and treatment preferences, credibility beliefs, and outcome expectations for five different depression treatments-behavioral activation, cognitive therapy, interpersonal psychotherapy, pharmacotherapy, and psychodynamic psychotherapy. Adult psychotherapy clients (N = 98) were asked to complete an online survey that included the Reasons for Depression Questionnaire, a brief description of each of the five treatment options, and credibility, expectancy, and preference questions for each option. On average, the participating clients rated pharmacotherapy as significantly less credible, having a lower likelihood of success, and being less preferred than the four types of psychotherapy. In general, interpersonal psychotherapy was also rated more negatively than the other types of psychotherapy. However, these findings depended somewhat on whether the participating client was personally experiencing depression. Credibility beliefs, outcome expectations, and preferences for pharmacotherapy were positively associated with biological beliefs for depression; however, the other hypothesized relationships between etiological beliefs and treatment attitudes were not supported. Although the study is limited based on the specific sample and treatment descriptions that were used, the results may still have implications for psychotherapy research, training, and practice. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  15. Psychotherapy: Adaptation or Walking Together? (A Roadside Conversation

    Directory of Open Access Journals (Sweden)

    Nina Bychkova

    2011-02-01

    Full Text Available The article concerns psychotherapeutic work in the perspective of existential approach. Two trends are discerned in modern psychotherapy regardless of the known division into different schools – the adaptation therapy, and the one viewing a person in the context of his Personal being in the world. Therapy here is understood as the Way of mutual personal growth of both the therapist and the client. Distinction is singled out as one of the central points in forming the meanings, essential for both the normal development of a child and in psychotherapy, and remaining significant for spiritual growth in adults. 

  16. Psychotherapy role expectations and experiences - discrepancy and therapeutic alliance among patients with substance use disorders.

    Science.gov (United States)

    Frankl, My; Philips, Björn; Wennberg, Peter

    2014-12-01

    The main aim of the study was to examine how the discrepancy between role expectations prior to psychotherapy and experiences of ongoing psychotherapy related to therapeutic alliance. We hypothesized that a similarity between patient role expectations and experiences would be associated with a stronger alliance. The study also examined whether different dimensions of psychotherapy role expectations predicted retention in psychotherapy. A naturalistic study design was used with data collected prior to therapy and during the first 6 months of therapy. Patients with substance use disorders completed the Psychotherapy Expectation Questionnaire-short version (PEX-S) at the time of therapy assessment. A subsample of these patients (n = 41; n = 24 in individual therapy and n = 17 in group therapy) provided data from therapy including psychotherapy experiences (also measured with PEX-S) and therapeutic alliance, measured with Working Alliance Questionnaire-short version. For patients in group therapy, discrepancy between role expectations and experiences correlated negatively with alliance. Expectations prior to psychotherapy characterized by defensiveness correlated negatively with therapy retention. The finding that disconfirmation of patients' role expectations in group therapy were associated with weaker therapeutic alliance highlights the importance of discussing psychotherapy expectations at an early stage in treatment. Expectations characterized by defensiveness predicted worse retention in psychotherapy, which indicates that the PEX-S can be helpful in detecting patients at risk for dropout. In targeting a patient's role expectancies prior to treatment, possible discrepancies between patient and therapist are made visible and possible to examine. Clarifying the patient's role expectations and the therapist's rationale might be a first step towards establishing a strong working alliance. Surveying the patient's defensiveness tendencies at the beginning of therapy

  17. Resistances in the first session of psychodrama psychotherapy group with adults.

    Science.gov (United States)

    Drakulić, Aleksandra Mindoljević

    2010-06-01

    Resistance refers to all types of behaviour that oppose the exploration processes in the therapeutic process and inhibit work. Very common types of resistances, such as forgetting the time of session, being late, non-payment of sessions and such are found in every type of psychotherapy, including psychodrama psychotherapy. The attempt to break resistance in order to evoke changes could be dangerous as it represents the necessary defence mechanism and it is also a vital element of the person's functioning in therapy. In psychodrama, which is a type of action method of group psychotherapy, resistance can manifest through continuous verbalization of problems, in not wanting to act out the problem, the protagonist's typical non-verbal message or the most obvious manifestation: the absence of the protagonist. This paper will be on the typical resistance which the therapist has noticed during the first session of psychodrama psychotherapy, with a small group of adult clients. As the group was young and with undeveloped cohesiveness, resistance represented a certain balancing power for maintaining mental homeostasis of the group.

  18. Pina Bausch – eine interkulturelle Mittlerin? : Ein Rezeptionsvergleich zwischen Deutschland und den Niederlanden

    NARCIS (Netherlands)

    Seidl, A.; Colin, N.; Farges, P.; Taubert, F.

    2017-01-01

    „Was Bertolt Brecht für das deutsche Theater der ersten Hälfte des Jahrhunderts bedeutete, bedeutete Pina Bausch für die zweite Hälfte.“ Rudolf Rach (Verleger, L’Arche Editeur, Paris) Das Tanztheater Wuppertal errang unter seiner Choreographin Pina Bausch Weltruhm. Die Grundannahme ist, dass Bauschs

  19. Can Independent Judges Recognize Different Psychotherapies? An Experience with Manual-Guided Therapies.

    Science.gov (United States)

    Luborsky, Lester; And Others

    1982-01-01

    Tested whether independent judges could recognize three different manual-guided psychotherapies, drug counseling, supportive-expressive psychotherapy, and cognitive-behavioral using a special rating form containing scales for the characteristic aspects of each type. Results indicated that manual-guided therapies can be reliably recognized.…

  20. [On the present situation in psychotherapy and its implications - A critical analysis of the facts].

    Science.gov (United States)

    Tschuschke, Volker; Freyberger, Harald J

    2015-01-01

    The currently dominating research paradigm in evidence-based medicine is expounded and discussed regarding the problems deduced from so-called empirically supported treatments (EST) in psychology and psychotherapy. Prevalent political and economic as well as ideological backgrounds influence the present dominance of the medical model in psychotherapy by implementing the randomized-controlled research design as the standard in the field. It has been demonstrated that randomized controlled trials (RCTs) are inadequate in psychotherapy research, not the least because of the high complexity of the psychotherapy and the relatively weak role of the treatment concept in the change process itself. All major meta-analyses show that the Dodo bird verdict is still alive, thereby demonstrating that the medical model in psychotherapy with its RCT paradigm cannot explain the equivalence paradox. The medical model is inappropriate, so that the contextual model is proposed as an alternative. Extensive process-outcome research is suggested as the only viable and reasonable way to identify highly complex interactions between the many factors regularly involved in change processes in psychotherapy.

  1. Den danske stat og det naturlige fædreland

    DEFF Research Database (Denmark)

    Glenthøj, Rasmus

    2007-01-01

    forsøgte på engang at være loyale over for både det statsborgerlige fædreland, der inkluderede hele den danske stat, og deres naturlige fædreland Norge, som de følte sig forbundet til gennem deres nationalitet og opvækst. Danskerne opererede med den samme dualistiske fædrelandsopfattelse, hvor de både...

  2. Anforderungen an Marketingkonzepte für Großtraktoren unter Berücksichtigung des Wandels landwirtschaftlicher Rahmenbedingungen

    OpenAIRE

    Thiel, Jörg

    2017-01-01

    Beeinflusst von der Volatilität der Märkte, ergänzt um gesellschaftspolitische wie absatzorientierte Maßnahmen, ist die Landtechnikbranche seit jeher einem permanenten Wandel ausgesetzt. Insbesondere unter dem derzeit im Fokus stehenden Aspekt der Nachhaltigkeit in landwirtschaftlichen Produktionssystemen bedarf es der Gestaltung innovativer Ansätze für effizientere sowie gleichzeitig ressourcenschonende Verfahren. Zusätzlich verstärkt durch die seit geraumer Zeit anhaltend angespannten Situa...

  3. Psychotherapy: from exorcism to cognitive theories

    Directory of Open Access Journals (Sweden)

    Durval Mazzei Nogueira Filho

    Full Text Available The author discusses aspects of psychotherapeutic action. He defends the rationality of the procedure, comments on the splintering of the field of psychotherapy and discusses the usefulness of applying the scientific methodology to this field of knowledge.

  4. Brand management og den refleksive forbruger - med semiotik som hjælpedisciplin

    DEFF Research Database (Denmark)

    Hermansen, Judy

    2009-01-01

      Kritisk eftertanke er et væsentligt træk ved den refleksive forbruger - ofte parret med en vis negativitet overfor et brand, en reklame eller forbrugerisme i al almindelighed. Den refleksive forbrugertype kommer til udtryk hos for eksempel en anti-branding guru som Naomi Klein og hendes...... bestseller bog "No Logo" eller i græsrodsbevægelsen Adbusters ( https://www.adbusters.org/ ), der efterhånden i mange år har udsendt et månedsmagasin med kritik af forbrugersamfundet og al dets reklame og branding. Disse anti-forbrugs og anti-branding bevægelser udspringer af, og er identifikationspunkter...... - den refleksive forbruger skal have noget, der kan "brande" ham som anderledes end alle mainstreamforbrugerne. Den refleksive forbruger er med andre ord en Feinschmecker og i lighed med - eller måske rettere i endnu højere grad end - alle andre forbrugere signalerer den refleksive forbruger sin...

  5. Does gratitude writing improve the mental health of psychotherapy clients? Evidence from a randomized controlled trial.

    Science.gov (United States)

    Wong, Y Joel; Owen, Jesse; Gabana, Nicole T; Brown, Joshua W; McInnis, Sydney; Toth, Paul; Gilman, Lynn

    2018-03-01

    Although the past decade has witnessed growing research interest in positive psychological interventions (PPIs), their potential as adjunctive interventions for psychotherapy remains relatively unexplored. Therefore, this article expands the frontiers of PPI research by reporting the first randomized controlled trial to test a gratitude writing adjunctive intervention for psychotherapy clients. Participants were 293 adults seeking university-based psychotherapy services. Participants were randomly assigned to one of three conditions: (a) control (psychotherapy only), (b) a psychotherapy plus expressive writing, and (c) a psychotherapy plus gratitude writing. Participants in the gratitude condition wrote letters expressing gratitude to others, whereas those in the expressive writing condition wrote about their deepest thoughts and feelings about stressful experiences. About 4 weeks as well as 12 weeks after the conclusion of the writing intervention, participants in the gratitude condition reported significantly better mental health than those in the expressive and control conditions, whereas those in the expressive and control conditions did not differ significantly. Moreover, lower proportions of negative emotion words in participants' writing mediated the positive effect of condition (gratitude versus expressive writing) on mental health. These findings are discussed in light of the use of gratitude interventions as adjunctive interventions for psychotherapy clients.

  6. Børnebøger : Døden er en del af livet

    DEFF Research Database (Denmark)

    Petersen, Anne

    2010-01-01

    Der findes mange kvalitetsbøger, som giver børn en litterær hjælpende hånd til at håndtere de store eksistentielle spørgmål om døden, og som kan lette sorgen. Bøgerne er ofte lune og usentimentale, men kan være højtidelige. På den fine måde.......Der findes mange kvalitetsbøger, som giver børn en litterær hjælpende hånd til at håndtere de store eksistentielle spørgmål om døden, og som kan lette sorgen. Bøgerne er ofte lune og usentimentale, men kan være højtidelige. På den fine måde....

  7. Regional coverage of contrails from satellite data and their radiative forcing; Regionale Kondensstreifen-Bedeckung aus Satellitendaten und ihr Einfluss auf den Strahlungshaushalt

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, R.

    2000-07-01

    An operational contrail detection algorithm is applied to day and night overpasses of the Advanced Very High Resolution Radiometer (AVHRR). From the classification results the daytime and nighttime coverage by linear shaped contrails over Western Europa is derived. The annual daytime average for the analyzed region of 0.75% shows a strong annual cycle with 1.0% coverage during winter and 0.4% during summer. The day/night ratio reaches the factor 3. Using the radiance contrasts in the 11 {mu}m channel for contrail and adjacent pixels an average visible optical depth for the observed contrails of 0.1 is derived. This leads to an annual mean top of atmosphere radiative forcing by contrails over Central Europe in the range of 0.03 W/m{sup 2} to 0.08 W/m{sup 2}, which is about one magnitude smaller than prior studies suggest. The highest annual mean contrail forcing exceeds 0.12 W/m{sup 2} over Northeastern France, Belgium, Great Britain and Hungary. (orig.) [German] Ein operationelles Kondensstreifen-Erkennungsverfahren wird auf Tag- und Nacht-Ueberfluege des Advanced Very High Resolution Radiometer (AVHRR) angewandt. Aus den Klassifizierungsergebnissen wird die mittaegliche und naechtliche Bedeckung durch linienhafte Kondensstreifen ueber Westeuropa abgeleitet. Das Jahresmittel der Bedeckung am Tag betraegt 0,75% und zeigt einen ausgepraegten Jahresgang mit 1% im Winter und 0,4% im Sommer, sowie einen starken Tag/Nacht-Unterschied mit einer Amplitude von 3. Mit Hilfe von Strahldichtekontrasten im 11 {mu}m Kanal zwischen Kondensstreifen und benachbarten Pixeln wird fuer die erkannten Kondensstreifen eine durchschnittliche optische Dicke im sichtbaren Spektralbereich von 0,1 abgeschaetzt. Daraus ergibt sich am Oberrand der Atmosphaere ein mittlerer auf Kondensstreifen zurueckzufuehrender Strahlungsantrieb zwischen 0,03 W/m{sup 2} und 0,08 W/m{sup 2}, was eine Groessenordnung unter den Ergebnissen bisheriger Studien liegt. Die hoechsten Jahresmittel mit mehr als 0,12 W

  8. Vector competence of Aedes albopictus and Aedes aegypti (Diptera: Culicidae) for the DEN2-FJ10 and DEN2-FJ11 strains of the dengue 2 virus in Fujian, China.

    Science.gov (United States)

    Guo, Xiao-Xia; Li, Chun-Xiao; Zhang, Ying-Mei; Xing, Dan; Dong, Yan-De; Zhang, Heng-Duan; Qin, Cheng-Feng; Zhao, Tong-Yan

    2016-09-01

    Dengue is an acute, emerging, infectious disease transmitted by Aedes mosquitoes that has become a serious global public health problem. The DEN2-FJ10 and DEN2-FJ11 strains of the dengue 2 virus were originally isolated from the serum of a patient with dengue fever in Fujian Province, China, in 1999. Our data provide the first assessment of the vector competence of Aedes mosquitoes with respect to the DEN2-FJ10 and DEN2-FJ11 strains of the dengue virus. There were significant differences in the replication rates of these two viral strains in Aedes albopictus and Aedes aegypti (P0.05). In summary, our results indicate that Ae. albopictus and Ae. aegypti mosquitoes are moderately competent vectors of the DEN2-FJ10 and DEN2-FJ11 strains of the dengue virus and provide the first evidence of the effect of these two viral strains on the vector competence of mosquitoes in China. Copyright © 2016 Elsevier B.V. All rights reserved.

  9. Wollen wirklich alle den "mündingen Verbraucher"?

    DEFF Research Database (Denmark)

    Strünck, Christoph; Becker, Tilman; Jungermann, Helmut

    Die Verbraucherpolitik beruft sich auf das Leitbild des „mündigen Verbrauchers“. Allerdings gibt es unterschiedliche Interpretationen, was unter Mündigkeit zu verstehen ist. Außerdem ist die Wirklichkeit häufig weit entfernt vom Ideal des „mündigen Verbrauchers“. Diese Unschärfe nutzen Verbände u...... Leitbild des mündigen Verbrauchers für sich nutzen, wird im vorliegenden Diskussionspapier erörtert. Dazu werden zunächst einige konkrete Thesen und daraus abgeleitete Empfehlungen präsentiert. Im Hauptteil des Papiers wird die Instrumentalisierung des Leitbilds grundsätzlich erörtert....

  10. Den gamle verdens magi

    DEFF Research Database (Denmark)

    Holck, Jakob Povl

    I denne bog præsenterer forskningsbibliotekar cand.mag., ph.d. Jakob Povl Holck sjældne bøger og andre biblioteksmaterialer fra Herlufsholm-samlingen på Syddansk Universitetsbibliotek i Odense. Bogens form udgør en mosaik af værker i tekst og især billeder med speciel vægt på ’den videnskabelige ...

  11. Fox Den Disease: An Interesting Case Following Delayed Diagnosis.

    Science.gov (United States)

    Stehr, Ryan C; Kim, Nicholas; LoGiudice, John A; Ludwig, Kirk

    2015-06-01

    Pyoderma fistulans sinifica, also known as fox den disease, is a rare and poorly understood inflammatory disorder of the skin and subcutaneous tissues. This disorder is often mistaken for other inflammatory skin disorders and treated inappropriately. The authors describe the case of a 53-year-old male who presented to the colorectal surgery service with a longstanding diagnosis of perirectal Crohn's disease. Despite aggressive immunosuppression and numerous surgical procedures, the patient continued to have unrelenting purulent drainage from the skin of his buttocks. Following wide excision of the affected skin and subcutaneous tissues by the colorectal surgeon, the plastic surgery team reconstructed the 30 cm x 55 cm wound using a combination of local flaps and skin grafts. The initial pathology report of the excised specimen confirmed the presence of nonspecific abscesses and inflammation. Upon special request by the plastic surgery team, the sample was resectioned with the specific intent of establishing a diagnosis of fox den disease. The additional slides met the criteria for an unequivocal diagnosis of fox den disease. Immunosuppression was discontinued and the patient healed his wounds without complication. Fox den disease is often overlooked because of the obscurity of the disease and the special histological sectioning needed to establish a diagnosis. In this case, the patient was unnecessarily treated with immunosuppressive drugs for more than 3 decades because of a misdiagnosis. With increased awareness of fox den disease, perhaps its pathophysiology can be better elucidated as more patients are appropriately diagnosed and treated.

  12. Konzeptionelle Entwicklung innovativer Bremssysteme

    OpenAIRE

    Schwankl, L.

    2017-01-01

    Im Rahmen des hier vorgestellten Kooperationsprojekts wurden vorhandene elektromagnetische Bremsen nach konstruktionsmethodischen Gesichtspunkten überarbeitet. Nach einer intensiven Auseinandersetzung mit dem bestehenden System wurde unter Anwendung unterschiedlichster Kreativitätstechniken eine große Anzahl von neuen Lösungsvorschlägen erarbeitet und dokumentiert. Bereits in den frühen Phasen der Produktentwicklung wurden die relevanten, produktbestimmenden Eigenschaften mittels einfacher An...

  13. [Psychotherapies for the Treatment of Phantom Limb Pain].

    Science.gov (United States)

    Cárdenas, Katherine; Aranda, Mariana

    The phantom limb pain has been described as a condition in which patients experience a feeling of itching, spasm or pain in a limb or body part that has been previously amputated. Such pain can be induced by a conflict between the representation of the visual and proprioceptive feedback of the previously healthy limb. The phantom limb pain occurs in at least 42 to 90% of amputees. Regular drug treatment of phantom limb pain is almost never effective. A systematic review of the literature was conducted in Medline and Cochrane using the MESH terms "phantom limb pain" and "psychotherapy", published in the last 10 years, in English and Spanish, finding 49 items. After reviewing the abstracts, 25 articles were excluded for not being related to the objective of the research. Additionally cross references of included articles and literature were reviewed. To describe the psychotherapies used in the management of phantom limb pain, their effectiveness and clinical application reported in the literature. The mechanisms underlying phantom limb pain were initially explained, as were the published studies on the usefulness of some psychotherapies such as mirror visual feedback and immersive virtual reality, visual imagery, desensitization and reprocessing eye movements and hypnosis. The phantom limb pain is a complex syndrome that requires pharmacological and psychotherapeutic intervention. The psychotherapies that have been used the most as adjuvants in the treatment of phantom limb pain are mirror visual feedback, desensitization and reprocessing eye movements, imagery and hypnosis. Studies with more representative samples, specifically randomized trials are required. Copyright © 2016 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  14. Current Perspective on MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder

    OpenAIRE

    Thal, Sascha B.; Lommen, Miriam J.J.

    2018-01-01

    The present paper discusses the current literature with regard to substance-assisted psychotherapy with Methylenedioxymethamphetamine (MDMA) for posttraumatic stress disorder (PTSD). The aim of the paper is to give a comprehensive overview of the development from MDMA’s early application in psychotherapy to its present and future role in the treatment of PTSD. It is further attempted to increase the attention for MDMA’s therapeutic potential by providing a thorough depiction of the scientific...

  15. Nonverbal Synchrony in Psychotherapy: Coordinated Body Movement Reflects Relationship Quality and Outcome

    Science.gov (United States)

    Ramseyer, Fabian; Tschacher, Wolfgang

    2011-01-01

    Objective: The authors quantified nonverbal synchrony--the coordination of patient's and therapist's movement--in a random sample of same-sex psychotherapy dyads. The authors contrasted nonverbal synchrony in these dyads with a control condition and assessed its association with session-level and overall psychotherapy outcome. Method: Using an…

  16. Endokrinologische Behandlung der Geschlechtsdysphorie bei Menschen mit Geschlechtsinkongruenz

    Directory of Open Access Journals (Sweden)

    Flütsch N

    2015-01-01

    Full Text Available Es gibt Menschen, die die innere Gewissheit besitzen, dass ihre Geschlechtsidentität nicht zu ihrem biologischen Ursprungsgeschlecht passt. Durch die Entwicklungen in der Medizin in den letzten hundert Jahren ist es möglich geworden, die körperlichen Geschlechtsmerkmale an das innerlich erlebte Geschlecht anzupassen. Die Zahl der Hilfesuchenden in den ärztlichen Ambulanzen und Privatpraxen hat in den vergangenen Jahren deutlich zugenommen. Das Vorgehen bei der Diagnostik und Therapieeinleitung erlebt zurzeit eine deutliche Veränderung hin zu mehr Patientenzentriertheit und Individualisierung des Transitionsprozesses. Dabei bildet die geschlechtsangleichende Hormontherapie ein wesentliches Standbein in der körperlichen Angleichung an das Gegengeschlecht. Unter Beachtung von bestimmten Sicherheitsaspekten ist eine Hormontherapie mit Sexualhormonen sicher und einfach durchzuführen. Regelmäßige Verlaufskontrollen sowie der offene und affirmative Umgang mit den Betroffenen tragen zudem wesentlich zur Sicherheit in der Behandlung bei.

  17. [Multiprofessional inpatient psychotherapy of depression in old age].

    Science.gov (United States)

    Cabanel, N; Kundermann, B; Franz, M; Müller, M J

    2017-11-01

    Depression is common in old age but is often underdiagnosed and inadequately treated. Although psychotherapy is considered effective for treating elderly patients with depression, it is rarely applied in inpatient settings. Furthermore, treatment on inpatient units specialized for elderly patients and implementation of a psychotherapeutic treatment approach are currently more the exception. From this background, a multiprofessional inpatient behavioral treatment program (MVT) for elderly depressed patients was developed at a specialized unit of a university-affiliated regional psychiatric hospital. The MVT is based on specific and modularized group therapies accompanied by individual therapeutic interventions. While the provision of group therapies (such as psychotherapy, social skills training, relaxation training, euthymic and mindfulness-based methods, exercise and occupational therapy as well as psychoeducational sessions for relatives) is assigned to specific professional groups, a joint multiprofessional treatment planning is of central relevance. First evaluations of different treatment components support the high acceptability of the MVT and highlight that psychotherapeutic inpatient treatment programs for the elderly are feasible. Further research is required to investigate the clinical efficacy of psychotherapy in elderly depressive inpatients.

  18. Endodontic, surgical and periodontal treatment of dens invaginatus. Case report.

    Science.gov (United States)

    Castellarin, M; Demitri, V; Politi, M

    2001-01-01

    The aim of this paper is to propose a single stage global treatment of endodontic, periapical and periodontal lesions in a lateral maxillary incisor with dens invaginatus. A 24 year-old woman presenting a lateral maxillary incisor with dens invaginatus in association with periapica1 and periodontal lesions underwent simultaneous surgical, endodontic and periodontal regenerative procedures. At 2, 6, 12, 18 months follow-up the radiographic healing appeared to be improved and the periapical lesion healed completely 1 year after surgical intervention. Surgery in association with endodontic and periodontal procedures represents the treatment of choice to maximize long term prognosis in cases of dens invaginatus with chronic periapical and periodontal lesions.

  19. [Reality of treatment in psychotherapy: Results of a survey of German psychiatric hospitals].

    Science.gov (United States)

    Laux, G; Sander, K; Artmann, S; Dreher, J; Lenz, J; Hauth, I

    2015-05-01

    Since the introduction of the qualification as specialist for psychiatry and psychotherapy, in addition to psychopharmacotherapy psychotherapy is an integral component of the treatment of mentally ill people. A survey was carried out to evaluate the reality of clinical routine use of psychotherapy in German psychiatric hospitals. Between October 2011 and March 2012 German hospitals of psychiatry and psychotherapy were contacted by the head organization, the conference of national directors (Bundesdirektorenkonferenz), to participate in a survey regarding the application of psychotherapy in the real clinical world of daily treatment. With an anonymous questionnaire, data were requested as either a printed form or online version. Data from 25 psychiatric hospitals in the year 2010 could be analysed (average number of beds 300 of which 53 were for psychosomatic/psychotherapeutic patients) and a total of 87,000 inpatients were treated whereby 34 % were diagnosed as F1 addictive disorders and 24 % as F3 affective disorders. More than 80 % of the hospitals applied group therapies of relaxation, cognitive behavior therapy, social competence training and specific techniques, such as dialectic-behavior therapy. As individual treatment methods, patients with depressive disorders were treated with cognitive behavior therapy, interpersonal psychotherapy or psychodynamic therapy in more than 50 % of the cases. Relaxation techniques were offered in most cases by the nursing staff, behavior therapy by psychologists and physicians and psychodynamic therapy mainly by psychiatrists.

  20. Chlorerede opløsningsmidler i den mættede zone

    DEFF Research Database (Denmark)

    Broholm, K.

    1996-01-01

    Anmeldelse af Jensen,B.K. & Nilsson,B.: Chlorerede opløsningsmidler i den mættede zone. Miljøstyrelsen 1996, (Miljøprojekt 330)......Anmeldelse af Jensen,B.K. & Nilsson,B.: Chlorerede opløsningsmidler i den mættede zone. Miljøstyrelsen 1996, (Miljøprojekt 330)...

  1. Psychotherapy with people with developmental disabilities

    Directory of Open Access Journals (Sweden)

    Barbara Zafošnik

    2011-08-01

    Full Text Available People with developmental disabilities can experience any psychological abnormalitiy and psychiatric illness as do people without developmental disabilities. Due to different diagnostic criteria, assessment procedures and instruments, we lack definite prevalence rates for people with developmental disabilities, also suffering from mental health problems, eventhough most studies place the rate at 20 to 40%. One of the possible treatment alternatives for augmenting psychological well-being is psychotherapy, but is extremely rarely used for people with severe and profound disabilities, where speech cannot be the main therapeutic medium. So, those that are included in the psychotherapuetic process are predominantly clients with mild developmental disabilities, and they are mostly in cognitive-behavioral therapy. Recently, two models of (psychotherapy for persons with severe and profound developmental disabilities were developed: developmental-dynamic relationship therapy and attachment-based behaviour therapy for children. Conceptually, they both originate form developmental psychoanalytic theories.

  2. Looking back, looking forward: A historical reflection on psychotherapy process research.

    Science.gov (United States)

    Knobloch-Fedders, Lynne M; Elkin, Irene; Kiesler, Donald J

    2015-01-01

    In 1983, a group of 14 prominent psychotherapy process researchers attended a workshop sponsored by the US National Institute of Mental Health. Although the previous decade had seen a marked emphasis on psychotherapy outcome research, there had also been several major advances in the field of process research. The goals of the workshop were to review the current state of the field, address methodological and conceptual issues, and provide recommendations to advance scholarship in this area. In this paper, we summarize the major themes of the workshop and consider the degree to which its recommendations have come to fruition via subsequent developments in the field. Although 30 years have passed since the workshop was held, its insights remain highly relevant to psychotherapy process research today.

  3. Fundamental dilemmas in contemporary psychotherapy: a transtheoretical concept.

    Science.gov (United States)

    Scaturo, Douglas J

    2002-01-01

    The transtheoretical nature of fundamental dilemmas in contemporary psychotherapy is explored. The basic distinction between technical and ethical dilemmas in clinical practice is discussed, as well as the ramifications for the psychotherapist. Clinical dilemmas identified by survey research studies and interviews with master psychotherapists are reviewed. In addition to dilemmas relevant to circumscribed areas of psychotherapy, such as brief therapy, managed mental health care, sexual questions, feminist therapy, dilemmas fundamental to the psychotherapeutic process as a whole are examined. Finally, clinical examples are provided that include such issues as hospitalization of the suicidal patient, dealing with known contraindications, treating the intractable patient, and self-care of the psychotherapist.

  4. Den skrøbelige sandhed

    DEFF Research Database (Denmark)

    Pedersen, Peter Ole

    2010-01-01

    Artiklen retter fokus mod de seneste års udvikling af den aktivistiske dokumentarfilm. Med analytiske punktnedslag hos instruktørerne Michael Moore, Morgan Spurlock, Dylan Avery, Robert Greenwald og Mauro Andrizzi undersøges de forbindelser der eksisterer mellem udtrykket i de populære spillefilm...

  5. "America first": die Außen- und Sicherheitspolitik der USA unter Präsident Trump

    OpenAIRE

    2017-01-01

    "Donald J. Trump ist der 45. Präsident der Vereinigten Staaten - und auch zehn Wochen nach der Wahl hat sich die Aufregung über das Wahlergebnis nicht gelegt. Diesseits des Atlantiks interessiert vor allem eine Frage: Wie wird die amerikanische Außen- und Sicherheitspolitik unter Präsident Trump aussehen? Wird sie von Kontinuität geprägt sein? Oder wird es gravierende Brüche geben? In diesem Report werfen HSFK-Autorinnen und -Autoren Blicke auf Themen, die aus Sicht der Friedens- und Konflikt...

  6. Den græske by i Afghanistan

    DEFF Research Database (Denmark)

    Hannestad, Lise

    2016-01-01

    Byen Ai Khanoum som blev udgravet i i 1960'erne i det nordøstlige Afghanistan blev grundlagt som følge af Alexander den Stores erobring af hele Nærorienten og frem til det nordlige Indien. Fundene viser en spændende blanding af græsk og nræorientalsk kultur......Byen Ai Khanoum som blev udgravet i i 1960'erne i det nordøstlige Afghanistan blev grundlagt som følge af Alexander den Stores erobring af hele Nærorienten og frem til det nordlige Indien. Fundene viser en spændende blanding af græsk og nræorientalsk kultur...

  7. Dragons' Den: promoting healthcare research and innovation.

    Science.gov (United States)

    Mazhindu, Deborah; Gregory, Siobhan

    2015-07-01

    The changing health and social care landscape, and, in particular, the financial challenges affecting the NHS, can present difficulties for staff looking for funding to support innovation and new ways of working. One method of competitive tendering that is becoming more accepted as a way of allocating funds, encouraging staff engagement and developing innovation for research is a format based the BBC television series, Dragons' Den. This article describes how Hounslow and Richmond Community Healthcare NHS Trust, London, has developed a 'Dragons' Den initiative' of annual competitive research funding allocation to ensure that some of the most dynamic practice in the trust is captured.

  8. Efficacy and enlightenment: LSD psychotherapy and the Drug Amendments of 1962.

    Science.gov (United States)

    Oram, Matthew

    2014-04-01

    The decline in therapeutic research with lysergic acid diethylamide (LSD) in the United States over the course of the 1960s has commonly been attributed to the growing controversy surrounding its recreational use. However, research difficulties played an equal role in LSD psychotherapy's demise, as they frustrated researchers' efforts to clearly establish the efficacy of treatment. Once the Kefauver Harris Drug Amendments of 1962 introduced the requirement that proof of efficacy be established through controlled clinical trials before a drug could be approved to market, the value of clinical research became increasingly dependent on the scientific rigor of the trial's design. LSD psychotherapy's complex method of utilizing drug effects to catalyze a psychological treatment clashed with the controlled trial methodology on both theoretical and practical levels, making proof of efficacy difficult to obtain. Through a close examination of clinical trials performed after 1962, this article explores how the new emphasis on controlled clinical trials frustrated the progress of LSD psychotherapy research by focusing researchers' attention on trial design to the detriment of their therapeutic method. This analysis provides a new perspective on the death of LSD psychotherapy and explores the implications of the Drug Amendments of 1962.

  9. Implications of RDoC for the research and practice of psychotherapy.

    Science.gov (United States)

    Hershenberg, Rachel; Goldfried, Marvin R

    2015-03-01

    The field of psychotherapy is at an important juncture. Recent changes in the field include (a) the skeptical reception of the fifth edition of the Diagnostic and Statistical Manual and (b) NIMH's prioritization of an alternative classification system to guide translational and intervention research. Moreover, (c) the field continues to be held accountable to governmental agencies and third-party payers to demonstrate its empirical basis. Thus, psychological research as it relates to the practice of psychotherapy is at a crossroads. In this article, we provide a brief overview of several generations of psychotherapy outcome research, including the consequences that followed in the 1980s as psychotherapy research moved toward randomized controlled trials for clinical disorders. We delineate the inherent strengths and limitations of this movement and address how the NIMH has recently responded with the Research Domain Criteria (RDoC). We then address philosophical and practical implications of the emphasis on a neuroscientific conceptualization of psychological problems. Finally, we discuss opportunities for a next generation of convergent science that incorporates, rather than replaces, psychosocial variables across stages of translational research and treatment development. Copyright © 2014. Published by Elsevier Ltd.

  10. Emotion episodes during psychotherapy sessions among women newly diagnosed with gynecological cancers.

    Science.gov (United States)

    Myers Virtue, Shannon; Manne, Sharon L; Darabos, Kathleen; Heckman, Carolyn J; Ozga, Melissa; Kissane, David; Rubin, Stephen; Rosenblum, Norman

    2015-09-01

    The aim of this study was to describe emotion episodes during early and late psychotherapy sessions among women newly diagnosed with gynecological cancer and to examine whether the total number of emotion episodes during early and later sessions was associated with baseline psychological distress, dispositional emotion expressivity, and patient-rated therapeutic progress. The study utilized data from an ongoing study examining the efficacy of two psychotherapy interventions, a coping and communication intervention and a supportive counseling intervention, for women diagnosed with gynecological cancer. Emotion episode coding was completed for the first and sixth psychotherapy sessions for each patient randomized to receive psychotherapy (N = 173). Patients completed baseline survey measures of psychological distress and dispositional emotional expressivity and post-session ratings of therapeutic progress. The average number of emotion episodes was 7.4 in the first session and 5.2 episodes in the sixth session. In both sessions, the majority of emotion episodes contained only negative emotions and focused on a cancer-related topic. A higher number of emotion episodes in the first session was associated with higher psychological distress reported in the baseline survey (p = 0.02). A higher number of emotion episodes in the sixth session was associated with a higher number of emotion episodes in the first session (p psychotherapy among women diagnosed with gynecological cancer. Copyright © 2014 John Wiley & Sons, Ltd.

  11. Den europæiske drøm - om EU

    DEFF Research Database (Denmark)

    Østergaard, Uffe

    2007-01-01

    Anmeldelse af: Jeremy Rifkin: Den europæiske drøm (Informations Forlag, 2006). Oversat fra engelsk efter: "The European Dream: How Europe's Vision of the Future Is Quietly Eclipsing the American Dream" (2004)......Anmeldelse af: Jeremy Rifkin: Den europæiske drøm (Informations Forlag, 2006). Oversat fra engelsk efter: "The European Dream: How Europe's Vision of the Future Is Quietly Eclipsing the American Dream" (2004)...

  12. Use of psychotherapy in a representative adult community sample in São Paulo, Brazil

    Science.gov (United States)

    Blay, Sergio L.; Fillenbaum, Gerda G.; da Silva, Paula Freitas R.; Peluso, Erica T.

    2014-01-01

    Little is known about the use of psychotherapy to treat common mental disorders in a major city in a middle income country. Data come from in-home interviews with a stratified random sample of 2,000 community residents age 18–65 in the city of São Paulo, Brazil. The information obtained included sociodemographic characteristics; psychotropic drugs; mental status; and lifetime, previous 12 months, and current use of psychotherapy. Logistic regression was used to examine determinants of use of psychotherapy. Of the sample, 22.7% met General Health Questionnaire-12 criteria for common mental disorders. Lifetime, previous 12 months, and current use of psychotherapy were reported by 14.6%, 4.6%, and 2.3% of the sample respectively. Users were typically women, more educated, higher income, not married, unemployed, with common mental disorders. Further analysis found that 47% (with higher education and income) paid out-of-pocket, and 53% used psychotropic medication. Psychotherapy does not appear to be the preferred treatment for common mental disorders. PMID:25118139

  13. Psychotherapy in Argentina: a clinical case from an integrative perspective.

    Science.gov (United States)

    Gómez, Beatriz

    2007-08-01

    The article describes psychotherapy practice in Argentina. It outlines the main features of training and regulation of clinical psychologists. A brief description of the main treatment approaches and the major current challenges is presented. Subsequently it delineates the probable treatment locations and options for a 30-year-old woman, Mrs. A, seeking psychological help in Argentina. The case is then considered from an integrative perspective starting with the intake process, which includes a comprehensive pretreatment assessment followed by the treatment plan. Its course is described as composed of four stages: (1) psychoeducational initial intervention, (2) psychotherapy for symptom alleviation, (3) marital treatment, and (4) psychoeducational final intervention. Posttreatment evaluation and possible outcome and prognosis are presented, as well as factors that might prevent improvement. The article ends with a hopeful view of the future role of psychotherapy in Argentina. (c) 2007 Wiley Periodicals, Inc.

  14. The role of cognitive biases in short-term psychodynamic psychotherapy.

    Science.gov (United States)

    Kramer, Ueli; Ortega, Diana; Ambresin, Gilles; Despland, Jean-Nicolas; de Roten, Yves

    2018-06-01

    The concept of biased thinking - or cognitive biases - is relevant to psychotherapy research and clinical conceptualization, beyond cognitive theories. The present naturalistic study aimed to examine the changes in biased thinking over the course of a short-term dynamic psychotherapy (STDP) and to discover potential links between these changes and symptomatic improvement. This study focuses on 32 self-referred patients consulting for Adjustment Disorder according to DSM-IV-TR. The therapists were experienced psychodynamically oriented psychiatrists and psychotherapists. Coding of cognitive biases (using the Cognitive Errors Rating Scale; CERS) was made by external raters based on transcripts of interviews of psychotherapy; the reliability of these ratings on a randomly chosen 24% of all sessions was established. Based on the Symptom Check List SCL-90-R given before and after, the Reliable Change Index (RCI) was used. The assessment of cognitive errors was done at three time points: early (session 4-7), mid-treatment (session 12-17), and close to the end (after session 20) of the treatment. The results showed that the total frequency of cognitive biases was stable over time (p = .20), which was true both for positive and for negative cognitive biases. In exploring the three main subscales of the CERS, we found a decrease in selective abstraction (p = .02) and an increase in personalization (p = .05). A significant link between RCI scores (outcome) and frequency of positive cognitive biases was found, suggesting that biases towards the positive might have a protective function in psychotherapy. Therapists may be attentive to changes in biased thinking across short-term dynamic psychotherapy for adjustment disorder. Therapists may foster the emergence of positive cognitive biases at mid-treatment for adjustment disorder. © 2017 The British Psychological Society.

  15. Can Two Psychotherapy Process Measures Be Dependably Rated Simultaneously? A Generalizability Study

    Science.gov (United States)

    Ulvenes, Pal G.; Berggraf, Lene; Hoffart, Asle; Levy, Raymon A.; Ablon, J. Stuart; McCullough, Leigh; Wampold, Bruce E.

    2012-01-01

    Observer ratings in psychotherapy are a common way of collecting information in psychotherapy research. However, human observers are imperfect instruments, and their ratings may be subject to variability from several sources. One source of variability can be raters' assessing more than 1 instrument at a time. The purpose of this research is to…

  16. Clinical outcomes of psychotherapy dropouts: does dropping out of psychotherapy necessarily mean failure?

    Directory of Open Access Journals (Sweden)

    Rodrigo T. Lopes

    2017-09-01

    Full Text Available Objective: A large proportion of psychotherapy patients remain untreated, mostly because they drop out. This study compares the short- and long-term outcomes of patients who dropped out of psychotherapy to those of therapy completers. Methods: The sample included 63 patients (23 dropouts and 40 completers from a controlled clinical trial, which compared narrative therapy vs. cognitive-behavioral therapy for major depressive disorder. Patients were assessed at the eighth session, post-treatment, and at 31-month follow-up. Results: Dropouts improved less than completers by the last session attended, but continued to improve significantly more than completers during the follow-up period. Some dropout patients improved with a small dose of therapy (17% achieved a clinically significant change before abandoning treatment, while others only achieved clinically significant change after a longer period (62% at 31-month follow-up. Conclusion: These results emphasize the importance of dealing effectively with patients at risk of dropping out of therapy.Patients who dropped out also reported improvement of depressive symptoms without therapy, but took much longer to improve than did patients who completed therapy. This might be attributable to natural remission of depression. Further research should use a larger patient database, ideally gathered by meta-analysis.

  17. Reducing the time until psychotherapy initiation reduces sick leave duration in participants diagnosed with anxiety and mood disorders.

    Science.gov (United States)

    Alonso, Sandra; Marco, José H; Andani, Joaquín

    2018-01-01

    Sick leave in patients with a mental disorder is characterized by having a long duration. Studies suggest that the time until a patient on sick leave for a common mental health disorder initiates evaluation and treatment by a healthcare professional is an important factor in the duration of the sick leave. However, in these studies, the intervention was not performed by a mental health specialist. The aim of this study was to find out whether the length of sick leave was associated with the time before initiating psychotherapy, age, time until returning to work after psychotherapy ends, and duration of psychotherapy. In a further analysis, we examined whether the model composed of age, duration of psychotherapy, and time before initiating psychotherapy predicted the length of sick leave. The sample consisted of 2,423 participants, 64.1% (n = 1,554) women and 35.9% (n = 869) men, who were on sick leave for anxiety disorders or depressive disorder. The total duration of the sick leave of participants diagnosed with depression and anxiety was positively associated with the time before beginning psychotherapy. Time before beginning psychotherapy predicted the length of sick leave when the variables age and duration of psychotherapy were controlled. It is necessary to reduce the time until beginning psychotherapy in people on sick leave for common mental disorders. Copyright © 2017 John Wiley & Sons, Ltd.

  18. VULNERABILITY, AUTHENTICITY, AND INTER-SUBJECTIVE CONTACT: PHILOSOPHICAL PRINCIPLES OF INTEGRATIVE PSYCHOTHERAPY

    OpenAIRE

    Richard G. Erskine

    2013-01-01

    The Philosophical principles of a relationally focused Integrative Psychotherapy are described through the concepts of vulnerability, authenticity, and inter-subjective contact. Eight principles or therapist attitudes are outlined with clinical examples that illustrate the philosophy. These philosophical principles provide the foundation for a theory of methods. This article is based on a keynote address given at the 6th International Integrative Psychotherapy Association Conference, Granth...

  19. Die polnischen Bücher (Bücherbestände in den Bibliotheken Roms. Eine Auswahl

    Directory of Open Access Journals (Sweden)

    Ligia ALeksandra Henczel-Wróblewska

    2017-11-01

    Full Text Available Die italienisch-polnischen Beziehungen haben eine lange Geschichte hinter sich. Seit dem Mittelalter, in dem die polnischen Scholaren ihre Ausbildung an den italienischen Universitäten genießen konnten, dominierte darin der wissenschaftliche und bildende Charakter. In den folgenden Jahrhunderten wurde der gegenseitige Kontakt um die künstlerische Ebene erweitert, zumal die polnischen Künstler nach Italien reisten, um bei den besten Meistern ihre Fertigkeiten zu vervollkommnen. Seit dem Ende des 18. bis zur Mitte des 19. Jahrhunderts kam zu den bereits bestehenden, tradierten italienischpolnischen Beziehungen im Bereich der Wissenschaft und Kultur der militärische und der sozialpolitische Aspekt hinzu, und mit der Zeit auch der wirtschaftliche. Auf dem italienischen Boden beteiligten sich die Polen zunächst an den Unabhängigkeitskämpfen, die mit der Vereinigung Italiens (die Risorgimento-Zeit endeten, und nachher an den Waffeninterventionen während der zwei Weltkriege. Seit der Mitte des 20. Jahrhunderts kehrte man zum früheren beiderseitigen Kontakt auf verschiedenen Ebenen zurück.In jeder dieser Zeitspannen wurde die polnische Anwesenheit in Italien in den schriftlichen, ikonografischen, künstlerischen Quellen belegt. Die meisten davon bewährten sich in den Archiven und Bibliotheken Roms, dem Zentrum der europäischen Wissenschaft, Kultur und Christenheit. Erst im 20. Jahrhundert, seit der Entstehung der ersten wissenschaftlichen polnischen Institutionen in Rom und dank der breiten Zusammenarbeit war es möglich, die Polonica, die sich in den römischen Bibliotheken, Archiven, Kulturinstitutionen und Privatbeständen befinden, offiziell zu registrieren, bearbeiten und ordnen. Die schriftlichen Denkmäler aus den vergangenen Jahrhunderten weisen auf eine breite gegenseitige Beziehung sowohl im Bereich des sacrum als auch des profanum hin. Dieses gemeinsame historische Gedächtniserbe zeugt von einer langen Zugehörigkeit Polens zur

  20. A Review of Psychotherapy Outcome Research: Considerations for School-Based Mental Health Providers

    Science.gov (United States)

    Zirkelback, Emily A.; Reese, Robert J.

    2010-01-01

    Evaluating psychotherapeutic outcome is an important endeavor given psychology's focus on identifying effective treatments. There is ample evidence to suggest that psychotherapy interventions for children and adolescents are effective. Unfortunately, the child and adolescent psychotherapy outcome literature lags behind the adult-focused outcome…

  1. Sociodemographic and Clinical Characteristics of Patients attending Psychotherapy in a Tertiary Care Hospital in Oman

    Directory of Open Access Journals (Sweden)

    Zena Al-Sharbati

    2012-02-01

    Full Text Available Objectives: There is significant evidence that psychotherapy is a pivotal treatment for persons diagnosed with Axis I clinical psychiatric conditions; however, a psychotherapy service has only recently been established in the Omani health care system. This study aimed to investigate the sociodemographic and clinical characteristics of attendees at a psychotherapy clinic at a tertiary care hospital. Methods: An analysis was carried out of 133 new referrals to the Psychotherapy Service at Sultan Qaboos University Hospital, a tertiary care hospital. Results: The majority of referrals were females (59%, aged 18–34 years, employed (38%, had ≤12 years of formal education (51%, and were single (54%. A total of 43% were treated for anxiety disorders (including obsessive compulsive disorder, while 22% were treated for depression. A total of 65% were prescribed psychotropic medications. The utilisation of the Psychotherapy Service and its user characteristics are discussed within the context of a culturally diverse Omani community which has unique personal belief systems such as in supernatural powers (Jinn, contemptuous envy (Hassad, evil eye (Ain and sorcery (Sihr which are often used to explain the aetiology of mental illness and influence personal decisions on utilising medical and psychological treatments. Conclusion: Despite the low number of referrals to the Psychotherapy Service, there is reason to believe that psychotherapy would be an essential tool to come to grips with the increasing number of mental disorders in Oman.

  2. A regional climate model for the Arctic and the North Atlantic; Ein regionales Klimamodell fuer die Arktis und den Nordatlantik

    Energy Technology Data Exchange (ETDEWEB)

    Berndt, H

    2001-07-01

    corresponding a low influence of the lateral boundary conditions. Overall, REMO has proved to be a useful tool for a better understanding of the processes in the Arctic and the North Atlantic. Further adjustment of the parameterizations seems to be necessary. Other components of the climate system have to be considered to successfully describe the complex feedbacks and processes of the climate subsystems. (orig.) [German] Die Arktis und der subpolare Nordatlantik bilden mit ihren komplexen Mechanismen und Rueckkopplungen eine wichtige Komponente unseres Klimasystems. Aufgrund der geringen Beobachtungsdichte und der niedrigen Aufloesung globaler Klimamodelle, bietet sich der Einsatz hoeher aufloesender regionaler Klimamodelle an. Das hier verwendete regionale Klimamodell (REMO) basiert auf dem frueheren Wettervorhersagemodell EM des Deutschen Wetterdienstes (DWD) und wurde am Max-Planck-Institut fuer Meteorologie (MPIfM) in Hamburg weiterentwickelt. Fuer die Simulation subskaliger Prozesse stehen zwei Saetze physikalischer Parametrisierungen zur Verfuegung - die urspruenglich verwendete DWD-Physik und die ECHAM4-Physik des MPIfM. Der dynamische Teil ist in beiden Faellen identisch. REMO wird zunaechst an das neue Untersuchungsgebiet angepasst. Die neue Konfiguration beruecksichtigt bei einer horizontalen Aufloesung von 0.5 x 0.5 und 145 x 121 Glitterpunkten die gesamte Arktis und den Nordatlantik bis etwa 40 N. Mit DWD- und ECHAM4-Physik im Vorhersage- und Klima-Mode werden unterschiedliche Zeitraeume simuliert. Als Antriebsdaten werden die NCEP/NCAR-Reanalysen mit einer zeitlichen Aufloesung von 6 Stunden verwendet. Da REMO bisher nur in gemaessigtem Klima eingesetzt wurde, steht der Test des Modells unter den extremen Bedingungen der hohen Breiten im Vordergrund. Beim Vergleich mit Schiffsbeobachtungen aus der Labrador-See liegt REMO deutlich dichter an den Messungen als die Antriebsdaten. Unrealistisch hohe Feuchten in den Reanalysen sind vermutlich die Ursache erhoehter

  3. Current Risk Management Practices in Psychotherapy Supervision.

    Science.gov (United States)

    Mehrtens, Ilayna K; Crapanzano, Kathleen; Tynes, L Lee

    2017-12-01

    Psychotherapy competence is a core skill for psychiatry residents, and psychotherapy supervision is a time-honored approach to teaching this skill. To explore the current supervision practices of psychiatry training programs, a 24-item questionnaire was sent to all program directors of Accreditation Council for Graduate Medical Education (ACGME)-approved adult psychiatry programs. The questionnaire included items regarding adherence to recently proposed therapy supervision practices aimed at reducing potential liability risk. The results suggested that current therapy supervision practices do not include sufficient management of the potential liability involved in therapy supervision. Better protections for patients, residents, supervisors and the institutions would be possible with improved credentialing practices and better documentation of informed consent and supervision policies and procedures. © 2017 American Academy of Psychiatry and the Law.

  4. Narcissistic grandiosity and narcissistic vulnerability in psychotherapy.

    Science.gov (United States)

    Pincus, Aaron L; Cain, Nicole M; Wright, Aidan G C

    2014-10-01

    This article briefly summarizes the empirical and clinical literature underlying a contemporary clinical model of pathological narcissism. Unlike the DSM Narcissistic Personality Disorder (NPD), this clinical model identifies and differentiates between two phenotypic themes of dysfunction-narcissistic grandiosity and narcissistic vulnerability-that can be expressed both overtly and covertly in patients' ways of thinking, feeling, behaving, and participating in treatment. Clinical recognition that narcissistic patients can and often do present for psychotherapy in vulnerable states of depression, anxiety, shame, and even suicidality increases the likelihood of accurate diagnosis and effective treatment planning. This article provides case examples derived from psychotherapies with narcissistic patients to demonstrate how narcissistic grandiosity and narcissistic vulnerability concurrently present in patients who seek treatment. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  5. Rezension zu: Isabelle Stauffer: Weibliche Dandys, blickmächtige Femmes fragiles. Köln u.a.: Böhlau Verlag 2008

    Directory of Open Access Journals (Sweden)

    Jens F. Heiderich

    2009-07-01

    Full Text Available Stauffer legt eine hervorragende Studie zu ironischen Inszenierungen geschlechtsspezifischer Topoi vor. Literaturgeschichtlich präzise werden die Geschlechterverwirrungen im Fin de Siècle unter besonderer Berücksichtigung der Werke Annette Kolbs und Franziska zu Reventlows kontextualisiert und mit Hilfe eines eigens entwickelten methodologischen Ansatzes analysiert. Überzeugend kann Stauffer darlegen, dass den Ironisierungen der Femme fragile und der Femme fatale, des Décadents und des Dandy die Funktion zukommt, Geschlecht als Konstruktion zu enthüllen. Avant la lettre werde dadurch Judith Butlers Theorie der subversiven Performativität bestätigt. Für die Beschreibung der damit verbundenen Konstruktionsverfahren hält Stauffer allerdings den Begriff der Ironie für treffender als den von Butler u. a. favorisierten Begriff der Parodie.

  6. Premature conclusions about psychotherapy for dysthymia

    NARCIS (Netherlands)

    Cuijpers, P.

    2009-01-01

    Dr Cuijpers and Colleagues Reply To the Editor: We thank Dr Gaudiano and colleagues for their contribution to the discussion about psychotherapy for dysthymia. We agree very much with Gaudiano et al that we should be careful about drawing definite conclusions about the comparative efficacy of

  7. Corrosion behavior of selected materials in lithium bromide solution for the application absorption chillers; Korrosionsverhalten ausgewaehlter Werkstoffe in Lithiumbromid-Loesung fuer den Anwendungsfall Absorptionskaeltemaschinen

    Energy Technology Data Exchange (ETDEWEB)

    Brandt, B. [ZAE Bayern, Garching (Germany)

    2004-07-01

    Absorption chillers on the basis of lithium bromide-water are interesting systems for efficient and energy-saving supply of coldness. The heating energy for the propulsion of the chiller could result ideally from renewable energies, e.g. solar energy, or waste heating energy from industry. The chiller can work as a multiple-stage process for increasing the energy efficiency. For the three-stage-plants, in the generator temperatures of up to 200-220 C are necessary. The factors high temperature, high halogenide concentration (lithium bromide) and the presence of water vapour lead to a very high corrosive exposure of the materials. In that reason the task of the present report was the consideration of commercial materials and inhibitors concerning their suitability for the application in triple-effect-chillers. The measurements were carried out under identical conditions, but in unmoved solution and excluding the contact with air. The result of the investigations showed that stainless steel has been identified as a promising material for this application. Furthermore we have found out that the type of the inhibitor and the interaction of different phases have a strong influence on the corrosion processes. (Abstract Copyright [2004], Wiley Periodicals, Inc.) [German] Absorptionskaeltemaschinen auf der Basis von Lithiumbromid-Wasser stellen eine interessante Moeglichkeit zur effizienten und energiesparenden Versorgung mit Kaelte dar. Die zum Antrieb erforderliche Waermeenergie kann idealerweise aus regenerativen Energien, wie z.B. Solarwaerme, oder Abwaerme aus der Industrie bereitgestellt werden. Um die Energieeffizienz zu steigern, koennen die Prozesse mehrstufig betrieben werden. Bei den dreistufigen, sogenannten Triple-Effekt-Anlagen, sind im Generator Temperaturen bis zu etwa 200-220 C erforderlich. Die Faktoren hohe Temperatur, hohe Halogenidkonzentration (Lithiumbromid) und die Anwesenheit von Wasserdampf fuehren zu einer besonders starken korrosiven

  8. USING BACH FLOWER IN HOLISTIC PSYCHOTHERAPY

    Directory of Open Access Journals (Sweden)

    Vagner Ferreira do Nascimento

    2017-05-01

    Full Text Available This is a narrative review from scientific literature that aimed to describe concepts and approaches for indications of the therapeutic use of Bach flower remedies in holistic psychotherapy. The review was developed in February 2016 from books, official documents and articles indexed in Lilacs and Scielo databases. Bach flower remedies is a therapeutic method that aims to restore the balance of human being, restoring its vital energy through holistic care. Because the flower essences act on psychic and emotional dimension of individual, when employed in holistic psychotherapy can provide greater autonomy, self-care and effectiveness compared to other alternative methods. The literature indicated that flower essence therapy is a safe practice and can be used in a complementary to health care, but should be performed by qualified professionals. It has also shown to be a promising and important area for nursing professional, but it still requires greater investment in research in the area to support the practice.

  9. [Psychotherapy with Immigrants and Traumatized Refugees].

    Science.gov (United States)

    Erim, Yesim; Morawa, Eva

    2016-09-01

    In view of the growing proportion of immigrants and refugees in the population of Germany the knowledge on the influence of culture and migration on identity, and mental health presents a substantial basis for effective therapy. This article addresses important topics of psychotherapy with immigrants in general and with refugees in particular. Following issues selected according to their relevance and actuality are highlighted: definition of persons with migration background, migrants and refugees, facts on immigration to Germany, main results and theories on mental health of immigrants, social psychological aspects of intercultural psychotherapy (individualism vs. collectivism, stereotypes, discrimination etc.), psychosomatic diagnostics in intercultural context, diversity management in institutions, language and use of translators, living conditions of immigrants - stress and protective factors in immigrant mental health, post traumatic stress disorders among refugees: their prevalence, risk factors, diagnostics, course, multimodal psychosocial interventions in consulting centers, trauma focused interventions, trauma pedagogics, education and prevention of the volunteers. © Georg Thieme Verlag KG Stuttgart · New York.

  10. Psychotherapy as a treatment modality for psychiatric disorders: Perceptions of general public of Karachi, Pakistan

    Directory of Open Access Journals (Sweden)

    Zafar Abdul

    2009-06-01

    Full Text Available Abstract Background Psychiatric disorders affect about 450 million individuals worldwide. A number of treatment modalities such as psychotropic medications, psychotherapy and electroconvulsive therapy can be used to treat these disorders. Attitudes of general public play a pivotal role in effective utilization of mental health services. We explored the perceptions of general public of Karachi, Pakistan regarding psychotherapy. Methods A cross-sectional study was conducted in Karachi, Pakistan during July-August, 2008. A three-step sampling strategy and a structured questionnaire were employed to survey knowledge and perceptions of adult general public about psychotherapy. Descriptive statistics were used for baseline characteristics. Logistic regression models were used to investigate any significant associations between baseline characteristics of the participants and their perceptions. Results The study sample comprised of 985 individuals (536 males; 531 financially independent with an average age of 36.7 years (SD 13.54 years and 12.5 years (SD 3.09 years of education were included. Majority (59.4%; n = 585 claimed to be aware of psychotherapy as a treatment option for psychiatric disorders but 47.5% of these (n = 278/585 failed to identify its correct definition. Concerns voiced by the participants about psychotherapy included stigma (48.7% and breech in confidentiality (39.5%; 60.7% opined it cost effective and 86.5% favored its use as an adjuvant modality. A preference for psychotherapy as the treatment strategy for psychiatric disorders was demonstrated by 46.6% (n = 459/985. Younger, more educated, financially independent and female participants were more likely to prefer psychotherapy as were those who deemed it cost effective. Conclusion Positive attitudes regarding the acceptability, clinical utility and cost-effectiveness of psychotherapy were observed in a sample representative of general public of Karachi, Pakistan. These findings

  11. [Work-related behaviour and experience patterns and mental health: a study in psychotherapy trainees].

    Science.gov (United States)

    Grundmann, Johanna; Sude, Kerstin; Löwe, Bernd; Wingenfeld, Katja

    2013-03-01

    In view of the fact that many reports have been published that emphasize the difficult conditions of the German psychotherapy training, the aim of this study was to investigate psychotherapy trainees´ work stress as well as work-related psychosocial risks and resources. Variables of interest were work-related behaviour and experience patterns (AVEM), effort-reward-imbalance, chronic stress and health-related quality of life. 321 participants completed an online survey. The distribution of work-related behaviour and experience patterns as well as the results regarding work overload and mental health are evidence of psychotherapy trainees' strain. AVEM-risk patterns are associated with effort-reward-imbalance, chronic stress and reduced mental health. These results clearly support claims for a modification of the psychotherapy training in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  12. The influence of diagnosis on psychotherapy missed opportunities in a veteran population.

    Science.gov (United States)

    Keeley, Jared Wayne; Cardin, Scott; Gonzalez, Rose

    2016-01-01

    Canceled or unattended psychotherapy sessions are a source of concern for patients, providers, and health-care systems. Veterans are particularly likely to experience mental health problems, and yet they are also especially susceptible to variables leading to premature termination of services. This study examined a large (n = 2285) sample of veterans receiving psychotherapy services to determine if mental health diagnosis had an impact upon missed psychotherapy opportunities. There were differential cancelation rates for individuals with different classes of disorder, and the total number of appointments a person scheduled changed the nature of the effect. Health-care administrators and treatment providers should consider the specific effects of individuals with differing diagnoses when planning courses of treatment and coordinating care.

  13. [Body integrity identity disorder--first success in long-term psychotherapy].

    Science.gov (United States)

    Thiel, Aylin; Ehni, Franziska J F; Oddo, Silvia; Stirn, Aglaja

    2011-07-01

    The Body Integrity Identity Disorder (BIID) is a fairly unknown and unexplored psychic illness. Very little cases underwent a psychotherapeutic treatment. We report on the two-and-a-half year psychotherapy with a 37 years old man, who wants an amputation of his two legs. Origin and meaning of the amputation desire were uncovered in psychotherapy. The psychodynamic oriented therapy with cognitive-behavioral elements can be used to develop further treatment approaches. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Therapeutic hypnosis, psychotherapy, and the digital humanities: the narratives and culturomics of hypnosis, 1800-2008.

    Science.gov (United States)

    Rossi, Ernest; Mortimer, Jane; Rossi, Kathryn

    2013-04-01

    Culturomics is a new scientific discipline of the digital humanities-the use of computer algorithms to search for meaning in large databases of text and media. This new digital discipline is used to explore 200 years of the history of hypnosis and psychotherapy in over five million digitized books from more than 40 university libraries around the world. It graphically compares the frequencies of English words about hypnosis, hypnotherapy, psychoanalysis, psychotherapy, and their founders from 1800 to 2008. This new perspective explore issues such as: Who were the major innovators in the history of therapeutic hypnosis, psychoanalysis, and psychotherapy? How well does this new digital approach to the humanities correspond to traditional histories of hypnosis and psychotherapy?

  15. Adding Group Psychotherapy to Medication Treatment in Dysthymia

    Science.gov (United States)

    Hellerstein, David J.; Little, Suzanne A. S.; Samstag, Lisa Wallner; Batchelder, Sarai; Muran, J. Christopher; Fedak, Michael; Kreditor, David; Rosenthal, Richard N.; Winston, Arnold

    2001-01-01

    Patients with dysthymia have been shown to respond to treatment with antidepressant medications, and to some degree to psychotherapy. Even patients successfully treated with medication often have residual symptoms and impaired psychosocial functioning. The authors describe a prospective randomized 36-week study of dysthymic patients, comparing continued treatment with antidepressant medication (fluoxetine) alone and medication with the addition of group therapy treatment. After an 8-week trial of fluoxetine, medication-responsive subjects were randomly assigned to receive either continued medication only or medication plus 16 sessions of manualized group psychotherapy. Results provide preliminary evidence that group therapy may provide additional benefit to medication-responding dysthymic patients, particularly in interpersonal and psychosocial functioning. PMID:11264333

  16. Der antiskeptische Boden unter dem Gehirn im Tank

    OpenAIRE

    Müller, Olaf L.

    2001-01-01

    Crispin Wright hat die bislang beste Rekonstruktion von Putnams Beweis gegen die skeptische Hypothese vom Gehirn im Tank vorgelegt. Aber selbst in Wrights Fassung hat der Beweis einen Mangel: Er wird mithilfe eines Prädikates wie z.B. "Tiger" geführt und funktioniert nur, wenn man sich darauf verlassen kann, dass es Tiger wirklich gibt. Aber die Skeptikerin bestreitet, über die Existenz von Tigern bescheid zu wissen. Das Problem lässt sich dadurch beheben, dass man den Beweis – statt mit dem ...

  17. Further development of whole-body cooling and breathing systems for mine rescue squats. Modifications for extended applications; Weiterentwicklung von Ganzkoerperkuehl- und Atemschutzsystemen der Grubenwehr (Forts.). Systemmodifikationen zur Anpassung an erweiterte Einsatzmoeglichkeiten

    Energy Technology Data Exchange (ETDEWEB)

    Bresser, G. [Hauptstelle fuer das Grubenrettungswesen DSK, Herne (Germany)

    2001-07-01

    Mine rescue brigades in Germany use two different types of whole-body cooling systems: The cooling and breathing system of Draegerwerk AG and the Antidust cooling and breathing protective suit of Vorndamme AG. The two systems were investigated at temperatures of 40 - 60 C. The Draegerwerk AG system had to be modified to make it more user-friendly and more ergonomic. The protective suit was tested both underground and above ground in order to obtain data on its maximum time of use and underground characteristics. [German] Im deutschen Steinkohlenbergbau sind zwei Ganzkoerperkuehlsysteme fuer Grubenwehreinsaetze vorhanden: - Das Kuehl- und Atemschutzsystem der Grubenwehr (KAS) der Draegerwerk AG und - der Antidust- Kuehl- und Atemschutzanzug der Vorndamme AG. Fuer die beiden unterschiedlichen Systeme sollten abgesicherte Einsatzdauertabellen fuer den Grubenwehreinsatz erstellt werden. Im Unterschied zum vorangegangenen Vorhaben sollte nun der Schwerpunkt der Untersuchung bei Temperaturen von 40 C bis 60 C liegen. Das Kuehl- und Atemschutzsystem musste modifiziert werden. Das System war so zu vereinfachen, dass jede Grubenwehr - auch ohne besondere Ausbildung und regelmaessiges Training unter Anleitung weniger Spezialisten - die Geraete nutzen kann. Als Ersatz fuer das Atemschutzmodul auf Chemikalsauerstoffbasis sollten vorhandene Drucksauerstoffkreislaufgeraete von Typ Draeger 174 genutzt werden. Um auf einem Rueckentragegestell die moeglichst unveraenderte Technik eines BG 174 und den Waermetauscher (KAS) unterbringen zu koennen, war es notwendig, neue Rueckentragegestelle zu entwickeln. Hierbei sollten ergonomische Gesichtspunkte besser als bisher beruecksichtigt werden. Der Antidust- Kuehl- und Atemschutzanzug war unter und ueber Tage zu erproben, um auch hier eine gesicherte Aussage zur Einsatzdauer und zur Handhabung unter Tage machen zu koennen. (orig.)

  18. [Integrative parent-infant psychotherapy for early regulatory and relationship disorders].

    Science.gov (United States)

    Papousek, Mechthild; de Chuquisengo, Ruth Wollwerth

    2006-01-01

    The author introduces both the concept and practice of Integrative Parent-Infant Psychotherapy (IPI-P), a treatment specifically designed for the most frequent developmental problems and psychological needs of infants and their parents. Based on growing knowledge from interdisciplinary infancy research, both basic and clinical, IPI-P has been developed and practised in the "Munich Interdisciplinary Research and Intervention Program" for early regulatory and relationship disorders since the early nineties. Preverbal parent-infant communication represents both the port of entry into the system and the main focus of diagnostics, developmental counselling, interaction guidance, or psychodynamic psychotherapy of distorted communication and distressed/disordered relationships. The method of videomicroanalysis during video-feedback with the parent has proven particularly efficient--while observing, reliving and working through brief episodes of recorded parent-infant interaction. The author illustrates the diagnostic and therapeutic procedures with excerpts from psychotherapy of a toddler with an age-specific regulatory disorder in the context of severely distressed primary relationships.

  19. Culturally Adapted Psychotherapy and the Legitimacy of Myth: A Direct-Comparison Meta-Analysis

    Science.gov (United States)

    Benish, Steven G.; Quintana, Stephen; Wampold, Bruce E.

    2011-01-01

    Psychotherapy is a culturally encapsulated healing practice that is created from and dedicated to specific cultural contexts (Frank & Frank, 1993; Wampold, 2007; Wrenn, 1962). Consequently, conventional psychotherapy is a practice most suitable for dominant cultural groups within North America and Western Europe but may be culturally incongruent…

  20. A Pilot Use of Team-Based Learning in Psychiatry Resident Psychodynamic Psychotherapy Education

    Science.gov (United States)

    Touchet, Bryan K.; Coon, Kim A.

    2005-01-01

    Objective: Demonstrating psychotherapy competency in trainees will test the resources of psychiatry training programs. The authors outline the phases of team-based learning (TBL). Methods: The University of Oklahoma College of Medicine, Tulsa (OUCM-T), Department of Psychiatry reorganized its psychodynamic psychotherapy didactic course using TBL.…