Diagnostische Methoden in der Gesprächspsychotherapie

As in other scientifically recognized psychotherapy procedures diagnostic methods are highly valued in modern client-centered psychotherapy. On the one hand diagnostics provide the necessary documentation of the effects of therapy (as legally prescribed), on the other hand they enable the indications for psychotherapy and monitoring of the therapy process. Besides theory-overlapping instruments (especially for comparing the effects with those of other therapies) there is a respectable repertoire of client-centered theory-oriented diagnostic methods, primarily for the diagnostics of essential process variables. For the three domains of diagnosis, pretesting, process diagnosis and post-testing, the methods used by client-centered therapists are introduced and theory-oriented methods are delineated with recommendations for acquisition. Moreover, the use of other procedures is also suggested.     

Gottlob Frege und Rudolf Eucken—Gesprächspartner in der Herausbildungsphase der modernen Logik

Frege and Eucken were colleagues in the faculty of philosophy at Jena University for more than 40 years. At times they had close scientific contacts. Eucken promoted Frege's career at the university. A comparison of Eucken's writings between 1878 and 1880 with Frege's writings shows Eucken to have had an important philosophical influence on Frege's philosophical development between 1879 and 1885. In particular the classification of the Begriffsschrift in the tradition of Leibniz is influenced by Eucken. Eucken also influenced Frege's choice of philosophical and logical terms. Finally, there are analogous positions concerning relations between concepts and their expressions in natural language, Frege was probably also influenced by Eucken's use of the term ‘tone’. Eucken used Frege's arguments in his own fight against psychologism and empiricism.     

Therapieverläufe von Sexualstraftätern

Throughout the past decades evaluation studies on sexual offender treatment have led to controversies. While numerous studies examined the effectiveness of different interventions, the possible underlying mediating mechanisms have largely been neglected. This study took a multimethod approach to investigate the measurability of change processes in sexual offenders serving a sentence in the social therapeutic institution (SothA) of the detention center in Tegel, Germany (n?=?105). A longitudinal design with three groups (i.e. waiting group, treatment group and day release group) from four perspectives on change processes (i.e. external criminal prognostic assessment, therapists’ view, staff observation and clients’ perspective) was employed. Most criminal prognostic risk and protective factors improved over the course of treatment and this effect was smallest in the waiting group. While therapists reported increased therapeutic constraints in the course of treatment, they were more favorable in the criminal prognosis and detected more differentiated patterns of needs and resources of clients as conceptualized by the primary and secondary assets of the good lives model (GLM). In contrast, during the course of treatment the sexual offenders showed an increased awareness of the criminogenically relevant problems in the sexual domain. Nonetheless, the overall number of problems they identified as criminogenically relevant decreased. The internal problem attribution in the sense of internal causes (“It is my fault”) and capability of change (“Only I can solve the problem”) was increased. The stronger the clients’ perception of own problems in the sexual context increased over the course of treatment, the more positive the change in the staff’s view of their behavior became and the more their dynamic risk factors improved. Overall, this study found strong evidence that change processes in SothA might already be detectable during ongoing social treatment. It is currently uncertain whether these changes influence future recidivism. A comparison with recidivism data is necessary and in planning.     

Homosexualität und Prägung

Ohne ZusammenfassungMit Unterstützung der Deutschen Forschungsgemeinschaft.     

Gewaltprävention statt Präventivschlag

Die Psychotherapie -     

Einzelgegenständlichkeit als phänomenale Eigenschaft

Zusammenfassung Den phänomenologischen Begriffen der Ganz- und der Teileigenschaft ist der des phänomenalen Isoliertseins an die Seite zu stellen. Dadurch wird es möglich, die prinzipielle Wendung, welche die neuere Gestalttheorie gegenüber den älteren Ehrenfelsschen Konzeptionen kennzeichnet, näher zu begründen. Wolfgang Metzger zum 65. Geburtstag gewidmet.     

Zur Phänomenologie des Wärmeschmerzes

Ohne Zusammenfassung Mit 35 Textabbildungen. Dissertation der Philosophischen Fakult?t Greifswald.     

Stationäre Rehabilitation alkoholabhängiger Patienten

Systemic therapy concepts are widely used in therapy and rehabilitation of alcohol addictive patients. Although very useful in practice, evaluation studies are rare. Adequate evaluation strategies should be developed and implemented. This study was realized in a clinical rehabilitation centre (Hirtenstein, Allgäu/Germany), whose systemic concept is characterized by patient's wideranged possibilities of choice concerning therapy measures and therapy goals, the activation of social and personal resources, the development of an individually appropriate life-style, the training of desired competencies, and an offer for marital and family therapy. The evaluation is based on a repeated measures design without control group. The instruments and constructs of the evaluation are: F-SOZU (perceived social support), IIP (perceived interpersonal problems), MLDL (quality of life), SOC (sense of coherence), and an assessment sheet for personal resources (RI). Patients (n= 44) reported increased personal ressources as well as an increased level of quality of life. Perceived social support and the sense of coherence changed only moderately. Scaling of treatment satisfaction and goal attainment at the end of the rehabilitation program resulted in high positive scores. Patients reported only positive, no negative treatment side effects. The results indicate the usefulness of systemic and resource oriented concepts in the rehabilitation of alcohol addictive patients.     

Zur Phänomenologie islamistisch-terroristischer Straftäter

Very little reliable information is currently known about the individual background of terrorist offences. The few empirical studies available are as a rule based on a consideration of the social statistical characteristics without reference to personality or psychopathological diagnostic findings. The present article is based on 40 expert opinions which were given by the author on a total of 29 subjects in the years 2000–2013. All subjects had committed crimes motivated by Islamic beliefs of which 23 could be explored and investigated in detail. Although the offenders included in this study consisted mainly of immigrants to Germany, in recent years a group of young offenders has crystallized, even in this sample of subjects, who were born and grew up in Germany. In the “immigrant” group (n?=?19) no psychopathological traits were detected and also only few ego-syntonic offenders who acted on convictions. In fact, these subjects were more a series of primarily conspicuously dissocial offenders and subjects who had failed to cope with their way of life or with their aims in life. Of the young Moslems who grew up in Germany (n?=?10) three subjects suffered from a schizophrenic psychosis and two had a primarily dissocial psychosis. Among the other subjects there were some special features in the developmental background, especially in the area of identity crises but without any noticeable uniform background pattern for a personality development to an Islamic offender.     

Zur Häufigkeit der Schuldfähigkeitsbegutachtung von Sexualstraftätern im Erkenntnisverfahren

This study investigated how often and depending on which factors sexual offenders are examined by mental health experts regarding their criminal responsibility. Out of a total of 306 legal charges against sex offenders accused of child sexual abuse (CSA: n?=?145), rape or sexual assault (n?=?89), exhibitionism (n?=?39), sexual abuse of adolescents, mentally defective, physically helpless or warded persons (n?=?18) that were admitted by a criminal court in 2001 in the German federal state of Schleswig-Holstein, 209 (95.6 %) were analyzed regarding the following questions: how often was the accused examined by a mental health professional regarding mental responsibility? Was the chance of being examined systematically related to certain factors (e.g., personality of the accused)? Expert advice regarding the mental responsibility of the accused was obtained by the court in only 34 cases (11.7 %). No systematic relationships of personal variables as well as the modus operandi and the chance of commissioning a mental health expert were found. The main reason for assigning a forensic expert opinion was the vague impression of a psychic disorder. Re-offending increased the rate of a mental health examination only in CSA (34.6 % of re-offenders were examined compared to 9.2 % of first-time offenders), but not in rape or sexual assault. Also age does not predict the commissioning of an expert opinion. Only one fifth of all accused below the age of 21 were investigated by a mental health professional. Results are discussed in terms of legal background, consequences for risk assessment and relapse prevention.     

Indeterminiertheit,Iterabilität und Intentionalität

In his recent paper Indeterminacy, empiricism, and the first person John R. Searle tries to refute Willard V. O. Quine's famous indeterminacy of translation thesis by arguing that this thesis is in fact areductio ad absurdum of Quine's own linguistic behaviorism. Searle accuses Quine of being (irrationally) antimentalistic and suggests that the absurdity of Quine's thesis might be avoided if a full-fledged intentionality were tolerated in the debate on meaning. — This anti-Quinean approach in some respects reminds of the improbable debate between Searle and Jacques Derrida ten years ago, when Derrida had split and deferred intentionality by showing that the essential iterability of signs inevitably infects every intentional act with an unremovable non-presence.In this paper it is argued that Searle's attacks on Quine and Derrida have both failed — and that there are structural similarities between these two failures which reveal some interesting parallels between Quine's and Derrida's philosophy.     

Primärprävention bei Essstörungen

Zusammenfassung Essstörungen gelten als schwer therapierbar. Mit einer Mortalitätsrate von 5–16% ist Magersucht die schwerste psychosomatische Erkrankung bei Mädchen und jungen Frauen. In den letzten Jahren wurde daher verstärkt versucht, der Entstehung von Essstörungen durch präventive Maßnahmen entgegenzuwirken. Der Schwerpunkt liegt hierbei auf der Primärprävention im Rahmen von Schulprojekten. Hierfür liegen bereits ermutigende Wirkungs- und Qualitätsnachweise vor. Entsprechende Projekte stehen im Zentrum der vorliegenden Übersichtsarbeit. Diese stellt keinen Anspruch auf vollständige Darstellung, sondern ist ein Versuch der Systematisierung unterschiedlicher Herangehensweisen und soll durch die kurze Beschreibung möglichst prototypischer und evaluierter Beispiele einen Einblick in die derzeitige Praxis der Primärprävention von Essstörungen geben. Quellen der Übersicht sind die Datenbank der Bundeszentrale für gesundheitliche Aufklärung (BZgA), Veröffentlichungen in Fachzeitschriften sowie Internetauftritte. Da Art, Umfang und Umsetzung der Präventionsprogramme sehr von politischen Bedingungen und Voraussetzungen innerhalb des Gesundheits- und Bildungssystems abhängen, bleibt die Übersicht auf Programme aus dem deutschen Sprachraum beschränkt.