Kreativtherapie in der psychosomatischen Rehabilitation

Ohne Zusammenfassung     

Status der psychosomatischen Forschung im deutschsprachigen Bereich

Psychosomatic medicine aims at exploring the relationships between biological, psychological and social factors in onset, maintenance and treatment of psychosomatic disorders. The present article describes current topics and methodological approaches in the field of psychosomatic research. A bibliometric analysis of two German journals in 2009 and 2010 was conducted, yielding 43 articles dealing with different aspects of psychosomatic medicine: chronic illness, somatoform disorders and pain, trauma-related disorders, borderline personality disorder and attention deficit hyperactivity disorder. The results show that psychosomatic research covers a variety of topics with different research designs. However, there is still a paucity of controlled studies in the field.     

Die Vorahnung der Revolution in den Werken russischer Schriftsteller

This article discusses the intellectual and spiritual atmosphere in Russia on the eve of the 1917 revolution. In particular, through the examples of Leo Tolstoy and Maxim Gorky, the author shows how the changes in the Russian economic and sociopolitical situation effected the intellectuals of the era. Despite the differences in social backgrounds, lifestyles, worldviews and artistic styles, Tolstoy’s and Gorky’s assessments of Russia’s developmental prospects were in many ways consistent. As this article demonstrates, the values held by both writers were grounded in their unorthodox religious views. In conclusion, the author reexamines Lenin’s assessment of both writers.

     

Die institutionelle und die innere Familie des Analytikers

The author postulates the existence of an intense interaction between the analyst’s two families, the historical one of his infancy and the institutional one of his psychoanalytic education. In his opinion they both step into the analyst’s work with his patient on the level of his inner fantasy and to different degrees according to the various moments in the work. He points out that the common element between the infantile experience and the analytic one is the enormous opportunity for profound introjection. There are important moments that favor introjection in the young analyst’s training course which establish and constitute the cultural, theoretical and clinical foundations of his working ego and of his working self. The importance of a thoroughly analyzed separation process from the personal analyst and from the supervisors during the analysis is strongly emphasized.     

Rechtliche Grundlagen der psychosomatischen Rehabilitation Auswirkungen auf die Psychotherapeut-Patient-Beziehung

The legal foundation of psychosomatic rehabilitation, which amounts to more than half of all inpatient psychotherapies performed in Germany, includes the duty of the patient to cooperate, the pre-condition that there is a chance for increasing or restoring patient’s ability to work, and the obligation for therapists, to perform a socio-medical rating of patient's ability to work as well as a judgement about his/her credibility concerning the asserted handicaps and disabilities. All this has an influence on the relationship between psychotherapist und patient and leads to problems in the treatment especially of those patients, who wish to retire. For the psychotherapist not only counter—transferences may be difficult to handle but also role conflicts resulting above all from the challenge being simultaneously psychotherapist and medical expert, who has to rate patient's ability for work and his credibility. To keep capacity of acting, the psychotherapist should reflect these issues and make them transparent for the patient. Sufficient supervision is very important. This will not only improve patient's, but also pension scheme's profit.     

Die Krankheitslehre der Psychoanalyse. Allgemeine und spezielle psychoanalytische Theorie der Neurosen, Psychosen und psychosomatischen Erkrankungen bei Erwachsenen, Kindern und Jugendlichen, 6. Aufl. Herausgegeben von Helmut Hinz

Ohne Zusammenfassung     

Die Dauer der Unterbringung in der Entziehungsanstalt

In Germany offenders can be sentenced to forensic addiction treatment which is realized in secure mental hospitals (according to section 64 of the German Penal Code). As a rule the persons concerned are transferred to the treatment institution after having served part of their prison sentence. There is an ongoing debate regarding the appropriate length of time of inpatient treatment. The average time in treatment differs considerably between the States of the Federal Republic of Germany and varies from somewhat over 1 year (Bavaria) to more than 2 years (North-Rhine Westphalia). In the trials mandating the treatment order, psychiatric experts are expected to exactly quantify the appropriate time of treatment for a specific person. For a number of reasons this surpasses expert capabilities as there is little empirical evidence regarding the effects of the duration of long-term treatment on outcome criteria, such as relapse or reoffending. This article discusses relevant aspects and suggests a pragmatic way to handle courts’ expectations in these lawsuits.     

Die Werturteilsfrage in der Technik

Journal for General Philosophy of Science - Bei den von Ingenieuren verwendeten Dezisionsmechanismen wird aufgrund der Fortentwicklung der Technik die methodologische Sicherung der...     

Die wende der Philosophie

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Die Kinder der Verfolgten

The profound influence of the Holocaust on the further fate of survivors and on that of their children remained for a long time unrecognized. Psychoanalysis, too, noticed this influence of persecution not until the seventies. This article reviews the development ten years after and demonstrates by case studies, how the topic of survival determined the whole personal world of the next generation. The topics change along with the phase-specific developmental themes and depending on what happened to the parents. The connections of these topics to the developmental phases are prepared by the auxiliary ego-functions survivor-parents have for their children.