Perspektivenwechsel bei der Sicherungsverwahrung

The author critically describes the recent measures for extension of preventive detention. He refers to the contrast to the actual development in crime and it would appear that the politics of law no longer react to the real state of the danger of the situation but to that produced by the media. Preventive detention shows signs of changing from a last resort to a standard punishment and therefore comes if nothing else into conflict with the European Convention on Human Rights.     

Langzeituntergebrachte in der Sicherungsverwahrung

Due to the decision of the European Court for Human Rights, up to mid-2010 the courts of execution had to decide about the release of offenders who had been imprisoned for more than 10 years in preventive detention. This in fact was problematic because preventive detention was limited to a maximum of 10 years at the time of conviction. In all of these cases preventive detention persisted due the assumed high dangerousness of those affected. Regarding the 11 cases that had to be decided by the provincial High Court of Hamm, Germany in 2010, the completion of the detention has been concluded in all cases. The majority of these cases will be described briefly in order to illustrate the different case constellations which led to long-term detention. Moreover these cases serve to demonstrate the difficulties which can arise when trying to evaluate or predict future dangerousness.     

Sicherungsverwahrung

The author, chairman of a criminal enforcement court and a criminal court, explains the current legal situation following the judgment of the Federal Constitutional Court on preventive detention. He describes the judicial requirements of psychiatric or psychological assessment and the judical understanding of the term ??mental disorder?? under these circumstances.     

Die Entwicklung der Gesetzgebung zur Sicherungsverwahrung und die damit verbundenen Auswirkungen auf ihre Klientel

Initially, the article gives a short overview over the expansions of preventive detention the legislator has made in recent years. Secondly, prosecution statistics as well as statistics on enforcement of sentences are analyzed focusing on the effects the change in legislation has on the number and structure of preventive detainees. Hereafter, the author presents the central results of an own study titled ‘Reconviction of Dangerous Recidivists’. These results further the conclusion that there is a considerable amount of persons falsely classified as dangerous amongst today’s preventive detainees.     

Zukunft der Psychotherapie in der Psychiatrie

The conceptual development of the German mental health system can only be understood against the background of the specific historical development process; therefore, the emigration of psychodynamic psychotherapists during the Third Reich as well as the complicated reintegration of psychotherapy into psychiatry during the postwar period are of particular relevance. The current discussion concerning the relationship of psychiatry and psychotherapy is characterized by the development of new techniques and methods and the concept of modular psychiatry, whereas the traditional complex psychotherapeutic procedures are becoming less important. In the future, the development of clinical and scientific research should focus on psychotherapy in old age as well as adolescence psychotherapy, the combination of psychopharmacological and psychotherapeutic treatment and issues concerning chronic courses as well as resistance to therapy.     

Themen der Ausbildungsforschung in der Psychotherapie

This review is based upon an appraisal of training research in psychotherapy showing that many questions are still unanswered. By means of a schema for the organization of research results that differentiates input, process and output variables, unselected results are summarized relating to issues such as the choice of the psychotherapeutic profession, pre-experiences of candidates, the selection of an orientation, personality factors, characteristics of training institutes, quality standards, as well as the organisation and structure of training programs. Process oriented studies mainly focus on the operationalisation and development of skills, the significance, the effects of and the satisfaction with training components. Finally, the output category comprises results related to graduation, to professional development during and following training and to the development of competence and its prediction.     

Stellenwert der Psychotherapie in der Allgemeinmedizin

Diese Arbeit befasst sich mit dem interdisziplin?ren Einsatz von Psychotherapie in der allgemeinmedizinischen Betreuung von Patienten mit psychischen Problemen oder Krisen. Bekanntlich ist es nur einem kleinen Teil der Patienten von Allgemeinmedizinern m?glich, psychotherapeutische Hilfe in Anspruch zu nehmen. Eine zus?tzliche psychotherapeutische Ausbildung des Hausarztes kann die Qualit?t der Patientenbetreuung signifikant verbessern. Zudem k?nnen nicht nur die Patienten davon profitieren; psychotherapeutische Ausbildung und Kommunikationstraining stellen eine wertvolle Bereicherung des Arztberufes und eine ernstzunehmende Burn-out-Prophylaxe dar.     

Das Leben der Wildente in der Zeit der Paarung

Ohne Zusammenfassung     

Essener Evaluation der Unterbringung in der Entziehungsanstalt

Over the past 20 years various studies have yielded findings regarding the treatment of offenders in forensic addiction treatment centers in Germany (section 64 of the Penal Code). For a number of reasons these studies hardly allow quantification of the assessment of the rehabilitative success of treatment. In 2009 the Institute of Forensic Psychiatry at the University of Essen, Germany was commissioned to engage in a long-term evaluation study that will be completed in 2017. The project is supported by the Ministry of Health of the State of North-Rhine Westphalia. The present paper summarizes the methodology of the study and draws up an interim balance of the data collection. The study involves the follow-up of 300 patients from 16 forensic mental hospitals from entry into the institution to discharge and further on to living in the community including a“time at risk of at least 2 years. A number of these patients will drop out of treatment by being sent back to prison. The rate of criminal recidivism in the complete group of subjects will be compared to a matched control group of 300 offenders serving a prison sentence only. Potential error sources related to the data collection are discussed in the paper.     

Zur Dynamik der Interaktion in der Supervision

The manifold functions of a supervisor in following the course of complex processes together with the trainee, are: ? to keep the goals of the supervision in view, ? to establish a teaching alliance and to support the wish and ambitions of the candidate to learn, ? to build a platform for the complex interactions with the trainee with regard to the dynamics of the training situation and keeping in mind the institutional influences, ? to lay down the setting for the work, ? to explore and to reflect how transference and counter-transference influence the interaction between patient and analyst as well as between trainee and supervisor, ? to examine these interactions together focussing continuously on the interaction between candidate and patient, and to encourage the candidate to do the same on his own, ? to continuously formulate hypotheses about the core conflict, the transference phenomena and resistance of the patient, ? to explore and reflect on the cooperative work.