The Spiritual Lifeline:

The Spiritual Lifeline Exercise provides a means for a life review surrounding the elderly person's spiritual past and future. This vehicle directs the participant to consider his or her thoughts and feelings associated with the intersections of significant life cvents and spiritual or religious happenings from timcs past. Moreover, the participant is encouraged to take spiritual action in his or her future. The exercise cultivates the discovery and discussion of psychosocial wisdom (ego integrity) and thus is useful in a variety of settings where elderly people meet with each other, with clergy, or with geriatric personnel. Gerontology students also gain insights into their own lives and thc lives of elderly persons by their own participation in the exercise.     

政德——政权兴亡的生命线

中国自古就存在政治伦理 ,即“政德”。汉初的思想家们更加重视“政德” ,将其视为一切政权的生命线。     

Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline

We examined the impact of the implementation of Applied Suicide Intervention Skills Training (ASIST) across the National Suicide Prevention Lifeline's national network of crisis hotlines. Data were derived from 1,507 monitored calls from 1,410 suicidal individuals to 17 Lifeline centers in 2008–2009. Callers were significantly more likely to feel less depressed, less suicidal, less overwhelmed, and more hopeful by the end of calls handled by ASIST‐trained counselors. Few significant changes in ASIST‐trained counselors' interventions emerged; however, improvements in callers' outcomes were linked to ASIST‐related counselor interventions, including exploring reasons for living and informal support contacts. ASIST training did not yield more comprehensive suicide risk assessments.     

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.     

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.     

Aktuelle Entwicklungen in der Psychotherapieausbildung und der Ausbildungsforschung

In the journal Psychotherapeut, issues of psychotherapy training have been repeatedly published during recent years, especially related to discussions about a reform of the current training system. This reform now seems to have been initiated. Besides a historical sketch of the training-related discourse of recent years and a proposal for defining core fields of competence of psychotherapists, this paper summarizes current trends in training research, which seem to be gaining importance within psychotherapy research.     

Zur Bedeutung der Psychoendokrinologie in der Psychosomatik

Ohne Zusammenfassung