Wohlbefinden,Burn-out und Ressourcen bei Psychotherapeuten

Background

Well-being and its correlates have rarely been investigated in psychotherapists. Results from research on other occupational groups have shown that subjective and work-related well-being are both associated with performance and motivation as well as with mental and physical health. Therefore, personal and job-related resources of practicing psychotherapists were investigated in this study in order to assess their associations with well-being.

Method

A total of 771 psychotherapists filled in an online questionnaire including questions concerning well-being (WHO-Five Well-being Index, WBI-5), burnout (Maslach Burnout Inventory, MBI), and personal (Psychological Capital Questionnaire, PCQ) as well as job-related (Dutch Questionnaire on Work Experience, VBBA) resources.

Outcomes

Of the participants 45?% reported that they were suffering from high emotional exhaustion. Over 30?% reported a reduced subjective well-being, while more extensive professional experience was associated with better well-being. Psychotherapists reported optimism and hope to be the most important personal resources, whereas opportunities for personal and professional development were the most important job-related resources.

Conclusions

The study identified personal and job-related resources which may be relevant for different aspects of well-being in psychotherapists.     

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.     

Psychosomatische und psychotherapeutische Probleme in der Frauenheilkunde und Geburtshilfe

Ohne Zusammenfassung     

Leugnen der Tat und Tatbearbeitung in der prognostischen Begutachtung

The perpetrator’s examination of his own criminal actions seems to be very important for the risk assessment by the German criminal justice and psychological and psychiatric experts. At the same time other risk factors like general dissociality, the structure of the future neighbourhood, the patterns of social bindings, and personal core competencies seem to be more important for the prevention of criminal recidivism. Anyway the analysis of one’s own criminal offence may enlighten the individual attitudes and behavioral problems and thus may become an important domain of cognitive restructuring. If a convict still denies his deed this not necessarily makes a parole impossible. Denial may indicate a general hostility against the law, but in other cases it is caused by overwhelming shame and indicates positive bindings to social norms.     

Carnap und der Physikalismus

Ohne Zusammenfassung     

Heidegger und der Tod

Ohne Zusammenfassung     

Behandlungs- und Kunstfehler in der Psychoanalyse

Failures and transgressions in psychoanalyses are nowadays more often published and also ascribed to mistakes made by the therapists. In German professional literature, however, no difference is made between treatment errors due to the special method and serious malpractice. The authors show in case studies transgressions in the psychoanalytic setting und discuss their causes and consequences.     

Transformationsprozesse in der Traumatherapie und die Technik der Prozessdeutung

This article first describes some of the general principles by which according to the latest concepts mental processing is accomplished: a transformative, self-organizational approach driven by emotion and is intersubjective.From this the basic principles for the treatment technique can be derived, which systematically differentiates between content interpretation and process interpretation. Objects of process interpretation are observable transformation events of the traumatic material during consultations, their success and destruction. Process interpretations restore the blocked processing abilities of the patient and in this way also prepare for the possibility to work with content interpretation.     

Gewalt und Missbrauch in der Psychotherapie

Starting from the fundamental ethical principles of medicine, the different forms of abuse in psychotherapy are described and discussed in the context of particular case studies. Besides sexual abuse, also the more subtle violations of basic ethical principles are taken into consideration. These include especially orally-exploitative forms of abuse, therapists’ improper acting-out of their own desires for close attachment or dominance conflicts, and narcissictic abuse. Finally, a particular type of narcissistic abuse is dealt with: the over-emphasis on the therapist’s own therapeutic method, with a tendency to dismiss alternative treatment strategies that might be more appropriate for the individual patient.     

Aktuelle Probleme der Krankenhausplanung in der Psychosomatischen Medizin und Psychotherapie

Ohne Zusammenfassung

---

Zur Geschichte und aktuellen Situation der Ethik in der Sowjetunion

Developments in Soviet ethics have been largely, but not exclusively, determined by the official ideology. Since 1917 philosophers have debated four successive models of morality. In the first, morality was regarded as tool of the exploiting classes and thus was superseded by communism. This attitude in fact fostered moral nihilism and anarchism. In the second period of ethical reflection, morality was contrued as a social, class-relative, phenomenon, conceived in utilitarian terms. With respect to Communist morality whatever serves socialism as defined by the Communist Party acquires the force of a moral imperative. It is important to understand whether this perspective is true to Marx's views. Whereas classical ethics assumed an extraworldy foundation for morality Marx adopted the humanist, immanentist perspective, according to which morality has a pragmatic sense as an ideal, the goal of activity. Soviet ethical theory of the Stalin era did not deviate from this perspective, for which reason ethics as a professional science was entirely subordinated to Party decrees about socialism as an ideal. In the third period beginning in the mid-fifties, a new view came to the fore which was codified in the 1961 Party program: moral values are now regarded as having a specific quality, social development involves a moral dimension, and moral values exhibit an all-human import. During this period the leading issue among philosophers is the question of the essence and specificity of morality as distinct from other forms of social consciousness. Just prior to the era of perestrojka beginning in 1985 a fourth model emerged which in fact prepared in most essential respects the actual new thinking in morality. The matters under consideration had to do with the global dimensions of moral problems given the common experience and fears of humanity. For this reason morality was now seen as superseding politics. Presently, this reorientation has not only enabled abandoning attitudes favoring class morality, but thrown into relief the tragic consequences of this attitude within Soviet history.The new image of morality corresponds to abstract humanism with its stress on the person and universal values. The task before Soviet ethicians is to provide theoretical and methodological foundations for their research by which they can improve the professional quality of their work and provide the discipline with a new identity over and against Marxism.