Die Hysterie im neuen Gewand und im Wandel der Zeit

Classical symptoms of hysteria – especially symptoms of hysterical neurosis (conversion type) – are not commonly seen any more. On the one hand, general knowledge about the function of hysterical has led to suppression of the underlying hidden conflicts, possibly up to resomatization. On the other hand, those affected may have rather subtle symptoms, e.g., vague pain, circulatory disorders, or fatigue. Overall, the hysterical phenomena have not become less common but have become “contemporary” and, therefore, more difficult to identify. Reliable epidemiological data, however, are difficult to obtain. Rough estimates indicate that 2–6?% of all people have dissociative disorders (ICD-10 definition). Histrionic personality disorder is estimated to occur with a frequency of 2–3?%. In 75?% of cases, the disease manifests relatively early, between the ages of 17 and 32 years and with a 3:1 female to male ratio. An average of 7 years elapses between first manifestation and the start of psychiatric–psychotherapeutic treatment.     

经济系统中的双循环

作者认为,经济系统的功能是通过创建其自我创生的再生产形式来实现的;当支付的期待成为可能,并且货币的使用形成一种制度、达到一定规模时,货币才能产生;经济的自我创生是通过货币这个媒介获得经济职能的;每一次支付都产生自相矛盾的两种东西:有支付能力和无支付能力.如何重新获得支付能力,经济系统通过"双循环"自行解决."内"循环代表支付方向的支付能力的传递,"外"循环代表相反方向的无支付能力的传递;收益条件把外循环与内循环联系在一起.内循环与外循环互为条件.收益、税收与劳动共同起作用,使这个双循环继续进行下去.     

Gewaltfantasien im Jugendalter

Violence and aggression are fundamental problems of human existence. Every culture bears traces of some way of coping with them. In adolescence, violent fantasies are part of normal development but can also lead to violent acts. This article discusses the defence dynamics of such violent acts and of the fixation on violent fantasies, their function for the emotional balance and their consequences for development. Two cases, the case of a 17-year-old boy, who stabbed an older woman to death, and the case of a 10-year-old boy with aggressive tantrums are presented. Melanie Klein’s concept of innate envy and Donald Winnicott’s considerations on the antisocial tendency are contrasted to each other and evaluated with respect to similarities and differences. Both concepts describe the importance of bad inner objects, which become increasingly more charged and experienced as persecutors. This results in paranoid anxieties and feelings of guilt which are decisive for the genesis of pathological fixations of that quality. Differences exist mainly with respect to anthropological basic assumptions about the relationship between constitutional and environmental factors and between destructive and reparative tendencies. Finally, the article derives consequences for the therapeutic technique.     

Berufspolitik im Internet

Ohne Zusammenfassung     

Aussagenlogik im Mittelalter

Ohne Zusammenfassung     

Konfliktsituationen im Coaching

This article describes useful consultation practices for individual coaching in typical workplace conflict situations. Our approach for understanding of workplace conflicts is based on the differentiation between various “toxic” conflictual constellations (e.g. contradiction, conflict, dilemma and double bind), between difficulties that can and cannot be resolved (e.g. problems and restrictions) and between problem solving attempts that unintentionally worsen the problems (e.g. individualizing, polarizing and evading responsibility). A sufficient readiness of the company to balance it’s own criteria for management success (e.g. profit versus workers health) and a sufficient openness to try out reflexively found solutions in the coaching process are crucial for successful coaching outcomes. Similarly, a reflexive attitude of the coach, self-critical vis a vis any ideological terms, which also acknowledges and overcomes the anxiety of the coach during the coaching process, can help coachees to find their own attitudes vis a vis the workplace conflict situation that balance cooperation and resistance.     

Die Hysterie im neuen Gewand und im Wandel der Zeit

Hysteria as a classic clinical picture does not exist anymore. It was subdivided into various nosological diseases and hardly occurs in the current classification schemes DSM-IV and ICD-10. If we let Freud’s theories from over a hundred years ago act on us once more, it is impressive how many ideas and hypotheses of modern psychotraumatology can already be found in his early works. Even today, “hysteria” represents a challenge in dealing with the mind–body problem.     

Benzodiazepine im Fokus

Benzodiazepines (BZDs) are widely disseminated because of their good compatibility and safety profile. But the long-term use appears problematic and is likely to be associated with sleep disorders, increased anxiety, concentration problems, cognitive losses and physical discomfort. A BZD long-term intake syndrome can be hypothesized, with a risk of dementia development.     

Soziologie im Physikalismus

Ohne Zusammenfassung     

Lernen im Team

The recent rapid changes of the economic conditions in the health care system have lead to a sense af crisis especially in mental health care organisations. The goal of high quality health care is in conflict with the economic necessity of cost cutting and profitability. The demand for rapid change processes collides with a special need for stability in mental health care organisations. In treating this dilemma, we can observe a marked inclination for splitting as a defence, which is acted out especially between leadership and work force, as well as between the management and the therapeutic part of the institutions. This danger of splitting can be counteracted with an attitude of integrating and balancing the different needs and by orientating the organisation at the principles of a ?learning organisation“ (Senge 1990). Such an organization can use the capacity of self-management in treating the above mentioned dilemma. In addition, the capacity of ?learning from experience“ (Bion 1962) proves as an essential asset in the survival of mental health care organizations. In such organizations, work and learning is primarily organized in the structure of teams — this article will therefore discuss how teams organize learning and how they treat the dynamics of stability and change.