Bedeutung von Stress bei chronischer Ersch?pfung

In this review article a novel approach to the explanation of chronic fatigue is presented. It has long been known that patients suffering from chronic fatigue syndrome (CFS) have reported increased occurrencesof traumatic experiences early in life compared to healthy individuals. Such experiences have been found to substantially impact on biological regulation processes later in life and thus alter sensitivity to stressful stimuli in adulthood. In CFS research has shown that patients display altered endocrine and immune stress regulation. A summary of current research in this area is given and the role of both childhood and adulthood stressors in biological regulation processes in CFS is discussed.     

Ersch?pfung und Depression in der Schwangerschaft

For women pregnancy represents a condition of intense physical and psychological changes which subject the pregnant women to a number of potentially stressful situations. Hormonal changes during pregnancy predispose to exhaustion and therefore to an increased vulnerability to affective disorders. Depression is one of the most commonly diagnosed psychiatric disorders in the female population with an increased incidence during the reproductive years. Recent studies showed that approximately 10?C13% of patients suffer from a depressive episode in the perinatal period requiring specialized treatment including psychotherapy and/or pharmacotherapy. Underestimation of this condition and a lack of proper management can hinder normal mother-child bonding leading to impaired cognitive and emotional long-term development of the child. In this article the medical literature related to the prevalence and clinical presentation of depression during the perinatal period and its association to maternal exhaustion is reviewed. The clinical implications and therapeutic options are discussed.     

Suche nach der Ursache des chronischen Ersch?pfungssyndroms

The etiology of chronic fatigue syndrome is subject to a longstanding controversy between scientists, healthcare providers, patients and self-help groups. The reasons for this, sometime heated, dispute are most likely not only due to the diversity and complexity of scientific facts alone but can also be seen as the consequences of the desired legitimation or dreaded delegitimation of the syndrome by the respective etiological model. The mechanisms of these processes will be described one the basis of the current discussion regarding the role of xenotropic murine leukemia virus-related virus in chronic fatigue syndrome.     

Psychotherapie chronischer Erschöpfungszustände

Chronic fatigue is common. Since fatigue has little specificity, it can be the consequence of many different somatic diseases and psychiatric disorders. Therapy needs to be individually tailored with regard to the underlying or assumed causes. When objective and established causes cannot be identified or cannot adequately explain the symptoms experienced, the diagnosis of chronic fatigue syndrome (CFS) is possible. But what is CFS? Is it a valid diagnosis? How can the chronic fatigue patient be treated? Based on an integrative understanding, a psychobiological etiological and psychotherapeutical model of chronic fatigue will be developed and described.     

Das Ausmaß von Müdigkeit und Erschöpfbarkeit in der über 60-jährigen Normalbevölkerung in Deutschland

In a community-based random sample of 622 elderly persons over 60 years of age, fatigue was assessed by means of the multidimensional fatigue inventory (MFI; a self-assessment measure). Higher fatigue values were found with increasing age, particularly physical feelings of fatigue, reduced activity and reduced motivation. Fatigue was associated with depression, with a low health-related quality of life and with subjective physical complaints. Distinct fatigue symptoms in the elderly should therefore be regarded as possible indicators for somatic and/or psychological burdens and should receive diagnostic and therapeutic attention. In the present paper, mean values and percentiles for different age groups over 60 years are given as norm values for the normal population over 60 years of age.     

雇工?牧人?

“雇工”，顾名思义，是指受雇用的工人，得他人的钱财为他人服务，是临时性的工人。有“雇工”就必然存在“雇主”，就是出钱让别人为自己做事，以货币购买劳动力的人。“牧人”则是指放牧牲畜的人；在基督教的思想里，     

启工?牧人?

“雇工”,顾名思义,是指受雇用的工人,得他人的钱财为他人服务,是临时性的工人。有“雇工”就必然存在“雇主”,就是出钱让别人为自己做事,以货币购买劳动力的人。“牧人”则是指放牧牲畜的人;在基督教的思想里,“牧人”有一个特定的含义,是指放牧羊群的工人。“奴隶”是指受人奴役又没有人身自由的人,没有自己该有的权利和福利,不得已地承受所委身的对象的约束和管制,有     

Confucian Ethics: Altruistic? Egoistic? Both? Neither?

Is Confucian ethics primarily egoistic or altruistic? There is textual support for both answers. For the former, for example, Confucius claims that one learns for the sake of oneself; for the latter, we can find Confucius saying that one ought to not impose upon others as one would not like to be imposed upon. This essay aims to explain in what sense Confucian ethics is egoistic (the highest goal one aims to reach is to become a virtuous person oneself) and in what sense it is altruistic (a virtuous person is necessarily concerned with the well-being, both external and internal, of others). The conclusion to be drawn, however, is not that Confucian ethics is both egoistic and altruistic, but that it is neither, since the Confucian ideal of a virtuous person is to be in one body with others so that there are really no others (since all others become part of myself), and since there are no others, there is no self either.     

俗事?圣事?

吃,是人维生的手段,随着“新物种”吃货的诞生,“吃”成了吃货们重要的生活内容,事情在吃喝中解决,感情在吃喝中联络,无聊在吃喝中打发.人为吃喝而存在,生命在吃喝中消耗……那么,圣经中关于吃喝有什么教导呢? 一、随意吃和不可吃 神曾对亚当说:“园中各样树上的果子,你可以随意吃,只是分别善恶树上的果子,你不可吃,因为你吃的日子必定死.”(参创2∶16-17)在起初的创造中,神以各样的果子满足人生存的需要,可以随意吃,又为吃设定了界限:分别善恶树的果子不能吃.     

Naturalisms: Scientific? Religious? Theological?

Is nature all there is? Or, is there more? If nature is the only reality, is it ultimate or sacred? Differing answers to these questions determine the different brands of naturalism on the religious shelf. What virtually all of today’s naturalists agree on is this: science provides the means for revealing reality, the sole reality which is material, physical, and cosmic. Naturalists also agree that supranaturalism should be rejected. What naturalists differ on whether nature is divine or not. This article sorts out the issues and differing positions taken on each issue. The author contends that a post-Newtonian worldview remains open to a concept of God wherein divine action in nature’s world influences creativity and transformation.     

Abh?ngigkeitserkrankungen und Pers?nlichkeitsst?rungen

Substance use disorders and personality disorders often co-occur in clinical treatment. In this review the association between substance use disorders and personality disorders is described and discussed. Clinical and neurobiological data as well as psychodynamic concepts are included to focus on the therapeutic implications for patients with these comorbidities. The consumption of substances often begins as a kind of self-medication. Patients suffering from severe personality disorders need these substance effects to avoid severe destructive affects and to regulate their self-esteem. Patients with chronic substance dependence often show changes in brain structure. In the dependency stage of addiction clinical symptoms can make the diagnosis of a specific personality disorder very difficult. The treatments can be classified by the severity of substance use disorders and personality disorders. Substance misuse can be treated with psychotherapy. In substance dependence, specific forms of addiction therapy should be included. In patients with the frequent comorbidity of substance use disorders and severe personality disorders, disorder-specific treatment can be used with good results.     

哲学现代化?哲学科学化?抑或……?

胡宝琛同志《评所谓哲学现代化》一文于本刊1986年第11期发表后,读者先后来文评议,并在“哲学现代化”、“哲学科学化”及其他提法之间,作出各自的抉择。新疆大学蔡灿津同志认为,胡文不同意“哲学现代化”这个流行口号,“很有见地”,但代之以“哲学科学化”或“哲学更加科学化”则不妥。首先,“马克思主义哲学无疑是一门科学,对于科学本身再使用科学化的提法似乎并不科学”,“更加科学化”中的这个“更     

Identit?t, Identit?tsdiffusion, Identit?tsst?rung

Identity takes place in the transitional space between the individual and society. It means that the individual has the feeling to be a unique being with past and future, to be different from others but also to be similar to them in many aspects and share a great deal with them. This sense of coherence and continuity in the context of social relatedness shapes life. A differentiation is made between primary identity, personal identity and current identity. The development is essentially determined by preverbal interpersonal processes. If the balance which sustains the feeling of identity becomes lost then disturbances of the identity occur, which compromise the sense of identity especially in social contexts. An identity diffusion arises. Depending on the fixation, a differentiation is made between phase-specific identity crisis, developmental disorder and reactive identity disturbance.     

?Omnipr?senz��

Excessive urge for free individual development even beyond moral law and social rules is discussed as part of the aftermath of severe political repression and traumatization. It is proposed to describe these phenomena which have not yet been sufficiently considered in the scientific literature as ??omnipresence??. In terms of psychoanalytic understanding these mechanisms result from specific unconscious defense activities. The relationship to other defense mechanisms, e.?g. of anal, phobic, paranoid and manic nature, is outlined, and illustrated by a short case vignette. The article ends with a differentiation between omnipresence as described above on the one hand and the phenomena of media-moderated expansion of individual development and acceleration typically and generally found in postmodern societies, on the other hand.     

Ethical? Toward whom?

Comments on the original article, "Nonrational processes in ethical decision making" by M. D. Rogerson et al (see record 2011-19198-001). Among the many insightful points made by Rogerson, Gottlieb, Handelsman, Knapp, and Younggren (October 2011) regarding nonrational processes in ethical decision making, one deserves further explication: Many of psychologists' ethical decisions lead to actions done to someone. Unfortunately, frameworks and models of ethical decision making frequently neglect this fact by implying that the decisions happen in the abstract, but in truth, these decisions often affect a specific recipient. Importantly, the characteristics of that specific recipient, especially as perceived by the psychologist, can have a powerful impact on the process of ethical decision making (Caughron et al., 2011). It would be wise to add such a hypothetical to the list of specific questions that Rogerson et al recommended psychologists ask themselves: Would I make the same ethical decision if the person(s) toward whom the decision is directed had different characteristics?     

通什么经?怎么通经?致什么用?

<正>近年来,经学研究俨然成为学界的热门。越来越多的学者关注经学、谈论经学、研究经学。这里,我想就经学研究谈谈自己的认识,请各位指点。刚才黄铭老师谈到经学教育需要重视专经之学的深入,培养根底之学,我是非常赞同的。我们的经学研究,确实需要防止把经学简单地思想史化、经学史化。没     

Gef?hrliche N?he

The author examines the association between trauma and psychosis. To illustrate this he presents clinical examples of active and passive experiences of violence by adult psychotic patients, for whom forerunners in the form of childhood experiences of violence were found in some psychoanalytical treatments. They take place in traumatic relationships. Recent empirical studies have shown that trauma plays an influential role in the pathogenesis of schizophrenia. Traumatic relationships have a contradictory structure which possesses an impressive similarity to the schizophrenic dilemma of adult psychotics. The author therefore considers the schizophrenic dilemma as an introspective manifestation of a traumatic relationship, a part of the violent nature of psychiatric institutions as re-enactment of the traumatic relationship.