Zusammen k?mpfen, zusammen schlagen?

Regarding criminal offences by adolescents, the question is asked to what extent violent behavior is the expression of poor or even pathological personal development. Or in antithesis it is asked whether there may be a necessary delevopmental phase, particularly for male children and adolescents, during which they experiment with their own inherent capability and propensity for violence, which is linked to their male self-concept or the topos of knights and heroes, i.e. prosocial violence. During that time also connected with the capability of violence are social virtues such as cooperativeness, helpfulness, reliability, resilience, courage, bravery and productivity. Each individual case demands an unbiased view of the developmental capabilities and resources of the adolescent during a critical phase.     

Wie können Langzeittherapien mit kürzeren Behandlungen verglichen werden?

Long-term psychotherapy is not recommended in the current guidelines, which are based on the criteria of evidence-based medicine, as there is a lack of confirmation for long-term psychotherapy by efficacy studies. Using the example of psychoanalytic long-term psychotherapy this article describes six dilemmas which impede the realization of efficacy studies for long-term psychotherapy. Finally, basic elements of a study design are proposed, which are considered as being adequate to compare (psychoanalytic) long-term psychotherapy with shorter treatment forms in terms of outcome and cost-effectiveness. The anxiety and personality disorders (APD) study is briefly described as an example of a study realizing the proposed design.     

Wann ist es (k)eine transiente globale Amnesie?

psychopraxis. neuropraxis - Die transiente globale Amnesie (TGA) ist ein Syndrom akuter hippokampaler Dysfunktion während einiger Stunden, weshalb in dieser Zeit keine neuen Informationen...     

Patientenpfade im psychiatrischen Ma?regelvollzug �C Intensivere Behandlung, k��rzerer Freiheitsentzug?

This article reports on the results of two workshops which attempted to register and characterize clinical pathways in special hospitals for schizophrenic offenders. The starting point for both workshops was the analysis of the stages and elements which naturally constitute long-term therapy in schizophrenic patients. Based on this analysis it was aimed to develop standardized operating procedures: which mode of action is most sensible in which phase of treatment? How to respond to the different problems arising during therapy? How to prevent therapeutic stagnation? How to retain up-to-date knowledge on the patient? How to manage a faster and more effective transfer into outpatient care? This article focuses particularly on the course of patientsduring the process of in-patient care in special hospitals for schizophrenic offenders.     

Wie können wir in das psychodynamische Erstinterview einführen?

We reflect on which traditional texts are suitable for the introduction into psychodynamic thinking for bachelor students in the faculty of psychology. We come to the conclusion that the use of works known and individually valued by the students from the world and/or trivial literature are suitable to allow students to carry out fictive preliminary conversations with their heroes from novels or films.     

Kopfschmerz: Pharmakotherapie? und/oder Psychotherapie? und/oder sonstige Therapie?

Zusammenfassung  Der Kopfschmerz ist ein h?ufiges Leiden, das sich vor allem auch beim praktischen Arzt, und nicht nur beim Facharzt, findet (5 % in der Allgemeinpopulation). Der Kopfschmerz hat mehrfache Ausformungen und Mitursachen-Faktoren. Es ist daher kontraproduktiv, hierbei nur auf eine Art der Behandlung oder eine Ursache abzuzielen. Nur in der multifaktoriellen Betrachtungsweise unter gezieltem Einsatz sinnvoller therapeutischer Kombinationen wird man mit dieser Crux der Patienten und der ?rzte bestm?glich weiterkommen. Es werden immer noch Problempatienten übrig bleiben. Diese müssen psychotherapeutisch begleitet werden. Man darf sie nicht in die Hoffnungslosigkeit und/oder den Abusus versinken lassen, sondern muss immer wieder versuchen, Weiteres zu probieren, und sie auf dem therapeutischen Pfad zu halten (Abb. 1a).      

Wie können Ressourcenbeschränkungen eines Dialogparters erkannt und berücksichtigt werden?

This paper reports on research on the question of how a dialog system can recognize and adapt to the resource limitations of its user: specifically, limitations of time and working memory. The results of an exploratory study, together with other empirical research, yield a number of probabilistic causal relationships among relevant variables. It is shown how these relationships can be represented in dynamic Bayesian networks and used as a basis for inferences and decisions of a dialog system.     

Komplexe Traumatisierungen und körperliche Gesundheit

Trauma in childhood, which is considered to be the “prototype” of complex traumatization, is associated with numerous physical diseases, in particular with coronary artery disease (CAD). In this review we present the current state of research on this issue. Despite inconsistencies in details between reported findings, numerous studies consistently show a clear relationship between childhood maltreatment and CAD. This association holds not only for clinical endpoints, e.?g. myocardial infarct and angina pectoris but also for subclinical markers of CAD. In this article three distinct etiopathogenetic pathways are defined linking childhood maltreatment to CAD, namely mental alterations, behavioral alterations, such as harmful health behavior and pathophysiological changes including somatic comorbidities. Methodology critical aspects and future research issues as well as the clinical implications of these findings are briefly discussed.     

Tomboyism or Lesbianism? Beyond Sex/Gender/Sexual Conflation

To illuminate questions of sex/gender/sexual conflation the researcher focused on the relationship between reported tomboyism and lesbianism. Narratives of childhood and adolescence were collected from 32 women who were grouped into four gender/sexual status combinations: “lesbian/bisexual butch,” “straight butch,” “lesbian/bisexual femme,” and “straight femme.” The effects of participants’ sexual and gendered statuses on their retrospective accounts of two aspects of tomboyism—“choosing masculinity” and “rejecting femininity”—were examined. Chi square and qualitative analyses suggest that stage in the life cycle, gender, and sexual status influence distinct mergings and separations of sex, gender, and sexuality in women’s retrospective reports. The researcher concludes that attention to sex, gender, and sexuality as both distinct and connected clarifies the relationship between tomboyism and lesbianism.Part of this paper was presented at the Annual Meeting of the American Sociological Association in Atlanta, Georgia in 2003. Interview data for this study were originally collected for an unpublished dissertation (Carr, 2002).     

Ontological Parity and/or Ordinality?

The principles of ontological parity and ordinality have distinct functions in Buchler's ontology. Ontological parity could be independently subscribed to, whereas ordinality signals the positive conception of the nature of reality as irreducibly complex or indefinitely related, which Buchler's metaphysical system seeks to articulate. Both principles inform Buchler's system, but each has a distinctive function. They are not, I suggest, necessarily at odds with one another, as some critics claim. I do identify several difficulties that follow from (1) the level of generality claimed by Buchler and (2) the claim of irreducible complexity or indefinite relatedness.     

Destruktivit?t in Paarbeziehungen Paartherapeutische Behandlungsm?glichkeiten

Streitende Paare, die in destruktiven Kommunikationsmustern gefangen sind lösen oft schwierige Situationen in einer Paartherapie aus. Die Kommunikationsmuster reichen von verbalen Entwertungen und Beschimpfungen bis hin zu gewalttätigen Auseinandersetzungen. Damit der Therapeut bzw. die Therapeutin handlungsfähig bleiben, müssen sie über Erklärungsmodelle zur Entstehung und Aufrechterhaltung destruktiver Interaktionszirkel verfügen. Darüber hinaus benötigen sie Handwerkszeug und konkrete Interventionsmöglichkeiten zur Deeskalation bzw. zur Unterbrechung dieser destruktiven Muster.     

Are Christian/religious people poor tippers?

A web‐based survey was used to assess the relationships of religious faith and frequency of church attendance with tipping under conditions of good and bad service. Results indicated that Jews and those with no religion tipped more than Christians and members of other religions, but that the vast majority of Christians tipped at or above the normative 15% of bill size. Worship frequency also significantly interacted with service quality such that the tips of those who frequently worship vary with service quality less than the tips of those who worship less frequently. The practical implications of these results for service workers and restaurants or other service businesses with a large religious clientele are discussed.     

Kierkegaard and Camus: either/or?

The philosophies of Søren Kierkegaard and Albert Camus have typically been considered as inverted images of each other. Kierkegaard turns to faith in God as a path of redemption from meaninglessness while Camus rejects faith as a form of intellectual suicide and cowardice. I argue that an analysis of key terms of contest—faith and lucidity, revolt and suicide, Abraham and Sisyphus, despair and its overcoming—serves to blur the lines of contrast, making Kierkegaard and Camus much closer in their views of what sort of life we should live in face of the forsakenness of our condition than they seem at first glance.     

Is banara really a word?

Bowers, Davis, and Hanley (Bowers, J. S., Davis, C. J., & Hanley, D. A. (2005). Interfering neighbours: The impact of novel word learning on the identification of visually similar words. Cognition, 97(3), B45-B54) reported that if participants were trained to type nonwords such as banara, subsequent semantic categorization responses to similar words such as banana were delayed. This was taken as direct experimental support for a process of lexical competition during word recognition. This interpretation assumes that banara has been lexicalized, which predicts that masked form priming for items such as banara-banana should be reduced or eliminated. An experiment is reported showing that the trained novel words produced the same amount of priming as untrained nonwords on both the first and the second day of training, suggesting that the interference observed by Bowers et al was not due to word-on-word competition.     

Pr?vention chronischer Krankheiten und Gesundheitsf?rderung Der Beitrag der Verhaltensmedizin

In den vergangenen 50 Jahren konnten große Fortschritte in der Entwicklung und der Umsetzung des verhaltensmedizinischen Wissens über die Gesundheit von Individuen und Populationen erzielt werden. Allerdings kamen Gesundheitsförderung und Krankheitsprävention nicht allen Bevölkerungsschichten in und zwischen den einzelnen Ländern in gleichem Maße zugute. Die Ungleichheit der sozialen, psychischen und körperlichen Gesundheit zwischen den wohlhabendsten und ärmsten Bevölkerungsgruppen ist im Wesentlichen gleichgeblieben oder sogar gewachsen. Das Wissen darüber, wie solche Unterschiede in der Gesundheit entstehen, ist allerdings erst dann von Bedeutung, wenn es dazu verwendet wird, geeignete, langfristige und nachhaltige Präventionsstrategien auf mehreren Ebenen zu erarbeiten. Bei solchen Strategien spielen verschiedene Aspekte der globalen natürlichen ökologischen Umwelt und das Streben nach einer sog. gesundheitserhaltenden Umwelt eine wichtige Rolle. Mit dem wachsenden Einfluss der Globalisierung auf die Gesundheit stellt sich die Frage, welche Folgen jenseits der traditionellen nationalen Grenzen für die Krankheitsprävention und für die Gesundheitsförderung zu erwarten sind. Sie sollte uns anregen, darüber nachzudenken, dass die Verbreitung von wirksamen Interventionen auf institutioneller oder politischer Ebene nicht nur innerhalb eines Landes, sondern auch zwischen verschiedenen Ländern von höchster Wichtigkeit ist. In Anbetracht der global und schnell voranschreitenden ökonomischen und sozialen Veränderungen und des gewaltigen Einflusses von globalen Umweltveränderungen auf die Gesundheit müssen die Bandbreite und die Praxis der Verhaltensmedizin erweitert werden.