Konzept der Mentalisierung

Mentalization is the fundamental human capacity to relate to each other as minded beings. We mentalize when we are aware of mental states in others or ourselves as persons with feelings, wishes and beliefs. That is what makes the behavior of other people meaningful to us. Fonagy and colleagues based their mentalization concept on the attachment theory and on hypotheses about the development of the self. Mentalization-based treatment relies on this concept and has been manualized and evaluated for the treatment of borderline personality disorders. Psychotherapy research supports this to some extent. The authors claim that all psychotherapeutic treatment will benefit from the understanding of mentalization and its practical applications (Allen et al. 2008). Although the concept of mentalization is not new, the integration of different theories with empirically informed knowledge into a coherent concept is new.     

Mein Konzept der Supervision

The reflections on supervision presented in this paper were written against the background of a psychoanalytic training. The paper describes what – in the author's view – characterizes a patient in psychoanalytic psychotherapy, a psychoanalytic therapist, and a supervisor. In addition, the author reports on his personal experiences which he has made with supervision in the course of his activity as a psychoanalyst in the roles of supervised and supervisor. In this context, he presents some actual memories from supervisory experiences with M. Balint, H. Argelander and F. Morgenthaler.     

Ein Konzept der psychotherapeutischen Betreuung als Hilfsmittel zur Supervision

Die Grundidee war die Frage, was eine Psychotherapie – speziell die personzentrierte – innerhalb eines stationären Settings leisten kann. Was ist sie imstande dazu beizutragen, dass den Patientinnen und Patienten geholfen wird? Dabei war in dem speziellen Setting zunächst zu klären, ob Psychotherapie überhaupt möglich und sinnvoll ist. Das Ergebnis war, dass sie ihr Tun recht flexibel an die Umgebungsbedingungen anpassen musste. Bei einer engen Definition dessen, was Psychotherapie ist, konnte nur eine geringe Anzahl an Kontakten als Psychotherapie gewertet werden („Inseln der Psychotherapie“). Die Mehrheit der Kontakte wurden vom Autor als „psychotherapeutische Betreuung“ definiert. Diese kann eine Vielzahl an Aufgaben übernehmen und durch die besondere Form der Kommunikation die Patientin/den Patienten unterstützen. Ziel ist die Herstellung eines Kontakts, die Durchführung einer prozessualen Diagnostik sowie eine Aktivierung des Patienten durch Begleitung und Teilhabe.     

Langzeitergebnisse einer Funktionellen-Magnetresonanztomographie-Studie

In a controlled functional magnetic resonance imaging (fMRI) study the effect of psychodynamic short-term psychotherapy on cerebral activation of panic disorder patients was determined. In a linguistic go-no go paradigm behavioral measures and cerebral activation to affective word stimuli with threatening, neutral and positive content were assessed pretreatment and post-treatment in 9 patients with panic disorder. 18 healthy controls were scanned twice at the same intervals. In an additional long-term follow-up after approximately 3 years post-treatment the effect of brain activation changes during treatment on the long-term outcome of core symptoms (panic-related cognition and fear of body sensations) were determined. In accordance with the hypotheses increased limbic (hippocampus and amygdala) activation accompanied by low prefrontal activation to negative words were found. At treatment termination, panic-related symptoms had improved significantly and fronto-limbic activation patterns were normalized. Reduction of activation of the limbic system during treatment was predictive of a favorable long-term outcome. The results indicate that short-term psychodynamic treatment leads to changes in fronto-limbic networks, similar to previous findings on cognitive-behavioural treatment.     

自我描述的尝试

罗姆巴赫是在对胡塞尔和海德格尔现象学方法的批判基础上找到自身的道路,即“结构现象学”。“结构存在论”不再囿于仅仅讨论人的缘在,而是放眼一切生存形式,关注人、自然和世界的共创性;对“生成”和“过程”的重视,取代了旧哲学传统中对实体和体系的静态关注。他致力于“将发生现象学、历史思维和存在思维转变为一种包罗万象的结构发生”(B.Waldenfelds),并将兴趣延伸到艺术、人类学、宗教学和多元文化讨论等领域。由此衍生的基本哲学,境象哲学,密释学,结构人类学以及对话等概念成为其思想体系的主干。     

Der Exzess einer Tugend

Querulous behavior and querulous paranoia are seldom in forensic settings, but produce major problems because of the chronicity and severity of the disorders. Aspects of psychopathology and differential diagnosis are discussed, especially characteristics of volition, of cognition and of behavior control. Regarding criminal responsibility the capacity of understanding the wrongfulness of behavior will usually not be severely impaired. In cases of strong deformation of personality structure with transition into paranoid disorder the capacity for behavior control may be significantly diminished. Irresponsibility will only occur in the rare cases of psychotic disorders. Because of a poor prognosis detention in forensic hospitals may be necessary when threats and manifest aggressive behavior occur.     

Prolegomena zu einer wissenschaftlichen Psychologie

Ohne Zusammenfassung     

Ein dramatischer Verlauf einer Demenz

Delirium and dementia are two of the most common causes of cognitive dysfunction in the elderly. In patients with dementia, there is a high risk that changes in location – and especially being admitted to the hospital – may result in serious deterioration of brain function, e.g., delirium. With this case report, the authors emphasize the importance of a thorough medical history, behavioral observation, and progress monitoring in the diagnosis of dementia, while at the same time also question the sense, responsibility, and resource use in daily hospital routine.     

Behandlung einer bipolaren affektiven Störung im Rahmen einer psychiatrisch-stationären Mutter-Kind-Einheit

psychopraxis. neuropraxis - Zeiten von Schwangerschaft und Geburt stellen eine Phase von erhöhter Vulnerabilität für psychische Erkrankungen dar. Nach der Entbindung können...     

Potenzen und Grenzen einer allgemeinen Psychotherapietheorie

Ohne Zusammenfassung