Pluralität der Wissenschaften

In September 2002 the international conference on "Pluralism of sciences: the psychoanalytic method between clinical, empirical and conceptual research" took place in Frankfurt am Main. One of the purposes was to discuss a research methodology, which is adequate in psychoanalysis. The major points were clinical research as process-outcome research and experimental research on psychoanalytic paradigms with current methods of the so-called "life sciences". A critical discussion of these research strategies appeared difficult and did not reach a satisfying conclusion.     

Intensität und Qualität in der Geruchswahrnehmung

Zusammenfassung Vier unterschiedliche Geruchsstoffe in je 4 Konzentrationen wurden von 23 Versuchspersonen nach Intensität beurteilt und paarweise auf ihre relative Ähnlichkeit hin verglichen. Eine Systematik der Versuchspersonenvarianz konnte weder in den Intensitäts- noch in den Ähnlichkeitsurteilen mit dem Tucker-Messick-Verfahren nachgewiesen werden. Mit den Medianwerten der Ähnlichkeitsurteile wurde das Skalierungsverfahren von Kruskal durchgeführt. Unter 25 Lösungen wurde diejenige mit einem Exponenten (Minkowski-Metrik) von r=2,5 und 5 Dimensionen als optimal ausgewählt und zur Grundlage der Interpretation genommen. Als wichtigstes Ergebnis erhielten wir eine unabhängige Intensitätsdimension mit Ursprung außerhalb der Reizkonfiguration, die eine hohe Übereinstimmung zur Intensitätsskalierung aufwies. Weiter konnte ein Qualitätswechsel jeweils innerhalb eines Stoffes zwischen den Konzentrationen festgestellt werden. Dieser Qualitätswechsel ist bei den einzelnen Stoffen unterschiedlich stark ausgeprägt.

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Quality and intensity in olfactory perception

Summary In an experiment on olfaction 23 subjects judged 16 odors (four chemicals each in four concentrations) with respect to intensity and with respect to similarity for each pair of stimuli. Systematic interindividual variation can he found neither in the intensity nor in the similarity data. Multidimensional scaling according to Kruskal's procedure reveals a configuration in 5 dimensions, the exponent of the optimal Minkowski-metric (out of 25 alternative solutions) is r=2.5. This scaling is based on the medians of similarity judgments. One of the dimensions corresponds to a subjective scale of intensity, with a zero-point lying outside of the configuration. The quality of the stimuli depends on their concentrations. The perceived quality-changes differ in amount and directions for each of the chemicals.

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Von der Philosophischen Fakultät der Universität des Saarlandes auf Antrag von Prof. Dr. K. Eyferth angenommene Dissertation.     

Religiosität und Spiritualität in der Psychotherapie

For many years religious and spiritual issues have been avoided in psychotherapy. In the face of social changes a more culturally sensitive psychotherapy is needed to professionally deal with religious backgrounds, spiritual needs and spiritual resources. A remarkable spiritual turn has recently been observed particularly in psychoanalysis, which was originally very antireligious. Health research studies are exploring the healing craft of religious virtues and values. It is important to discern between an empirically proven healing method and an ideologically founded promise of salvation. It is the task of the therapist to find out whether the patient's religiosity or spirituality is part of the problem or part of the solution.     

Die Effektivität der Hypnose

From 193 studies published until 1998 that investigated the efficacy of hypnosis 43 randomized clinical studies were selected that compared a patient group treated exclusively by hypnosis with an untreated control group (or with a group of patients treated by conventional medical procedures). The 43 studies were integrated into a meta-analysis that yielded a weighted average post-treatment effect size of d=.60 (medium effect size) for hypnotic treatment of ICD-10 coded disorders (24 studies; average treatment period: 5.1 weeks) and d=.38 (small effect) for hypnosis as an adjunct for supporting medical procedures (19 studies). These estimates are conservative since all variables of a given study were used. Most of the studies employed methods of the classical approach to hypnosis. In order to obtain an estimate to which extent non-clinical factors (design-quality, way of comparison of dependent variables) have an influence on the effect sizes, effect sizes were computed for all studies of the original 193 studies that reported the necessary statistical information (N=89). For those studies with an average effect size of d=.80 a massive influence of non-clinical factors was demonstrated with a range from d=.51 for randomized studies with group comparisons to d=2.0 for non-randomized studies using pre-post-comparisons.     

Die Komplementarität in der Sowjetphilosophie

Ohne ZusammenfassungGekürzte Fassung eines Vortrages an der Universität Bonn am 19.XI.1963.     

Dynamische Komplexität in der Therapeut-Klient-Interaktion

The importance of client-therapist-relationship in psychotherapy has often been stressed. On the one hand, the quality of this relationship has proved to be an important predictor of therapy outcome, on the other hand the relationship itself is realized as a complex dynamic pattern of interpersonal interaction. It seems appropriate to investigate this dynamics by a microprocess analysis with high resolution. Interactive plans (idiographic self-presentation unities) of client and therapist were coded by a sampling frequency of 10 seconds. The coding system of plan activation follows the idea of synchronous musical score notation of different orchestra instruments. It allows for the representation of contextualized interactive behaviors. The context is introduced by the consideration of synchronous and diachronous plan-activation patterns of the interaction partners. The observed dynamic patterns are fulfilling the prerequisites of usual definitions of “chaos”: irregularity of the process, restricted prediction horizon, and still some global order of the dynamic process. Based on nominal data (on-off-patterns), a method for the identification of order within irregular patterns of plan activations is presented. The frequency distributions of plans realize the shape of 1/f^α-noise, indicating features of self-organized criticality within the dynamic system of client-therapist-interaction.     

Wahrheitsähnlichkeit als Regulativ der Intentionalität?

Is there still any importance of Husserl's Phenomenology for contemporary forms of philosophy of science? A comparison between Phenomenology and a prominent form of such modern philosophy of science, the so-called Critical Rationalism of Karl Popper, may help to answer this question. Therefore, the different levels of argumentation have to be worked out to make the respective arguments applicable to one another. We are arguing for the following thesis: the strategy of corroboration in Critical Rationalism can be justified by means of the phenomenological conception of intentioality of consciousness. A typical example may illustrate how Popper's conception of taking the degree of corroboration as an indicator of the degree of verisimilitude can find its deeper foundation in Husserl's genetic interpretation of ordinary kinds of experience.     

Die Destruktivität in der psychoanalytischen Ausbildung

In this study, a survey of all criticism of psychoanalytic training and of the from its beginnings formulated problems is given. Doing so, the presented literature covering the issue is discussed from four perspectives: the candidate’s perspective, the socio-political perspective, the perspective of power and the perspective of professionalization. The latter perspective involves historical aspects too and thus shows the resistance towards change, proposes solutions and therefore may be deemed to be especially relevant. In order to summarize the criticism regarding psychoanalytic training, a systemic model was developed including its systemic structure, organizational aspects and its content. Furthermore, ten hypotheses are developed as to why psychoanalytic training proves to be to a large extent resistant to change. Against the background of the existing situation in training, current job-political conditions and changes for present trainees are presented and existing exacerbations are pointed out. Ignoring these aggravated conditions and simultaneously tightening and regimenting training guidelines are understood as a destructive process for psychoanalysis and its training by the author. At the same time it is pointed out that the presented problems are not related to one single psychoanalytic society, but have been developed over decades throughout different psychoanalytic societies and countries and therefore seems to be an international problem of psychoanalytic organizations. Finally, preexisting propositions for changes are discussed, and fourteen solutions, which could help to renew future psychoanalytic training, are shown; this may also serve as a plea for a basic reform in training and organization. Regarding a reform of the training, the author deems all three issues to be relevant: the systemic-structural aspect, the content and the organizational aspect.     

Direktausbildung Psychotherapie an der medizinischen Fakultät

Background

There is ongoing political discussion at the Federal Ministry of Health that a university entrance diploma should allow psychotherapy to be studied directly: Graduation leads to a licensure that qualifies for further specialization, e.g. in cognitive behavioral therapy (CBT) or psychodynamic psychotherapy analog to medical specialization. As psychotherapy has its roots in both psychology and in medicine, the question is raised which faculty should be the future home of direct psychotherapy schools.

Material and methods

A theoretical model curriculum of psychosomatic psychotherapy is proposed. Its structure which is oriented to the established structure of medical training and its contents are described. It is argued that the proposed model in the tradition of psychosomatic medicine is suitable to meet ongoing changes in the structure of psychotherapeutic care due to new challenges in the field of public health.

Conclusion

The study of psychotherapy should be associated with chairs in clinical psychology and psychosomatic medicine in order to maintain and further develop the variety and quality which psychotherapy has gained in Germany.     

Patientensicht zur Qualität in der Psychotherapie

Concerning the discussion about the quality of psychotherapy, the different perspectives in the definition of quality are rarely considered. Especially the patients’ perspective is barely respected although quality assurance of psychotherapy should be for their benefit. Patients were interviewed (n=8) to answer the question which criteria of quality are relevant in their view. Using the grounded theory a variety of quality criteria was found. The interviewees emphasized the relationship between therapist and patient, the empathy of the therapist, the scheduling of appointments and the progress in therapy. The results suggest that when judging the quality of psychotherapy clients do not only focus on the outcome of psychotherapy, as presumed by some experts, but also on the dimensions structure and process. Professionals have to consider this fact when designing and applying methods of quality assurance.     

Zum Umgang mit Destruktivität in der Paartherapie

Ohne Zusammenfassung     

Der Therapiewunsch und die Realität der Vollzugsanstalt

The author describes the practical problems which have arisen from the implementation of the new legal regulations on preventive detention from the perspective of the director of a large prison full of tradition and using graphic examples. This process initiates a much more intensive conversion from imprisonment with a priority for security aspects to a permissive preventive custody with a prioritized orientation to treatment which must be implemented into a continuously ongoing prison system. In this situation it is unknown which effects the necessary relaxation of security aspects will have. It is also open as to what extent the inmates under preventive detention will show interest in therapy and whether they can be forced to become motivated. Additionally, in the coming years the judiciary will determine to which rights and amenities the inmates are entitled. On the side of the penal system there will always be an interest to use the critical situation as well as the situation as a whole to improve the methods of dealing with offenders.