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61.
The article reviews current research in relation to two aspects of involuntary childlessness; firstly, the extent to which involuntary childlessness can be considered a critical life-event and secondly, the short-term effects of childlessness on life-satisfaction and well-being. A study is reported in which 68 middle-aged women (45 to 65 years) who are long term childless because of infertility, are investigated. The study focuses on the extent to which unfilled desire for a child has long term effects on well-being and life-satisfaction. The control group comprised 68 women who did not suffer from fertility problems and became pregnant spontaneously. Life-satisfaction and well-being were assessed using the life-satisfaction questionaire (FLZ; Fahrenberg et al. 2000) and the SCL-90-R (Symptome-Checklist, Derogatis, the German version of Franke 1995). The study shows clearly that psychological well-being is significantly lower in childless middle-aged women compared to women of the same mean age, who have a child. No significant differences were found in social well-being and health. The results support the view that unwanted childlessness may become a chronic stressor. Unintentionally childless middle-aged women do not constitute a clinical group whose need for psychotherapy is urgent. However, the development of specific counselling for women who fail to conceive and those who remain childless in the long term is recommended.  相似文献   
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Ohne Zusammenfassung Prof. Dr. med. M. Cierpka Universit?t Heidelberg, Abteilung für Psychosomatische Kooperationsforschung u. Familientherapie, Bergheimerstra?e 54, 69115 Heidelberg, E-Mail: Manfred_Cierpka@med.uni-heidelberg.de  相似文献   
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Background

A survey was performed to assess the current situation in education and to identify critical issues 10 years after the inception of the German law regulating the education of psychological psychotherapists and child and adolescent psychotherapists. The study reports the results of a nationwide survey of German psychological psychotherapists and child and adolescent psychotherapists currently in training. The aim of the survey was to evaluate the individual sections of training, desired alterations and structural and financial conditions.

Methods

All trainees were contacted via the training institutes and the umbrella organizations. A total of 3,223 trainees participated and answered questions mainly using an online questionnaire.

Results

Most respondents practiced their training part-time and in most cases the trainees thought that the training would last longer than initially expected. The practical training was rated most poorly, whereas practical education and individual supervision were rated as most useful. The survey revealed deficits concerning the evaluation of the quality of several components of the training.

Conclusions

From the perspective of the trainees there is a necessity to modify the financial conditions of the training. This result has been considered in the recommendations of a research expertise on psychotherapy training and should stimulate further research.  相似文献   
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Ohne ZusammenfassungHerrn Prof. Dr. Blumenfeld und Herrn Prof. Dr. Peters danke ich für Beratung und Förderung meiner Arbeit.  相似文献   
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