PALME

Background

Single mothers and their children are exposed to increased psychosocial burdens and risks. Nevertheless, in Germany offers of help especially designed for the needs of this group are lacking.

Method

An emotion-oriented parental training program (PALME, http://www.palme-elterntraining.de) based on the attachment theory was developed particularly for single mothers with preschool children. The training is guided by trained kindergarten nurses. The effectiveness of the parental training program on the measure of maternal psychological impairment, emotional competence and child problem behavior was investigated within a randomized, controlled study with 61 single mothers suffering from medium grade psychosocial impairment.

Results

Analyses of variance revealed significant group×time interaction effects in favor of the intervention group compared to controls. After the training the mothers showed improvement in their psychological impairment, depression and emotional competence. In addition, evidence suggests that behavioral problems of the children were reduced.

Conclusion

In view of the benefits of this parental training and its low costs it should be recommended as a regular offer of support for single mothers within community settings.     

Psychotherapie für Straftäter

The legal and administrative framework for psychotherapy of offenders in prisons and secure forensic hospitals is outlined. Established treatment programs for offenders are presented including different variations of standardized cognitive behavioral approaches, e. g. relapse prevention programs (RP), dialectic behavioral therapy (DBT), transference-focused psychotherapy (TFP), and mentalization-based treatment (MBT). The foci of the individual programs as well as their integrative tendencies are described. In psychodynamic therapies cognitive processes are taken into consideration and, vice versa, cognitive-behavioral therapists discover the significance of the therapeutic relationship.     

Psychoanalytische Überlegungen zur Pädophilie

Following the long psychoanalytic tradition in the treatment of paedophiles, in a first step this article tries to define structural components of sexual delinquency that on the one hand correlate with the psychoanalytic model of psychic structures and on the other hand are consistent with the clinical experience of forensic psychotherapeutic practice. In a second step different levels of severity in the structural psychopathology of sexual delinquents are described by taking advantage of the object relationship theoretical conception of personality organisation. Finally, in a third step the psychodynamic features of these patients are highlighted, which have frequently been found and described in the clinical psychoanalytic literature on paedophilia including traumatising mother relationship, narcissistic object choice, inadequate triangulation, self-permuting drive, simulation and disturbance of identification.     

Zwischen Klinik und Politik

Based on the current debate on the traumatisation of soldiers in Afghanistan, the article traces the historical development of trauma concepts from the 19th century to the present day. Thereby, it is shown that without reflecting on the socio-political context on the part of therapists and experts, medical and psychotherapeutic measures are at risk of being exploited by undetected political interests.     

Goethes Studienkrise, Depression und seine Selbstbehandlungsstrategien

From a present day diagnostic viewpoint Goethe suffered from several episodes of depression beginning with his study crisis. In addition he wrote that he had a tendency towards dysthymic moods. In terms of modern psychotherapeutic procedures the various levels of Goethe’s self-therapy strategies are remarkable: acceptance of helpful bonding and relationships, correction of dysfunctional behavior and modification of pathogenic conceptions and beliefs as well as remembrance, enactment and mentalization of psychodynamic conflicts. Finally at an existential level his salutogenic strategies served to invoke a sence of coherence often threatened in his life. Anxieties, dysthymic moods, lack of self-esteem and existential conflicts were for him not only the reason and motive for realization of his extraordinary artistic potential. For modern psychotherapists and patients it is interesting that the acceptance of dysthymic moods and psychological conflicts and the transformation through relationships, cognitive behavior-oriented and psychodynamic strategies as well as an existential self-effective striving also lead to everyday creativity, i.e. coping with life.     

Psychotherapeutenausbildung aus Sicht der Absolventen

Background

A survey was performed to assess the current situation in education and to identify critical issues 10 years after the inception of the psychotherapy act in Germany.

Methods

In August 2008 all non-medical psychotherapists who had graduated since 2002 according the psychotherapy act were invited to take part in the survey and a total of 863 persons participated. The answers from 666 could be evaluated corresponding to a participation rate of 20%.

Results

A total of 57.6% of the graduates had completed a full-time training and approximately 50% of the graduates had completed the training within the allotted time. In the majority of cases evaluation occurred only for the theoretical courses. During the practical work (PT I) 36.8% of the graduates did not receive any salary or remuneration, 82% had their own field of activity and of these 38% treated patients without the presence of qualified tutor.

Conclusions

The training often lasts longer than intended, the financial situation in the PT I is exceptionally critical and in clear contrast to the field of activity in this section of training. Further detailed results will be presented and discussed.     

Work engagement and financial returns: A diary study on the role of job and personal resources

This study investigates how daily fluctuations in job resources (autonomy, coaching, and team climate) are related to employees' levels of personal resources (self‐efficacy, self‐esteem, and optimism), work engagement, and financial returns. Forty‐two employees working in three branches of a fast‐food company completed a questionnaire and a diary booklet over 5 consecutive workdays. Consistent with hypotheses, multi‐level analyses revealed that day‐level job resources had an effect on work engagement through day‐level personal resources, after controlling for general levels of personal resources and engagement. Day‐level coaching had a direct positive relationship with day‐level work engagement, which, in‐turn, predicted daily financial returns. Additionally, previous days' coaching had a positive, lagged effect on next days' work engagement (through next days' optimism), and on next days' financial returns.     

Optimum sample size allocation to minimize cost or maximize power for the two‐sample trimmed mean test

When planning a study, sample size determination is one of the most important tasks facing the researcher. The size will depend on the purpose of the study, the cost limitations, and the nature of the data. By specifying the standard deviation ratio and/or the sample size ratio, the present study considers the problem of heterogeneous variances and non‐normality for Yuen's two‐group test and develops sample size formulas to minimize the total cost or maximize the power of the test. For a given power, the sample size allocation ratio can be manipulated so that the proposed formulas can minimize the total cost, the total sample size, or the sum of total sample size and total cost. On the other hand, for a given total cost, the optimum sample size allocation ratio can maximize the statistical power of the test. After the sample size is determined, the present simulation applies Yuen's test to the sample generated, and then the procedure is validated in terms of Type I errors and power. Simulation results show that the proposed formulas can control Type I errors and achieve the desired power under the various conditions specified. Finally, the implications for determining sample sizes in experimental studies and future research are discussed.     

Fixed‐links models for investigating experimental effects combined with processing strategies in repeated measures designs: A cognitive task as example

Fixed‐links models enable the investigation of experimental effects in combination with processing strategies in the framework of repeated measures designs. The consideration of different processing strategies is reasonable whenever the task requirements can be met in different ways. Effects due to specific processing strategies become obvious in comparing the models representing these processing strategies and also by investigating the variances of the corresponding latent variables. The usefulness of such models is demonstrated by the reaction time data of a cognitive task including three treatment levels. Two different processing strategies were considered: analytic and holistic. The results indicated that the participants applied both processing strategies. The analytic strategy was primarily applied for performing with respect to the second and third treatment levels and the holistic strategy with respect to the first treatment level.     

Improved Fisher z estimators for univariate random‐effects meta‐analysis of correlations

Several authors have studied or used the following estimation strategy for meta‐analysing correlations: obtain a point estimate or confidence interval for the mean Fisher z correlation, and transform this estimate to the Pearson r metric. Using the relationship between Fisher z and Pearson r random variables, I demonstrate the potential discrepancy induced by directly z‐to‐r transforming a mean correlation parameter. Point and interval estimators based on an alternative integral z‐to‐r transformation are proposed. Analytic expressions for the expectation and variance of certain meta‐analytic point estimators are also provided, as are selected moments of correlation parameters; numerical examples are included. In an application of these analytic results, the proposed point estimator outperformed its usual direct z‐to‐r counterpart and compared favourably with an estimator based on Pearson r correlations. Practical implications, extensions of the proposed estimators, and uses for the analytic results are discussed.