Die verwundbare Analytikerin

The withdrawal of acceptance lies at the centre of the traumatic experience and the disastrous consequences are overwhelming feelings of anxiety and shame relating to the individual’s own existence. Intense feelings in traumatised individuals are accompanied by fundamental shame as they fear once again being inundated by their own emotions and thus yet again becoming helpless and defenceless. Further, the emergence of emotions inevitably demonstrates their roots in the individual personality and it is precisely the withdrawal of recognition as a separate, autonomous being which these individuals have experienced. “When I experience myself as an individual with feelings, then I am but I am not allowed to be” seems to be what these people are unconsciously thinking. Recognition, in the true sense of the word, can only be achieved by the performative act of recognition both of the subjectivity and of the trauma. Such acts of recognition can be performed in the psychoanalytical process when the analyst shows herself as being involuntarily vulnerable and at the same time as a survivor of that vulnerability. This means, however, that the dialectic tension must not only be endured but under certain circumstances also admitted; the tension between the wish to keep all emotions within oneself and the simultaneous unavoidable failure to do so. Only an analyst who is actively alive can, in the last resort, help the traumatised to establish contact with the world of living objects and to feel themselves as being alive.     

Grooming and coalitions in Japanese macaques (Macaca fuscata): partner choice and the time frame reciprocation

Evidence of a reciprocal exchange of grooming and agonistic support in primates is mixed. In this study, the authors analyzed a large database of grooming and coalitions in captive female Japanese macaques (Macaca fuscata) to investigate their within-group distribution and temporal relations. Macaques groomed preferentially those individuals that groomed them most and supported preferentially those individuals that supported them most. They also supported preferentially those individuals that groomed them most and groomed preferentially those individuals that supported them most. These results were not explained by covariation of grooming and support with third variables such as kinship, rank, or time spent in proximity. However, receiving grooming did not increase the short-term probability of supporting a partner, and being supported did not increase the short-term probability of grooming a partner. The proximate mechanisms underlying the exchange of services were discussed in relation to the time frame of the behavioral choices made by the monkeys.     

Parental socialization of child and adolescent physical activity: a meta-analysis.

Meta-analysis was used to integrate research on the relations between parental socialization behavior and child and adolescent physical activity (PA) levels. Four major databases were examined: PubMED, ERIC, Web of Science, and PsychLit (1960 -2005). Thirty studies met the following inclusion criteria: (a) child age (2-18 years) and (b) statistical information permitting calculation of an effect size between parent socialization behavior and child PA. Mean age of participants across studies ranged from 2.54 to 15.5 years. The unweighted mean and median effect sizes (as indexed by r) were .17 and .13, respectively, indicating that a moderate positive relation exists between parental support and modeling behavior and child and adolescent PA levels. The moderating effect of type of parental socialization behavior, population characteristics, and methodological factors were investigated. Theoretical and methodological implications concern the inclusion of mediated models of parental influence and the use of longitudinal investigations in determining causal direction. From an applied viewpoint, these results are useful for the design of future, more effective childhood obesity prevention programs by suggesting child-age-appropriate parental influences.     

Stalking

An anti-stalking law, now common in many western countries, took effect in Germany in November 2006 (§238 Criminal Code; see Infobox). Stalking occurs when a stalker follows a victim for weeks or months and shows molesting, threatening or attacking behavior. Through the continual pursuit, the victims feel at the least extremely insecure and at times afraid; in extreme cases, stalking can lead to psychological disturbances. Our investigations have shown that about 10–15% of males and 15–20% of females are stalking victims at some stage of their lives. This contribution describes the different forms of stalking and discusses the various motives for this behavior, as well as the psychological problems of the victim. It also provides some first thoughts on the psychotherapy of both stalkers and victims.     

Affektverarbeitung und Beziehungsgestaltung bei somatoformen Störungen

Somatoform disorders are usually associated with disturbances in affective processing and consequently with relational disorders. The effect of psychotherapy on the emotional regulation and the relational behaviour in the course of treatment of a patient with somatoform autonomous dysfunction and dysthymia has been examined. Pre-post comparisons of inpatient treatment have been performed by means of standardized questionnaire data; the course of therapy has been evaluated by the analysis of the dependence of the leading symptom of hypogastric pain on mood parameters with the help of multivariate time-series analyses. One effect of psychotherapy was the initiation of an intrapsychic discourse, which led to an improved ability of affect regulation as well as to a better functioning in relationships. This was accompanied by a reduction of somatization. The interrelations between somatization, affect- and relationship-regulation are discussed.     

Studienbezogene Belastungen, Lebensqualität und Beziehungserleben bei Medizinstudenten

In a cross-sectional study of medical students we examined educational strains, health feeling, and relationship patterns. Work stress was measured using the questionnaire by Jurkat et al., health-related quality of life was measured using the Short Form- (SF-)36 Health Survey, and relationship patterns to the partner as well as to a friend were mapped using“Beziehungsmusterfragebogen“ (BeMus). Study stress was assessed as being high by 60% of the students. Consequently, 39% had not enough time for their partners und 29% had no time for own interests. The mental health averaged significantly below the norm. A high workload and discontent correlated with aggressiveness, especially in the partnership, whereas loving care towards the partner or friend correlated with a high level of satisfaction and a lower strain level. Therefore, an improvement of psychosocial competence in medical students as well as a practice-oriented preparation for the profession is needed.     

Leitlinie für die Begutachtung von Schmerzen

The present guidelines for expert testimony have been elaborated for the first time in 2004 by medico-legal representatives from several German professional academic societies (neurology, orthopedic surgery, psychiatry, psychosomatic medicine, psychotherapy). Their aim is to standardize the course and the content of expert testimony in subjects, who complain about chronic pain as the leading symptom for seeking pension or other compensation. In 2006, the guidelines have been revised and completed by adding detailed data about classification and prognosis of chronic pain, about causality questions, and about estimation of functional impairment in different legal areas.     

Fibromyalgie und Leistungseinschränkung

Interdisciplinary guidelines allowed for new quality standards in pain appraisal. Simultaneously, the scientific notion of fibromyalgia changed from a subjectively overvalued malaise to a central disturbance of coping with stress, which is neurobiologically determined. Therefore, in this article a psychosomatics-based guide is given for the socio-medical appraisal of fibromyalgia with reference to the new International Classification for Functioning and Disability (ICF) of the World Health Organization (WHO). As illustration a case study is presented.     

Counselling the dead!

The paper discusses the author's meeting and a counselling encounter in Varanasi (formerly known as Banaras) with a former High Court Judge, who has renounced the material world, excised all his attachments, abandoned his wife, his children, his grandchildren and a luxurious and prestigious life-style, and taken on the mantle of a sanyasi in search of enlightenment and nirvana. He has left his hometown and for the past two to three years has been living on the banks of the river Ganges in Varanasi, the holiest of holy cities in India, leading the life of a mendicant, living off the charity of the hordes of pilgrims who come to Varanasi all around the year.