Weinen, ein Bindungsverhalten

Crying is an age-independent behavior of attachment of the (at that moment) weaker part, who cannot cope with a special experience alone. To cry because of anxiety, anger and mourning expresses helplessness and at the same time is an appeal to others to give help and comfort. Crying creates the chance to show relatedness. The considerate other person perceives himself at that moment to be the stronger one when he sees and hears the crying and usually feels the need to comfort and care. The crying of a newborn baby expresses fear to be abandoned, not to be protected and looked after which means to have to die. With growing experience about the reactions to crying the infant quickly learns which behavior is apt to bring the protecting attachment person closer to him. Crying is synchronized with the expectations of others even at the end of the first year of life, especially with those of the attachment person. Whether a child or an adult cries in a manner appropriate to the situation, or surprisingly does not cry or cries in an exaggerated dramatic manner, very much depends on the experiences made in attachment relationships with crying. In the same way, how effective the comfort can be and whether the other wants to care at all, depends on the experiences of both persons concerning crying and comforting in preceding relationships. If those experiences were reassuring then as adults they can also cry or care and comfort, but if crying even aggravates painful experiences then the adult will have difficulties to desire and to accept comfort from others or offer comfort to others himself.     

Die Rolle positiver Emotionen in der frühen Sozialisation

Emotions are vital characteristics of the evolved human nature. Expression and function of emotions, however, vary substantially depending on socio-cultural contexts. This paper focuses on two strategies concerning the expression of positive emotionality in early mother-child interactions. Western middle class families emphasize the expression of positive emotions in early social interactions from early infancy. Positive emotionality is associated with personal autonomy and individual uniqueness. In traditional farmer families in the non-western world emotional control is emphasized from birth. Emotional inexpressiveness is part of a socialization strategy that is oriented towards hierarchical relatedness. The early socialization experiences have measurable effects on emotion regulation of 1-year-old children. The confrontation of different cultural models in multicultural societies is inherently fraught with confliction. These implications are discussed.     

Zur Instrumentalisierung des Opferstatus

The article deals with the instrumentalization of victim status, which achieves a definite material psychosocial and narcissistic advantage. Talk shows cultivate victims and idealize them as heroes thus producing ersatz identities. To be singled out from society as ?innocent“ and to be pitied, admired and perhaps envied by others for the attention they attract, might prove to be a source of narcissistic gratification. So whilst victim identity may transform impotence and weakness into a medium for approval, it also fixes the dichotomy between offender and victim.     

Arbeitsstörungen und Prokrastination

Work disruption and procrastination include dysfunctional behavior in the context of completion of tasks in occupational and personal fields as well as in school and professional training. A psychological model for the explanation of work disruption and procrastination is presented. Based on this model dysfunctional behavior occurs when individual skills and personality factors do not fit with the demands and conditions of the task. Especially when depression, some anxiety disorders, test anxiety as well as adjustment disorders and personality traits related to personality disorders are present, work disruption and procrastination can play an important role as additional problems. A modularized intervention program is presented which can serve as a support for self-help, counseling as well as professional psychotherapy. It includes the analysis of dysfunctional behavior and cognition, improvement of work-related techniques, time-management and work conditions and reduction of distraction from work as well as improvement of work-life balance.     

Die Psychotherapeutenausbildung aus Sicht der Teilnehmer

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.     

Fokale psychodynamische Psychotherapie der Anorexia nervosa

The paper presents a manual for the focal psychodynamic psychotherapy of anorexia nervosa (AN). The manual was developed in the context of the largest randomized controlled trial of outpatient psychotherapy for AN so far [Anorexia Nervosa Treatment of OutPatients (ANTOP), n=234]. The study compares focal psychodynamic psychotherapy with cognitive-behavioral therapy and with a control group with free choice of therapy outside the study. The manual comprises instructions for the working through of typical focal emotional and interpersonal issues of AN. Also recommendations for anorexia-specific therapeutic difficulties in the course of treatment are given. First results concerning the efficacy of the therapies carried out based on the manual are expected after completion of the ANTOP study in the middle of the year 2010.     

Kriminalprognose bei Sexualstraftätern

Modern methods of risk assessment for sexual recidivism are reviewed, amongst others the statistical and the clinical approaches. The recidivism of sexual offenders is also strongly influenced by basic criminological risk factors like age, intelligence, former criminality, dissocial patterns and poor social integration. A further important risk factor is paraphilia. The analysis of the determining factors of previous sexual assaults is an essential basis for risk assessment. The different forms of sexual assaults are outlined under the aspect of risk assessment.