Psychisches Risiko „Großstadtleben“

The material determining factors of mental stress and diseases are comparatively rarely reflected on and analysed in depth in psychotherapy research and by psychotherapists. This article should be seen as a plea to look at these factors in more detail. When this involves the question of the influence of risk factors of city lifestyle conditions on the mental health of its inhabitants, the urban environment“city” is the melting pot for a multitude of individual factors and factor constellations the influence of which must be theoretically conceptualized and empirically collated.     

Intuition

At least since the Enlightenment Western thought has been dominated by a skeptical attitude towards intuition, although it is vital for mental and creative functions. In contrast, in recent times, a re-evaluation has emerged. Intuition is now considered by many to be of significant assistance not only in everyday life but also in making complex decisions in business, people management and psychotherapy. This article describes different dimensions of intuition ranging from unconscious intelligence in everyday life through intuitive processes with their connection to the collective unconscious up to its spiritual dimension. The question of how intuition works is extensively discussed. A distinction is made between intuitive work, resonance phenomena and gut feelings. The author concludes that it is not a question as to whether we want to use intuition as a source of knowledge for ourselves but if we recognize and appreciate that we do it constantly.     

Implizites Beziehungswissen

Implicit relational knowing is for the most part procedural implicit knowing. Implicit relational knowing operates outside verbal experience and is mostly expressed in actions and constitutes the ‘how’ of being with others. Interpersonal relationships develop step by step and even subtle behavioral means can be a step. A subsequent step documents how the person interprets the preceding behavior of the other person. According to the Boston Change Process Study Group (BCPSG), implicit relational knowing can change with increasing integration and coherence in the therapeutic process. This enables the patient to bring into the therapeutic relationship even difficult and affectively charged experiences which thus become “relationable” for the patient.     

Kognitive Verhaltenstherapie bei schizophrenen Psychosen

Cognitive behavioral therapy (CBT) can be regarded as an established intervention for the treatment of patients with schizophrenia. Based on randomized clinical trials and meta-analyses, which found evidence for the efficacy of CBT, almost all evidence-based treatment guidelines recommend CBT for routine treatment. This paper demonstrates that in psychoses CBT is a disorder-specific adaptation of general principles of CBT for the treatment of patients suffering from schizophrenia. The CBT procedure draws on cognitive models of symptoms for the identification of treatment targets and focuses on everyday problems of patients by implementing a self-management approach. Fostering motivation and the application of behavioral and cognitive treatment strategies characterize this approach. If the patients live in a family, other family members should be involved in order to improve crisis management and problem solving within the family. A major challenge for the future is to improve the availability of CBT under the German conditions of routine mental health care.     

Mentalisierungsbasierte Psychotherapie bei schizophrenen Psychosen

Recently, there has been growing interest in new methods of psychotherapeutic interventions for schizophrenic patients. Social cognition, social functioning and quality of life are central objectives. Mentalization-based therapy (MBT) is a specific psychodynamic method developed from the fundament of attachment theory and empirical psychotherapy research for the treatment of borderline personality disorder, particularly focusing on attachment relationships, mentalizing capacity and affect regulation. Studies have shown that MBT is able to ameliorate interpersonal experience and social life. The latest neuroscientific findings support this view and encourage the application of a modified form of MBT in the treatment of schizophrenic patients. The authors present a concept for disorder-specific interventions in schizophrenia, including psychoeducational aspects and mentalizing exercises which step-by-step lead to a more reflective work in mentalization-based group psychotherapy.     

Eigensinn und Psychose, Peer-Beratung und Psychotherapie

The narrow concepts of illness insight and compliance in psychiatry and psychotherapy will be discussed, not least because they contradict the dynamics of psychosis. Demands on therapeutic relations will be deduced from the therapeutic relationship between psychosis and ownness as well as of the experiences of untreated patients. The particular prospects of the accompaniment of a trained peer counsellor during convalescence will be represented and explained by the experiences of the Hamburg psychenet project. This new form of treatment in Germany is conceived as a supplement and not as competition to psychotherapy.     

Luise Meyer im Zeitfenster

The psychoanalyst Luise Meyer documents the inextricable entanglement of the inner and outer world in post-war Germany. With the assistance of psychoanalysis she hoped to find inner peace and a social niche which allowed a professional development.     

Übertragung von Schweigen in der psychoanalytischen Sozialisation

This work is based on two interview studies with psychoanalysts from the German Psychoanalytic Society (DPG) and the German Society for Analytical Psychology (DGAP) belonging to the war children generation. In one study the focus was on how childhood in war can be dealt with in teaching analysis and in the other, whether experience of childhood in war had contributed to choosing psychoanalyis as a profession. A theoretical overview on questions of teaching analysis and choosing psychoanalysis as a profession is given, the results of the interview studies and detailed excerpts from an interview are presented.