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961.
Dr. phil. Dieter Benninghoven Sebastian Kunzendorf Ilse Heberlein Günter Jantschek 《Psychotherapeut》2006,51(3):206-213
Patients with an implantable cardioverter defibrillator (ICD) often show anxiety disorders as comorbid psychologycal disturbances. In a short review we discuss psychosocial aspects of the ICD-implantation. A case study of a 38 year old patient in inpatient treatment is presented for illustration of a cognitive-behavioral treatment method. The psychotherapeutic treatment was carried out in close cooperation with the clinic for cardiology. 相似文献
962.
The OPD-based diagnostics allows to formulate the psychodynamically significant aspects of the unconscious conflict, of the structural limitations and of the dysfunctional relational dispositions. Considering the relative weight of the conflict- and the structural dynamics we are able to differentiate three types of disturbances: the conflict type, the structural type and the miscellaneous type. For these three types of disturbances the therapeutic consequences for setting and therapeutic attitude, for the hierarchy of the foci, and the working through of dysfunctional relational dispositions and at last for the conflict- vs. structure-related interventions are discussed. The Heidelberger Umstrukturierungsskala enables us to the focus-related documentation and evaluation of the progress and the result of the therapy. 相似文献
963.
964.
965.
966.
Dr Diego Olstein 《Islam & Christian-Muslim Relations》2006,17(4):433-443
The Christians who lived under Muslim rule in al-Andalus are known as Mozarabs. As immigrants from al-Andalus to the Christian kingdoms in the north, Mozarabs are depicted in current historiography as transmitters of Arabic and Muslim culture. Nevertheless, when the Mozarabs were observed by the Christian expansion southward, surprisingly, they are presented as isolated amidst the post-conquest order. Based on the case of Toledo, the first important city conquered by the kingdom of Castile in 1085, the present article shows how the Mozarabs had introduced Muslim notarial practices into the Christian society. 相似文献
967.
Dr. Günther Klug Gerhard Henrich Horst Kächele Rolf Sandell Dorothea Huber 《Psychotherapeut》2008,53(2):83-91
Background
The objective of this study was to investigate the therapeutic attitude as a self-contained dimension of the therapeutic process.Patients and methods
The psychotherapists’ beliefs and attitudes in therapeutic matters are measured according to the Therapeutic Attitude Scales (TASC) of the Therapeutic Attitude Questionnaire (ThAt) and were applied to investigate the therapist variable. The investigation concentrated on the therapist’s belief in the curative value of a number of ingredients of psychotherapy, on the therapist’s individual style of conducting psychotherapy and on basic assumptions about the nature of psychotherapy and the nature of the human mind. A total of 451 psychotherapists (81 psychodynamic psychotherapists, 208 psychoanalytic psychotherapists and 162 behaviour therapists) were investigated.Results
There were highly significant differences between the three groups of therapists, a finding which is in line with the basic theory. Adaptation and insight of the assumed curative factors as well as supportiveness and neutrality of the technique factors, differentiate the groups highly significantly. The multivariate analysis underlines the importance of adaptation and insight to differentiate between all groups.Conclusion
The results by and large confirm the general assumptions held on the differences between the groups. Thus the ThAt appears to be a valid instrument to grasp more subtle features of the therapist variable that may influence the outcome of psychotherapy. 相似文献968.
Changes in the spectrum of illnesses have led to a predominance of chronic diseases, including oncological disorders, that are connected with substantial mental health problems. The needs of people with cancer are increasingly attracting the attention of psychosocial and psychosomatic disciplines as far as patient-oriented health care research and counselling practice are concerned. Psychosocial work in oncology appears to be becoming increasingly professionalized. Theories of the psychosocial origin of cancer are gradually losing ground in the scientific community, giving way to a rational attitude towards oncological diseases that counters the stigma of cancer. At the same time, the demand for psycho-oncological services is becoming more important if we take into account the high rate of psychiatric co-morbidity and the fact that these patients are poorly diagnosed and inadequately treated. This is all the more regrettable in that a broad range of evidence-based interventions are available which are gradually being implemented in the guidelines of rehabilitation facilities and oncological centres of excellence. The transfer of knowledge in the everyday care of cancer patients, however, has yet not been accomplished. 相似文献
969.
Background
Based on principles of experiential learning, psychophysical exposure (PPE) on a tightrope course offers a promising intervention in the treatment of patients with mental disorders. A PPE program conducted on a hospital tightrope course is presented as an adjunct in inpatient psychotherapy.Methods
The acceptance and effectiveness of the PPE were evaluated in a prospective controlled naturalistic study. A total of 155 patients, who were exposed at least once during their inpatient therapy, were compared with 92 control patients, who did not participate in the tightrope course. The main outcome criteria were self-reported depressive symptoms, state anxiety, locus of control, self-efficacy, and trait anxiety.Results
The PPE was highly accepted by the participants. Patients who attended the tightrope courses showed greater improvement in the outcome criteria than patients who received inpatient treatment as usual. Particularly better effects were found on the personality variables.Conclusions
Psychophysical exposure can successfully and effectively be integrated into a psychosomatic inpatient treatment program. Methodological limitations of the study, especially threats to internal validity, are discussed. 相似文献970.
Dr. med. Antje Haag 《Psychotherapeut》2008,53(2):124-129
In this paper the work of the author as a psychoanalytic training therapist and supervisor at a counselling centre in a Chinese metropolis will be described. In the first part her experiences with adults of the age cohort 25–35 years will be described, the second generation after the Cultural Revolution. Special attention is devoted to biographically relevant life stages such as childhood, education and marriage in a transient society between a system of traditional Confucian values and that of the new capitalism. The second part of the paper focuses on culture-specific characteristics of a collectivist society from a psychoanalytic perspective, such as setting limits, saving face, empathy, transference and sexuality. 相似文献