Kultursensible Diagnostik in Forschung und Praxis

Nearly one fifth of the German population are migrants of the first and second generation. Evidence-based knowledge about mental health of migrants, their health care needs and the actual mental health care situation of this population is limited. Psychometric instruments are helpful for the assessment of mental disorders. Although a culture-sensitive approach in diagnostics is necessary it is often neglected in research as well as in clinical practice. This article describes culture-specific and linguistic challenges and specifies specific communication problems. In most cases psychometric instruments are not developed simultaneously in different languages but are translated later on. After translation psychometric instruments should be culturally validated and adapted with respect to linguistic, cultural and metric equivalence. The article gives an overview about the different aspects of equivalence and explains these aspects on the example of the PHQ-9.     

Kandidaten in psychotherapeutischer Ausbildung

In the context of the discussion about a reform of psychotherapeutic training in Germany the question arises, which factors influence the decision of psychologists and physicians for a particular training. 343 candidates in psychodynamic, behavioural or psychoanalytic training were asked about their motives for the training, their professional objectives in general and their satisfaction with their choice of training. The candidates' decision for a particular training was associated with personal attitudes and professional goals, with the given information about psychotherapeutic treatment within their studies and with their field of study. For the most part, the respondents are not satisfied with the quality and quantity of information on psychotherapeutic treatment within their studies. Candidates in analytic training are altogether more satisfied with their choice of training and do not plan to start an additional psychotherapeutic training as often as candidates in behavioral training. The consequences of these results in particular for the medical and psychological curricula (a more balanced representation of psychotherapeutic methods) are discussed.     

Regionale Psychiatrieberichterstattung

In diesem Beitrag werden zun?chst die Motivation, das Konzept und die Datenquellen der 2006 eingeführten Vorarlberger Psychiatrieberichterstattung dargestellt. Dann erfolgt, mit Hilfe definierter Kennzahlen, anhand der Ergebnisse für das Berichtsjahr 2008 ein überblick über die in die Berichterstattung einbezogenen Hilfsangebote und ihre Nutzer. Die Kennzahlen beschreiben den Umfang der Hilfen, das dafür eingesetzte Fachpersonal und die betreuten Patienten. Beispielhaft werden sodann M?glichkeiten der empirischen überprüfung des Zielgruppenbezugs und der regionalen Bedarfsgerechtigkeit der Hilfen erl?utert. Der Beitrag schlie?t mit einigen Bemerkungen zu den geplanten n?chsten Schritten auf dem Weg zu einer kontinuierlichen Qualit?tsentwicklung der regionalen psychiatrischen Versorgung, die das gesamte Netzwerk der Hilfen einbezieht und dabei auch die Notwendigkeit und Wirksamkeit der therapeutischen Ma?nahmen im Einzelfall in den Blick nimmt.     

Frege's Puzzle is About Identity After All

Many philosophers have argued or taken for granted that Frege's puzzle has little or nothing to do with identity statements. I show that this is wrong, arguing that the puzzle can only be motivated relative to a thinker's beliefs about the identity or distinctness of the relevant object. The result is important, as it suggests that the puzzle can be solved, not by a semantic theory of names or referring expressions as such, but simply by a theory of identity statements. To show this, I sketch a framework for developing solutions of this sort. I also consider how this result could be implemented by two influential solutions to Frege's puzzle, Perry's referential‐reflexivism and Fine's semantic relationism.     

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.     

Features of the Expert-System-Shell SPIRIT

The inference process in a probabilistic and conditional environmentunder minimum relative entropy, permits the acquisition of basicknowledge, the consideration of - even uncertain - ad hoc knowledge,and the response to queries. Even if these procedures are wellknown in the relevant literature their realisation for large-scaleapplications needs a sophisticated tool, allowing the communicationwith the user as well as all relevant logical transformationsand numerical calculations. SPIRIT is an Expert-System-Shellfor these purposes. Even for hundreds of – consistent– facts about the involved variables’ dependenciesthe shell automatically generates the corresponding epistemicstate, thus permitting the derivation of conclusions from theacquired knowledge. These conclusions’ reliability orprecision can be checked, inviting the user to enrich the knowledgeby further facts, if desired. Any inconsistencies among providedfacts are detected, and their elimination will be supportedby the shell. Knowledge acquisition can come from provided factsby a knowledge engineer as well as from real world data; inductivelearning supports the use of such data. An important capabilityof the shell is the calculation of impacts upon ideas or conceptsfrom a given stimulus. This paper is a brief survey of theoreticalconcepts and the corresponding features of the system, whichare accompanied by illustrative examples.     

“Care for the Common Home”: Responses to Pope Francis’s Encyclical Letter

Journal of Religion and Health - This article aims to build awareness of the growing global crisis in social, economic and environmental terms from different disciplinary approaches. The authors...     

Qualifizierung und Qualitätskontrolle in der forensischen Psychiatrie – die aktuelle Situation in der Schweiz

The practice of civil expert opinions in Switzerland is in a period of upheaval due to fundamental alterations regarding the legal foundations which were implemented on 1 January 2013. The new civil code displaces the authority to order measures which restrict people’s liberty based on an endangerment to themselves or third parties from a lay institution to a newly created expert committee. Moreover, patient’s rights are greatly enhanced. The subsequent consequences for expert opinion activities are not yet appraisable. The development in the practice of insurance legal expert opinion is influenced by new legal measures which aim at reducing the growing number of new disability retirements most notably due to psychiatric disorders. In contrast to the civil area there are already clearly defined standards for the insurance legal area which were established by the Swiss Society of Psychiatry and Psychotherapy in 2012. The legal foundations as well as the practice of expert opinions in the context of the Swiss civil and insurance law are comparable with the German situation but there are still some important differences related to the content and terminology. This paper outlines the current situation and recent developments in Switzerland as well as pointing out differences in comparison to Germany.     

Measuring religious attitudes: reliability and validity of the German version of the Systems of Belief Inventory (SBI-15R-D) in a representative sample

Forgiveness is a core value within Christianity and many other religions, but it is unclear whether valuing forgiveness results in individuals being more forgiving. This study examines the effect of Christian religious belief on forgiveness; tests the theoretical speculation that trust fosters forgiveness; explores the effect of cynicism, and examines age effects on forgiveness with a British sample. Christian clergy (N?=?209), general population samples of Christians (N?=?176), and a group with NRA (N?=?65) completed the Heartland Forgiveness Scale measuring forgiveness of self, others, and situations, and measures of trust, cynicism, and the importance of forgiveness. The clergy score higher on total forgiveness, forgiveness of self, others, and situations; rate forgiveness as being more important; are more trusting; and are less cynical than the Christian and no religious affiliation (NRA) samples in the general population. While the Christian sample value forgiveness more than the NRA group, they are not more forgiving on any of the measures tested. Age is a significant predictor only for situational forgiveness. Trust is not a positive mediator of forgiveness for any of the participant groups, and neither is cynicism a negative mediator of forgiveness.