Die Psychotherapieausbildung aus Sicht der Lehrkräfte

Background

A survey was carried out to ask the trainers and supervisors about their appraisal of the quality of the psychotherapy training and about ways to improve it 10 years after the inception of the “German psychotherapy law”.

Methods

Training institutes provided e-mail addresses and other contact information from over 5,000 trainers. The questioning was carried out mainly by on-line questionnaires and 2,196 data sets were used for analysis.

Results

Trainers showed overall satisfaction with the components of psychotherapy training and the skills of the training candidates. More knowledge transfer in the fields of therapy techniques and case studies and more cooperation with other professional groups were suggested. Trainers acknowledged redundancies between professional training and university studies and observed a heterogeneity of trainees, however, these were mostly considered helpful. Only half of the trainers were subject to evaluation of their work.

Conclusions

The quality of psychotherapy training could be improved by stronger emphasis on practical knowledge. Structural changes should be made to take the problem of redundancies and heterogeneities into account. Regular and continuous evaluation of the training should become an integral part of professional training and the results should have consequences.     

Bewertung von Publikationsleistungen in den psychosozialen Fächern

Ohne Zusammenfassung     

The Core Self-Evaluation Scale: Psychometric Properties of the German Version in a Representative Sample

The Core Self-Evaluation Scale (CSES) is an economical self-reporting instrument that assesses fundamental evaluations of self-worthiness and capabilities. The broad aims of this study were to test the CSES's psychometric properties. The study is based on a representative survey of the German general population. Confirmatory factor analyses were conducted for different models with 1, 2, and 4 latent factors. The CSES was found to be reliable and valid, as it correlated as expected with measures of depression, anxiety, quality of life, self-report health status, and pain. A 2-factor model with 2 related factors (r = –.62) showed the best model fit. Furthermore, the CSES was measurement invariant across gender and age. In general, males had higher values of positive self-evaluations and lower negative self-evaluations than females. It is concluded that the CSES is a useful tool for assessing resource-oriented personality constructs.     

Einstellungen zu Psychotherapie

In a representative survey 2,129 subjects were questioned about their attitudes towards outpatient psychotherapy. This study was carried out on behalf of the Apotheken Umschau (Pharmacy Review) by the “GfK Nürnberg” (Society for Consumer Research Nuremberg) from January 2012 to February 2012. In the survey also people who had once received or were currently undergoing outpatient psychotherapy took part and these respondents were surveyed about their reasons for seeking treatment and their experiences with outpatient psychotherapy. When available results were compared with the findings from a survey carried out in 2003. The majority of respondents appraised psychotherapy as being essential and helpful in treating mental disorders and as being useful in personal crises. Women were more open-minded about psychotherapy than men; nevertheless 34 % considered that it would be embarrassing if neighbours or friends were aware that they were undergoing psychotherapy. Of the respondents 28 % categorically excluded psychotherapy for themselves, 216 declared that they had undergone psychotherapy and of the latter 83 % judged the psychotherapy to be successful.     

Ambulante Psychotherapie in Deutschland aus Sicht der Patienten

This study analyzed the provision of outpatient psychotherapy services in Germany in standard practice settings. A total of 1,212 subjects who received or were still receiving outpatient psychotherapy during the past 6 years provided information about their experiences via a telephone survey. Outpatient psychotherapy was sought for many different conditions and was rated as highly effective. The improvement rates for all complaints were higher than 50%, except for obesity (37%) and sexual dysfunctions (44%). Patient ratings of worsening were less than 8% throughout. Treatment had very positive results not only for target symptoms but also for other aspects of patients?? lives. Almost 90% of those questioned stated that they were satisfied with their therapist. High agreement ratings were reported specifically with respect to positive therapeutic relationship, stable working alliance, experience of autonomy during therapy and therapists?? competency and ethical conduct. Patients gave their psychotherapists excellent evaluations and were highly satisfied with the changes achieved through treatment.     

Wittgenstein as a Gricean Intentionalist

According to the dominant view, the later Wittgenstein identified the meaning of an expression with its use in the language and vehemently rejected any kind of mentalism or intentionalism about linguistic meaning. I argue that the dominant view is wrong. The textual evidence, which has either been misunderstood or overlooked, indicates that at least since the Blue Book Wittgenstein thought speaker's intentions determine the contents of linguistic utterances. His remarks on use are only intended to emphasize the heterogeneity of natural language. Taking into account remarks written after he finished the Investigations, I show how Wittgenstein anticipated the basic tenets of Gricean intention-based semantics. These are, in particular, the distinction between ‘natural’ and ‘non-natural’ meaning and the distinction between what a speaker means by an utterance and what the expression uttered means in the speaker's natural language. Importantly, Wittgenstein also believed that only the meaning of the speaker determined the content of ambiguous expressions, such as ‘bank’, on a particular occasion of utterance     

Changing epistemological beliefs: The unexpected impact of a short‐term intervention

Background Previous research has shown that sophisticated epistemological beliefs exert a positive influence on students' learning strategies and learning outcomes. This gives a clear educational relevance to studies on the development of methods for promoting a change in epistemological beliefs and making them more sophisticated. Aims To investigate the potential for influencing domain‐specific epistemological beliefs through a short instructional intervention. Sample On the basis of their performance on a preliminary survey of epistemological beliefs, 58 students at a German university (87.7% females) with a mean age of 21.86 years (SD = 2.88) were selected. Half of them had more naive beliefs and the other half had more sophisticated ones. Methods Participants were randomly assigned to one of two groups: one whose epistemological beliefs were challenged through refutational epistemological instruction or another receiving non‐challenging informational instruction. The treatment effect was assessed by comparing pre‐ and post‐instructional scores on two instruments tapping different layers of epistemological beliefs (DEBQ and CAEB). Data were subjected to factor analyses and analyses of variance. Results According to the CAEB, the naive group receiving the refutational epistemological instruction changed towards a more sophisticated view, whereas the sophisticated students receiving the informational instruction changed towards an unintended, more naive standpoint. According to the DEBQ, all research groups except the naive refutational group revealed changes towards a more naive view. Conclusions This study indicates the possibility of changing domain‐specific epistemological beliefs through a short‐term intervention. However, it questions the stability and elaborateness of domain‐specific epistemological beliefs, particularly when domain knowledge is shallow.