Unerwünschte und schädliche Wirkungen von Psychotherapie

Unwanted effects or even damage due to psychotherapy are largely neglected issues within psychotherapy research as compared to other fields. On the other hand, it is reasonable to assume that unwanted effects of a treatment which intends to influence patients into a positive direction are very likely. The rate of negative effects of psychotherapy (the deterioration effect according to Bergin) is consistently estimated to be 10% of all cases and shows this same rate in a variety of studies. This review highlights side effects of psychotherapy both on the part of the patients and of the therapists. It reports unwanted effects related to different psychotherapeutic methods, i.e. psychoanalysis, cognitive behaviour therapy, client-centered psychotherapy and – beyond these basic orientations – group psychotherapy. The paper also reports on negative effects of psychotherapy on an untreated partner. Finally, some proposals are given on how negative effects of psychotherapy could be diminished. The authors especially highlight the possibilities of changing the therapist, the treatment technique, or the theoretical treatment approach as a way to reduce negative effects.     

Brauchen wir Richtlinien oder Leitlinien für psychotherapeutische Behandlungen?

In many countries, psychotherapy is increasingly influenced by standards of scientifically evaluated methods and disorder-specific approaches. Referring to the definitions of the Scientific Council for Psychotherapy in Germany (WBP) concerning the differentiation of modalities, methods and techniques, this article points out that clear distinctions between modalities and methods are increasingly vanishing; instead, the tendency, especially within behavior therapy, to integrate all scientifically based methods and techniques is prevailing. This trend runs parallel with a development away from ?disorder-specific“ to a ?disorder-oriented“ approach. Facing the fact that technical aspects explain a relatively small proportion of outcome variance in psychotherapy, research related to the quality of psychotherapists is recommended. In addition, ?empirically validated psychotherapists“ should receive guidelines instead of rules of action.     

Mindestanforderungen für Schuldfähigkeitsgutachten*

Ohne Zusammenfassung Wegen der besonderen Bedeutung für die Bemühungen um die Qualit?tssicherung in den forensischen Disziplinen wird der folgende Artikel, entstanden aus einer interdisziplin?ren Diskussion am BGH, hier nochmals den Fachkollegen zur Kenntnis gegeben. H. Sa? * bereits 2005 erschienen in NStZ 25:57–62     

Entwicklung eines Curriculums für psychosomatische Grundversorgung in Frauenheilkunde und Geburtshilfe

Ohne Zusammenfassung     

Evidence for a Comprehensive Sexuality Education Intervention that Enhances Chinese Adolescents’ Sexual Knowledge and Gender Awareness and Empowers Young Women

While Chinese adolescents become more sexually active, their sexual attitudes are profoundly influenced by traditional gender and sexual norms. The tensions between the rapid transition in youth sexuality and lags in sex education call for a paradigm shift of sexuality education in China. The present study examined the effectiveness of a school-based empowerment comprehensive sexuality education (CSE) intervention in changing adolescents’ sexual knowledge, gender and sexual attitudes, and sexual self-efficacy. We used data from a quasi-experimental intervention study with self-administered pretest and posttest surveys conducted among 1131 10th grade high school students in Lanzhou, northwest China. Whereas 583 participants in two intervention schools attended 12 45-min CSE sessions focusing on gender, rights, and critical thinking skills across 4–7 months, 548 participants in two comparison schools received no or limited conventional sex education. After controlling for differences in sociodemographics and in the influence of family, peers, and internet use between the two groups, female and male adolescents exhibited significantly more accurate sexual knowledge, stronger endorsement of nontraditional gender roles, and greater rejection of sexual double standards immediately after the intervention. Additionally, young women reported significantly higher sexual self-efficacy following the intervention. The findings suggest that the school-based empowerment CSE intervention is helpful in creating an environment in which both young men and young women benefit in sexual knowledge and gender awareness and young women increase their sexual decision-making skills, thereby lending support to the theory and practice of an empowerment CSE approach.

     

Economic Predictors of Differences in Interview Faking Between Countries: Economic Inequality Matters,Not the State of Economy

Many companies recruit employees from different parts of the globe, and faking behavior by potential employees is a ubiquitous phenomenon. It seems that applicants from some countries are more prone to faking compared to others, but the reasons for these differences are largely unexplored. This study relates country-level economic variables to faking behavior in hiring processes. In a cross-national study across 20 countries, participants (N = 3,839) reported their faking behavior in their last job interview. This study used the random response technique (RRT) to ensure participants’ anonymity and to foster honest answers regarding faking behavior. Results indicate that general economic indicators (gross domestic product per capita [GDP] and unemployment rate) show negligible correlations with faking across the countries, whereas economic inequality is positively related to the extent of applicant faking to a substantial extent. These findings imply that people are sensitive to inequality within countries and that inequality relates to faking, because inequality might actuate other psychological processes (e.g., envy) which in turn increase the probability for unethical behavior in many forms.     

The (non-)benefit of choosing: If you get what you want it is not important that you chose it

Self-Determination Theory argues that autonomy plays a major role in intrinsic motivation. Autonomy can be operationalized as choice. Whether positive effects on motivation are caused by the mere act of choosing or by confounding variables is still unclear. In this study (N?=?299, M_age?=?13.1?±?0.6 years), students could work with two polarizing animals. The first group was allowed to choose (choosing & match), two groups were not. In these groups, the teacher allocated the animals to the students resulting in a second group that received the wanted animal (no choosing & match), and a third group that received the unwanted animal (no choosing & no match). Situational motivation and flow experience were assessed. Regarding intrinsic motivation and flow, students in the no choosing & match treatment scored the highest, students of the no choosing & no match group the lowest. In conclusion, matching and not choosing made the difference.     

Klinische Sexuologie im sozialen Kontext

Ohne Zusammenfassung