Zwischen Anerkennung und Zur��ckweisung

The paper deals with the question of to what extent the development and application of medical nosologies are dependent upon social, political and economic conditions and which (often utilitarian) considerations decide on the fitness for use of a clinical picture and a diagnosis. The context and the framework of the construct are crucial to understanding, recognition and finally to compensation procedures. With reference to historical and current material supplied by war veterans, processes of recognition and rejection of entitlements to benefits will be illustrated; the significance of psychoanalytical concepts in this process will be reflected.     

Ambivalenz weiterschreiben

The history of the term ambivalence documents over the last 100 years a growing diversity of meanings and applications. It suggests the understanding of the term as a ??sensitizing construct??. This view allows the formulation of an open definition which considers the interplay of different constitutional elements, namely polarization and difference, oscillation, search for meaning and agency. These elements merge into a dynamic constitution of identity or the self. Such a view can be applied to different spheres of life and is useful in different disciplines as well as professions. Ultimately at stake is the problem of human subjectivity.     

Intraclass correlation associated with therapists: estimates and applications in planning psychotherapy research

It is essential that outcome research permit clear conclusions to be drawn about the efficacy of interventions. The common practice of nesting therapists within conditions can pose important methodological challenges that affect interpretation, particularly if the study is not powered to account for the nested design. An obstacle to the optimal design of these studies is the lack of data about the intraclass correlation coefficient (ICC), which measures the statistical dependencies introduced by nesting. To begin the development of a public database of ICC estimates, the authors investigated ICCs for a variety outcomes reported in 20 psychotherapy outcome studies. The magnitude of the 495 ICC estimates varied widely across measures and studies. The authors provide recommendations regarding how to select and aggregate ICC estimates for power calculations and show how researchers can use ICC estimates to choose the number of patients and therapists that will optimize power. Attention to these recommendations will strengthen the validity of inferences drawn from psychotherapy studies that nest therapists within conditions.     

Aussagen ??ber traumatische Erlebnisse

The manner in which traumatic events are processed and recalled remains highly controversial. A central issue in the debate is whether traumatic experiences affect memory differently than other events. In this paper, two lines of research are reviewed: (a) comparisons of characteristics of traumatic and other memories and (b) comparisons of characteristics of traumatic memories of trauma survivors with and without posttraumatic stress disorder (PTSD). While PTSD groups reported more intrusive memories than non-PTSD groups, there is no consistent evidence for memory fragmentation neither for traumatic events in general nor for PTSD patients. Implications for credibility assessments are discussed.     

Entlassene Problemf?lle in der ambulanten Nachsorge von langzeitinhaftierten und langzeituntergebrachten Patienten

The reintegration of patients into society after long-term inmate or long-term forensic hospital treatment is as difficult as it is important. At present only a few specialized forensic outpatient departments can be found in Germany. In the following article essential pillars for successful outpatient care by taking all participants in the reintegration process into account will be presented.