Direktausbildung Psychotherapie an der medizinischen Fakultät

Background

There is ongoing political discussion at the Federal Ministry of Health that a university entrance diploma should allow psychotherapy to be studied directly: Graduation leads to a licensure that qualifies for further specialization, e.g. in cognitive behavioral therapy (CBT) or psychodynamic psychotherapy analog to medical specialization. As psychotherapy has its roots in both psychology and in medicine, the question is raised which faculty should be the future home of direct psychotherapy schools.

Material and methods

A theoretical model curriculum of psychosomatic psychotherapy is proposed. Its structure which is oriented to the established structure of medical training and its contents are described. It is argued that the proposed model in the tradition of psychosomatic medicine is suitable to meet ongoing changes in the structure of psychotherapeutic care due to new challenges in the field of public health.

Conclusion

The study of psychotherapy should be associated with chairs in clinical psychology and psychosomatic medicine in order to maintain and further develop the variety and quality which psychotherapy has gained in Germany.     

Sex,Education and Procrastination: An Epidemiological Study of Procrastinators' Characteristics from a Global Sample

Procrastination is a common form of self‐regulatory failure with substantive connections to lower levels of health, wealth and well‐being. Conducting an epidemiological study, we determined the characteristics of prototypical procrastinators from a global sample based on several relevant self‐reported demographic variables. Using an internet sampling strategy, we surveyed 16 413 English‐speaking adults (58.3% women; 41.7% men: M age = 38.3 years, SD = 14), specifically on the variables of sex, age, marital status, family size, education, community location, and national origin. Almost all the results were statistically significant because of our large sample size. However, procrastination tendencies were most prominently associated with sex, age, marital status, education and nationality. Procrastinators tended to be young, single men with less education, residing in countries with lower levels of self‐discipline. Notably, procrastination mediated the relationship between sex and education, providing further support that men are lagging behind women academically because of lower self‐regulatory skills. Given procrastination's connection with a variety of societal ailments (e.g. excessive debt, delayed medical treatment), identifying risk factors and at risk populations should be helpful for directing preventative public policy. Copyright © 2012 John Wiley & Sons, Ltd.     

Posttraumatische Belastungsstörung

There are some problems concerning the concepts of trauma-related disorders and especially the category of posttraumatic stress disorder (PTSD) with respect to classification, diagnosis and epidemiological findings, which can only be understood within the historical framework of the development. Even current diagnostic systems, such as the diagnostic and statistical manual of mental disorders version 4 (DSM-IV) and the international classification of diseases version 10 (ICD-10) differ in the classification of these disorders which led to higher prevalence rates being achieved with ICD-10. The diagnostic algorithms have been opened to included subsyndromal PTSD as well as complex PTSD including more severe psychiatric disorders.     

Psychotherapeutische Kurzintervention bei somatisierenden Patienten im Krankenhaus

The manual describes the psychotherapeutic procedure for somatizing patients who are admitted to hospital for diagnostics and therapy of unclear physical complaints. An essential goal of the psychotherapeutic interventions is to achieve an understanding for the disease, in which body, psyche and social relationships are experienced as interrelated. By addressing the health fears and subjective concepts about the onset and maintenance of his physical complaints, the patient feels that he is being taken seriously and understood. Connections between physical symptoms and the suppression of undesirable affects like anger, rage and disappointment are verbalized and understood in greater depth, based on body perception exercises and a symptom diary. The positive experience of understanding and symptom relief obtained in the psychotherapeutic sessions is used for the main goal of the intervention: to motivate the (out- and in-)patient for a regular psychotherapy. Experience up to now has shown that three to five sequential sessions of about 45–60 minutes suffice to attain this therapy goal. Implementation is most successful within an established consultant or liaison service in close cooperation with the ward doctors.     

Qualifizierung und Qualit?tskontrolle in der forensischen Psychiatrie

At the end of the last decade severely violent and sexual crimes by previously convicted persistent offenders initiated a discussion about the necessity of quality control in the forensic psychiatric practice in Switzerland. Subsequently, measures similar to those in Germany were adopted, e.g. the implementation of a specialisation in forensic psychiatry. In addition, they included the creation of commissions with the duty of evaluating the dangerousness of serious offenders, the implementation of a standardized and certificated postgraduate training in forensic psychiatry and guidelines for the qualification of forensic assessment experts and the quality of reports. The following article presents the implemented measures and discusses their possible consequences for the quality of forensic psychiatric work.     

Einige (neuere) Bemerkungen zur freien Assoziation

Three aspects of free association, namely the technical aspect, the aspect of content and the processual aspect, are examined in terms of the ideological development of this concept, which is still central for psychoanalysis. Further, it is shown that the theoretical conception of free association and of its claim and scope as well as the communication of the fundamental rule have changed in the course of time. New studies in basic research could lead to a reassessment of free association.     

Großgruppenidentität und psychosoziale Abwehr

The following considerations have their source in more than 25 years experience with intercultural contacts in teaching and research in China and with psychoanalytic therapies with patients from foreign cultures. They may broaden the inner space of the psychoanalyst by a new dimension, which is not systematically reflected due to the integration of each in the own large group identity but influences the unconscious aspects in the work with people from foreign cultures. The concepts of psychosocial defence (S. Mentzos), of large group identity (V. Volkan) and of the ethnic unconscious (G. Devereux) are helpful instruments for understanding restrictive countertransference reactions, which handicap not only the work in the psychoanalytic setting, but also all intercultural relations.