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.     

The Role of Hofstede's Individualism in National-Level Creativity

It is a widely held belief that culture is a factor that influences creativity. The influence of culture on creativity is, however, relatively understudied and the majority of creativity research focuses on creativity at the level of the individual or organization. In this article, the relationship between Hofstede's cultural values (individualism, power distance and uncertainty avoidance) and national level scores on two separate creativity indexes—the Global Creativity Index (GCI) and the Design and Creativity Index (DCI) was examined. A multivariate multiple linear regression analyses showed a strong positive relationship between individualism and national ranking on the GCI and DCI. No significant relationship was found between the creativity measures and Hofstede's power distance and uncertainty avoidance. The positive relationship between individualism and creativity suggests that autonomy, independence, and freedom—beliefs associated with individualism—are needed for a nation to be creative.     

Diagnostik der Hypochondrie

In the current review the criteria for the diagnosis of hypochondriasis in the fourth edition of the Diagnostic and Statistical Manual (DSM-IV) are compared with the criteria for illness anxiety disorder in DSM-5 and differences are discussed. A current review of instruments for the dimensional assessment of the severity of hypochondriasis and associated characteristics (illness-related cognitions and safety behavior) is given. Possible ways of implementing these instruments for planning and evaluating therapy are specified. Furthermore, economical screening methods, which could be broadly applied in medical contexts to identify patients with pronounced illness anxiety in order to offer effective treatment are described and discussed. This procedure would not only lead to a reduction of strain in the person concerned, it would also be connected with financial relief for the health care system.     

The Other Side of Method Bias: The Perils of Distinct Source Research Designs

Common source bias has been the focus of much attention. To minimize the problem, researchers have sometimes been advised to take measurements of predictors from one observer and measurements of outcomes from another observer or to use separate occasions of measurement. We propose that these efforts to eliminate biases due to common source variance create serious problems. To demonstrate the problems of using what we term the “distinct sources” measurement design, we provide an integrative review of the literature regarding both contamination and deficiency of measures. Building on this theme, the article uses simulated data to demonstrate how using data from distinct observers or occasions of measurement can distort estimates of predictor importance at least as much as common source variance. Alternative multisource designs are advocated and examined for tractability by simulating various numbers of observations and sources in the research design.     

Accreditation Standards for University and College Counseling Centers

The accreditation standards outlined in the article are used by the International Association of Counseling Services as the basis for the formal accreditation of college and university counseling programs throughout the United States, Canada, and Australia. They reflect the program elements and practice standards that are deemed essential in a counseling center that provides high‐quality services to students.     

Aktuelle Entwicklungslinien in der Pers?nlichkeitsforschung im Jugendalter

Personality disorders in juveniles are still a controversially discussed topic. The aim of this paper is to describe the recent trend in personality research in adolescence and to outline perspectives in research and assessment. Recent study results have pointed out that personality disorders in juveniles can be reliably assessed with diagnostic instruments that have been developed for adults. At the same time there is a lack of specific instruments that can represent the characteristics during adolescence and that can differentiate personality disorders from youth crises. As some personality disorder dimensions also describe unstable developmental criteria we will focus separately on this differential diagnosis and meaning of stable versus transient personality characteristics in youth. The prevalence of personality disorders seems to be higher in adolescence than in adulthood. The stability, however, is comparable in adolescence and adulthood. Psychopathy as a subtype of the antisocial personality disorder ?C that can also be assessed in juveniles ?C will be discussed regarding its core and behavioral dimensions as well as primary and secondary subtypes. Furthermore, we discuss forensic issues when assessing personality disorders with respect to criminal responsibility. Overall we can show that more diagnostic longitudinal studies are essential in order to clarify under which conditions personality disorders develop, which factors influence its course and which interventions can change them.