Berufsgruppen- und methodenintegrierende Teamarbeit in der stationären psychodynamischen Psychotherapie

Zusammenfassung Die über 50-jährige Entwicklung der stationären psychodynamischen Psychotherapie ist ein Prozess von der Anwendung ambulanter psychoanalytischer Verfahren auf der Station zu einem eigenständigen multiprofessionellen, multimethodalen Therapieverfahren. Die Rahmenbedingungen der Organisation Krankenhaus und das jeweilige psychoanalytische Verständnis des Leiters der Abteilung zur Nutzung des multipersonellen Therapiefelds prägte die psychodynamischen Konzeptionen. Die Entwicklung führte zu einer Formulierung einer Komplexbehandlung für stationäre Psychotherapie im Prozedurenkatalog der DRGs. Ein Herzstück der integrativen stationären psychodynamischen Therapie ist das multiprofessionelle Team. An 2 Beispielen von therapeutischen Funktionen des multiprofessionellen Teams wird die gemeinsame Aufgabenstellung des Teams dargestellt. Darüber hinaus werden Regeln aus gruppenanalytischer Sicht für die Leitung eines solchen multiprofessionellen Teams vorgeschlagen.     

A visit paid to Jung by Alwine von Keller

In the winter of 1943-1944, Jung had suffered a coronary thrombosis which almost cost him his life. During his illness, Jung experienced a series of visions, described in his Memories, Dreams, Reflections, which were also to influence significantly the development of his theoretical thinking. On 27(th) September 1944, Alwine von Keller (1878-1965) paid a visit to Jung, while he was still convalescing, in Zurich and documented her meeting with him in a series of notes, recently discovered, which testify to the fact that, at the time of their meeting, Jung was engaged in writing the 'Salt' chapter of Mysterium coniunctionis and investigating the alchemistic symbolism of the 'sea'. This theme seems to testify to a continuity of interests on Jung's part with the seminar he held at Eranos the previous year on the cartographic art of Opicinus de Canistris (1296-c.1352). With its addition of many unpublished details, Alwine von Keller's notes supplement the report which Jung made of his visions experienced during his sickness in MDR. In particular, these attest to the fact that Jung had attributed the terrible experience which he had endured to the problem of the conjunctio, which was confronting him from the theoretical point of view in his writing of Mysterium coniunctionis.     

Towards a “Sophisticated” Model of Belief Dynamics. Part I: The General Framework

It is well-known that classical models of belief are not realistic representations of human doxastic capacity; equally, models of actions involving beliefs, such as decisions based on beliefs, or changes of beliefs, suffer from a similar inaccuracies. In this paper, a general framework is presented which permits a more realistic modelling both of instantaneous states of belief, and of the operations involving them. This framework is motivated by some of the inadequacies of existing models, which it overcomes, whilst retaining technical rigour in so far as it relies on known, natural logical and mathematical notions. The companion paper (Towards a “sophisticated” model of belief dynamics. Part II) contains an application of this framework to the particular case of belief revision. Presented by Hannes Leitgeb     

Ontological Proofs of Existence and Non-Existence

Caramuels’ proof of non-existence of God is compared with Gödel’s proof of existence.     

Elimination problems in logic: a brief history

A common aim of elimination problems for languages of logic is to express the entire content of a set of formulas of the language, or a certain part of it, in a way that is more elementary or more informative. We want to bring out that as the languages for logic grew in expressive power and, at the same time, our knowledge of their expressive limitations also grew, elimination problems in logic underwent some change. For languages other than that for monadic second-order logic, there remain important open problems.     

Was ist seit BGHSt 45, 164 geschehen? Ein Überblick über die neuere Rechtsprechung des Bundesgerichtshofs zur Beurteilung der Glaubhaftigkeit von Zeugenaussagen

Zusammenfassung  Der 1. Strafsenat des Bundesgerichtshofs hat in seinem Urteil vom 30. Juli 1999 (BGHSt 45, 164) die wissenschaftlichen Anforderungen beschrieben, die an eine aussagepsychologische Begutachtung (Glaubhaftigkeitsgutachten) zu stellen sind, und die Richter verpflichtet, zukünftig darauf zu achten, dass diese Mindeststandards bei der Erstattung von Gutachten eingehalten werden. Ausgehend von dieser Entscheidung stellt der Beitrag die seitherige Entwicklung der Rechtsprechung zur Glaubhaftigkeitsbeurteilung von Zeugenaussagen dar. Er geht dabei über die an das Gutachten zu stellenden Anforderungen hinaus und befasst sich auch damit, wann ein solches Gutachten erforderlich, von wem es zu erstatten und in welcher Weise es vom Richter in den Entscheidungsgründen darzustellen ist. Zudem schildert er, welchen Einfluss die Anerkennung der hypothesengeleiteten, kriterienorientierten Aussageanalyse auf die Beweiswürdigung durch den Tatrichter und deren überprüfung durch das Revisionsgericht hat.

On Similarity Coefficients for 2×2 Tables and Correction for Chance

This paper studies correction for chance in coefficients that are linear functions of the observed proportion of agreement. The paper unifies and extends various results on correction for chance in the literature. A specific class of coefficients is used to illustrate the results derived in this paper. Coefficients in this class, e.g. the simple matching coefficient and the Dice/Sørenson coefficient, become equivalent after correction for chance, irrespective of what expectation is used. The coefficients become either Cohen’s kappa, Scott’s pi, Mak’s rho, Goodman and Kruskal’s lambda, or Hamann’s eta, depending on what expectation is considered appropriate. Both a multicategorical generalization and a multivariate generalization are discussed.     

Evidenzbasierte Psychotherapie

Zusammenfassung Seit einiger Zeit wird auch in der Psychotherapie – so wie in anderen Bereichen der Medizin – eine intensive und kontroverse Diskussion über die wissenschaftlichen Standards und deren Praxisrelevanz geführt. Dabei nehmen Fragen der Qualitätssicherung und der Entwicklung von Leitlinien einen zunehmenden Raum ein. Von besonderer Bedeutung sind in diesem Zusammenhang die Evidence Based Medicine (EbM) und ihre methodischen Standards, in deren Mittelpunkt experimentelle Therapiestudien stehen. Im Beitrag wird das Konzept der Evidence Based Medicine im Kontext der Psychotherapie (Evidence based Psychotherapy) vorgestellt und unter methodischen und inhaltlichen Gesichtspunkten diskutiert. Eine zentrale Frage ist dabei die inhaltliche Aussagekraft und die Übertragbarkeit von wissenschaftlichen Befunden auf die klinische Praxis.      

SCIENCE AND RELIGION IN THE THEOLOGY OF DIETRICH BONHOEFFER

The German theologian and martyr Dietrich Bonhoeffer is not widely known for engaging with scientific thought, having been heavily influenced by Karl Barth's celebrated stance against natural theology. However, during the period of his maturing theology in prison Bonhoeffer read a significant scientific work, Carl Friedrich von Weizsäcker's The World View of Physics. From this he gained two major insights for his theological outlook. First, he realized that the notion of a "God of the gaps" is futile, not just in science but in other areas of human inquiry. Second, he felt that an infinite universe, as considered by science, would be self-subsistent and could exist as if there were no God. Bonhoeffer replaced Barth's radical critique of religion with the even more extreme view that it is a mere passing phase in history that grown-up humanity can dispense with. At the same time Bonhoeffer began an important critique of Barth's reaction, namely, the latter's retreat to a "positivism of revelation." While Bonhoeffer did not go quite as far as one might like, his approach opened up hopeful avenues for an answer to "the liberal question" and even a revived place for some kind of natural theology.