Psychotherapeutenausbildung aus Sicht der Absolventen

Background

A survey was performed to assess the current situation in education and to identify critical issues 10 years after the inception of the psychotherapy act in Germany.

Methods

In August 2008 all non-medical psychotherapists who had graduated since 2002 according the psychotherapy act were invited to take part in the survey and a total of 863 persons participated. The answers from 666 could be evaluated corresponding to a participation rate of 20%.

Results

A total of 57.6% of the graduates had completed a full-time training and approximately 50% of the graduates had completed the training within the allotted time. In the majority of cases evaluation occurred only for the theoretical courses. During the practical work (PT I) 36.8% of the graduates did not receive any salary or remuneration, 82% had their own field of activity and of these 38% treated patients without the presence of qualified tutor.

Conclusions

The training often lasts longer than intended, the financial situation in the PT I is exceptionally critical and in clear contrast to the field of activity in this section of training. Further detailed results will be presented and discussed.     

The discomfiture of religious experience

We live in an age where major and minor structured and unstructured cults are mushrooming, most of them aiming at achieving an ecstatic or religious experience. Rather than objective inquiry, reaction to them is often passionate, unreasoning, even vituperous to an extent that seems out of proportion to their relative size of clientele. On the basis of anthropological fieldwork with Apostolic congregations in the U.S.A., Mexico and Yucatán, and as a teacher of a specific technique for achieving religious ecstatic experiences in workshops, I propose to examine some of the cultural and psychological reasons for this abrogation of objectivity.     

Sensory Discrimination,Working Memory and Intelligence in 9‐Year‐Old and 11‐Year‐Old Children

More than a century ago, Galton and Spearman suggested that there was a functional relationship between sensory discrimination ability and intelligence. Studies have since been able to confirm a close relationship between general discrimination ability (GDA) and IQ. The aim of the present study was to assess whether this strong relationship between GDA and IQ could be due to working memory (WM) demands of GDA tasks. A sample of 140 children (seventy 9‐year‐olds and seventy 11‐year‐olds) was studied. Results showed that there was a significant overlap between WM, GDA and fluid intelligence. Furthermore, results also revealed that WM could not explain the relationship between GDA and fluid intelligence as such, but that it acted as a bottleneck of information processing, limiting the influence of GDA on the prediction of fluid intelligence. Specifically, GDA's influence on the prediction of intelligence was only visible when WM capacity was above a certain level. Copyright © 2013 John Wiley & Sons, Ltd.     

Die Psychotherapeutenausbildung aus Sicht der Teilnehmer

Background

A survey was performed to assess the current situation in education and to identify critical issues 10 years after the inception of the German law regulating the education of psychological psychotherapists and child and adolescent psychotherapists. The study reports the results of a nationwide survey of German psychological psychotherapists and child and adolescent psychotherapists currently in training. The aim of the survey was to evaluate the individual sections of training, desired alterations and structural and financial conditions.

Methods

All trainees were contacted via the training institutes and the umbrella organizations. A total of 3,223 trainees participated and answered questions mainly using an online questionnaire.

Results

Most respondents practiced their training part-time and in most cases the trainees thought that the training would last longer than initially expected. The practical training was rated most poorly, whereas practical education and individual supervision were rated as most useful. The survey revealed deficits concerning the evaluation of the quality of several components of the training.

Conclusions

From the perspective of the trainees there is a necessity to modify the financial conditions of the training. This result has been considered in the recommendations of a research expertise on psychotherapy training and should stimulate further research.     

Educational inequalities in quantity, duration and type of tobacco consumption among lung cancer patients in Asturias: epidemiological analyses

Socioeconomic inequalities cause different tobacco consumption patterns. The purpose of this study was to examine the relationship between educational level and smoking behaviour, including type of tobacco consumption, in lung cancer patients. To this end, epidemiological analyses of 801 lung cancer patients recruited for a case-control study in four public hospitals in Asturias, Spain, between October 2000 and April 2006 were carried out. Smoking behaviour and educational level data were obtained through personal interview. Analyses indicated that the probability of heavy smoking among low educational-level patients was approximately twice as high as for high educational-level patients (RRR>31.2 packs/years=2.04; CI 95%=1.15-3.62; RRR>52packs/years=2.14; CI 95%=0.98-4.64). Low-educated patients were more than three times as likely to be long-time smokers (RRR>40 years=3.30; CI 95%=1.43-7.62). The probability of smoking exclusively black tobacco was almost four times greater in low educational-level patients (RRRblack only=3.72; CI 95%=1.23-11.19). The results show that there are broad educational inequalities with regard to the quantity, duration and type of tobacco consumption among lung cancer patients in Northern Spain.     

Die Psychotherapieausbildung aus Sicht der Lehrkräfte

Background

A survey was carried out to ask the trainers and supervisors about their appraisal of the quality of the psychotherapy training and about ways to improve it 10 years after the inception of the “German psychotherapy law”.

Methods

Training institutes provided e-mail addresses and other contact information from over 5,000 trainers. The questioning was carried out mainly by on-line questionnaires and 2,196 data sets were used for analysis.

Results

Trainers showed overall satisfaction with the components of psychotherapy training and the skills of the training candidates. More knowledge transfer in the fields of therapy techniques and case studies and more cooperation with other professional groups were suggested. Trainers acknowledged redundancies between professional training and university studies and observed a heterogeneity of trainees, however, these were mostly considered helpful. Only half of the trainers were subject to evaluation of their work.

Conclusions

The quality of psychotherapy training could be improved by stronger emphasis on practical knowledge. Structural changes should be made to take the problem of redundancies and heterogeneities into account. Regular and continuous evaluation of the training should become an integral part of professional training and the results should have consequences.     

Q‐sort methodology: Bridging the divide between qualitative and quantitative. An introduction to an innovative method for psychotherapy research

Q‐methodology offers unique opportunities for counselling and psychotherapy researchers and clinicians. It is an innovative technique capable of bridging the divide between clinical knowledge and the quantitative systematisation of it. It was initially developed by Stephenson as a data collection and data analytic method to empirically study human subjectivity. It was then extended by the British School to study shared viewpoints, thereby adopting a multi‐participant design and a highly unusual form of qualitative analysis. Finally, it was adapted by the Californian School for use as a standardised observer‐rated assessment tool. Its attractiveness stems from its aptitude to produce holistic data as it collects both quantitative and narrative data. This paper will provide an introduction to Q‐statistics and Q‐methodology (person‐centred) by contrasting it to R‐statistics and R‐methodology (variable‐centred). It will then provide an overview of the three schools of Q‐methodology and their various merits demonstrated with an example.     

Lästererfahrungen, Körperbild und Körpergewicht bei jungen Erwachsenen

Background

Negative comments (teasing) on weight and body image in adolescence might predict body dissatisfaction, overweight and eating disorders in adulthood. This study investigated 134 nursing students for a relationship between a history of teasing, body image and weight.

Materials and methods

Subjects with a body mass index (BMI)>?25 kg/m² reported more teasing compared with normal subjects whereas those with a BMI<?20 kg/m² showed lower values compared with normal or overweight subjects. Teasing questionnaire values correlated with aspects of negative body image. The BMI was predicted by factors age (p?=?0.001), sex (p?=?0.016) and teasing subscale weight (p?=?0.001).

Conclusions

It is remarkable that low teasing experience was associated with low weight, which might point to underweight as protective factor against teasing; however, the cross-sectional design of this study precludes direct causal inferences.