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Psychiatrische Praxis最新文献

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[The significance of the therapeutic alliance in the development of constructive aggression during psychotherapy for depression: A Naturalistic Study]. [治疗联盟在抑郁症心理治疗中建设性攻击发展中的意义：一项自然主义研究]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-04-22 DOI: 10.1055/a-2821-4380
Reinhard Maß
{"title":"[The significance of the therapeutic alliance in the development of constructive aggression during psychotherapy for depression: A Naturalistic Study].","authors":"Reinhard Maß","doi":"10.1055/a-2821-4380","DOIUrl":"https://doi.org/10.1055/a-2821-4380","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 3","pages":"147-153"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Outreach Acute Treatment for Adolescents? A Routine Data Analysis of Intensive Home Treatment vs. Inpatient Care in Young Adults]. [青少年急性治疗外展？青少年家庭强化治疗与住院治疗的常规数据分析[j]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-03-25 DOI: 10.1055/a-2781-5008
Minah Ahad, Johanna Baumgardt, Olaf Hardt, Sandeep Rout, Theresa Thaler, Sebastian von Peter, Jan Wolff, Julian Schwarz
{"title":"[Outreach Acute Treatment for Adolescents? A Routine Data Analysis of Intensive Home Treatment vs. Inpatient Care in Young Adults].","authors":"Minah Ahad, Johanna Baumgardt, Olaf Hardt, Sandeep Rout, Theresa Thaler, Sebastian von Peter, Jan Wolff, Julian Schwarz","doi":"10.1055/a-2781-5008","DOIUrl":"10.1055/a-2781-5008","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the effectiveness of intensive home treatment (IHT) for young adults (18-30 years) compared with full inpatient psychiatric care over a 12-month follow-up period.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using routine hospital data from the Vivantes Klinikum Neukölln, Berlin. The analysis included 178 patients treated in IHT (intervention group, IG) and 356 inpatients (control group, CG), matched at a 1:2 ratio using propensity scores.</p><p><strong>Results: </strong>The 12-month readmission rate was significantly lower in the IG (36.6%) compared with the CG (51.9%).</p><p><strong>Conclusion: </strong>IHT appears to be an effective treatment option for young adults and may offer advantages over full inpatient psychiatric care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"116-122"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[TSS in the care of people with mental illness - results of a survey of psychotherapists]. [TSS在精神疾病患者护理中的应用——一项心理治疗师调查的结果]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-04-22 DOI: 10.1055/a-2797-1205
Silke Neusser, Luisa Friedrich, Klemens Höfer, Sarah Schlierenkamp, Sandra Werner, Pauline Schlesiger, Dieter Best, Barbara Lubisch, Gebhard Hentschel, Franziska Weigel, Dagmar Wieczorek, Ursula Marschall, Christa Schaff, Bettina Meisel, Helene Timmermann, Anke Walendzik, Jürgen Wasem, Carina Abels
{"title":"[TSS in the care of people with mental illness - results of a survey of psychotherapists].","authors":"Silke Neusser, Luisa Friedrich, Klemens Höfer, Sarah Schlierenkamp, Sandra Werner, Pauline Schlesiger, Dieter Best, Barbara Lubisch, Gebhard Hentschel, Franziska Weigel, Dagmar Wieczorek, Ursula Marschall, Christa Schaff, Bettina Meisel, Helene Timmermann, Anke Walendzik, Jürgen Wasem, Carina Abels","doi":"10.1055/a-2797-1205","DOIUrl":"https://doi.org/10.1055/a-2797-1205","url":null,"abstract":"<p><strong>Objective: </strong>The appointment service centre (TSS) was introduced to facilitate patients' access to medical care and to coordinate appointments at short notice, particularly in psychotherapy.</p><p><strong>Method: </strong>Psychotherapists providing contract-based psychotherapy to adults were surveyed. In addition to descriptive analyses and subgroup analyses, correlation measures and effect sizes were also determined.</p><p><strong>Results: </strong>One third of the 447 psychotherapists surveyed recognised a reduction in the waiting time for an initial consultation, and 25.0% considered the TSS to be a well-functioning central point of contact. The lack of available capacity was seen as an obstacle to making appointments with the TSS.</p><p><strong>Conclusion: </strong>The results highlight the potential of TSS to improve access to psychotherapeutic care, but also point to challenges that need to be overcome. Measures that lead to greater appointment availability could be particularly effective.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 3","pages":"133-139"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Alienation in Psychiatry and Psychotherapy: A Relevant Concept?] 精神病学和心理治疗中的异化：一个相关的概念？］
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-02-23 DOI: 10.1055/a-2800-2184
Marco Kramer, Georg Juckel
{"title":"[Alienation in Psychiatry and Psychotherapy: A Relevant Concept?]","authors":"Marco Kramer, Georg Juckel","doi":"10.1055/a-2800-2184","DOIUrl":"10.1055/a-2800-2184","url":null,"abstract":"<p><strong>Abstract: </strong>This critical essay examines the relevance of social alienation for psychiatry and psychotherapy. Drawing on a narrative integration of philosophical, psychopathological, and empirical literature, alienation is discussed as a phenomenon situated between subjective experience and socially mediated processes. Social alienation resulting from deprivation or work intensification may contribute to the development and persistence of mental disorders, while its relevance for disorder-specific treatments remains insufficiently understood. Interventions aiming to foster resonance and relations to the world (e. g. green prescribing, Soteria) are discussed, although stronger empirical support is required. The essay further emphasizes that individually oriented therapeutic approaches can only partially compensate for social stressors, highlighting the societal responsibility of psychiatry and psychotherapy to critically reflect on social conditions of mental health.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"154-160"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The unmet need for psychiatric and psychotherapeutic care for refugees - A local pilot survey in Lübeck]. [难民对精神病学和心理治疗护理的未满足需求-一项当地试点调查]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-04-22 DOI: 10.1055/a-2812-6785
Arnim Hoischen, Jan Philipp Klein, Jan Reinhardt, Fawad Hotak, Alexander Münchau, Christine Klein, Heide Glaesmer, Yuriy Nesterko, Daniel Alvarez-Fischer
{"title":"[The unmet need for psychiatric and psychotherapeutic care for refugees - A local pilot survey in Lübeck].","authors":"Arnim Hoischen, Jan Philipp Klein, Jan Reinhardt, Fawad Hotak, Alexander Münchau, Christine Klein, Heide Glaesmer, Yuriy Nesterko, Daniel Alvarez-Fischer","doi":"10.1055/a-2812-6785","DOIUrl":"https://doi.org/10.1055/a-2812-6785","url":null,"abstract":"<p><strong>Abstract: </strong>Refugees experience a higher burden of mental illness after arrival in the host country. Nevertheless, data on suicidality and actual mental health care utilization remain limited. In an exploratory pilot study conducted in shared accommodation facilities in Lübeck, established screening questionnaires for depression, anxiety disorders, PTBS, and somatoform disorder were used to assess the prevalence of at least one mental disorder, which was 78%. Overall, 10.8% reported at least one suicide attempt after arriving in Germany. In contrast to the general population, where the likelihood of psychiatric/psychotherapeutic treatment increases with the number of comorbid disorders, participants in our study showed an opposite pattern. These findings suggest that mental health care for refugees may not be sufficiently directed toward actual needs and that existing support systems fail to reliably reach those most severely affected.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 3","pages":"123-132"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Reform of emergency care: also for people with mental illness?!] 急救改革：也适用于精神病患者？！］
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1055/a-2795-1427
Katarina Stengler
{"title":"[Reform of emergency care: also for people with mental illness?!]","authors":"Katarina Stengler","doi":"10.1055/a-2795-1427","DOIUrl":"10.1055/a-2795-1427","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"113-115"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Transitions from assisted living facilities to independent living - experiences and needs of users]. [从辅助生活设施到独立生活的过渡——用户的体验和需求]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-04-01 Epub Date: 2026-04-22 DOI: 10.1055/a-2804-0689
Julia Krieger, Katrin Friedrich, Christina Hauser, Cassandra Anissa Penkov, Vanessa Rößner-Ruff, Marie-Luise Dierks, Felix Wedegartner, Marc Ziegenbein, Iris Tatjana Graef-Calliess
{"title":"[Transitions from assisted living facilities to independent living - experiences and needs of users].","authors":"Julia Krieger, Katrin Friedrich, Christina Hauser, Cassandra Anissa Penkov, Vanessa Rößner-Ruff, Marie-Luise Dierks, Felix Wedegartner, Marc Ziegenbein, Iris Tatjana Graef-Calliess","doi":"10.1055/a-2804-0689","DOIUrl":"https://doi.org/10.1055/a-2804-0689","url":null,"abstract":"<p><strong>Objective: </strong>The transition from integration assistance to independent living presents various challenges for those affected. The study examines the experiences of former users of a facility in northern Germany and derives practical recommendations.</p><p><strong>Methodology: </strong>Naturalistic, qualitative longitudinal design with five measurement points (n=18). Semi-structured interviews and content analysis (Kuckartz).</p><p><strong>Results: </strong>The participants consider structured information, targeted support, peer networking, and continuous exchange to be helpful. A confident attitude on the part of the support network and the visibility of role models are desired.</p><p><strong>Conclusion: </strong>The results suggest that there is a great need for change in reducing bureaucratic hurdles and improving access to the housing market. Further areas for development include peer networking and strengthening employee skills.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 3","pages":"140-146"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Assisted Suicide during Treatment in a Psychiatric Day Clinic A Case Report and Clinical-Ethical Implications]. [精神科日间诊所治疗期间协助自杀个案报告及临床伦理意义]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-03-24 DOI: 10.1055/a-2823-7177
Ziyan Xu, Sandra Connemann, Nathalie Oexle, Bernhard Connemann
{"title":"[Assisted Suicide during Treatment in a Psychiatric Day Clinic A Case Report and Clinical-Ethical Implications].","authors":"Ziyan Xu, Sandra Connemann, Nathalie Oexle, Bernhard Connemann","doi":"10.1055/a-2823-7177","DOIUrl":"https://doi.org/10.1055/a-2823-7177","url":null,"abstract":"<p><p>The decision of the Federal Constitutional Court permitting assisted suicide raises important questions regarding clinical and procedural standards in the care of vulnerable patients. In particular, the assessment of decision-making capacity in individuals with mental disorders presents significant challenges. This case report describes a patient with recurrent depressive disorder and histrionic personality disorder who died during day-clinic psychiatric treatment with the support of a right-to-die organization. The external psychiatric assessment was based on a single video consultation conducted twelve days prior to her death. The case illustrates how depressive symptomatology and ambivalent treatment attitudes may complicate the evaluation of a self-determined wish to die. It highlights the need for clear, context-sensitive criteria for assessing decisional autonomy, as well as reliable institutional quality assurance procedures.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Psychodynamic Intervention in Severe Obsessive-Compulsive Disorder]. [严重强迫症的心理动力学干预]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-03-20 DOI: 10.1055/a-2812-1668
Bertrand Janota, Anita Chuttke
{"title":"[Psychodynamic Intervention in Severe Obsessive-Compulsive Disorder].","authors":"Bertrand Janota, Anita Chuttke","doi":"10.1055/a-2812-1668","DOIUrl":"https://doi.org/10.1055/a-2812-1668","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is among the most common psychiatric conditions and is associated with substantial distress and functional impairment. Although Cognitive Behavioral Therapy (CBT) and pharmacotherapy are considered first-line treatments, not all patients respond sufficiently. The case of a young woman demonstrates that a psychodynamic short-term therapy over five weeks can lead to marked symptom reduction (Y-BOCS: 39.5 → 19). This improvement is attributed to addressing intrapsychic conflicts and structural deficits.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The participation of female psychiatrists and neurologists in mental health care and neurology in the GDR: A first search for clues]. [德意志民主共和国女性精神病学家和神经学家参与精神卫生保健和神经病学：首次寻找线索]。
IF 1.2 4区 医学
Psychiatrische Praxis Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1055/a-2752-4948
Sophie Niemann, Holger Steinberg
{"title":"[The participation of female psychiatrists and neurologists in mental health care and neurology in the GDR: A first search for clues].","authors":"Sophie Niemann, Holger Steinberg","doi":"10.1055/a-2752-4948","DOIUrl":"10.1055/a-2752-4948","url":null,"abstract":"<p><p>The aim of this study is to investigate the presence and career position of women in psychiatry and neurology in the GDR as fundamental preliminary work.A quantitative survey of female authors was conducted in the only GDR journal \"Psychiatrie, Neurologie und Medizinische Psychologie\". This was the most obvious publication option for GDR professionals.The number of publications by women increased significantly from 1968 onwards. Nevertheless, of the 5,662 publications between 1949 and 1990, only 18.12% were written by or with women. The 20 women with the most publications can be identified for the first time.It stands to reason that women gained a greater presence in psychiatry and neurology in the GDR in the second half of the 1960s. Some women will also have increasingly attained higher positions here, as they functioned as scientific publicists. Nevertheless, the presence of women remains low in comparison to men, both quantitatively and qualitatively.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"95-103"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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