Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie最新文献

Schweigen in der videobasierten Psychotherapie Eine Pilotstudie. 视频心理治疗中的沉默试点研究

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-10-18 DOI: 10.13109/zptm.2024.70.oa5

Ahn Judith Sigrid, Scheidt Carl Eduard, Lahmann Claas

{"title":"Schweigen in der videobasierten Psychotherapie Eine Pilotstudie.","authors":"Ahn Judith Sigrid, Scheidt Carl Eduard, Lahmann Claas","doi":"10.13109/zptm.2024.70.oa5","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.oa5","url":null,"abstract":"Silence in video-based psychotherapy - a pilot-study Objectives: Silence is a relevant aspect of non-verbal interaction and the therapeutic relati- onship in psychodynamic psychotherapy. We examine how the altered interactional setting of video-based psychotherapy affects silence in the therapy process.Methods: In an exploratory observational study of four short-term outpatient psychodyna- mic psychotherapies, four sessions at the beginning and in the middle of each therapy were conducted as video-based psychotherapy. The number of silent events, the mean duration of silence, and the quality of the therapeutic relationship were assessed and compared between video- and face-to-face sessions.Results: No setting effects on the number of silent events were found. However, therapy dyads differed significantly in the number of silent events that occurred. For the video-based thera- py sessions, a higher mean duration of silence was found in the middle of therapy compared to the beginning of therapy. One therapy with a depressed patient had a particularly high number of silent events.Conclusions: The effects of the video-based setting on silence are less pronounced than ex- pected. However, there are indications of a changed interactional situation in VBT. Silence appears to be an aspect of the interaction that is primarily dyad-specific and related to indivi- dual characteristics of the therapy process and the diagnosis.","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480211","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

Fragebogen zur Empirischen Untersuchung von Abwehrmechanismen (FEUA). 防卫机制实证调查问卷（FEUA）。

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-10-18 DOI: 10.13109/zptm.2024.70.oa4

Kampe Leonie, Bohn Johannes, Remmers Carina, Caesar Luise, Schnabel Konrad, Heitmann Ilva, Hörz-Sagstetter Susanne

引用次数: 0

Die Autorinnen und Autoren dieses Heftes. 本期的作者

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.302

引用次数: 0

Editorial. Viele Wege führen zum Ziel – Therapieerfolg im Spiegel individueller Strukturen und systemischer Herausforderungen. 社论。多条道路通向目标--治疗成功体现在个人结构和系统挑战中。

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.209

Claas Lahmann

引用次数: 0

Mitteilungen und Personalia. 公告和个人资料。

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.301

引用次数: 0

Originalbeiträge (Originals). High Young schema levels predict manualized confrontation therapy outcome in patients with panic disorder / Der Einfluss von Schemata nach Young auf das Therapieergebnis von Patienten mit Panikstörung. 原创性稿件（Originals）。杨氏模式的高水平可预测惊恐障碍患者的手动对抗疗法结果/Der Einfluss von Schemata nach Young auf das Therapieergebnis von Patienten mit Panikstörung.

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.212

Vanessa Renner, Jana Henker, Peter Joraschky, Andrea Keller, Katja Petrowski

{"title":"Originalbeiträge (Originals). High Young schema levels predict manualized confrontation therapy outcome in patients with panic disorder / Der Einfluss von Schemata nach Young auf das Therapieergebnis von Patienten mit Panikstörung.","authors":"Vanessa Renner, Jana Henker, Peter Joraschky, Andrea Keller, Katja Petrowski","doi":"10.13109/zptm.2024.70.3.212","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.212","url":null,"abstract":"The role of schemas is well established in personality disorders. Their influence on therapy outcome of patients with Axis I disorders remains unclear. Therefore, patients with a panic disorder (PD) with/without agoraphobia varying in their expression of early maladaptive schemas were examined regarding therapy outcomes after exposure therapy. In this study, a sample of 216 patients with panic disorder with/without agoraphobia were recruited in a day clinic. After the initial diagnosis with the Structured Clinical Interview, the patients filled out the Young Schema Questionnaire (YSQ-S2), Beck Depression Inventory and Revised Symptom Checklist. Afterwards, they participated in a five-week manualized exposure therapy by Lang et al. (2011). Subjects with high schema scores showed lower therapeutic success rates than subjects with a weaker pattern score. In addition, it was found that high schema levels, especially of schemas regarding impaired autonomy and achievement (YSQ-S2: domain 2), influenced therapy outcome by either predicting more/severe or less/milder anxiety-, phobicrelated and general symptoms after therapy. The results of this study emphasize the role of schemas not only for personality disorders but also for disorders on Axis I. For PD with/without agoraphobia, schemas regarding impaired autonomy and achievement seem to play the most important role regarding the influence on therapy outcome.","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300376","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

Originalbeiträge (Originals). Patientencharakteristika an einer psychodynamischen Ausund Weiterbildungsambulanz. 原创性稿件（Originals）。心理动力学培训和进修门诊的患者特征。

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.228

Florian Juen, Larissa Vierl, Susanne Hörz-Sagstetter

{"title":"Originalbeiträge (Originals). Patientencharakteristika an einer psychodynamischen Ausund Weiterbildungsambulanz.","authors":"Florian Juen, Larissa Vierl, Susanne Hörz-Sagstetter","doi":"10.13109/zptm.2024.70.3.228","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.228","url":null,"abstract":"Patient characteristics at a psychodynamic training institute Outpatient clinics affiliated with psychotherapeutic training institutions play a crucial role in ensuring the quality of future psychotherapists' training.Objective: In the present study we examined the characteristics of patients in terms of symptomatology and psychodynamic dimensions.Methods: The study utilized online questionnaires completed by n = 421 patients between September 2020 and March 2021. These questionnaires gathered information on sociodemographics, symptomatology (PHQ-D), relationship dynamics (IIP), personality functioning (OPD-SQS, IPO-16), and intrapsychic conflicts (OPD-KF).Results: The sample consisted of 71.0 % females, with 65 % having prior experience with psychotherapeutic treatments. Notably, 74.9 % of the patients fulfilled the criteria of a depressive disorder in PHQ-D (with 34.8 % identified as Major Depressive Disorder, MDD). Additionally, 53.1 % of all patients surpassed the threshold for the diagnosis of a personality disorder based on the IPO-16.Discussion: Findings suggest that patients seeking treatment at these clinics exhibit significant psychological distress and often have a history of prior psychotherapeutic interventions.","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300377","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

Originalbeiträge (Originals). Belastung(sgrenz)en für Psychotherapeut:innen nach der Reform. 原创稿件（Originals）。改革后心理治疗师的负担（限制）。

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.283

Deborah Engesser, Susanne Singer, Pascal Kemmerer, Rainer Paul, Andrea Petermann-Meyer, Katrin Reuter, Lena Dotzauer

{"title":"Originalbeiträge (Originals). Belastung(sgrenz)en für Psychotherapeut:innen nach der Reform.","authors":"Deborah Engesser, Susanne Singer, Pascal Kemmerer, Rainer Paul, Andrea Petermann-Meyer, Katrin Reuter, Lena Dotzauer","doi":"10.13109/zptm.2024.70.3.283","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.283","url":null,"abstract":"Loads and limits for outpatient psychotherapists after the reform Objectives: The reform of the psychotherapy directive in 2017 challenged psychotherapists by new obligations and processes. We investigated burdens psychotherapists experience due to the reform and differences concerning urban vs. rural region, half vs. full care license and psychotherapy method.Methods: Of 128 psychotherapists approached, 41 (32 %) agreed to study participation. Semistructured interviews were examined via qualitative content analysis.Results: 83 % (n = 34) expressed some kind of burden. Burdens in terms of time, pressure/ stress and having to decline patients were named most frequently. 54 % of the participants (n = 22) pointed out various limits to what they can accomplish, mostly related to shortened waiting times and treatment availability. Burdens were more common among psychotherapists with a half care license and behavioural therapy; there were no major differences between urban or rural residents.Discussion: Burdens for psychotherapists may result from individual life situations and resources of treatment availability.","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300374","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

Originalbeiträge (Originals). Veränderungen in der Konfliktpathologie während stationärer Psychotherapie und ihr Zusammenhang mit Symptomreduktion. 原创性稿件（Originals）。住院心理治疗期间冲突病理学的变化及其与症状减轻的关系。

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.266

Miriam Henkel, Cord Benecke, Matthias Volz, Carola Cropp, Carsten Spitzer

{"title":"Originalbeiträge (Originals). Veränderungen in der Konfliktpathologie während stationärer Psychotherapie und ihr Zusammenhang mit Symptomreduktion.","authors":"Miriam Henkel, Cord Benecke, Matthias Volz, Carola Cropp, Carsten Spitzer","doi":"10.13109/zptm.2024.70.3.266","DOIUrl":"https://doi.org/10.13109/zptm.2024.70.3.266","url":null,"abstract":"Changes in conflict pathology during inpatient psychotherapy and their relationship with symptom reduction Background: In psychodynamic psychotherapy, the treatment of a patient's unconscious conflicts represents an essential aspect of psychotherapeutic success. The present study therefore investigated whether 1) the significance of conflict issues changes during inpatient psychodynamic psychotherapy, and whether 2) greater changes in the significance of conflicts are associated with a greater reduction in symptoms.Method: 113 patients provided information on their symptoms (BSI-18) and the significance of six OPD conflict themes in active and passive mode (12 conflict scales) by self-report on admission and discharge. Using Welch's t-tests and multiple regression models, both pre-post changes in symptoms and conflict significance and the influence of conflict changes on symptom reduction were analyzed.Results: Four OPD conflict scales changed significantly during treatment. Patients who changed more strongly in terms of the manifestation of conflicts also showed a greater reduction in symptoms.Discussion: The results indicate both a certain stability of conflict issues and their changeability and confirm the psychodynamic theory that change in conflict issues is associated with symptom reduction.","PeriodicalId":51217,"journal":{"name":"Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300378","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}

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Inhalt. 内容

IF 0.8 4区医学

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI: 10.13109/zptm.2024.70.3.207

引用次数: 0