Dynamik Psychischer Prozesse In Diagnose Und Therapie

The association between social class and psychiatric disorder has been one of the central topics of socio-epidemiological research since its inception. With remarkable consistency, numerous investigations have demonstrated an inverse correlation between social class and prevalence rates for most forms of psychopathology. The debate on the interpreta tion of these findings - social causation versus social selection processes - continues to this day. Moreover, the question as to what the psychoso cial processes are through which social class and individual psychopa thology are mediated has remained mostly unanswered. The concept of social stress may well provide new insights in this regard. One should note, in particular, the considerable conceptual and methodological progress made in life event research. Recently, the first attempts have been made to link the two concepts of social class and social stress. These developments will be retraced in this book in the light of new investigations. Descriptive epidemiological studies on the relation between social class and psychiatric disorders form the point of depar ture. Explicit reference is made to two classical studies in psychiatric epidemiology: Faris and Dunham's Chicago study and the New Haven study by Hollingshead and Redlich. Following on from there, various approaches in analytical epidemiological research are presented which attempt to determine whether - or, more precisely, to what extent - social causation or social selection processes can be said to be responsible for the higher rates of psychiatric disorders in lower social strata.

Integrative psychotherapy: using the principles of dynamic complex systems to guide everyday clinical work. This book introduces a new, integrative, systemic approach to psychotherapy and counseling and shows how the principles of dynamic complex systems can guide everyday clinical work. Our mental, interpersonal, and biological (e.g., neuronal) systems are complex and nonlinear, and allow spontaneous pattern formation and chaotic dynamics. Their self-organizing nature sometimes maneuvers the systems into pathological states. However, the very same principles can be utilized therapeutically to encourage change for the better. The feedback-driven nonlinear dynamic systems approach described here basically attempts to facilitate positive self-organizing processes, such as order transitions, healthy patterns of behavior, and learning processes. In addition to describing the theory and evidence supporting the feedback-driven nonlinear dynamic systems approach, the authors use an extensive case study to illustrate how the principles of dynamic complex systems can guide everyday clinical work. They show how modeling and monitoring of the client's systems and an empirical description of its patterns allows the therapist to individually fine-tune therapeutic techniques to support the client's progress. Fine-meshed feedback based on real-time data and time-series analysis is at the core of the approach, and so an internet-based monitoring system – the Synergetic Navigation System (SNS) – that helps capture dynamic processes and guide practitioners' therapeutic decisions is also described.

Der Band vermittelt konzeptuelles und methodisches Grundlagenwissen zur psychoanalytischen und psychodynamischen Praxis. Zunächst werden die psychoanalytischen Behandlungstechniken auf dem Hintergrund ihrer jeweiligen theoretischen Konzepte und Anwendungsbereiche dargestellt und Unterschiede der wichtigsten psychodynamischen Verfahren aufgezeigt. Ferner wird auf die störungsorientierte psychoanalytische Therapie eingegangen, und es werden Fragen nach Technik vs. Beziehung sowie nach Kurz- vs. Langzeittherapie diskutiert. Ein weiteres Kapitel erörtert die Grundlagen evidenzbasierter Psychotherapie auch unter wissenschaftstheoretischen Überlegungen. Die Wirksamkeit von psychodynamischer Therapie wird ausführlich anhand der vorliegenden Psychotherapiestudien, störungsspezifischen Behandlungsmodelle und vorliegenden Therapiemanuale dargestellt. Die vorliegende Neuauflage berücksichtigt aktuelle Studien und geht auf neuere Entwicklungen, wie transdiagnostische Verfahren und Online-Therapie, ein Abschließend reflektieren die Autoren den Einfluss der Psychotherapieforschung auf die klinische Praxis. Dabei geht es zunächst um die Wirkfaktoren von Psychotherapie, bevor die Bedeutung manualisierter Therapieansätze für die Praxis, Psychotherapieausbildung und für die Erstellung von Behandlungsleitlinien diskutiert wird.

This manual presents an evidence-based focal psychodynamic approach for the outpatient treatment of adults with anorexia nervosa, which has been shown to produce lasting changes for patients. The reader first gains a thorough understanding of the general models and theories of anorexia nervosa. The book then describes in detail a three-phase treatment using focal psychodynamic psychotherapy. It provides extensive hands-on tips, including precise assessment of psychodynamic themes and structures using the Operationalized Psychodynamic Diagnosis (OPD) system, real-life case studies, and clinical pearls. Clinicians also learn how to identify and treat typical ego structural deficits in the areas of affect experience and differentiation, impulse control, self-worth regulation, and body perception. Detailed case vignettes provide deepened insight into the therapeutic process. A final chapter explores the extensive empirical studies on which this manual is based, in particular the renowned multicenter ANTOP study. Printable tools in the appendices can be used in daily practice. This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counselors, and students.