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Introduction
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January 2010 - December 2011
Publications
Publications (303)
Zusammenfassung
Hintergrund
Interpersonelle Kompetenzen von Therapeut:innen zum Aufbau und zum Erhalt einer therapeutischen Allianz stellen verfahrensübergreifend bedeutsame Konzepte für effektive Psychotherapie dar (Norcross und Lambert 2019). Dennoch mangelt es an evidenzbasierten Methoden, um entsprechende Kompetenzen auszubilden. Als vielversp...
Zusammenfassung
Die Mentalisierungsbasierte Therapie (MBT) ist eine evidenzbasierte integrative Therapie, die für die Behandlung von Patient:innen mit Borderline-Persönlichkeitsstörungen entwickelt wurde. In den letzten Jahren wurden das Verfahren auf andere Patient:innengruppen ausgedehnt. Im vorliegenden Beitrag stellen wir die neue Anwendung der...
The therapeutic alliance is a well-established predictor of psychotherapy outcome, and the ability to mentalize has been discussed as a change mechanism in psychotherapy. Low mentalization may lead to impairments in the alliance. In the present study, we assessed mentalization effects on the therapeutic alliance over the course of treatment. Thirty...
Background: Research on different aspects of mentalizing is essential for understanding the mechanisms underlying personality disorders (PD) and informing psychotherapy approaches, where mentalizing functions as a key mechanism of change. This study aimed to explore whether self- and other-mentalizing, in interaction with attachment insecurity, dif...
Introduction
The outbreak of the COVID-19 pandemic has led to increased psychological distress. Transdiagnostic factors, including childhood trauma, maladaptive personality traits (MPTs), mentalizing, and emotion dysregulation are considered relevant to the development and maintenance of mental health problems. These factors probably play a signifi...
Objective structured clinical examinations have a long tradition in medical education. In psychotherapy training, this format is on the rise. The aim of this study was to prove reliability and feasibility of an objective structured therapeutic examination (OSTE) for the assessment of psychodynamic intervention competencies. Twelve psychotherapy tra...
Background
Psychotherapeutic competencies encompass a variety of skills that influence the work and therapeutic success of psychotherapists. In particular, interpersonal skills and the associated ability to react appropriately in complex therapy situations have already shown significant correlations with later therapeutic success. Strengthening int...
Introduction
The COVID-19 pandemic placed many restrictions on families and affected the mental health of parents and children. The present study examines how the restrictions imposed during the pandemic and parental mental health affect early childhood psychopathology.
Method
From September 2019 to December 2021, the Outpatient Department of Fami...
Epistemic trust, defined as trust in socially transmitted knowledge, is discussed as a psychopathological factor in the context of new transdiagnostic approaches for the assessment of mental disorders. The aim of this study is to test the factorial, convergent, and discriminant validity of the German version of the new Epistemic Trust, Mistrust and...
Introduction
Conduct disorder (CD) is a severe mental disorder in youth. Yet, providing psychological interventions for adolescents with CD is challenging. This patient group is often characterized by risk factors for therapy dropout such as, e.g., CD symptoms and being in middle adolescence. On the other hand, little is known about characteristics...
Während der COVID-19-Pandemie ist die psychische Belastung bei älteren Menschen gestiegen. Transdiagnostische Faktoren wie das Erleben traumatischer Erfahrungen in der Kindheit und Jugend, maladaptive Persönlichkeitsmerkmale, Mentalisierung und Emotionsdysregulation sind relevant für die Entwicklung und Aufrechterhaltung psychischer Probleme und kö...
Background
We describe a collection of themes for a research agenda for personality disorders that was originally formulated for the ESSPD Borderline Congress in 2022.
Methods
Experts with lived and living experience (EE), researchers and clinicians met virtually, exchanged ideas and discussed research topics for the field of personality disorders...
Introduction
Online-based interventions provide a low-threshold way to reach and support families. The mentalisation-based Lighthouse Parenting Programme is an established intervention aimed at preventing psychopathological development in children. The objective of this study is to examine the feasibility of an online adaptation of the Lighthouse P...
Das Lehrbuch stellt die zentralen Inhalte des reformierten Masterstudiengangs Klinische Psychologie und Psychotherapie dar. Eingegangen wird dabei auf alle psychotherapeutischen Richtlinienverfahren, also die Kognitive Verhaltenstherapie, die Systemische Therapie, die Tiefenpsychologisch fundierte Therapie und die Analytische Psychotherapie, sowie...
Zusammenfassung
Hintergrund
Die Identifikation und Weitervermittlung psychosozial belasteter Familien stellt einen zentralen Aspekt der pädiatrischen Präventivmedizin dar. Ein kurzer Screeningbogen, der psychosoziale Belastungsfaktoren in der gesamten Spanne des Kindes- und Jugendalters erfasst, verspricht eine bestehende Lücke in der Versorgung v...
The Development of Epistemic Vigilance and Epistemic Trust Across the Lifespan: Perspectives from Empirical Research on Self-Regulatory Social Learning This article examines what we know about the development of epistemic vigilance and epistemic trust between early infancy and adolescence.With this brief review, we intend to help put into perspecti...
Pediatric Skills Lab: Strengthening Communication Skills for the Conversations with Psychologically burdened Families To identify psychosocially burdened families early and motivate them to seek further assistance is a central aspect of pediatric preventivemedicine.The aim of the feasibility study was to develop the Pediatric Skills Lab to promote...
Die Mentalisierungsbasierte Therapie hat sich als wirksame Behandlung für verschiedene psychische Erkrankungen und Persönlichkeitsstörungen bewährt. Eine qualitativ hochwertige Schulung von Therapeut*innen ist entscheidend, um eine effektive Therapie sicherzustellen. In diesem Kontext bietet Deliberate Practice einen vielversprechenden Ansatz, um d...
Mentalizing describes the ability to imagine mental states underlying behavior. Furthermore, mentalizing allows one to identify, reflect on, and make sense of one’s emotional state as well as to communicate one’s emotions to oneself and others. In existing self-report measures, the process of mentalizing emotions in oneself and others was not captu...
This position paper follows the call for transtheoretical meta-models of general clinical change by concentrating on severe mental illness such as Personality Disorders (PDs). We have identified a core process of change related to mental flexibility through implicit learning and propose recommendations for stance and technique that are informed by...
This article aimed to provide a systematic narrative synthesis of existing studies on the mediators of change in psychotherapy with adolescents (10–19 years) and transition age youth (TAY) (20–29 years) who have experienced trauma-related symptoms or posttraumatic disorder. Additionally, we were interested in identifying psychotherapy-, trauma type...
Objective: Mentalization is discussed as a mechanism of change in psychotherapy due to its positive effects on psychological functioning. In order to specifically apply mentalization-based interventions, a better understanding of the relationship between interventions and in-session mentalization is needed. The study aimed to explore the associatio...
Grenzverletzungen in psychotherapeutischen Behandlungen erscheinen oft als ein punktuelles oder individuelles Problem. Es wird entweder versucht, die Ursache im Krankheitsverlauf der Patient*innen zu verorten, oder der Blick richtet sich auf eine beschuldigte Person oder eine*n Täter*in. Eine solche mehrfache Einengung der Perspektive übersieht, da...
Was ist das Gedächtnis? Das Buch vereint die Perspektiven von WissenschaftlerInnen und KünstlerInnen, die sich selbst, die Gesellschaft und die ganze Welt in den Kontext ihrer Geschichte stellen. Gedächtnis ist ein Wort der Alltagssprache, aber auch vieler Fachsprachen. Psychologie, Hirnforschung und Psychiatrie befassen sich mit dem Gedächtnis, de...
Epistemic stance, comprising epistemic trust, mistrust, and credulity, and the closely related construct of mentalizing have been related to paranoid ideation and conspiracy mentality. All phenomena are common in the general population and may become clinically and societally relevant at an extreme expression by influencing an individual’s position...
This paper reports follow-up findings for an Mentalization based treatment (MBT) parenting intervention delivered to a community mental health sample. Parents completed the 12-week version of the Lighthouse Parenting Program (LPP) and were evaluated on parenting practices, parent-child relationships, parental mental health indicators, and child pro...
For Adolescents with personality impairments it's often difficult to accept therapy offers. Personality impairment may be preceded by (early childhood) trauma, which undermines trust in others.Thus, adolescents with traumatic experience often have limited motivation to start psychotherapy, also due to the greater need for autonomy and the process o...
Zusammenfassung
In diesem Beitrag wird die Idee eines transtheoretischen Metamodells entwickelt, das besonders auf Veränderungsprozesse bei schweren psychischen Erkrankungen wie Persönlichkeitsstörungen ausgerichtet ist. Als ein Kernprozess der Veränderung wird mentale Flexibilität definiert; diese kann durch implizites soziales Lernen gefördert we...
Research on the understanding and especially on the treatment of borderline personality disorder (borderline PD) has made considerable progress in recent years, so that evidence-based German treatment guidelines have now been produced for the first time. This article highlights the development as well as the main content priorities and recommendati...
The mentalization approach is based on a model for understanding mental processes, which is a further development of classical psychoanalytic theory models. Even though the roots of the mentalization concept can be located in psychoanalysis, it does not use any psychoanalytic treatment technique in the classical sense. This becomes clear about diff...
Zusammenfassung
Derzeit gibt es noch keine offiziellen Behandlungsrichtlinien für die komplexe posttraumatische Belastungsstörung (kPTBS). Die kPTBS unterscheidet sich von der PTBS durch die Symptomatik, Dauer oder Häufigkeit der Traumaexposition und durch eine hohe Komorbidität mit der Borderline-Persönlichkeitsstörung (BPS). Daher besteht Bedarf...
Research on the understanding and especially on the treatment of borderline personality disorder (borderline PD) has made considerable progress in recent years, so that evidence-based German treatment guidelines have now been produced for the first time. This article highlights the development as well as the main content priorities and recommendati...
This systematic review and meta-analysis is aimed to summarize the state of research on the relation between parental depression and parental mentalizing. To account for the multifaceted nature of parental mentalizing, several conceptualizations and measures were included and compared. The last database search was conducted on March 13, 2023. Using...
Regulation disorders in early childhood and postpartum mental disorders of parents can be effectively treated by interventions that involve parents and child (so-called parent-infant psychotherapy, PIP). Availability of PIP in routine care remains low, even though the intervention is in high demand. This study aims to map the current situation of p...
Chronic pain is usually a complex disorder with possible indications for an impairment at the personality functioning level. Guidelines recommend a multiprofessional interdisciplinary treatment approach. Based on the alternative model of personality disorders of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) and th...
Psychotherapeutic treatment of adolescents requires age-specific approaches and thus plausibly also involves different change mechanisms than adult psychotherapy. To guide further research and improve therapeutic outcomes for adolescents, we reviewed all RCTs investigating mechanisms of change in the psychological treatment of adolescents to identi...
Zusammenfassung
Hintergrund
Ausgangspunkt der Studie ist die hohe psychosoziale Belastung von Fachkräften im Gesundheitswesen bei gleichzeitig geringer Inanspruchnahme eines Beratungs- und Unterstützungsangebots für Mitarbeiter*innen einer Universitätsklinik während der COVID-19-Pandemie.
Ziel der Arbeit
Die vorliegende Studie untersucht den Grad...
Background
Home visitation services within German Early Childhood Interventions (ECI) for families with a child aged 0–3 are mainly provided by frontline pediatric nurses and family midwifes. Home visitors are often challenged by difficult interactions with families. Mentalizing, the ability to understand mental states of oneself and others, is a k...
Objective:
Improvement in patients' mentalizing capacities is considered a possible mechanism of change in psychotherapy. This improvement might take place via mentalization-enhancing interventions (MEIs) performed by psychotherapists. The study aimed to explore the use of MEIs in two evidence-based psychotherapeutic treatments for patients with a...
Conduct disorder (CD) is a common psychiatric disorder in youth characterized by persisting norm-violating or aggressive behavior. Considering high individual and societal burden, feasible and effective psychotherapeutic treatment is desirable. Yet, treatments and research in this patient group are scarce. This study investigates the feasibility of...
Recently, attachment-informed researchers and clinicians have begun to show that attachment theory offers a useful framework for exploring group psychotherapy. However, it remains unclear whether patients with differing attachment classifications would behave and speak in distinct ways in group therapy sessions. Aim: In this study, we conducted an...
Purpose of Review
Parental mental disorders, particularly borderline personality disorder (BPD), impair parenting behavior. Consequently, the children exhibit an elevated risk for psychopathology across their lifespan. Social support for parents is thought to moderate the relationship between parental mental illness and parenting behavior. It may d...
The Unresolved/disorganized (U/d) attachment classification has generated considerable interest among clinicians. This is in part based on its empirical associations with adult mental health, parenting practices, and treatment outcomes. Despite decades of theorizing, however, we have little empirical information regarding how patients with a U/d cl...
In psychotherapy training, longitudinal practice-based curricula for the development of psychodynamic intervention competencies are scarce. Based on Kern et al.’s (1998) cycle of curriculum development we conceptualized, implemented and evaluated a longitudinal curriculum for the development of psychodynamic intervention competencies (DYNAMIC curri...
Research suggests that mental disorders are associated with impairments in mentalizing, and that addressing the quality of mentalizing in psychosocial treatments may be of benefit to patients. However, it remains to be understood what specific therapeutic interventions can produce these changes. The pilot study presented here aims to introduce a no...
Zusammenfassung
Mit der 11. Version der International Statistical Classification of Diseases and Related Health Problems (ICD-11) erfolgt ein Paradigmenwechsel in der Diagnostik von Persönlichkeitsstörungen: Deren Klassifikation erfolgt künftig nicht mehr kategorial, sondern dimensional entlang der Schweregrade von Persönlichkeitsbeeinträchtigungen...
»I see her differently now« – A mentalization-based therapy with an adolescent with a borderline and antisocial personality
The present study was devoted to the question of how much space relevant thematic areas occupied in a successful MBT with an adolescent with a borderline as well as antisocial personality and how the patient’s mentalizing in t...
Zusammenfassung
Es werden die Ergebnisse einer von der Deutschen Forschungsgemeinschaft (DFG) geförderten längsschnittlichen Studie zur Kompetenzentwicklung von Psychotherapeut*innen in Ausbildung zusammenfassend dargestellt. Die Studie verfolgte das Ziel, die Entwicklung globaler verfahrensübergreifender Kompetenzen über einen Zeitraum von 3 Jahre...
Objective
Previous research suggests that patients with anorexia nervosa (AN) show an impaired capacity to mentalize (reflective functioning, RF). RF is discussed as a possible predictor of outcome in psychotherapeutic processes. The study aimed to explore RF in sessions of patients with AN and its association with outcome and type of treatment.
M...
Introduction:
Previous research reported transactional relations between child functioning and parenting stress. There is limited evidence whether a transactional developmental model also fits children below the age of 12 months, especially in psychosocially burdened families. This study aims to test the fit of a transactional model during the fir...
Regulation problems, such as difficulties with sleeping, feeding and excessive crying, can rapidly develop into persistent, self-perpetuating disorders, so-called regulatory disorders, when high parental stress and dysfunctional parent-child interactions are involved. Regulatory disorders affect approximately 10% of families with children 0–3 years...
Background: Home visitation services within the early childhood intervention program (ECI) for families with a child aged 0-3 in Germany are mainly provided by frontline pediatric nurses and family midwifes. Home visitors are often challenged by difficult interactions with families. Mentalizing, the ability to understand mental states of oneself an...
Background
Home visitation services within the early childhood intervention program (ECI) for families with a child aged 0–3 in Germany are mainly provided by frontline pediatric nurses and family midwifes. Home visitors are often challenged by difficult interactions with families. Mentalizing, the ability to understand mental states of oneself and...
Wie Mentalisieren erfolgreich in der psychodynamischen und psychoanalytischen Psychotherapie eingesetzt werden kann – ein integratives Modell
Die Mentalisierungsbasierte Therapie (MBT) hat sich als erfolgversprechende Methode in der Therapie psychischer Störungen erwiesen.
Dieses Buch zeigt, wie die MBT im Rahmen tiefenpsychologisch fundierter un...
The 11th revision of the World Health Organization (WHO) International Classification of Diseases (ICD-11) includes a fundamentally new approach to Personality Disorders (PD). ICD-11 is expected to be implemented first in European countries before other WHO member states. The present paper provides an overview of this new ICD-11 model including PD...
Background
In Germany, approximately three million children under the age of eighteen have a mentally ill parent. These children are at an increased risk of developing a mental illness themselves (1) as well as a physical illness (2). While research has identified numerous evidence-based family-oriented interventions, little is known about how to i...
Refugees are often exposed to a variety of stressors and traumatic events, posing a significant risk for the development of mental disorders. Young refugees may be particularly at risk because adverse life events affect identity formation, a developmental task that is typically expected in adolescence and emerging adulthood. Trauma and cultural cha...
Background
Externalising behaviours are becoming a remarkably prevalent problem during adolescence, often precipitating both externalising and internalising disorders in later adulthood. Psychological treatments aim to increase the social functioning of adolescents in order for them to live a more balanced life and prevent these negative trajectori...
Mit dem neuen Direktstudium Psychotherapie geht die Lehre aller Richtlinienverfahren an den Universitäten einher. Zu diesen Verfahren zählt auch die Analytische Psychotherapie, die relativ nah an der klassischen Psychoanalyse zu verorten ist, z.B. liegen die Patient_innen während der Therapiesitzung auf der Couch. Zwar hat die analytische Psychothe...
Objective
Gaining a deeper understanding of how focused parent–infant psychotherapy (fPIP) works by asking mothers about their experiences.
Method
Purposeful sampling was used to select participants who before had participated in an RCT on fPIP. Nine mothers of infants with early regulatory disorders who had received fPIP were interviewed. Eight c...
Epistemic Trust (ET) describes an individual’s trust in the relevance of interpersonally transmitted information. While this concept increasingly informs theories of communication and psychopathology, as well as psychoanalytic change theory, there currently exists no rigorous way of measuring ET. This study describes an experimental paradigm for as...
Background: Since the outbreak of COVID-19 pandemic, psychological distress is increased. Transdiagnostic mechanisms, including trauma, personality functioning, mentalizing and emotion regulation are considered relevant to the development and maintenance of mental health problems and therefore may play a role in individuals’ reactions to the pandem...
When a family member becomes mentally or physically ill, the whole family is affected in a broader sense. So far the focus has been on the care of the sick index patient, although it has been proven that the inclusion of the social context, whether siblings, partners or parents, is not only beneficial for better compliance and better recovery rates...
Zusammenfassung
Hintergrund
Psychisch erkrankte Eltern stellen einen Risikofaktor für die transgenerationale Weitergabe psychischer Störungen dar. In der Psychiatrie mit ihrem Fokus auf das Individuum werden Patient*innen nicht immer als Eltern erkannt.
Ziel der Arbeit
Entwicklung und Evaluation eines Trainings für medizinische Fachkräfte zur Unt...
Background
Parents’ mental illness (MI) and parental history of early life maltreatment (ELM) are known to be significant risk factors for poor parenting while poor parenting is a crucial mediator of the intergenerational continuity of child maltreatment. Hence, maltreatment prevention programs for families with an MI parent, which pay particular a...
Zusammenfassung
Hintergrund
Obwohl Forschungsbefunde auf einen großen väterlichen Einfluss hinweisen, gibt es bislang kaum Interventionsprogramme und wissenschaftliche Studien, die den systematischen Einbezug von Vätern in die stationäre Mutter-Kind-Behandlung zum Gegenstand haben.
Ziel der Arbeit
Die Studie untersucht, wie sich der Einbezug von...
Background
Due to its severe negative consequences, human violence has been targeted by a vast number of studies. Yet, neurobiological mechanisms underlying violence are still widely unclear and it seems necessary to aim for high ecological validity to learn about mechanisms contributing to violence in real life.
Methods
The present functional mag...
Family members mentalize when they try to understand each other’s behavior on the basis of intentional mental states. This article aims to introduce and briefly describe how the concept of mentalization can provide a useful framework for clinicians to understand psychopathology of children, youths, and families. The authors further out- line how me...
