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Introduction
My main research interests are CBT approaches to counselling and psychotherapy, mindfulness-based approaches, existential issues, the role of nursing in dealing with assisted suicide and suicidal ideation, metaphors in counselling and therapy, service user involvement and prevention of substance abuse in college students and refugees.
Current institution
Additional affiliations
October 1988 - April 1994
February 1997 - March 2004
Publications
Publications (343)
The importance of physical inactivity not only for physical but also recently for mental disorders has become a focus of scientific interest. Empirical studies confirm the positive effect of promoting physical activity in people with mental disorders. The World Health Organization (WHO) recommends at least 150–300 min of moderate endurance exercise...
Zusammenfassung: Zielsetzung: Der wissenschaftliche Diskurs um die Entstehung riskanter und abhängiger Formen des Substanzkonsums wird nach wie vor medizinisch-psychiatrisch dominiert. Dabei ist für ein umfängliches ätiologisches Verständnis sowie für erfolgsversprechende Prävention und Behandlung die Berücksichtigung sozialer Faktoren unabdingbar....
Hintergrund: Die Anhaltende Trauerstörung (ATS), welche mittlerweile in ICD-11 und DSM-5-TR aufgenommen wurde, ist mit einer verringerten Lebensqualität und häufigen Komorbiditäten assoziiert. Es sind spezifische Behandlungselemente wie Exposition des schlimmsten Verlustmomentes vorgeschlagen, um Symptome der ATS, wie Sehnsucht nach oder Beschäftig...
Background
Refugees are exposed to various risk factors in shared accommodations in Germany where they are housed after their arrival. Due to their often traumatic experiences before, during, and after their flight and socio-structural post-migration stressors, refugees are potentially vulnerable to hazardous substance use. They form a structurally...
Objectives: Persons with a hearing or vision impairment (HI/VI) have an elevated risk of mental health problems. Several studies have examined the efficacy of psychological interventions on the mental health of both populations. However, evidence-based research on the efficacy of psychological interventions for these populations is still in the ear...
Refugees are vulnerable to hazardous substance use. Owing to their experiences of flight, they are at special risk of trauma and may use substances to cope. However, little is known about substance use among refugees. This study analyzed refugees’ living conditions and substance use in shared accommodations in Germany, using an exploratory sequenti...
Meditation and psychotherapy were discussed early on as possible complementary interventions. Over the past 2–3 decades there has been an increasing adoption of approaches from meditative traditions, particularly in cognitive behavioral approaches. This article presents the principles of the integration of meditative approaches into psychotherapy....
Zusammenfassung
Todes- und Suizidwünsche älterer Menschen stellen ein relevantes und moralisch herausforderndes Thema für Pflegefachpersonen dar. Insbesondere im Zusammenhang möglicher Wünsche nach Suizidassistenz wächst das Potenzial moralischer Ungewissheit bis hin zu Moral Distress. Im Setting der ambulanten und stationären Langzeitpflege erweis...
Objectives
Existing literature has demonstrated that both motivation to change and mindfulness are associated with therapy outcomes in samples with mental disorders. Between the constructs of mindfulness and motivation to change occurs some theoretical‐related and empirical overlap. However, it is still little known about the association of these t...
Zusammenfassung
Hintergrund
Im Setting deutscher Hochschulen besteht aktuell ein Forschungsbedarf bezüglich der Einflussfaktoren auf die Implementierung gesundheitsförderlicher Angebote für Studierende.
Ziel der Arbeit
Es werden Faktoren identifiziert, die die Implementierung eines Angebots zur Prävention riskanten Alkoholkonsums an deutschen Hoc...
Background
Research has consistently shown that the motor system and emotional processes are interrelated in non-clinical as well as in clinical populations. Therefore, the body might be a promising target for the treatment of depression. Based on these notions, we developed Body, Breath and Mind (BBM) a minimally monitored online intervention comb...
Refugees are at a higher risk of hazardous substance use due to their traumatic experiences in their country of origin, their flight, and the difficult situation of arriving in the host country. The professionals interviewed in this study describe both the heightened vulnerability and the circumstances refugees live in after arriving in Germany. Ev...
Self-compassion, which refers to being kind and understanding toward oneself when suffering or experiencing personal inadequacies, is widely seen as a protective factor against mental health problems in adolescents and adults. To date, most research is conducted on adults using the Self-Compassion Scale (SCS), although adolescence is seen as a chal...
Objectives
Despite various methodological concerns, previous studies mainly use questionnaires to assess mindfulness. Following a multi-measurement approach, the present study aimed to evaluate the added value of an experience-sampling measure in the context of posttraumatic stress disorder (PTSD) and depression.
Method
Data were collected in a PT...
Objectives
Mindfulness may be a helpful tool to enhance psychotherapists' self‐care and intrapersonal skills. To gain deeper knowledge about how to improve mindfulness skills in child and adolescent psychotherapists, we investigated the impact of two mindfulness‐based workshops and a self‐experience interval (individual homework practice of mindful...
Objectives
Based on the current literature, mindfulness seems to have positive effects on mental and physical health not only in adults but also in children and adolescents. Research should further investigate these findings and needs properly validated measures. Therefore, the aim of the present study is to validate a German version of the Child a...
Among the existential concerns that have become relevant for CBT, the three interconnected concepts of freedom, responsibility and guilt play an important role. Freedom, in this context, is understood as the ability to deliberately choose between different (behavioural) possibilities; responsibility (for one’s actions or inactions) is a direct cons...
Phänomene der Anspannung und des Stresserlebens sind sehr weit verbreitet. Viele Menschen versuchen daher, entspannenden Alltagstätigkeiten nachzugehen. Davon zu unterscheiden ist der psychotherapeutische Kontext, in dem es darum geht, Patientinnen und Patienten Entspannungsmethoden auf systematische Weise und auf der Basis eines spezifischen ätiol...
Background
The investigation of mindfulness-based interventions (MBIs) in cognitive-behavioral therapy has greatly increased over the past years. However, most MBI research with youth focuses on structured, manualized group programs, conducted in school settings. Knowledge about the implementation and effects of MBIs in individual psychotherapy wit...
Zusammenfassung
Hintergrund
Gemäß der Zeitdiagnose des Soziologen Hartmut Rosa ist die Zeitstruktur moderner Gesellschaften durch Beschleunigung und Entfremdung charakterisiert. Für Rosa besteht ein Gegenentwurf hierzu im Aufbau resonanter Weltbeziehungen. Aus Sicht der Autoren lassen sich interessante Bezüge zwischen Resonanz und Achtsamkeit hers...
Achtsamkeitsübungen spielen eine zunehmend wichtige Rolle für die Verhaltenstherapie: Verschiedene Ansätze wie die Mindfulness-Based Cognitive Therapy (MBCT), die Dialektisch-Behaviorale Therapie (DBT) und die Akzeptanz- und Commitment-Therapie (ACT) integrieren Achtsamkeitsübungen in verhaltenstherapeutische Behandlungsstrategien. Der Beitrag stel...
b>The complete specialist knowledge for social work
The Fachlexikon is the standard work for studies, science and practice of social work. The 9th edition includes around 1.500 keywords, the selection of which is based on the needs of social work.
664 authors provide information on the current state of developments and discourses in social work, s...
b>The complete specialist knowledge for social work
The Fachlexikon is the standard work for studies, science and practice of social work. The 9th edition includes around 1.500 keywords, the selection of which is based on the needs of social work.
664 authors provide information on the current state of developments and discourses in social work, s...
Introduction
Service-user involvement in social work education has gained widespread attention in various countries in Europe and worldwide (Chiapparini, 2016). Although the term ‘service-user involvement’ suggests a common approach, it encompasses a number of different approaches with varying aims and scope. One important distinction is the view o...
Zusammenfassung. Einleitung: Geflüchtete Menschen können aufgrund ihrer Erlebnisse im Herkunftsland und auf ihrer Flucht, sowie der Stressoren im Ankunftsland eine besonders vulnerable Gruppe für riskante und abhängige Formen des Substanzkonsums sein. Derzeit gibt es nur sehr begrenzte gesicherte Forschungserkenntnisse zur Suchtprävention bei diese...
The early development of cognitive behavior therapy (CBT) can be characterized by the coming together of behavioral and cognitive traditions. However, the past decades have arguably seen more divergences than convergences within the field. The 9 th World Congress of Behavioural and Cognitive Therapies was held in Berlin in July 2019 with the congre...
Existential concerns such as death, responsibility, meaninglessness, and isolation not only are the hallmark of existential psychotherapy but also are frequently encountered by CBT therapists—nevertheless, due to epistemological and ideological differences, existential and CBT approaches to psychotherapy had little overlap historically. During rece...
Soon to be published! Our book about spirituality and meaning discussed in pastoral care and cognitive-behavioral psychotherapy.
Mindfulness in Trainee Psychotherapies with Children and Adolescents The implementation of mindfulness-based interventions (MBIs) in cognitive-behavioral therapy has greatly increased over the past few years. However, there is little research about the implementation of MBIs in individual child and adolescent psychotherapy. The present paper gives...
Sprache kommt in psychotherapeutischen Kontexten eine zentrale Rolle zu. Ausgehend von diesem Gedanken stellen wir mit unserem Beitrag das besondere Potenzial von Metaphern für psychotherapeutisches Arbeiten heraus. Die theoretische Basis unseres „metaphernreflexiven“ Vorgehens bildet die kognitive Metapherntheorie von Lakoff und Johnson. Anhand ei...
We examined the long-term efficacy of mindfulness-based cognitive therapy (MBCT) compared to a psychoeducation group as an active control condition in patients with Obsessive-Compulsive Disorder (OCD) with residual symptoms of OCD after cognitive behavioral therapy. A total of 125 patients were included in a bicentric, interviewer-blind, randomized...
All around the world, the COVID-19 pandemic is accompanied by an ostensible increase in appreciation for the work of professional caregivers. As valuable as the public recognition may seem at first glance, it entails the danger that self-care of those who care professionally might fall into oblivion. Relating it to the challenges that the pandemic...
Purpose
Hazardous alcohol consumption among university students represents a prime health risk for this population. Due to a lack of appropriate German-language (online) prevention programs, an existing U.S.-American program was transferred to the German higher education area and then evaluated.
Method
For this purpose, both qualitative focus grou...
Mindfulness-based and mindfulness-informed programs such as mindfulness-based stress reduction (MBSR), mindfulness-based cognitive therapy (MBCT), or dialectic behavior therapy (DBT) have gained widespread attention over the past few decades. One way of bringing mindfulness programs into clinical practice is via a planned implementation process whe...
In a recent study, Gebauer et al. addressed a fundamental question regarding the effects of mind-body practices (MBPs) on the self. Does the practice of MBPs in accordance with traditional contemplative traditions quiet the ego or is the practice of MBPs associated with increased self-centrality, which breeds self-enhancement bias? Both hypotheses...
Objectives:
Interpersonal problems were examined as moderators of depression outcomes between mindfulness-based cognitive therapy (MBCT) and cognitive behavioral analysis system of psychotherapy (CBASP) in patients with chronic depression.
Methods:
Patients received treatment-as-usual and, in addition, were randomized to 8-weeks of MBCT (n = 34)...
Dieses Kapitel stellt die Bedeutung von Selbstmitgefühl und liebevoller Güte im Rahmen von Achtsamkeit in der Psychotherapie vor. Dafür wird nach einer kurzen Begriffseinführung und einer Einordnung von Achtsamkeit in die aktuelle Psychotherapie zunächst das Begriffsverständnis von Mitgefühl und Selbstmitgefühl differenziert. Anschließend werden ak...
Ein zentrales Kennzeichen der meisten Achtsamkeitsübungen, die in klinischen Programmen wie Mindfulness-based Stress Reduction (MBSR) oder Mindfulness-based Cognitive Therapy (MBCT) eingesetzt werden, ist ihr starker Körperbezug. Das Kapitel geht der Frage nach, warum Achtsamkeitsübungen diesen Körperbezug haben. In dem grundlagenorientierten Forsc...
The original version of this article was revised twice due to the following changes.
Psychotherapy is a well-established, efficacious, and fully accepted treatment for mental disorders and psychological problems. Psychotherapy is an interpersonal practice engaging patient values, interests, and personal meanings at every step. Thereby, psychotherapy abounds with moral issues. In psychotherapy ethics, numerous moral issues converge,...
The article “Principles for a Responsible Integration of Mindfulness in Individual Therapy”.
Metaphern – verstanden als »Ausdruck einer Sache mit den Mitteln einer anderen« – spielen in Therapie und Beratung seit jeher eine bedeutsame Rolle. Ausgehend von den Thesen von Lakoff und Johnson, dass wir unvermeidlich in Metaphern fühlen, denken und handeln, heißt das, dass in Beratung und Therapie die metaphorischen Denk- und Erlebenswelten von...
The aim of this study was to evaluate a trauma-adapted intervention for survivors of interpersonal violence that combines psychoeducation and specific mindfulness-based exercises developed for patients with posttraumatic stress disorder (PTSD) with formal practices from mindfulness-based stress reduction and loving-kindness meditation. Fourteen pat...
Objectives
Mindfulness-based interventions (MBIs) like mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) teach mindfulness in a group-based format. Empirical research has shown that many therapists working in individual therapy integrate mindfulness practices (e.g., body scan, sitting meditation) into their tr...
Research suggests that online interventions preventing risky substance use can improve student health. There is an increasing interest in transferring evidence-based online programs into university health promotion practice. However, little is known about how to best tailor the implementation process to capacities and context of individual universi...
A topic that has recently gained widespread attention in social work education is service user involvement (SUI), a term denoting the call to include users of social work services in teaching social work students. Despite the widespread use of the term SUI, this label includes a wide variety of approaches with different aims and scopes. A conceptua...
Up to one-third of individuals with obsessive–compulsive disorder (OCD) do not benefit from evidence-based psychotherapy. We examined the efficacy of mindfulness-based cognitive therapy (MBCT) as a complementary treatment option. In a prospective, bicentric, assessor-blinded, randomized, and actively controlled clinical trial, 125 patients with OCD...
In den letzten beiden Jahrzehnten haben sich neue Ansätze in der Verhaltenstherapie entwickelt, die verstärkt Prinzipien wie Achtsamkeit und Akzeptanz in die Behandlung integrieren. Achtsamkeit bedeutet, die eigene Aufmerksamkeit absichtsvoll und nicht wertend auf das bewusste Erleben des gegenwärtigen Moments, des Hier-und-Jetzt, zu richten. Das Ü...
Clinical social work (CSW) may play an important role in the treatment of persons with depressive disorders. The aim of this study was to investigate the effects of a resource-oriented CSW intervention on social functioning in a population of mothers diagnosed with depression. In a randomised controlled trial (RCT), 61 mothers were assigned to a cl...
Due to the prevention law which was passed in Germany in 2015, there is an increasing interest in disseminating evidence-based preventive interventions in real-life settings, including programs for the prevention of risky substance use in the university setting. However, little is known about how to best tailor the implementation process to context...
Dieses Kapitel erläutert die Bedeutung von Würde und Akzeptanz in der Psychotherapie. Dafür werden zunächst die historischen Hintergründe der beiden Konzepte erläutert und das Begriffsverständnis verschiedener Disziplinen berichtet. Anschließend werden aktuelle Entwicklungen bezüglich Würde und Akzeptanz in der Psychotherapie (und angrenzenden Disz...
Objective
There is scarce research on the effects of mindfulness in individual therapy. As many practitioners integrate mindfulness exercises into individual therapy, empirical evidence is of high clinical relevance.
Method
We investigated the effects of a session‐introducing intervention with mindfulness elements (SIIME) in a randomized, controll...
During the past decades, there has been a rapidly growing interest in mindfulness-based interventions (MBIs). Although a number of clinical trials on MBIs have been conducted, the evidence base for MBIs is still limited. Nevertheless, a rapid dissemination of MBIs has taken place and it can be argued that, in the case of MBIs, dissemination came be...
Im vorliegenden Kapitel wird das aus östlichen Meditationstraditionen stammende Achtsamkeitsprinzip vorgestellt, das im Rahmen von achtsamkeitsbasierten Verfahren besonders in den vergangenen Jahren großes Interesse erfuhr und verstärkt auch in das verhaltenstherapeutische Vorgehen integriert wurde. Ausgehend von einer Definition werden verschieden...
In der nachfolgenden Arbeit wird ein Assistenzsystem für manuelle Montageprozesse vorgestellt, welches im Zuge des Forschungsprojektes motionEAP entwickelt wurde. Neben der technischen Umsetzung werden die pädagogischen, psychologischen und ethischen Aspekte für die Nutzung dieses Assistenzsystems erläutert. Anschließend daran werden die Auswirkung...
Mindfulness-based interventions (MBIs) are currently well established in psychotherapy with meta-analyses demonstrating their efficacy. In these multifaceted interventions, the concrete performance of mindfulness exercises is typically integrated in a larger therapeutic framework. Thus, it is unclear whether stand-alone mindfulness exercises (SAMs)...
Jon Kabat-Zinn developed „mindfulness-based stress reduction“ (MBSR) in the second half
of the 1970s. Based on this approach, Segal, Williams and Teasdale (2002) developed
„mindfulness-based cognitive therapy“ (MBCT) to prevent depressive relapse. MBCT recently
has gained a lot of attention in cognitive-behavioral approaches. This paper presents
th...
Der vorliegende Beitrag vermittelt zunächst grundlegende Informationen zu den Begriffen „Ziele“, „Werte“ und „Sinn“. Es wird ein Überblick zur Bedeutung dieser Begriffe in verschiedenen psychotherapeutischen Traditionen gegeben; hierbei werden die existenziellen Ansätze von Yalom und Frankl besonders hervorgehoben. Es erfolgt eine ausführliche Ause...
Background: Many intervention efforts targeting student drinking were developed to address US college students, which usually involves underage drinking. It remains unclear, if research evidence from these interventions is generalizable to university and college students of legal drinking age, e.g., in Europe.
Objective: To evaluate the effectivene...
Background: The Alcohol Use Disorders Identification Test (AUDIT) and the short version AUDIT-C are established instruments in screening for hazardous drinking. Objective: The aim of this study was the validation and evaluation of cut-off-values in student samples of German universities. Method: Analyses were based on samples of one university of a...
Due to increasing complexity of products and the demographic change at manual assembly workplaces, interactive and context-aware instructions for assembling products are becoming more and more important. Over the last years, many systems using head-mounted displays (HMDs) and in-situ projection have been proposed. We are observing a trend in assist...
The body is central in many mindfulness-based interventions. Body mindfulness has been defined as observing body experiences and as a consequence appreciating body experiences. Since only a few psychometrically sound questionnaires are available to measure the observing aspect of body mindfulness and no scale specifically addresses the appreciating...
Das Kapitel „Mindfulness-based Therapy: Achtsamkeit vermitteln“ erläutert die Anwendungsmöglichkeiten von Achtsamkeit in therapeutischen Kontexten und die Möglichkeit das Therapieziel „Wohlbefinden“ damit zu fördern. Achtsamkeit beschreibt die eigene Aufmerksamkeit absichtsvoll und nicht wertend auf das bewusste Erleben des augenblicklichen Moments...
Background: The modules that make up theoretical and practical training in behavioural therapy often bear little relationship to one another. Training, practice intervals and integration into relevant therapeutic interventions need to be interlinked more closely. This manuscript describes an attempt to address this topic by investigating mindfulnes...
Das umfassende Lehrbuch vermittelt Psychotherapeuten in Ausbildung, zu Beginn der Berufstätigkeit, aber auch nach langjähriger Berufserfahrung das Handwerkszeug moderner Verhaltenstherapie und ihrer aktuellen Weiterentwicklungen. Es stellt verhaltenstherapeutische Strategien, Techniken und Haltungen mithilfe anschaulicher Fallbeispiele und Therapie...
Das umfassende Lehrbuch vermittelt Psychotherapeuten in Ausbildung, zu Beginn der Berufstätigkeit, aber auch nach langjähriger Berufserfahrung das Handwerkszeug moderner Verhaltenstherapie und ihrer aktuellen Weiterentwicklungen. Es stellt verhaltenstherapeutische Strategien, Techniken und Haltungen mithilfe anschaulicher Fallbeispiele und Therapie...
Service user involvement (SUI) in social work education has gained widespread attention in Europe and other continents. Nevertheless, experiences on including service users in social work education have not been reported from Germany or other German-speaking countries to date. This paper reports preliminary experiences with implementing SUI in a ba...
