Carl Eduard Scheidt's research while affiliated with University of Freiburg and other places

Publications (56)

Article
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Aims Experienced bodily sensation with basic emotions seems to be a universal phenomenon, but cross-cultural differences are expected. This study was designed to determine the topographic map of changes across six basic emotions and anxiety in a sample of Iranian people and to compare their perception of emotion-related bodily changes by sex. Mater...
Article
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In psychotherapy, therapists often formulate interpretations of clients' prior talk which are ‘unilateral’ in the sense that therapists index that they are themselves the author of an interpretive inference which may not be acceptable to the client. Based on 100 German-language recordings of brief psychodynamic psychotherapy (4 clients with 25 sess...
Preprint
Experienced bodily sensation with basic emotions seems to be a universal phenomenon, but cross-cultural differences are expected. A cross-sectional study designed to determine the topographic map of changes across six basic emotions and anxiety in 220 Iranians aged 16 -55 years .The Persian pencil and paper version of the emBODY application was use...
Article
Full-text available
According to Positioning Theory, participants in narrative interaction can position themselves on a representational level concerning the autobiographical, told self, and a performative level concerning the interactive and emotional self of the tellers. The performative self is usually much harder to pin down, because it is a non-propositional, ena...
Article
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Background: The Body Image Acceptance and Action Questionnaire (BI-AAQ) assesses cognitive flexibility and acceptance of body image. Objectives: This study was done to assess the validity and reliability of the Persian version of BI-AAQ, as an instrument to measure body image flexibility, in patients with somatic symptom and related disorders. Meth...
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The aim of this study was to investigate the effect of a bioenergy economy-based program on the intensity of symptoms and quality of life among patients with myofascial pain syndrome. To collect the data, a simple random sampling was used among the women patients with MPS referred from a neurological clinic in Mashhad. Fifteen patients were collect...
Article
Zusammenfassung Während einer stationären oder tagesklinischen psychosomatische Behandlung finden unterschiedliche therapeutische Maßnahmen wie Einzelpsychotherapie, Gruppentherapie, kreative Therapien sowie Gespräche mit den Pflegekräften statt. Die durchgeführten Therapien müssen als OPS-Codes dokumentiert und dem Institut für das Entgeltsystem i...
Article
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BACKGROUND Growth of cardiovascular disease (CVD), variation in provision of medical services, rising costs, and increasing information availability through the media are making patients more actively involved in decision-making process of their treatment. The aim of this study was to better understand the components of patient competence in the co...
Article
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Objective The aim of this research was to examine the effectiveness of the acceptance and commitment therapy (ACT) for body image flexibility and body awareness in these patients. Methods A randomized clinical trial was conducted at Kashan University of Medical Sciences clinics in Kashan, Iran, from December 1, 2017 to March 30, 2018. A sample of...
Article
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In this expert panel report which was held in Isfahan, Iran, the participants were Carl Eduard Scheidt, Alexander Wunsch, Hamid Afshar, Farzad Goli, Azadeh Malekian, Mohammad Reza Sharbafchi, Masoud Ferdosi, Farzad Taslimi, and Mitra Molaeinezhad. Professor Scheidt was the facilitator and coordinator of the discussion. Therefore, he started it with...
Chapter
In seiner Frankfurter Poetik-Vorlesung (1981) formulierte Adolf Muschg über seine schriftstellerische Tätigkeit: »Schreiben war mein Abwesenheitsverfahren, mit dem ich Anwesenheit simulierte: hergestellte Gelegenheit nach verpasster Gelegenheit, Nähe aus der Ferne, Dispens, der mit Kunst zahlte, was ich einem Menschen schuldig geblieben war [...] P...
Chapter
The term narrative medicine refers to the idea that the construction of meaning is an essential component of medicine. While biomedicine is focusing on the observation of symptoms as indicators of biological dysfunction in the methodological framework of empirical science, narrative medicine is focusing on the interactional processes in which “symp...
Article
Abstract Objective: Up to 50% of psychotherapeutic treatments end without significant improvements. While there is first evidence about predictors of nonresponse in outpatient psychotherapy, there are currently no studies investigating predictors of 15 nonresponse in inpatient settings. Based upon a previous systematic literature review, we analyze...
Article
Background: The study aimed to identify prognostic (associated with general outcome) and prescriptive (associated with differential outcome in two different settings) predictors of improvement in a naturalistic multi-center study on inpatient and day hospital treatment in major depressive disorder (MDD). Methods: 250 inpatients and 250day hospit...
Chapter
Das mehrfache Erzählen der gleichen Geschichte hat einen festen Platz in unserem Alltag und in unserer Kultur - sei es als Anekdote im Freundeskreis, als wiederholte Erzählung der Krankheitsgeschichte im Arzt-Patient-Gespräch oder auch als literarische Bearbeitung. Umso erstaunlicher ist es, dass dieses Phänomen bisher noch nicht Gegenstand interdi...
Article
AbstractBackground In major depression (MDD), hospital treatment is an option in more severe cases or if outpatient treatment failed. Psychosomatic hospitals in Germany provide treatment programs with multimodal psychotherapy, either in an inpatient or a day hospital setting. In the context of health care research, this study aimed 1) to compare ch...
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Background: The aim was to translate and develop a patient competence (PC) questionnaire in the context of cardiology and test its validity and reliability. Methods: In total, 148 cardiac patients who have inclusion criteria of the study were completed cardiac PC (CPC) questionnaire. Hospital Anxiety and Depression Scale and self-administered in...
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Fragestellung: Es wird der aktuelle Stand der Misserfolgsforschung in der stationären psychosomatischen Krankenhausbehandlung und Rehabilitation in Deutschland dargestellt. Im Mittelpunkt steht die Frage nach der Häufigkeit und den möglichen Prädiktoren erfolgloser Behandlungen. Methode: Es wurde eine systematische Literaturrecherche in den Datenba...
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In der folgenden Übersicht werden Häufigkeit und Ursachen von vorzeitigen Behandlungsbeendigungen in der stationären psychosomatischen Krankenhausbehandlung und Rehabilitation von erwachsenen Patienten in Deutschland untersucht. Der an den Stichproben der 15 einbezogenen Arbeiten gewichtete Anteil vorzeitiger Behandlungsbeendigungen beträgt 12,5%....
Article
This systematic review examines the frequency and possible causes of premature termination of psychotherapeutic treatments. The literature search focused on adult patients who drop-out of acute and rehabilitative inpatient psychosomatic care in Germany. The weighted average drop-out-rate of the 15 included studies was 12.5%. Young age, unemployment...
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Background: The influence of various psychological factors and coping mechanisms on quality of life (QOL) in cancer patients has been well established. We evaluated locus of control and attributional styles, and their association with coping styles and quality of life (QOL) among Iranian cancer patients. Methods: This cross-sectional study was cond...
Article
Abstract Non-response to therapy in acute and rehabilitative psychosomatic inpatient care - A systematic review Objectives: The study reviews the state-of-the art on failure research in acute and rehabilitative psychosomatic inpatient care. The main focus of interest lies in describing the frequency and possible predictors of unsuccessful therapeut...
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Objectives: The study reviews the state-of-the art on failure research in acute and rehabilitative psychosomatic inpatient care. The main focus of interest lies in describing the frequency and possible predictors of unsuccessful therapeutic treatments. Methods: We systematically searched the databases MEDLINE, PsycARTICLES, PsycINFO und PSYNDEX and...
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Background: In this study, we investigated early maladaptive schemas (EMS), schema modes and childhood traumas in patients suffering from obsessive-compulsive disorder (OCD) in contrast to patients with other Axis I disorders. Based on cognitive theories on OCD, our main research question was whether schemas belonging to the domain of 'impaired au...
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In order to objectify the discussion about a project of the TK, a German health insurance company, which aimed to analyse the effects of a specific quality monitoring system on psychotherapy outcomes, the scientific advisory board summarized the main results of the study. The main results were cited from the final report which confirms the confirma...
Article
Background: Primary fibromyalgia syndrome (FMS) is associated with substantial psychiatric comorbidity. The aim of the present study was to investigate the interrelationship between self-reported symptoms of depression and pain in FMS compared with rheumatoid arthritis (RA). Methods: In a cross-sectional study, 100 patients with FMS and 50 patie...
Article
Objective: There are no studies investigating the efficacy of short-term psychodynamic psychotherapy in primary fibromyalgia syndrome (FMS). We conducted a randomized controlled trial evaluating an adapted form of individual short-term psychodynamic psychotherapy (ASTPP) versus primary care management (TAU). The study focused on FMS patients with...
Article
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The Project of the Techniker Krankenkasse compared 2 systems of quality assurance in outpatient psychotherapy, the established peer review system based on qualitative individual case reports and a new model based on psychometric assessment and feed-back systems. In this publication the members of the project advisory board comment on the results an...
Article
Zusammenfassung Fragestellung: Ein zentrales Merkmal traumatischer Erfahrungen besteht darin, dass sie nicht als episodisch strukturierte, bewusstseinsfahige und erzahlbare Erinnerungen in das autobiographische Gedachtnis integriert sind. Hiervon ausgehend wird in der vorliegenden Arbeit diskutiert, inwiefern der Prozess der Narrativierung als eine...
Article
Traumatic memories are characterized by not being accessible to intentional recall nor being integrated into the matrix of autobiographical memory. Based on this description, the authors discuss the process of narration as a central means of regaining a sense of self-coherence after traumatic experiences. Formally correct narratives are characteriz...
Chapter
Somatoforme Störungen spielen in der heutigen Medizin aus verschiedenen Gründen eine wichtige Rolle. Die körperliche Symptomatik macht in jedem Fall eine gründliche Diagnostik erforderlich. Ist diese abgeschlossen und hat keine krankhaft en Befunde erbracht, kommt es anstatt zur Erleichterung zum Problem: Zwischen den objektiven, durch den Arzt erh...
Article
The purpose of this study was to investigate cortisol levels as a function of the hypothalamic-pituitary-adrenal axis (HPA) in relation to alexithymia in patients with somatoform disorders (SFD). Diurnal salivary cortisol was sampled in 32 patients with SFD who also underwent a psychiatric examination and filled in questionnaires (Toronto Alexithym...
Article
This study examines the relationship between parental bonding, adult attachment, and alexithymia in patients with Somatoform Disorders (SFD). There are few empirical studies to support the clinical hypothesis that alexithymia may be due to disturbances in the early parent-child relationship. In a cross-sectional study, data from 76 patients with SF...
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Miscarriage and perinatal loss are associated with considerable psychosocial distress. A substantial proportion of women who suffered the loss of a child develop a psychological disorder. Depression, anxiety disorder, post-traumatic stress disorder and somatoform disorder all have been linked in various studies to grief reactions in response to per...
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This paper considers the role of disturbances in affect regulation in the development and course of somatoform disorders. We first give an overview of contemporary theories in the field of psychosomatic medicine that links deficits in emotion regulation to the process of somatization, and then review recent empirical research that focuses on the as...
Article
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Various psychodynamic processes may underlie the development of psychogenic pain disorder such as conversion, the displacement of affect, or narcissistic defenses. However, many of the processes suggested are related to a disorder of affect regulation. The term affect regulation in psychoanalytic literature refers to phenomena which are often descr...
Article
To determine the role of undifferentiated and dysregulated affects in somatoform disorders by using a multimethod assessment approach of alexithymia. Forty patients with ICD-10 somatoform disorders (SoD) and 20 healthy controls, matched for age, education and sex, were included in the study. Alexithymia was assessed using the Toronto Alexithymia Sc...
Article
Objective: To determine the role of undifferentiated and dysregulated affects in somatoform disorders by using a multimethod assessment approach of alexithymia. Methods: Forty patients with ICD-10 somatoform disorders (SoD) and 20 healthy controls, matched for age, education and sex, were included in the study. Alexithymia was assessed using the...
Article
Somatoform disorders are characterized by high health care utilization and conflictual interactions with health care providers. The aim of the present study was to explore whether patterns of insecure attachment are a prominent feature of somatoform disorder. In addition, the links between insecure attachment and health care utilization were evalua...
Article
Theoretical issues and research emphasis within the field of of attachment theory have shifted from attachment behavior "to the level of representation" (Bretherton, 1985) since the middle of the 80ies. The paper presents an overview on basic assumptions, research methodology, and empirical findings in the field of attachment research. Four issues...
Article
We investigated alexithymia and the mental representation of attachment in idiopathic spasmodic torticollis (IST). It was hypothesized a) that alexithymia in IST is more prevalent than in a nonclinical control group and b) that significant correlations emerge between alexithymia and a dismissing attachment representation. Twenty patients with IST a...

Citations

... Zur Bedeutung der Art der innerseelischen Abbilder von Bindungserfahrungen, der Bindungsrepräsentationen und des damit zusammenhängenden Verhaltens für eine (gesunde) seelische Entwicklung gibt es mittlerweile hinreichende Belege (z. B. Großmann & Großmann, 2006;Strauß & Schauenburg, 2017). ...
... Retelling a story highlights those experiences that are regarded as critical turning points in the patient's biographical development. These are often relationship experiences that the patient regards as decisive for their development (Scheidt and Lucius-Hoene 2015). As to structure, the retelling of a story relies on the same modes of representation that we have already mentioned: namely, detailed episodic narratives and the use of direct speech. ...
... See alsoStukenbrock et al. (2021), who found that therapists return to gaze at the patient when they arrive at a categorical statement after a tentative, self-repaired, and delayed turn-design so far.Content courtesy of Springer Nature, terms of use apply. Rights reserved. ...
... In psychotherapeutic conversations, specifically, clients position themselves and are positioned by the therapists with respect to presented problems, relationships with close others, and their own "self "-their own understanding of their actions and their ways of portraying themselves. Therapeutic change, then, as it appears in sequences of interaction, can be depicted as changes in discursive positions, evolving throughout the therapy process Wahlström, 2005, 2007;Suoninen and Wahlström, 2009;Avdi, 2012Avdi, , 2016Deppermann et al., 2020). Toivonen et al. (2019) have shown how discursive positions can be agentic or non-agentic. ...
... Following this suggestion, the main goal of the "INDDEP" (INpatient and Day clinic treatment of DEPression) -study was to find prognostic and prescriptive predictors for the differential diagnostic evaluation and indication, as well as the clinical course (8)(9)(10)(11). The variability of the courses in this study was analyzed at four assessment time points (in-patient admission, hospital discharge, 3-months follow-up, 12-months follow-up) (12). ...
... On the other hand, one of the therapies that has recently come to the attention of researchers in reducing the problems of psychiatric patients and irritable bowel syndrome is acceptance and commitment treatment (Gaylord et al., 2009;Deng & Zhou, 2018). Evidence shows that acceptance and commitment treatment leads to improved quality of life (Jo & Son, 2018) and pain (Zernicke et al., 2012) and reduced psychiatric symptoms (Sayyar Khesmakhi et al., 2019) in patients with irritable bowel syndrome. But this is a point to consider that according to the researcher's studies, not reviewed a comparison of two behavioral cognitive intervention based intolerance of uncertainty and acceptance and commitment intervention, which are two active interventions, along with the control group in patients with irritable bowel syndrome who also receive a diagnosis of generalized anxiety disorder. ...
... Dabei konnte in Bezug auf keine der beiden Zielgrößen eine Überlegenheit des Qualitätsmonitorings festgestellt werden. Die Emotionalität der Debatte um das Gutachterverfahren wurde jedoch in dem nachfolgenden Kommentarwechsel zwischen Projektbeirat [10,11] und Evaluationsteam [12] deutlich. Diese unterstreicht den hohen Diskussionsbedarf bezüglich der Reform des Gutachterverfahrens und mag unter anderem darin begründet sein, dass bislang noch wenige Studien zu diesem Thema vorliegen. ...
... This finding is consistent with the results of Noroozi et al., which showed that ACT significantly increased self-control and flexibility of the body image in obese patients (20). The study by Givehki et al. showed that ACT improved the flexibility of body image and body awareness in patients with psychosomatic disorders (32). The ACT consists of six main processes: Acceptance, cognitive breakdown, connection with the present, self as context, values, and committed action for psychological flexibility (20). ...
... For example, physicians in the East believe that informing patients about their life-threatening disease results in hastening their death. In contrast, Western societies appreciate patients' right to know the truth about their real medical conditions (12)(13)(14). Regarding the effect of cultural differences on the way of breaking bad news, Dias et al.'s research concluded that the presence of the patient's companions made it difficult to discuss the details of the disease (15). On the contrary, in Alrukban's study from Arabia, the presence of older family members while receiving bad news was considered positive (16). ...
... Epidemiologische Studien zeigen, dass Menschen mit einer chronischen körperlichen Erkrankung ein doppelt erhöhtes Risiko haben, gleichzeitig an einer Depression zu erkranken. Im hausärztlichen Bereich leiden 5-10% der Patienten an einer Depression, im stationären Bereich sind es 10-14% [3]. Diese Komorbidität zwischen körperlichen und psychischen Erkrankungen hat relevante Folgendie Anzahl der körperlichen Symptome ist bei komorbider Depression erhöht. ...