[Consultation and liaison psychosomatics: cui bono fuerit?].
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Biomedical subjects
Publications and source records attributed to R W Dahlbender.
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The Arbeitsgemeinschaft Basisdokumentation presents the DKPM-Basisdokumentation, which is conceptualized as a uniform modul of a documentation system for the routine-like use in the in-patient psychosomatic and psychotherapy. We outline possibilities of use, aspects of the data security and the data access as well as some practical presuppositions.
The Core Conflictual Relationship Theme (CCRT) is a content analytic assessment developed by Luborsky that uses narratives about relationship episodes with significant others as data base to identify repetitive relationship patterns that appear in individual behavior. Luborsky's Relationship Anecdotes Paradigm (RAP) Interview for which we introduced the German expression Relationship Episodes-Interview (RE-Interview) is a method for eliciting relationship episodes independently from therapy. In this paper we give an introduction into the practice and into the possible applications of this interview form according to the experiences the Ulm CCRT-group made with the instructions of Luborsky. The bases of our experience are 40 audio-visual recorded RE-Interviews. An example shows how to attain to the CCRT-formulation from the interview.
This study outlines a practicable empirical method for the process-accompanying evaluation of the in-patient treatment-process. On the example of an integrative conceptualized psychoanalytic oriented therapy model for psychosomatic patients the treatment-process of a patient with ulcerative colitis is studied.
Mastery is a psychological construct rooted in the psychodynamic psychotherapy research. The Mastery Scale provides a reliable content analytic method to measure the mastery of maladaptive interpersonal conflicts. With the help of model-sentences verbatim transcripts of relationship episodes are assessed regarding to six hierarchical so-called levels: lack of impulse-control, introjection and projection of negative emotions, difficulties in understanding and cognitive control, interpersonal consciousness, understanding of the self and self control. Further, mastery capabilities can be quantified by a mastery score. For the first time, the instrument is introduced in German by a study of a rather well known successful psychodynamic short-term psychotherapy which previously has been investigated with several empirical methods. The results verify the possibilities of the Mastery Scale in subtly describing changes in the course of a psychotherapy.
The Core Conflictual Relationship Thema Method (CCRT) by Lester Luborsky is based on the analysis of narratives about relationship episodes within transcripts of therapy sessions. Wishes, responses of the other and responses of the self are identified and counted. The critical explanation with the CCRT-Method conducted to alternative methods of data analysis. In the result we have not only one Core Conflictual Relationship Theme (CCRT), but we analyse the structure of Central Relationship Pattern (CRP). We set an example with a completely judged brief psychodynamic psychotherapy with about 300 relationship episodes.