Developmental-psychopathological considerations on the deficient integration of aspects of the theory of attachment, of pedagogics, and of family law

Bindung, Bildung und Entwicklungspsychopathologie sind bislang weitgehend unintegrierte Konzepte mit parallel verlaufenden Diskursen, die im Rahmen der kindlichen Entwicklung anhaltend eine wichtige Rolle spielen. Hinzu kommen in bestimmten Fällen (wie Trennung und Scheidung sowie gefährdendem Elternverhalten) familienrechtliche Aspekte, die ebenfalls separat diskutiert und nicht systematisch integriert werden. Der Beitrag versucht, die unterschiedlichen Diskurse und die Spannungsfelder, die sich dadurch auftun, aus Sicht eines Kinder- und Jugendpsychiaters zu beleuchten, Bezüge herzustellen und Ansatzpunkte für eine gelingende Zusammenführung und Integration herauszuarbeiten. (DIPF/Orig.)So far, attachment, education, and developmental psychopathology have constituted mostly non-integrated concepts with parallel discourses which play a continuously important role within the framework of child development. To these are added, in some cases (such as separation or divorce as well as endangering parental behavior), aspects of family law which, in turn, are discussed separately and are not systematically integrated. The authors look at the different resulting discourses and fields of tension from the perspective of a child and adolescent psychiatrist and point out references and possible approaches for a successful conflation and integration. (DIPF/Orig.

Risikoeinschätzung bei Vernachlässigung und Kindeswohlgefährdung im Säuglings- und Kleinkindalter - Chancen früher beziehungsorientierter Diagnostik

In Deutschland fehlt eine interdisziplinäre Verständigung auf standardisierte und wissenschaftlich geprüfte Risikoscreening- und Diagnoseverfahren sowie auf Vorgehensweisen und Angebote bei Vernachlässigung und Kindeswohlgefährdung. Für die Risikoeinschätzung haben sich Vorgehensweisen bewährt, die auf empirisch geprüfte Verfahren zurückgreifen und auf Grundlage aller Einzelergebnisse eine zusammenfassende "klinische Synopse" vornehmen. Bei Säuglingen und Kleinkindern mit besonders hoher Gefährdung hat es sich bewährt, elterliche Erziehungs- und Beziehungskompetenzen als relevante Faktoren bei der Risikoeinschätzung, aber auch als Ansatzpunkt für Prävention und Intervention zu berücksichtigen. Hierzu gehören bindungsorientierte und videogestützte Interaktionsdiagnostik beziehungsweise der Einbezug elterlicher Bindungsrepräsentationen. Ebenso haben sich für Intervention und Versorgung bindungstheoretisch konzeptualisierte Angebote zur Förderung elterlicher Feinfühligkeit bzw. zur Förderung sicherer Bindung als wirksam erwiesen. Eine interdisziplinäre Ausrichtung sowohl der Programme als auch der Fachkräfte, die solche Angebote durchführen, wird für wesentlich erachtet. (ZPID

Family and Career-conscious Hospitals – Problem Areas and Necessary Steps

This paper aims to describe the wide range of compatibility issues between work in the medical profession and the family. Several topics are intertwined and overlap in some areas

What Protects Youth Residential Caregivers from Burning Out? A Longitudinal Analysis of Individual Resilience

Background: Professional caregivers are exposed to multiple stressors and have high burnout rates; however, not all individuals are equally susceptible. We investigated the association between resilience and burnout in a Swiss population of professional caregivers working in youth residential care. Methods: Using a prospective longitudinal study design, participants ( n = 159; 57.9% women) reported on burnout symptoms and sense of coherence (SOC), self-efficacy and self-care at four annual sampling points. The associations of individual resilience measures and sociodemographic variables, work-related and personal stressors, and burnout symptoms were assessed. Cox proportional hazards regressions were calculated to compute hazard ratios over the course of three years. Results: Higher SOC, self-efficacy and self-care were related to lower burnout symptoms in work-related and personal domains. Higher SOC and self-efficacy were reported by older caregivers and by those with children. All three resilience measures were highly correlated. A combined model analysis weakened the protective effect of self-efficacy, leaving only SOC and self-care negatively associated with burnout. Conclusion: This longitudinal analysis suggests that SOC and self-caring behaviour in particular protect against burnout. Our findings could have implications for promoting self-care practices, as well as cultivating a meaningful, comprehensible and manageable professional climate in all facets of institutional care

Система управления персоналом в Центре государственных услуг г. Алмалык Республики Узбекистан

Цель ВКР, анализ системы управления персоналом в Центре гос.услуг. В результате исследования была разработана программа мероприятий совершенствования системы по управлению персоналом Центра гос.услуг. разработанная программа мероприятий по совершенствованию систем управления персоналом планируется к внедрению в Центре гос.услуг. Практическая значимость заключается в определении новых форм и методов стимулирования персонала в организации внедрение позволит повысить эффективность деятельности любой компании. В ходе исследования определены теоретикометодологические подходы к развитию управления персоналом с учетом отечественного, зарубежного опыта, что позволило обосновать научную оценку значения системы управления персоналом в обеспечении эффективности функционирования предприятия.The purpose of the WRC, the analysis of the personnel management system in the Center of state services. As a result of the study, a program of measures to improve the system of personnel management of the Center of state services was developed. the developed program of measures to improve personnel management systems is planned to be implemented in the Center of state services. The practical significance lies in the definition of new forms and methods of stimulation of the personnel in the organization implementation will help to improve the efficiency of any company. In the course of the study, theoretical and methodological approaches to the development of personnel management, taking into account domestic and foreign experience, were determined, which allowed to justify the scientifi

Daring to process the trauma: using a web-based training to reduce psychotherapists’ fears and reservations around implementing trauma-focused therapy

Sansen L, Saupe L, Steidl A, Fegert JM, Hoffmann U, Neuner F. Daring to process the trauma: using a web-based training to reduce psychotherapists’ fears and reservations around implementing trauma-focused therapy. European Journal of Psychotraumatology. 2019;10(1): 1696590.Although trauma-focused interventions are the first-line therapies for patients with posttraumatic stress disorder (PTSD), they are not frequently used in clinical practice. Factors preventing therapists from applying trauma-focused methods include a lack of training and negative attitudes towards trauma-focused therapy. The aim of the present study was to investigate which factors predict willingness to carry out trauma-focused therapy and to examine whether a web-based training is able to reduce negative attitudes and reservations about these interventions. In a wait-list controlled evaluation study, therapists (N = 499) were randomized into an intervention or a wait-list control group. Results show that trauma-treatment specific competencies and overcoming pre-existing concerns towards trauma-focused therapy significantly predict therapists’ willingness to utilize trauma-focused interventions. Thus, the content alignment of the web-based course is appropriate for improving therapists’ willingness to conduct trauma-focused therapy. A retrospective examination of therapists after the training and a comparison of fears and reservations before and after the training demonstrate a significant reduction of fears and reservations. In terms of perceived contraindications, no effects of the web-based training were found. The present study provides compelling evidence that web-based training in evidence-based PTSD therapy is able to reduce reservations that may prevent therapists from applying evidence-based trauma-focused interventions

Drug monitoring in child and adolescent psychiatry for improved efficacy and safety of psychopharmacotherapy

Most psychotropic drugs used in the treatment of children and adolescents are applied "off label" with a direct risk of under- or overdosing and a delayed risk of long-term side effects. The selection of doses in paediatric psychiatric patients requires a consideration of pharmacokinetic parameters and the development of central nervous system, and warrants specific studies in children and adolescents. Because these are lacking for most of the psychotropic drugs applied in the Child and Adolescent and Psychiatry, therapeutic drug monitoring (TDM) is a valid tool to optimise pharmacotherapy and to enable to adjust the dosage of drugs according to the characteristics of the individual patient. Multi-centre TDM studies enable the identification of age- and development-dependent therapeutic ranges of blood concentrations and facilitate a highly qualified standardized documentation in the child and adolescent health care system. In addition, they will provide data for future research on psychopharmacological treatment in children and adolescents, as a baseline for example for clinically relevant interactions with various co-medications. Therefore, a German-Austrian-Swiss "Competence Network on Therapeutic Drug Monitoring in Child and Adolescent Psychiatry" was founded [1] introducing a comprehensive internet data base for the collection of demographic, safety and efficacy data as well as blood concentrations of psychotropic drugs in children and adolescents