Public Sexology: Rezension zu "Kritische Sexualwissenschaft" von Volkmar Sigusch

Volkmar Sigusch: Kritische Sexualwissenschaft: Ein Fazit. Frankfurt am Main: Campus 2019. 978359351057

The COPE-Trial-Communicating prognosis to parents in the neonatal ICU: Optimistic vs. PEssimistic: study protocol for a randomized controlled crossover trial using two different scripted video vignettes to explore communication preferences of parents of preterm infants.

BACKGROUND One of the numerous challenges preterm birth poses for parents and physicians is prognostic disclosure. Prognoses are based on scientific evidence and medical experience. They are subject to individual assessment and will generally remain uncertain with regard to the individual. This can result in differences in prognostic framing and thus affect the recipients' perception. In neonatology, data on the effects of prognostic framing are scarce. In particular, it is unclear whether parents prefer a more optimistic or a more pessimistic prognostic framing. OBJECTIVE To explore parents' preferences concerning prognostic framing and its effects on parent-reported outcomes and experiences. To identify predictors (demographic, psychological) of parents' communication preferences. DESIGN, SETTING, PARTICIPANTS Unblinded, randomized controlled crossover trial (RCT) at the Division of Neonatology of the University Medical Center Mainz, Germany, including German-speaking parents or guardians of infants born preterm between 2010 and 2019 with a birth weight < 1500 g. Inclusion of up to 204 families is planned, with possible revision according to a blinded sample size reassessment. INTERVENTION Embedded in an online survey and in pre-specified order, participants will watch two video vignettes depicting a more optimistic vs. a more pessimistic framing in prognostic disclosure to parents of a preterm infant. Apart from prognostic framing, all other aspects of physician-parent communication are standardized in both videos. MAIN OUTCOMES AND MEASURES At baseline and after each video, participants complete a two-part online questionnaire (baseline and post-intervention). Primary outcome is the preference for either a more optimistic or a more pessimistic prognostic framing. Secondary outcomes include changes in state-anxiety (STAI-SKD), satisfaction with prognostic framing, evaluation of prognosis, future optimism and hope, preparedness for shared decision-making (each assessed using customized questions), and general impression (customized question), professionalism (adapted from GMC Patient Questionnaire) and compassion (Physician Compassion Questionnaire) of the consulting physician. DISCUSSION This RCT will explore parents' preferences concerning prognostic framing and its effects on physician-parent communication. Results may contribute to a better understanding of parental needs in prognostic disclosure and will be instrumental for a broad audience of clinicians, scientists, and ethicists. TRIAL REGISTRATION German Clinical Trials Register DRKS00024466 . Registered on April 16, 2021

Race and breathing therapy: The career of Lothar Gottlieb Tirala (1886–1974)

The historiography of life, work and visions of Jakob von Uexküll (1864–1944) has grew up during the last years. But up to now lifes of his important followers in science are still unknown. This article ist devoted to life and work of Lothar Gottlieb Tirala (1886–1974), who studied psychology and medicine in Vienna and started cooperation with Uexküll in 1914. They stayed in contact during the following decades, although Tirala began a career in race hygiene and neo-darwinistic scientific thought. He organised the contact between Uexküll and Houston Stewart Chamberlain and got support from the Wagner-family in 1933 to become professor for race biology in Munich. After his booting out in 1936 because of massive faults in teaching Tirala changed his scientific interests and began to stretch Uexkülls “Reflexlehre” into healing of blood pressure diseases in men. He became a favourite researcher in German natural cure community after 1945. Even today his studies are integrated in efforts to fight hypertonia

Auf verlorenem Posten : der einsame Kampf des Heinrich Dreuw gegen Syphilis und Salvarsan /

Includes bibliographical references (p. 196-203)