The Effects of Mothers' Depression on the Behavioral Assessment of Disruptive Child Behavior

This study uses a group design to compare depressed and non-depressed mothers and their disruptive children. It controls for broad environmental stress factors to examine whether specific differences between groups can be linked with mothers’ depression. It aims to build a more comprehensive picture of depressed mothers’ interactions with their disruptive children by comparing these interactions with those of similar, but non-maternally depressed mother-child dyads, and a non-clinic control group

Repeating the Errors of Our Parents? Family-of-Origin Spouse Violence and Observed Conflict Management in Engaged Couples

Based on a developmental social learning analysis, it was hypothesized that observing parental violence predisposes partners to difficulties in managing couple conflict. Seventy-one engaged couples were assessed on their observation of parental violence in their family of origin. All couples were videotaped discussing two areas of current relationship conflict, and their cognitions during the interactions were assessed using a video-mediated recall procedure. Couples in which the male partner reported observing parental violence (male-exposed couples) showed more negative affect and communication during conflict discussions than couples in which neither partner reported observing parental violence (unexposed couples). Couples in which only the female partner reported observing parental violence (female- exposed couples) did not differ from unexposed couples in their affect or behavior. Female-exposed couples reported more negative cognitions than unexposed couples, but male-exposed couples did not differ from unexposed couples in their reported cognitions

Die Relation der Verhaltenstherapie zu systemischer Therapie und Synergetik

Fragt man Therapeutinnen und Therapeuten, was das Gemeinsame bzw. Trennende zwischen systemischer Therapie (im Weiteren: ST), Synergetik und Verhaltenstherapie (im Weiteren: VT) ist, bekommt man annähernd so viele Antworten, wie Therapeuten befragt werden. Das lässt sich auf den individuell unterschiedlichen Ausbildungsstand, auf persönliche Arbeitsstile, konkrete therapeutische Erfahrungen, heterogene Darstellungen in der einschlägigen Literatur zurückführen. Die folgende Abhandlung des Themas muss aus den gleichen Gründen subjektiv bleiben, auch wenn durch zahlreiche Bezüge auf die Literatur eine >>objektive<< Verankerung angestrebt wird. Die Frage wird zuweilen von Patienten und Ausbildungskandidaten gestellt - also sollte man auch versuchen, eine Antwort zu finden

In Absentia: An Exploratory Study of How Patients Are Considered in Multidisciplinary Cancer Team Meetings

Contains fulltext : 152348.PDF (publisher's version ) (Open Access)BACKGROUND: Multidisciplinary team meetings and shared decision-making are potential means of delivering patient-centred care. Not much is known about how those two paradigms fit together in cancer care. This study aimed to investigate how decisions are made in multidisciplinary team meetings and whether patient perspectives are incorporated in these decisions. MATERIALS AND METHODS: A qualitative study was conducted using non-participant observation at multidisciplinary team meetings (also called tumor boards) at the University Cancer Center Hamburg-Eppendorf, Germany. Two researchers recorded structured field notes from a total of N = 15 multidisciplinary team meetings. Data were analyzed using content analysis and descriptive statistics. RESULTS: Physicians mainly exchanged medical information and based their decision-making on this information. Individual patient characteristics or their treatment preferences were rarely considered or discussed. In the few cases where patient preferences were raised as a topic, this information did not seem to be taken into account in decision-making processes about treatment recommendations. CONCLUSION: The processes in multidisciplinary team meetings we observed did not exhibit shared decision-making. Patient perspectives were absent. If multidisciplinary team meetings wish to become more patient-centred they will have to modify their processes and find a way to include patient preferences into the decision-making process