This thesis deals with the application of narrative approach during the therapeutic work with clients with diagnosis of emotionally labile personality or dissocial defect of personality with exposure of aggression. Theoretical part of this thesis shows the basics and resources of the systemic constructivistic psychotherapy and the narrative approach as one of the main instruments for the psychotherapeutic work. This thesis also deals with analysis of some psychological views on aggression which are usually used during the therapy.Practical part of this thesis shows the basic elements of narrative approach on case studies with usage of techniques of externalisation, personification and deconstructional harking. Usage of these techniques is condition for the change of the primary client?s story which is affected by aggression. After this turnover on the new story the client is not part of the problematic system but with help of newly discovered resources he gain the ability to perceive himself as a person who is able to eliminate the effect of the aggression as a heterogeneous element and who is able to positively influence own life.

Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

Zur Therapie des metastasierten hormonsensitiven oder kastrationsresistenten Prostatakarzinoms (mHSPC, mCRPC) gab es in den letzten Jahren zahlreiche neue Erkenntnisse aus klinischen Studien. Die neu zugelassenen Behandlungsoptionen machen die Therapieplanung und Therapiesequenz anspruchsvoller. Hinzu kommt, dass die Lokaltherapie des metastasierten Prostatakarzinoms zunehmend an Bedeutung gewinnt. Im neuen Update 6.2 der S3-Leitlinie zum Prostatakarzinom vom Oktober 2021 wurden die neuen Entwicklungen bei den Empfehlungen zur Behandlung des mHSPC und mCRPC umgesetzt, deren wichtigsten Neuerungen und die daraus resultierenden Empfehlungen für die Praxis dargestellt werden. / There have been numerous new findings from clinical trials in recent years regarding the treatment of metastatic hormone-sensitive or castration-resistant prostate cancer. The newly approved treatment options make therapy planning and therapy sequencing more challenging. In addition, local therapy of metastatic prostate cancer is becoming increasingly important. In the new German guidelines on prostate cancer (version 6.2, October 2021), new developments in the recommendations for the treatment of mHSPC and mCRPC were implemented, and their most important resulting recommendations for the clinical practice are presented in this review.

This is a constructivistic, qualitative single case study of the reflections of a social work post-graduate student in a practical family therapy training situation, to illustrate the integration of person centered and systemic family therapy theory. The element of uncertainty of the therapist, is the focus of this study. The element of uncertainty, being a part of both the therapist and the therapeutic process, especially if challenged to make paradigm shifts and master new theory and skills, is identified, described, redefined and contructively applied. The focus is to highlight the use of the reframed element of uncertainty in empowering the therapist in the therapeutic process of family therapy. It is outlined how uncertainty can also be of value to empower the therapist to evolve an own unique therapeutic style. / Social work / M.A. (Geestesgesondheid)

This study is an endeavour to demonstrate the applicability of constructivist epistemology in different contexts. The black family is presented as one of such contexts. The study is further a demonstration of the role of a symptom as part of a recursive process of interaction in the context of a black family. It reflects an orientation rooted in cybernetics, ecology and systems theory. Therapy is presented as a context through which the therapist becomes incorporated and, therefore, adopting and speaking the language of the family's particular form of symptomatic communication in order to engender change. A literature study presenting a conceptual framework is presented. A case study presenting the research data is presented. Transcripts from video-taped sessions with the family are presented in the addendum. The implications of constructivist framework for the field of family therapy in the context of a black family are, therefore, outlined. / Social work / M.A. (Mental Health)

Although addiction is treated by means of different treatment programmes in South Africa, the researcher discovered that the level of self-actualization and changes in addicts relationships, are questionable. A preliminary literature review indicated that the family of origin could be the cause of addiction. The above prompted the researcher to compile a treatment programme that addresses the family of origin as a cause of addiction. The treatment programme was divided into three phases. Phases one and two were included to provide therapists with guidelines on how to assist clients to reach abstinence, as well as how to function effectively in their life-worlds, while phase three addressed the family of origin as a cause of addiction. The family systems and relations theories served as the theoretical framework of the study. Phase three of the treatment programme was implemented by therapists during an empirical investigation to determine the effectiveness of the treatment programme. / Teacher Education / D Ed. (Psychology of Education)

The mini-dissertation explains how systems theory provided a healing context for me in my training as a clinical psychologist over two years. The emergence of my authentic voice is narrated in an autoethnography (five act drama) about what happened. The main theoretical bases for the dissertation are – constructivism to understand the learning and teaching I experienced; learning as a collaborative endeavour and the emergence of my authentic voice with help from more skilled others. Systems theory informs the entire study at every theoretical level. Bowen’s family therapy theory is significant for the differentiation of the self and his I-position is equated with the emergence of an authentic voice. Myth, epic narratives, the hero’s journey amplify my interpretation of the differentiation of self. The raw data for the qualitative research were observations, interviews, creative writing, photocollage, a collection of readings, songs and dialogues. The themes emerging from the autoethnography were about obstructions because of the authoritarian nature of my upbringing, life and work. These themes lessened in force in clinical training until my authentic voice emerged in relation to self and as a clinical psychologist. A recommendation from the dissertation is that autoethnography provides a good vehicle for reflection and intense interior scrutiny needed to become a practising clinical psychologist; the autoethnographical exercise could be used by training clinical psychologists more extensively on their journey to maturity. / Psychology / M.A. (Clinical Psychology)

Text in English / The training of psychotherapists not only determines what new therapists learn about the practice of therapy, but influences significantly their identity and the development of a professional self. This dissertation explores the professional development of a trainee therapist, taking into consideration the training context and training approach, the trainee's unique training needs and the influence of own interactional style. The study was undertaken from an action research perspective, therefore emphasising solving a problem in the field and feeding this information back into the system during the course of the research project. The researcher describes how the training context (in this case, the Agape Healing Community in Mamelodi, South Africa), the training approach (systemic family therapy), and his personal style shaped his professional sense of self. He found however, that it was the process of action research which encouraged movement from feelings of inadequacy to competence in his professional development. / Psychology / M.A. (Clinical Psychology)

The development of the concept of irreverence is examined in terms of its historical, theoretical and metatheoretical contexts. The underlying assumptions of the concepts of neutrality, curiosity, and irreverence are distinguished and contextualised. Neutrality is discussed with reference to Milan systemic therapy and first- and second-order cybernetics, while curiosity is examined in the light of constructivist and narrative approaches to psychotherapy. It is argued that these two concepts represent two sides of a dualism, which is transcended through irreverence. Irreverence is interpreted as a postmodern stance, involving the questioning and relativising of therapists' basic assumptions. The pragmatic components of an irreverent stance, namely self-reflexivity, orthogonality, flexibility and accountability, are explored with reference to related concepts in the work of other authors. Throughout the text metalogues are used in an attempt to engage reader and author in a collaborative enterprise of acknowledging and reevaluating their own basic assumptions. / Psychology / M.A. (Clinical Psychology)

Made available in DSpace on 2016-04-28T20:39:27Z (GMT). No. of bitstreams: 1 Monica.pdf: 734345 bytes, checksum: 69505b76eab1c59655ab1b95bf79df49 (MD5) Previous issue date: 2007-05-14 / This report has its fundamental goal by understanding relationship dynamics on kidnapped victims and their families reconstruction. Get deeper on either practical or theoretical view giving a whole understanding of families process who had suffered a traumatic event, the kidnap. Discuss theoretically view of family relationship, their frontiers, the ambiguous loss, and trauma in all its dimensions, social, psychological and political. Base on literature and clinical background, developing a therapeutic action. Person and their families, who had suffered violence situations of any kind, especially kidnapping victims, might lead to isolation by feeling insecure and fearful created by the situation and the troubled unknown. Normality and tranquility disappears, breaking the family balance. All the problems that families had before the kidnap get worse after the event, rising conflicts. The after kidnapping experience from families (brief kidnapping or captivity) has shown that traumatic situation never ends. Some families return to their previous life, but the majority gets into a reconstruction process that normally takes time and creates pain (PSTD). Inside their living group, being silent about the theme in majority of time can be imposed by inability to find a solution, or to avoid suffer reviving. The consequence is more silence avoiding talking about the subject or anything that might remind them. The moment they accept that all of them are suffering from kidnap effects and the family system must be reconstructed to focusing and developing new schemes for family function, then it was possible to find the key that helped to untangle the fear feeling mess, sadness, guilty and anger. The followed road was the ¨grief¨ process for everything they had lost and were express by the end of silence, resulting to a new restructured family system. The spot of this investigation were selected by the study of Systemic Familiar Sociodrama that encloses Systematic Psychodrama Therapy. Psychodrama allows a correlated function to the internal world (intra-psychic) and external world (reality), seeking to regain spontaneity, lowering tensions, textual zing contents and talking about feelings. The systemic approach takes human systems out of individual focus, in another word from the intra-psychic to the inter-relatio / Este trabalho tem como objetivo fundamental compreender as dinâmicas relacionais e a reconstrução das famílias com vítimas de seqüestro. Aprofundar através da descrição teórica e prática a compreensão do processo de vivência das famílias que sofreram um evento traumático, o seqüestro. Discutir teoricamente as relações familiares, suas fronteiras, a perda ambígua, o trauma nas dimensões social, psíquico e político. Com base na literatura e na experiência clínica desenvolver uma ação terapêutica. As pessoas e seus familiares que vivem situações de violência, de qualquer espécie, em especial o seqüestro, tendem ao isolamento, pelo sentimento de medo e insegurança que a situação gera e pelo desconhecimento da problemática. A normalidade e a tranqüilidade rompem e o equilíbrio da família desaparece. Os problemas familiares que existiam antes do seqüestro, a partir deste evento, tornam-se piores e, por conseguinte, os atritos aumentam. A experiência que se tem com famílias após o seqüestro (com cativeiro ou relâmpago) vem demonstrando que esta vivência traumática não termina. Algumas famílias retornam à vida que levavam, mas a grande maioria entra em um processo de reconstrução, que normalmente leva tempo e gera dor (TEPT). No grupo em que vivem, o silêncio sobre o tema na maioria das vezes, se impõe, pela impossibilidade de acharem uma solução ou para evitarem reviver o sofrimento. A conseqüência é mais silêncio, pois não se pode tocar no assunto, nem em outros que possam lembrá-lo e assim, sucessivamente. No momento que se aceita que todos estão sofrendo os efeitos do seqüestro e que o sistema familiar deve reestruturar-se para canalizar e desenvolver novos esquemas de funcionamento foi possível achar a chave que ajudou a desemaranhar a confusão dos sentimentos de medo, tristeza, culpa e de raiva. O caminho percorrido foi o processo da elaboração deste luto por tudo o que foi perdido e que pôde ser expresso com o fim do silêncio, resultando em uma reestruturação dos sistemas familiares. O enfoque de investigação selecionado para este estudo foi o Sociodrama Familiar Sistêmico que engloba a terapia psicodramática e sistêmica. O psicodrama possibilita uma correlação do mundo interno (intrapsiquico) e o mundo externo (realidade), procurando recuperar a espontaneidade, diminuir as tensões, contextualizar o conteúdo e falar de sentimentos. A abordagem sistêmica tira o foco do indivíduo para os sistemas humanos, portanto do intrapsiquico para o inter-relacional