Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-08-23T00:10:43Z No. of bitstreams: 1 JoaoLuizDeAlencarPandolphi_DISSERT.pdf: 588482 bytes, checksum: 713609a3a65949bcfc498f262202f623 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-23T00:22:37Z (GMT) No. of bitstreams: 1 JoaoLuizDeAlencarPandolphi_DISSERT.pdf: 588482 bytes, checksum: 713609a3a65949bcfc498f262202f623 (MD5) / Made available in DSpace on 2016-08-23T00:22:37Z (GMT). No. of bitstreams: 1 JoaoLuizDeAlencarPandolphi_DISSERT.pdf: 588482 bytes, checksum: 713609a3a65949bcfc498f262202f623 (MD5) Previous issue date: 2015-07-30 / A alta preval?ncia das Les?es por esfor?o repetitivo e Dist?rbios Osteomusculares Relacionados ao Trabalho (LER/DORT) tem sido explicada por transforma??es do trabalho e das empresas cuja organiza??o tem se caracterizado pelo estabelecimento de metas e produtividade, considerando suas necessidades, particularmente de qualidade dos produtos e servi?os e aumento da competitividade de mercado, sem levar em conta os trabalhadores e seus limites f?sicos e psicossociais. Diferentemente do que ocorre com doen?as n?o ocupacionais, as doen?as relacionadas ao trabalho t?m implica??es legais que atingem a vida dos pacientes e das empresas. Esse estudo teve como objetivo descrever o perfil das LER/DORT notificados no estado do Rio Grande do Norte, Brasil, de 2010 a 2014. Trata-se de um estudo epidemiol?gico descritivo, do tipo transversal e retrospectivo, que utilizou como ?rea de abrang?ncia o Estado do Rio Grande do Norte. A fonte de dados foi o Sistema de Informa??o de Agravos de Notifica??o (SINAN), atrav?s do Centro de Refer?ncia em Sa?de do Trabalhador (CEREST) e a coleta dos dados secund?rios ocorreu em maio de 2015. Os resultados apresentaram um total de 403 notifica??es de LER/DORT, onde a grande maioria (72%) foi notificada no munic?pio de Natal. Com rela??o ao perfil dos trabalhadores notificados, 36,2% possuem idade entre 35 e 44 anos, 62,78% eram do feminino, e em rela??o a escolaridade, 31,51% tinham ensino m?dio completo. As ocupa??es mais acometidas foram entre os trabalhadores da ind?stria de confec??o, com 30,8%, seguido de pedreiros, da constru??o civil com 3,23% e de operadores de caixa com 2,99%. Sobre a situa??o de trabalho, 75,93% tinham carteira assinada, entretanto, foram emitidas a CAT somente em 67,0% dos casos. Em rela??o aos sinais e sintomas, a dor foi apontada em 98,01% das notifica??es, seguido de limita??o dos movimentos, com 95,04%. Das notifica??es, 94,29% apontaram exposi??o a movimentos repetitivos em seu local de trabalho. O diagn?stico espec?fico de maior ocorr?ncia foram as Sinovites e tenossinovite (CID M 65), com 30,02% das notifica??es, seguido de Dorsalgias (CID M 54) com 19,35% e Les?es no ombro (CID M 75) com 15,88%. Foram afastados do trabalho 81,64% dos trabalhadores notificados com LER/DORT, com dura??o do afastamento mais prevalente em dias (43,67%). A evolu??o que mais predominou entre os casos com este agravo foi a incapacidade tempor?ria (75,68%). Concluiu-se que o SINAN representa uma ?tima base de dados para caracterizar o perfil das LER/DORT, por?m necessitando de uma melhora nos registros tanto de cobertura quanto na qualidade dos dados para o alcance de um melhor monitoramento sistem?tico e um maior planejamento das a??es em Sa?de do Trabalhador. / The increasing prevalence of Repetitive Strain Injury / Work-Related Musculoskeletal Disorders (RSI / MSDs) has been explained by changes in the work that has been characterized by setting goals and productivity. This fact does not take into account the psycho-physiological characteristics of workers who become ill as a result of professional activities engaged in and also the adverse conditions in which his work was done. This study aimed to analyze the RSI / MSDs reported in the state of Rio Grande do Norte, Brazil, 2010-2014 compared to the profile of the population, epidemiological aspects and features of these diseases. It is a descriptive epidemiological cross-sectional study using secondary data obtained in the Notifiable Diseases Information System (SINAN) in May 2015 was used as the area covered by the Rio Grande do Norte. Data were collected regarding the grievances of work-related RSI / MSDs, assigned by the Worker's Health Reference Center (CEREST) of the State Health Department. Data were processed with the help of Microsoft Excel? 2013 and presented in tables in absolute frequency (n) and relative frequency (%). The results showed a total of 403 notifications of RSI / MSDs, where the vast majority 72% (290) was recorded in Natal. Regarding the profile of notified employees, 88.59% (357) have aged between 25 and 54 years, 62.78% (253) were female, and in relation to education, 31.51% (127) had high school complete. The most affected occupations were seamstresses (the clothing industry) with 24.97% (97), followed by masons, construction with 3.23% (13) and cashiers with 2.99% (12). About the work situation, 75.93% (306) had a formal contract, however, were sent to Communications Occupational accidents (CAT) only 67% (270) of the cases. Regarding the signs and symptoms, pain and limitation of movement were the most mentioned respectively with 98.01% (395) and 95.04% (383) of notifications. Notifications, 94.29% (380) showed exposure to repetitive movements in their workplace. The most frequent specific diagnoses were synovitis and tenosynovitis (CID F 65), with 30.02% (121) of notifications, followed by back pain (CID F 54) to 19.35% (78) and shoulder injuries (ICD M 75) with 15.88% (64). They were away from work 81.64% (329) of workers reported with RSI / MSDs. Evolution more prevalent among cases was temporary disability with 75.68% (305). It was concluded that the SINAN is a database of potential to characterize the profile of RSI / MSDs, requiring, however, an improvement in the coverage of records and data quality. In addition, this study reflects the need to implement protection strategies to workers by companies, signaling promotion, prevention and rehabilitation aimed at reducing these injuries and the improvement of occupational health indicators in Rio Grande do Norte.

Zugl.: Diss.

Made available in DSpace on 2015-04-14T13:22:31Z (GMT). No. of bitstreams: 1 467090.pdf: 720773 bytes, checksum: aef79a62304812380b000df0c31e38bd (MD5) Previous issue date: 2014-11-24 / The processes of investigation and production of evidence in cases of suspected sexual abuse are complex, given the frequent absence of eye witnesses and physical and biological signs, as well as the possibility of false allegations. Thus, a set of techniques and tools is required for assessing the child or adolescent with suspected sexual abuse, providing professionals with valid investigative resources for identifying abusive situations as well as their impact on the health of victims. The aim of this study was to assess psychological and behavioral indicators in forensic assessment of children with suspected sexual abuse. The thesis is divided into four studies, two theoretical and two empirical. Theoretical Study 1, entitled Forensic psychological examination in child and adolescent sexual abuse , reviewed the role of forensic psychological assessment in sexual molestation of children and adolescents. Theoretical Study 2, named Post-traumatic reactions in children: How, why and which aspects assess? , discussed the clinical assessment of posttraumatic reactions in children and adolescents exposed to traumatic events, including issues related to symptom manifestation, long-term consequences and availability of assessment instruments. Empirical Study 1 investigated the use of psychological and behavioral indicators in forensic assessment of children with suspected sexual abuse. Empirical Study 2 aimed to identify factors associated with the development of posttraumatic stress symptoms in child and adolescent victims of maltreatment. The set of theoretical and empirical studies indicate that (1) forensic psychological assessment should integrate different sources of information and indicators, for some of the latter may be contradictory or nonspecific; (2) the early assessment of posttraumatic reactions is key for detecting risk factors and indicating different interventions, serving as a source of secondary prevention; (3) assessment of sexual concerns should be included, among other indicators, in forensic procedures for children with suspected sexual abuse; and (4) investigation of posttraumatic cognitions should be included in assessment protocols of posttraumatic symptoms, even for children exposed to recurrent trauma, as is the case in sexual abuse and other situations of maltreatment. Therefore, the findings of this study comprehensively indicate the need for caution when considering the high individual variability in reactions associated with sexual abuse. Although there is no single symptom framework for characterizing victims, it is pertinent to assess physical, emotional and behavioral alterations triggered or aggravated by abusive events, as well as the child report and familiar and social contexts. Thus, utilizing multiple indicators and information sources may increment forensic evidence by adding conviction elements to accept or reject hypotheses, minimizing the occurrence of both false-positive and false-negative errors / A investiga??o e a produ??o de prova em casos de suspeita de abuso sexual s?o processos complexos, tanto pela frequente aus?ncia de testemunhas oculares, vest?gios f?sicos e biol?gicos, como pela possibilidade de falsas den?ncias. Assim, um conjunto de t?cnicas e instrumentos precisa ser empregado na avalia??o da crian?a ou do adolescente supostamente v?timas de abuso sexual, munindo os profissionais de recursos investigativos v?lidos para a identifica??o da situa??o abusiva, bem como o seu impacto na sa?de das v?timas. O objetivo geral deste trabalho foi avaliar indicadores psicol?gicos e comportamentais na per?cia de crian?as com suspeita de abuso sexual. A tese de doutorado est? organizada em quatro estudos, sendo dois te?ricos e dois emp?ricos. O Estudo Te?rico 1 intitulado Per?cia psicol?gica no abuso sexual de crian?as e adolescentes revisou o papel da per?cia psicol?gica no abuso sexual infanto-juvenil. O Estudo Te?rico 2 denominado Rea??es p?s-traum?ticas em crian?as: Como, por que e quais aspectos avaliar? discutiu a avalia??o cl?nica das rea??es p?s-traum?ticas em crian?as e adolescentes expostos a situa??es traum?ticas, incluindo quest?es relacionadas ? manifesta??o dos sintomas, ?s consequ?ncias a longo prazo e aos instrumentos de avalia??o dispon?veis. O Estudo Emp?rico 1 avaliou indicadores psicol?gicos e comportamentais na per?cia de crian?as com suspeita de abuso sexual. O Estudo Emp?rico 2 identificou fatores associados com o desenvolvimento de sintomas de estresse p?s-traum?tico em crian?as e adolescentes v?timas de maus-tratos. O conjunto de estudos te?ricos e emp?ricos aponta para: (1) a avalia??o psicol?gica no contexto forense deve integrar diferentes fontes de informa??o e indicadores, j? que alguns destes s?o contradit?rios e inespec?ficos; (2) a avalia??o precoce das rea??es p?s-traum?ticas ? fundamental para a detec??o de fatores de risco e indica??o de diferentes interven??es, servindo como fonte de preven??o secund?ria; (3) a avalia??o da presen?a de preocupa??es sexuais deve ser inclu?da, entre outros indicadores, nos procedimentos periciais de crian?as com suspeita de abuso sexual; e (4) a investiga??o das cogni??es p?s-traum?ticas deve ser inclu?da nos protocolos de avalia??o de sintomatologia p?s-traum?tica, mesmo em crian?as expostas a traumas recorrentes, como ? o caso do abuso sexual e outras situa??es de maus-tratos. De uma forma global, os achados do presente estudo indicam a necessidade de cautela ao se considerar a elevada variabilidade individual nas rea??es associadas ao abuso sexual. Ainda que n?o haja um quadro sintomatol?gico ?nico que caracterize as v?timas, ? pertinente avaliar as altera??es f?sicas, emocionais e comportamentais desencadeadas ou agravadas pelos epis?dios de abuso, assim como o relato da crian?a e o seu contexto familiar e social. Portanto, o uso de m?ltiplos indicadores e fontes de informa??o pode incrementar a prova pericial, na medida em que adiciona elementos de convic??o para se aceitar ou rejeitar hip?teses, minimizando n?o apenas os casos falso-positivos, mas tamb?m os falso-negativos.

Zugl.: Trier, Univ., Diss., 2008

Zugl.: Trier, Univ., Diss., 2008.

Zugl.: Trier, Univ., Diss., 2008.

Made available in DSpace on 2015-02-24T20:10:35Z (GMT). No. of bitstreams: 1 CristianeACC_DISSERT.pdf: 769165 bytes, checksum: b07191d8079e469329883492d6054541 (MD5) Previous issue date: 2011-04-25 / OBJETIVO: As doen?as osteomusculares s?o as afec??es ocupacionais mais prevalentes em cirurgi?es-dentistas. Nosso prop?sito: 1) investigar os conhecimentos, aplicabilidades cl?nicas dos princ?pios ergon?micos em discentes e docentes em atividades cl?nicas de uma universidade p?blica 2) pesquisar a incid?ncia de sintomatologias dolorosas no pesco?o, ombros, parte superior e inferior das costas, cotovelos, quadris, coxas, joelhos, tornozelos e p?s no universo de alunos em est?gios cl?nicos. 3) incitar discuss?es de normas e diretrizes ergon?micas na universidade. M?TODOS: Esse estudo investigou o universo de alunos matriculados em disciplinas cl?nicas (148) e respectivos professores (30) do curso de odontologia da Universidade Federal do Rio Grande do Norte, Natal-RN a respeito dos princ?pios ergon?micos utilizados na rotina cl?nica. Paralelamente foi pesquisada a incid?ncia de sintomatologia dolorosa nos alunos por interm?dio do question?rio n?rdico e a partir dos resultados foi mensurado o ?ndice de severidade dos sintomas em alunos. The Nordic Musculoskeletal Questionnaire (NMQ) ? um instrumento de diagn?stico, proposto para padronizar a mensura??o de relatos de sintomas osteomusculares. A an?lise dos dados foi atrav?s do programa SPSS-Statistical Package for the Social Sciences, vers?o 17.0 realizada anal?tica e descritivamente, com determina??o das m?dias (x), desvio-padr?o para vari?veis quantitativas, freq??ncias simples e relativas para as vari?veis categ?ricas, al?m da estat?stica de associa??o entre grupos (teste t) e a an?lise de associa??o do quiquadrado com n?vel de signific?ncia 5% entre as vari?veis (Person). As respostas das quest?es abertas foram codificadas e transformadas em freq??ncias, descritas posteriormente. RESULTADOS: A aplicabilidade de medidas ergon?micas nas cl?nicas universit?rias n?o foi evidenciada pelo universo de discentes e docentes. Quanto ao relato de sintomas osteomusculares o sexo feminino foi o mais acometido qualquer que seja o n?vel acad?mico cursado. As regi?es anat?micas de maior grau de severidade de relatos dos sintomas foram: pesco?o, parte inferior das costas, punhos, m?os e ombros, com signific?ncia etat?stica p<0,001. CONCLUS?O: Em fun??o dos achados os autores apresentam um protocolo de interven??o cl?nica baseado nos determinantes ergon?micos da Associa??o internacional de ergonomia (EAI) como medida de preven??o da sa?de ocupacional dos futuros cirurgi?es-dentistas ainda em processo de forma??o nas cl?nicas odontol?gicas das universidades.

Marie Eugenie delle Grazies Drama Der Schatten wurde am 28. September 1901 im Wiener Hofburgtheater, einer der bedeutendsten Bühnen Europas, uraufgeführt, jedoch nach nur vier Vorstellungen abgesetzt. Das mit dem Bauernfeld-Preis ausgezeichnete Stück bildet den Zenit von delle Grazies literarischem Schaffen und beinhaltet Diskurse von hohem damaligem Stellenwert, die uns einen tieferen Einblick, vom Standpunkt der modernen Frau, ins Fin-de-Siècle Wien geben können. Das Drama und seine Dichterin wurden im Wien der Jahrhundertwende sowohl gefeiert als auch gerügt. Delle Grazie hatte mit Vorurteilen gegen sie als Frau und Dichterin, sowie mit der Kritik an ihrer unkonventionellen Dramaturgie zu kämpfen. Betrachtet man Der Schatten jedoch im Kontext der Zeit, wird schnell erkennbar, dass die Wiener Dichterin sich vorzüglich darauf verstand die Diskurse ihrer Zeit aufzugreifen und künstlerisch und unikal zu verarbeiten. Inhaltlich ist ihr Protagonist, der Dichter Ernst Werner, die moderne Antwort auf Goethes Faust. Werner ist der faustische Künstler, der sich in freudscher Fasson mit seiner dunklen Seite, seinem Schatten, auseinandersetzt. Dabei werden immer wieder Nietzsches philosophische Ideen thematisiert, insbesondere die des Übermenschen, der sich seine Welt neu erschafft. Darüberhinaus weist das Drama in seiner Darstellung ritualistische Charakteristen auf und erschöpft in seiner Thematik postmodernes Gedankengut, wie es im Film der Jahrtausendwende problematisiert wird.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-06-30T17:24:36Z No. of bitstreams: 1 DIS_JULIA_LUIZA_SCHAFER_PARCIAL.pdf: 1950516 bytes, checksum: d087e3b380f5026a78af786f693a37b3 (MD5) / Made available in DSpace on 2017-06-30T17:24:36Z (GMT). No. of bitstreams: 1 DIS_JULIA_LUIZA_SCHAFER_PARCIAL.pdf: 1950516 bytes, checksum: d087e3b380f5026a78af786f693a37b3 (MD5) Previous issue date: 2017-03-08 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / Introdu??o: A literatura sugere que respostas emocionais est?o associadas ao desenvolvimento e manuten??o de sintomas do Transtorno de Estresse P?s-Traum?tico (TEPT). A capacidade de influenciar a experi?ncia e express?o emocional, conhecida como regula??o emocional (RE), pode ser cr?tica ao lidar com n?veis significativos de estresse. Especificamente, a RE atrav?s de cogni??es, ou pensamentos (ou seja, Regula??o Emocional Cognitiva, REC), ajuda os indiv?duos a manter o controle sobre sua experi?ncia emocional durante, ou depois de serem expostos a eventos estressores, ou traum?ticos. O Question?rio de Regula??o Emocional Cognitiva (CERQ), foi desenvolvido para medir nove diferentes estrat?gias de REC que se referem ? maneira consciente e atencional de lidar com eventos de vida amea?adores, ou negativos. Objetivos: Os objetivos gerais desta disserta??o foram desenvolver e investigar as evid?ncias de validade da vers?o brasileira do CERQ (Estudo 1) e investigar a rela??o entre a exposi??o a traumas, estrat?gias cognitivas de RE, afeto e Sintomas de Estresse P?s-Traum?tico (SEPT) atrav?s de um modelo de media??o dupla (Estudo 2). M?todo: Uma amostra de 445 estudantes universit?rios completou um Question?rio S?cio-Demogr?fico, a Life of Events Checklist (LEC-5), a vers?o brasileira do CERQ, a Positive and Negative Affect Schedule (PANAS) e a Posttraumatic Symptoms Checklist (PCL-5) em uma plataforma de pesquisa on-line. Para o Estudo 1, o processo de adapta??o da vers?o brasileira do CERQ incluiu tradu??o, retro-tradu??o, avalia??o de ju?zes e teste em 30 participantes da popula??o-alvo. As evid?ncias de validade de construto foram avaliadas atrav?s de an?lise fatorial confirmat?ria, da consist?ncia interna atrav?s dos alfas de Cronbach e de correla??es com as vari?veis afetivas mensuradas pelo PANAS. Para o Estudo 2 foram realizadas an?lises preliminares de correla??o e de regress?o linear m?ltipla para investigar associa??es entre tipo de trauma, estrat?gias cognitivas de regula??o emocional, afeto e severidade de SEPT. Em seguida, um modelo com rumina??o e afeto negativo como mediadores do efeito da exposi??o ao trauma les?o moral causada por outros sobre os SEPT foi testado usando o macro PROCESS para o SPSS. Resultados: As an?lises de validade mostraram que a estrutura original do CERQ possui boa validade fatorial na amostra e alta confiabilidade, com ? de Cronbach variando entre .71 e .88. An?lises preliminares de associa??o entre tipo de trauma, estrat?gias de regula??o emocional cognitiva, afeto e SEPT mostraram que o tipo de trauma de les?o moral causada por outros, rumina??o e afeto negativo s?o preditores significativos da gravidade de SEPT. Ao testar o modelo de media??o dupla, os resultados sugerem que a rumina??o ? um mediador forte e independente entre o tipo de trauma de les?o moral causada por outros e SEPT, enquanto afeto negativo ? um mediador apenas quando a rumina??o est? presente no modelo. Discuss?o: Nossos resultados indicam que a vers?o brasileira do CERQ ? uma ferramenta v?lida e confi?vel para avaliar as estrat?gias cognitivas de regula??o emocional e que os indiv?duos expostos ao tipo de trauma de les?o moral causada pelos outros utilizam rumina??o como uma estrat?gia de regula??o emocional cognitiva com mais frequ?ncia. O uso aumentado dessa estrat?gia amplifica os n?veis de afeto negativo que acaba levando a n?veis mais elevados de SEPT. Em geral, esses resultados podem influenciar pesquisas e auxiliar no desenvolvimento e melhoria de interven??es cognitivas para indiv?duos expostos a eventos traum?ticos. / Background: Literature suggests that emotional responses are associated to the development and maintenance of Posttraumatic Stress Disorder (PTSD) symptoms. The ability to influence emotional experience and expression, known as emotion regulation (ER), can be critical when dealing with significant levels of stress. Specifically, ER through cognitions, or thoughts (i.e. Cognitive Emotion Regulation; CER), helps individuals to maintain control over their emotional experience during, or after being exposed to stressful, or traumatic events. The Cognitive Emotion Regulation Questionnaire (CERQ) was developed to measure nine different CER strategies that refer to the conscious and attentional way people deal with threatening, or negative life events. Objectives: Therefore, the general purposes of this thesis were to develop and evaluate validity evidences of the Brazilian version of the CERQ (Study 1) and to investigate the relationship between trauma exposure, cognitive emotion regulation strategies, affect and Posttraumatic Stress Symptoms (PTSS) testing for a double mediation model (Study2). Method: A sample of 445 university students completed a Socio-Demographic Questionnaire, the Life of Events Checklist (LEC-5), the Brazilian version of the CERQ, the Positive and Negative Affect Schedule (PANAS) and the Posttraumatic Symptoms Checklist (PCL-5) on an on-line research platform. For Study 1, adaptation process of the Brazilian version of the CERQ included translation, backtranslation, expert committee?s evaluation, and testing on 30 participants from the target population. Validity evidence was assessed through confirmatory factor analysis, internal consistency through the Cronbach?s alpha analysis, and correlations with the affective variables measured by the PANAS. For Study 2, preliminary correlation and multiple linear regression analyses were conducted to investigate associations among trauma type exposure, cognitive emotion regulation strategies, affect and PTSS severity. Next, a model positing rumination and negative affect as double mediators of the effect of trauma type of moral injury by others on PTSS was tested using the PROCESS macro for SPSS. Results: Validity analyses showed that the original structure of the CERQ has good factorial validity in the sample and high reliabilities, with Cronbach?s ? ranging between .71 and .88. Preliminary analyses of the association among trauma type, cognitive emotion regulation strategies, affect and PTSS showed that trauma type of moral injury, rumination and negative affect were significant predictors of PTSS severity. When testing for the double mediation model, results suggested that rumination is a strong and independent mediator between trauma type moral injury by others and PTSS, while negative affect is a mediator only when rumination is also included. Discussion: Our results indicate that the Brazilian version of the CERQ is a valid and reliable tool for assessing cognitive emotion regulation strategies, and that individuals who are exposed to trauma type of moral injury by others engage more frequently in rumination as a cognitive emotion regulation strategy, which in turn amplifies levels of negative effect that ends up leading to higher levels of PTSS. Overall, these results can influence further researches and aid the development and improvement of cognitive treatment interventions for individuals exposed to traumatic events.

Die vorliegende Arbeit untersucht allusives Sprechen in psychotherapeutischen Gesprächen, wobei es um verdeckt angedeutete Kritik am Therapeuten geht. Über Allusionsmarker, die ein Wort oder Wortgruppen bilden, wird innerhalb eines Kontextes auf einen anderen verwiesen. Die vorliegende Arbeit legt den Fokus insbesondere auf beziehungskommentierende Allusionen. Dies sind verdeckt geäußerte Kommentare, die den Rezipienten der Allusion adressieren. In Politik, im Flirten, in Klatschgesprächen oder Bestechungen wird von jener sprachlichen Praktik, deren Ressource Ambiguität ist, Gebrauch gemacht. Dies sind sozial heikle Situationen, in denen das Ansehen des einen vom Urteil des anderen abhängt. Anhand detaillierter Transkripte aus Verhaltenstherapie, tiefenpsychologisch fundierter Psychotherapie und Psychoanalyse wird gezeigt, wie eine verdeckt kritische Kommentierung des Patienten einer frustrierenden Interaktionserfahrung folgt. Die Kommentierung wird anhand eines Narrativs realisiert, welches Allusionsmarker beinhaltet, die auf den aktuellen Kontext verweisen. Die sich daran anschließenden Äußerungen der Therapeuten zeigen, dass jene die beziehungskommentierende Funktion des Narrativs verstehen. Dennoch wird die Bedeutung dessen weiter ambig verhandelt. Mit der aus der Ethnomethodologie, Soziologie und Linguistik stammenden Methode der Konversationsanalyse (KA) wird der Interaktionsverlauf zwischen Patienten und Therapeuten detailliert untersucht, Erkenntnisse abgeleitet und anhand von Transkriptfragmenten dargestellt. Dabei wird deutlich, dass die Interaktionshistorie der Interaktanten in einen Redezug und dessen Interpretation mit einfließt. Wenn psychotherapeutische Theorie und Praxis für solche Phänomene offen sind, können sowohl beziehungsrelevante Äußerungen erkannt werden als auch Äußerungen, die nicht intrasubjektiv, sondern durch die aktuelle Szene der Konversation bestimmt sind, die von den Interaktanten kokonstruiert wird. / This paper examines allusive speaking in psychotherapeutic conversations, with a focus on covertly insinuated criticism of the therapist. Allusion markers, which form a word or groups of words, are used to refer to another context. The present work focuses in particular on allusions that comment on relationships. These are hidden comments that address the recipient of the allusion. In politics, in flirting, in gossip or bribery, the linguistic practice whose resource is ambiguity is used. These are socially delicate situations in which the reputation of one depends on the judgement of the other. Using detailed transcripts from behavioural therapy, psychodynamic psychotherapy (tiefenpsychologisch fundiert is a special modification of psychoanalysis in Germany) and psychoanalysis, the book shows how a covertly critical commentary by the patient follows a frustrating interaction experience. The commentary is realized by means of a narrative that contains allusion markers that refer to the current context. The subsequent statements of the therapists show that they understand the relationship-commenting function of the narrative. Nevertheless, the meaning of the narrative continues to be ambiguously negotiated. With the method of conversation analysis (CA), which originates from ethnomethodology, sociology and linguistics, the course of interaction between patients and therapists is examined in detail, findings are derived and presented using transcript fragments. It becomes clear that the interaction history of the interactants is incorporated into utterances and its interpretation. If psychotherapeutic theory and practice are open to such phenomena can be recognized: Relationship-relevant utterances and utterances that are not intrasubjective but determined by the current scene of the conversation that is co-constructed by the interactants.