@article{WeckGrikscheitHoeflingetal.2016, author = {Weck, Florian and Grikscheit, Florian and H{\"o}fling, Volkmar and Kordt, Anne and Hamm, Alfons O. and Gerlach, Alexander L. and Alpers, Georg W. and Arolt, Volker and Kircher, Tilo and Pauli, Paul and Rief, Winfried and Lang, Thomas}, title = {The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia}, series = {Journal of anxiety disorders}, volume = {42}, journal = {Journal of anxiety disorders}, publisher = {Elsevier}, address = {Oxford}, issn = {0887-6185}, doi = {10.1016/j.janxdis.2016.05.007}, pages = {10 -- 18}, year = {2016}, abstract = {Treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) are considered to be important for cognitive behavioral therapy (CBT) for panic disorder and agoraphobia (PD/AG). In the current study, four independent raters conducted process evaluations based on 168 two-hour videotapes of 84 patients with PD/AG treated with exposure-based CBT. Two raters evaluated patients' interpersonal behavior in Session 1. Two raters evaluated treatment delivery factors in Session 6, in which therapists provided the rationale for conducting exposure exercises. At the 6-month follow-up, therapists' adherence (r = 0.54) and therapeutic alliance (r = 0.31) were significant predictors of changes in agoraphobic avoidance behavior; therapist competence was not associated with treatment outcomes. Patients' interpersonal behavior in Session 1 was a significant predictor of the therapeutic alliance in Session 6 (r = 0.17). The findings demonstrate that treatment delivery factors, particularly therapist adherence, are relevant to the long-term success of CBT for PD/AG.}, language = {en} } @article{JungaWitthoeftWeck2019, author = {Junga, Yvonne Marie and Witth{\"o}ft, Michael and Weck, Florian}, title = {Assessing therapist development: Reliability and validity of the Supervisee Levels Questionnaire (SLQ-R)}, series = {Journal of clinical psychology}, volume = {75}, journal = {Journal of clinical psychology}, number = {9}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22794}, pages = {1658 -- 1672}, year = {2019}, language = {en} } @article{KuehnePaunovWeck2021, author = {K{\"u}hne, Franziska and Paunov, Tatjana and Weck, Florian}, title = {Recognizing obsessive-compulsive disorder}, series = {BMC psychiatry}, volume = {21}, journal = {BMC psychiatry}, publisher = {Springer Nature}, address = {London}, issn = {1471-244X}, doi = {10.1186/s12888-021-03458-x}, pages = {7}, year = {2021}, abstract = {Background Despite the prevalence of obsessive-compulsive disorder (OCD), its precise identification remains challenging. With the Zohar-Fineberg Obsessive-Compulsive Screen (ZF-OCS; 5 or 6 items), a brief instrument is widely available mainly in English. As there is a lack of empirical studies on the ZF-OCS, the aim of the present study was to translate the items into German and investigate the instrument in a nonclinical sample. Methods In two consecutive online surveys, n = 304 and n = 51 students participated. Besides the ZF-OCS, they answered established measures on OCD, depression, health anxiety, general anxiety and health-related well-being. Results Whereas internal consistency was low (α = .53-.72; ω = .55-.69), retest reliability (rt1,t2 = .89) at two weeks was high. As expected, we found high correlations with other OCD instruments (r > .61; convergent validity), and significantly weaker correlations with measures of depression (r = .39), health anxiety (r = .29), and health-related well-being (r = -.28, divergent validity). Nonetheless, the correlations with general anxiety were somewhere in between (r = .52). Conclusions Due to heterogeneous OCD subtypes, the ZF-OCS asks diverse questions which probably resulted in the present internal consistency. Nevertheless, the results on retest reliability and validity were promising. As for other OCD instruments, divergent validity regarding general anxiety seems problematic to establish. Even so, the ZF-OCS seems valuable for screening purposes, as it is short and easy to administer, and may facilitate initiating subsequent clinical assessment. Further studies should determine the instrument's diagnostic accuracy.}, language = {en} } @article{KuehneFauthDestinaSevdeetal.2021, author = {K{\"u}hne, Franziska and Fauth, Henriette and Destina Sevde, Ay-Bryson and Visser, Leonie N.C. and Weck, Florian}, title = {Communicating the diagnosis of cancer or depression: Results of a randomized controlled online study using video vignettes}, series = {Cancer Medicine}, volume = {10}, journal = {Cancer Medicine}, edition = {24}, publisher = {Wiley}, address = {Hoboken, New Jersey, USA}, issn = {2045-7634}, doi = {10.1002/cam4.4396}, pages = {9012 -- 9021}, year = {2021}, abstract = {Background Communicating a diagnosis is highly important, yet complex, especially in the context of cancer and mental disorders. The aim was to explore the communication style of an oncologist vs. psychotherapist in an online study. Methods Patients (N = 136: 65 cancer, 71 depression) were randomly assigned to watch a standardized video vignette with one of two communication styles (empathic vs. unempathic). Outcome measures of affectivity, information recall, communication skills, empathy and trust were applied. Results Regardless of diagnosis, empathic communication was associated with the perception of a significantly more empathic (p < 0.001, η2partial = 0.08) and trustworthy practitioner (p = 0.014, η2partial = 0.04) with better communication skills (p = 0.013, η2partial = 0.05). Cancer patients reported a larger decrease in positive affect (p < 0.001, η2partial = 0.15) and a larger increase in negative affect (p < 0.001, η2partial = 0.14) from pre- to post-video than depressive patients. Highly relevant information was recalled better in both groups (p < 0.001, d = 0.61-1.06). Conclusions The results highlight the importance of empathy while communicating both a diagnosis of cancer and a mental disorder. Further research should focus on the communication of a mental disorder in association with cancer.}, language = {en} } @misc{GropalisBailerWecketal.2018, author = {Gropalis, Maria and Bailer, Josef and Weck, Florian and Witth{\"o}ft, Michael}, title = {Optimierung von Expositionstherapie bei pathologischen Krankheits{\"a}ngsten}, series = {Psychotherapeut}, volume = {63}, journal = {Psychotherapeut}, number = {3}, publisher = {Springer}, address = {New York}, issn = {0935-6185}, doi = {10.1007/s00278-018-0285-1}, pages = {188 -- 193}, year = {2018}, abstract = {Pathologische Krankheits{\"a}ngste wurden bislang nach ICD und DSM prim{\"a}r als somatoforme St{\"o}rung bzw. als somatische Belastungsst{\"o}rung klassifiziert. Theoretische Erw{\"a}gungen und empirische Befunde legen jedoch nahe, dass es sich bei pathologischen Krankheits{\"a}ngsten eigentlich um eine Angstst{\"o}rung handelt. Innerhalb des vorliegenden Beitrags wird daf{\"u}r argumentiert, dass Defizite in der aktuellen Behandlungspraxis und in der Wahrnehmung von Patienten mit Hypochondrie als „schwierige Patienten" teilweise auf Unklarheit in der Nosologie sowie bez{\"u}glich der entscheidenden Mechanismen der Entstehung und Aufrechterhaltung zur{\"u}ckzuf{\"u}hren sind. Ausgehend von innovativen theoretischen Ans{\"a}tzen zur Erkl{\"a}rung pathologischer Krankheits{\"a}ngste werden Vorschl{\"a}ge f{\"u}r eine verbesserte therapeutische Praxis skizziert. Der Fokus liegt hierbei auf einem verst{\"a}rken Einsatz expositionsbasierter Behandlungselemente, die sich am „Inhibitory-learning"-Ansatz orientieren und sich bei anderen Angstst{\"o}rungen bereits bew{\"a}hrt haben.}, language = {en} } @article{KuehneMaassWeck2021, author = {K{\"u}hne, Franziska and Maaß, Ulrike and Weck, Florian}, title = {Einsatz standardisierter Patienten im Psychologiestudium}, series = {Verhaltenstherapie : Praxis, Forschung, Perspektiven}, volume = {31}, journal = {Verhaltenstherapie : Praxis, Forschung, Perspektiven}, number = {2}, publisher = {Karger}, address = {Basel}, issn = {1016-6262}, doi = {10.1159/000509249}, pages = {152 -- 160}, year = {2021}, abstract = {Hintergrund: Im Rahmen des reformierten Psychotherapeutengesetzes wird eine starkere Praxisorientierung in der klinisch-psychologischen Lehre und in der Prufung psychotherapeutischer Kompetenzen verankert. Hierbei sollen Studierende durch die Interaktion mit standardisierten Patient*innen (SP) therapeutische Kompetenzen erwerben und demonstrieren. Fragestellung: Das Ziel des vorliegenden Beitrags ist es, eine evidenzbasierte Umsetzung dieser neuen Lehr- und Prufungsformate zu unterstutzen, indem bisherige Forschungsbefunde zum Einsatz von SP dargestellt und Bereiche, in denen weitere Forschung notwendig ist, aufgezeigt werden. Ergebnisse: Empirische Befunde zeigen, dass SP psychische Storungen authentisch darstellen konnen. Voraussetzung dafur sind beispielsweise die Auswahl geeigneter SP, detaillierte Rollenanleitungen, spezifisches Training, Feedback und Nachschulungen. Auch wenn einige Forschungsfragen, wie zur vergleichenden Wirksamkeit des Einsatzes von SP, noch unbeantwortet sind, lassen sich praktische Implikationen fur SP-Programme in Lehre, Prufung und Forschung ableiten, die in einem Ablaufschema dargestellt werden. Schlussfolgerungen: Der Einsatz von SP bietet gro ss es Potenzial fur die klinisch-psychologische Lehre und Ausbildungsforschung. Um den Einsatz von SP an anderen Standorten zu unterstutzen, werden Beispielmaterialien (z.B. Rollenanleitung) in den elektronischen Supplementen (siehe www.karger.com/doi/10.1159/000509249 fur alle Supplemente) zum Artikel zur Verfugung gestellt.}, language = {de} } @misc{Weck2021, author = {Weck, Florian}, title = {Ein praxisnaher Leitfaden zur kognitiv-verhaltenstherapeutischen Behandlung von Auftritts{\"a}ngsten bei Musikerinnen und Musikern}, series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie}, volume = {50}, journal = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie}, number = {1}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, isbn = {978-3-8017-2988-2}, issn = {1616-3443}, doi = {10.1026/1616-3443/a000615}, pages = {46 -- 47}, year = {2021}, language = {de} } @article{MaassKuehneMaasetal.2020, author = {Maaß, Ulrike and K{\"u}hne, Franziska and Maas, Jana and Unverdross, Maria and Weck, Florian}, title = {Psychological interventions for health anxiety and somatic symptoms}, series = {Zeitschrift f{\"u}r Psychologie = Journal of psychology}, volume = {228}, journal = {Zeitschrift f{\"u}r Psychologie = Journal of psychology}, number = {2}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, issn = {2190-8370}, doi = {10.1027/2151-2604/a000400}, pages = {68 -- 80}, year = {2020}, abstract = {This study examined the effectiveness of psychological interventions for severe health anxiety (SHA) regarding somatic symptoms (SS) and health anxiety (HA). The databases Web of Science, EBSCO, and CENTRAL were searched on May 15, 2019, May 16, 2019, and August 5, 2019, respectively. Eighteen randomized controlled trials (N = 2,050) met the inclusion criteria (i.e., hypochondriasis, illness anxiety disorder or somatic symptom disorder with elevated HA being assessed with validated interviews: use of standardized outcome measures). Two reviewers independently evaluated the studies' risk of bias using the Revised Cochrane Risk-of-Bias Tool for randomized trials (RoB-2) tool. Overall, psychological interventions were significantly more effective than waitlist, treatment-as-usual, or placebo post-treatment (g(SS) = 0.70, g(HA) = 1.11) and at follow-up (g(SS) = 0.33, g(HA)= 0.70). CBT outperformed other psychological interventions or pharmacotherapy for HA post- treatment (Hedge's g(HA) = 0.81). The number of sessions did not significantly predict the effect sizes. In sum, psychological interventions were effective for SHA, but the generalizability of the results for SS is limited, because only two high-quatity trials contributed to the comparison.}, language = {en} } @article{AyBrysonWeckKuehne2022, author = {Ay-Bryson, Destina Sevde and Weck, Florian and K{\"u}hne, Franziska}, title = {Can simulated patient encounters appear authentic?}, series = {Training and education in professional psychology}, volume = {16}, journal = {Training and education in professional psychology}, number = {1}, publisher = {American Psychological Association}, address = {Washington}, issn = {1931-3918}, doi = {10.1037/tep0000349}, pages = {20 -- 27}, year = {2022}, abstract = {Public Significance Statement This study demonstrates that simulated patients (SPs) can authentically portray a depressive case. The results provide preliminary evidence of psychometrically sound properties of the rating scale that contributes to distinguishing between authentic and unauthentic SPs and may thus foster SPs' dissemination into evidence-based training.
For training purposes, simulated patients (SPs), that is, healthy people portraying a disorder, are disseminating more into clinical psychology and psychotherapy. In the current study, we developed an observer-based rating instrument for the evaluation of SP authenticity-namely, it not being possible to distinguish them from real patients-so as to foster their use in evidence-based training. We applied a multistep inductive approach to develop the Authenticity of Patient Demonstrations (APD) scale. Ninety-seven independent psychotherapy trainees, 77.32\% female, mean age of 31.49 (SD = 5.17) years, evaluated the authenticity of 2 independent SPs, each of whom portrayed a depressive patient. The APD demonstrated good internal consistency (Cronbach's alpha = .83) and a strong correlation (r = .82) with an established tool for assessing SP performance in medical contexts. The APD scale distinguished significantly between an authentic and unauthentic SP (d = 2.35). Preliminary evidence for the psychometric properties of the APD indicates that the APD could be a viable tool for recruiting, training, and evaluating the authenticity of SPs. Strengths, limitations, and future directions are also discussed in detail.}, language = {en} } @article{RichtbergJakobHoeflingetal.2016, author = {Richtberg, Samantha and Jakob, Marion and Hoefling, Volkmar and Weck, Florian}, title = {Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis}, series = {Journal of clinical psychology}, volume = {73}, journal = {Journal of clinical psychology}, number = {6}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22356}, pages = {612 -- 625}, year = {2016}, abstract = {ObjectivePsychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated. MethodCharacteristics and behaviors of 75 patients were considered as possible predictors: sociodemographic variables (sex, age, and cohabitation); psychopathology (pretreatment hypochondriacal symptoms, comorbid mental disorders, and levels of depression, anxiety, and somatic symptoms); and patient in-session interpersonal behavior. ResultsSeverity of pretreatment hypochondriacal symptoms, comorbid mental disorders, and patient in-session interpersonal behavior were significant predictors in multiple hierarchical regression analyses. Interactions between the predictors and the treatment (CT or ET) were not found. ConclusionsIn-session interpersonal behavior is an important predictor of outcome. Furthermore, there are no specific contraindications to treating hypochondriasis with CT or ET.}, language = {en} } @article{WeckKaufmannWitthoeft2017, author = {Weck, Florian and Kaufmann, Yvonne Marie and Witth{\"o}ft, Michael}, title = {Topics and techniques in clinical supervision in psychotherapy training}, series = {Cognitive Behaviour Therapist}, volume = {10}, journal = {Cognitive Behaviour Therapist}, publisher = {Cambridge University Press}, address = {Cambridge}, issn = {1754-470X}, doi = {10.1017/S1754470X17000046}, pages = {17}, year = {2017}, abstract = {Clinical supervision is regarded as one of the most important components of psychotherapy training. In clinical practice, it has been found that the implementation of clinical supervision varies substantially and often differs from the recommendations made in the literature. The objective of the current study was to investigate the frequency of topics (e.g. ethical issues) and techniques (e.g. role play) in the clinical supervision of psychotherapy trainees in Germany. To this end, we considered supervisions in cognitive behavioural therapy (CBT) and psychodynamic therapy (PT). A total of 791 psychotherapy trainees (533 CBT and 242 PT) were asked via the internet to provide information about their current supervision sessions. We found that clinical supervision in psychotherapy training addressed topics that are central for the effective treatment of supervised patients (i.e. therapeutic interventions, therapeutic alliance, maintaining factors, and therapeutic goals). However, the most frequently used intervention in clinical supervision in psychotherapy training was case discussion. Rarely were techniques used that allowed the supervisor to give the supervisee feedback based on the supervisee's demonstrated competencies. For example, 46\% of the supervisors never used audiotapes or videotapes in the supervision. Differences between CBT and PT were rather small. Current practice regarding the techniques used in clinical supervision for psychotherapy trainees contradicts recommendations for active and feedback-oriented clinical supervision. Thus the potential of clinical supervision might not be fully used in clinical practice.}, language = {en} } @article{ProbstJakobKaufmannetal.2018, author = {Probst, Thomas and Jakob, Marion and Kaufmann, Yvonne Marie and M{\"u}ller-Neng, Julia M. B. and Bohus, Martin and Weck, Florian}, title = {Patients' and therapists' experiences of general change mechanisms during bug-in-the-eye and delayed video-based supervised cognitive-behavioral therapy}, series = {Journal of clinical psychology}, volume = {74}, journal = {Journal of clinical psychology}, number = {4}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22519}, pages = {509 -- 522}, year = {2018}, abstract = {ObjectiveThis secondary analysis of a randomized controlled trial investigated whether bug-in-the-eye (BITE) supervision (live computer-based supervision during a psychotherapy session) affects the manner in which patients and therapists experience general change mechanisms (GCMs) during cognitive-behavioral therapy (CBT). MethodA total of 23 therapists were randomized either to the BITE condition or the control condition (delayed video-based [DVB] supervision). After each session, both patients (BITE: n=19; DVB: n=23) and therapists (BITE: n=11; DVB: n=12) completed the Helping Alliance Questionnaire (HAQ) and the Bernese Post Session Report (BPSR). The HAQ total score and the 3 secondary factors of the BPSR (interpersonal experiences, intrapersonal experiences, problem actuation) functioned as GCMs. Multilevel models were performed. ResultsFor patients, GCMs did not develop differently between BITE and DVB during CBT. Therapists rated the alliance as well as interpersonal and intrapersonal experiences not significantly different between BITE and DVB during CBT, but they perceived problem actuation to increase significantly more in BITE than in DVB (p<.05). ConclusionBITE supervision might be helpful in encouraging CBT therapists to apply interventions, which focus on the activation of relevant problems and related emotions.}, language = {en} } @article{WeckNagelRichtbergetal.2017, author = {Weck, Florian and Nagel, Laura Carlotta and Richtberg, Samantha and Neng, Julia M. B.}, title = {Personality disorders in hypochondriasis}, series = {Journal of personality disorders}, volume = {31}, journal = {Journal of personality disorders}, publisher = {Guilford Press}, address = {New York}, issn = {0885-579X}, pages = {567 -- 576}, year = {2017}, abstract = {Previous studies found high prevalence rates of personality disorders (PDs) in patients with hypochondriasis; however, assessment was often based only on questionnaires. In the current study, a sample of 68 patients with hypochondriasis was compared to 31 patients with panic disorder and to 94 healthy controls. Participants were investigated with the Structured Clinical Interview for DSM-IV Personality Disorders questionnaire (SCID-II questionnaire) and the SCID-II interview. Based on the cut-off scores of the SCID-II questionnaire, we found a prevalence rate of 45.6\% for PD in patients with hypochondriasis. In comparison to healthy controls, patients with hypochondriasis showed characteristics of paranoid, borderline, avoid ant, and-dependent PDs in the dimensional assessment significantly more often. However, no significant differences were found between the clinical samples. Based on the SCID-II interview, only 2.9\% of the patients with hypochondriasis fulfilled the criteria for a PD. These results suggest that PDs are not a specific characteristic of hypochondriasis.}, language = {en} } @article{MaiwaldJungaLangetal.2019, author = {Maiwald, Lisa Marie and Junga, Yvonne Marie and Lang, Thomas and Montini, Romina and Witth{\"o}ft, Michael and Heider, Jens and Schr{\"o}der, Annette and Weck, Florian}, title = {The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia}, series = {Journal of clinical psychology}, volume = {75}, journal = {Journal of clinical psychology}, number = {4}, publisher = {Wiley}, address = {Hoboken}, issn = {0021-9762}, doi = {10.1002/jclp.22738}, pages = {614 -- 626}, year = {2019}, abstract = {Objective There is a very limited amount of research on the relationship between therapist and patient in-session behavior and treatment outcome in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/AG). Additionally, the findings tend to be inconclusive. This study investigates the association between therapist competence, adherence, patient interpersonal behavior, and therapeutic alliance and outcome in a low-control CBT setting by using comprehensive measures. Methods Twenty-six patients with PD/AG received 12 sessions of exposure-based CBT. With regard to the outcome, treatments were classified either as problematic or nonproblematic by means of distinct criteria. Two raters evaluated the in-session behavior. Results Patient interpersonal behavior was significantly associated with outcome at follow-up (r = 0.49). At posttreatment, the correlation did not reach significance ( r = 0.34). Competence, adherence, and alliance were not outcome associated. Conclusion The findings emphasize the need for therapists to pay particular attention to patients' interpersonal behavior during treatment.}, language = {en} } @article{KuehneLackiMuseetal.2019, author = {K{\"u}hne, Franziska and Lacki, Fiona Janina and Muse, Kate and Weck, Florian}, title = {Strengthening competence of therapists-in-training in the treatment of health anxiety (hypochondriasis)}, series = {Clinical psychology \& psychotherapy : an international journal of theory and practice}, volume = {26}, journal = {Clinical psychology \& psychotherapy : an international journal of theory and practice}, number = {3}, publisher = {Wiley}, address = {Hoboken}, issn = {1063-3995}, doi = {10.1002/cpp.2353}, pages = {319 -- 327}, year = {2019}, abstract = {Although the observation and assessment of psychotherapeutic competences are central to training, supervision, patient care, quality control, and life-long practice, structured instruments are used only occasionally. In the current study, an observation-based tool for the Assessment of Core CBT Skills (ACCS) was translated into German and adapted, and its psychometric properties were pilot evaluated. Competence of therapists-in-training was assessed in a random sample of n = 30 videos on cognitive behavioural therapy including patients diagnosed with hypochondriasis. Two of three raters independently assessed the competences demonstrated in the entire, active treatment sessions (n = 60). In our sample, internal consistency was excellent, and interrater reliability was good. Convergent validity (Cognitive Therapy Scale) and discriminant validity (Helping Alliance Questionnaire) were within the expected ranges. The ACCS total score did not significantly predict the reduction of symptoms of hypochondriasis, and a one-factorial structure of the instrument was found. By providing multiple opportunities for feedback, self-reflection, and supervision, the ACCS may complement current tools for the assessment of psychotherapeutic competences and importantly support competence-based training and supervision.}, language = {en} } @article{WeckWitthoeft2017, author = {Weck, Florian and Witth{\"o}ft, Michael}, title = {Context effects in the evaluation of bodily symptoms}, series = {Journal of experimental psychopathology}, volume = {8}, journal = {Journal of experimental psychopathology}, publisher = {Sage Publishing}, address = {London}, issn = {2043-8087}, doi = {10.5127/jep.054216}, pages = {241 -- 251}, year = {2017}, abstract = {The illness-related evaluation of bodily symptoms is considered to be an important maintaining factor in somatoform disorders. However, little is known about context variables that could influence this evaluation process. In the current study, participants completed three versions of the Health Norms Sorting Task (HNST) and evaluated bodily symptoms in different contexts (i.e., different evaluation perspectives and time frames of evaluation). Additionally, the three HNST versions were presented in different orders. Bodily symptoms were evaluated more often as a sign of illness when a specific time frame (i.e., one week) was given. However, this context effect was only large when participants had previously evaluated symptoms existing without a concrete duration. Thus, previously completed symptom evaluations appear to represent an important frame of reference in terms of a cue that makes specific context variables salient. The results further suggested that these cueing effects might be less relevant for participants with elevated somatic symptom reports.}, language = {en} } @misc{KuehneMaasWiesenthaletal.2017, author = {K{\"u}hne, Franziska and Maas, Jana and Wiesenthal, Sophia and Weck, Florian}, title = {Supervision in der Verhaltenstherapie}, series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis}, volume = {46}, journal = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis}, number = {2}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, issn = {1616-3443}, doi = {10.1026/1616-3443/a000414}, pages = {73 -- 82}, year = {2017}, abstract = {Theoretischer Hintergrund:Supervision spielt eine zentrale Rolle zum Wissens- und Kompetenzerwerb sowie in der Qualit{\"a}tssicherung. Fragestellung:Ziel war es, den aktuellen Forschungsstand zur Supervision im Rahmen der kognitiven Verhaltenstherapie abzubilden, um daraus Schlussfolgerungen f{\"u}r die zuk{\"u}nftige Forschung abzuleiten. Methode:Zur Evidenzsynthese wurde ein Scoping Review durchgef{\"u}hrt, das die Darstellung zentraler Konzepte, aktueller Evidenz und m{\"o}glicher Forschungsbedarfe erm{\"o}glichte. Neben einer systematischen Literaturrecherche wurden Vorw{\"a}rts- und R{\"u}ckw{\"a}rtssuchstrategien eingesetzt. Ergebnisse:Eingeschlossen wurden zw{\"o}lf Publikationen basierend auf zehn empirischen Studien. Alle Studien beschrieben Ausbildungssettings, aber nur wenige untersuchten {\"u}bende Interventionen (z. B. Rollenspiele). H{\"a}ufig wurden Effekte subjektiv erfasst, die methodische Qualit{\"a}t der Begleitstudien variierte. Schlussfolgerungen:Notwendig sind weitere methodisch hochwertige Studien, experimentell orientiert oder in der klinischen Praxis, die die Supervisionsforschung bereichern k{\"o}nnen.}, language = {de} } @misc{KuehneAyOtterbecketal.2018, author = {K{\"u}hne, Franziska and Ay, Destina Sevde and Otterbeck, Mara Jasmin and Weck, Florian}, title = {Standardized Patients in Clinical Psychology and Psychotherapy}, series = {Academic psychiatry}, volume = {42}, journal = {Academic psychiatry}, number = {6}, publisher = {Springer}, address = {New York}, issn = {1042-9670}, doi = {10.1007/s40596-018-0886-6}, pages = {773 -- 781}, year = {2018}, abstract = {ObjectivesThe use of simulated and standardized patients (SP) is widely accepted in the medical field and, from there, is beginning to disseminate into clinical psychology and psychotherapy. The purpose of this study was therefore to systematically review barriers and facilitators that should be considered in the implementation of SP interventions specific to clinical psychology and psychotherapy.MethodsFollowing current guidelines, a scoping review was conducted. The literature search focused on the MEDLINE, PsycINFO and Web of Science databases, including Dissertation Abstracts International. After screening for titles and abstracts, full texts were screened independently and in duplicate according to our inclusion criteria. For data extraction, a pre-defined form was piloted and used. Units of meaning with respect to barriers and facilitators were extracted and categorized inductively using content-analysis techniques. From the results, a matrix of interconnections and a network graph were compiled.ResultsThe 41 included publications were mainly in the fields of psychiatry and mental health nursing, as well as in training and education. The detailed category system contrasts four supercategories, i.e., which organizational and economic aspects to consider, which persons to include as eligible SPs, how to develop adequate scenarios, and how to authentically and consistently portray mental health patients.ConclusionsPublications focused especially on the interrelation between authenticity and consistency of portrayals, on how to evoke empathy in learners, and on economic and training aspects. A variety of recommendations for implementing SP programs, from planning to training, monitoring, and debriefing, is provided, for example, ethical screening of and ongoing support for SPs.}, language = {en} } @article{KaufmannMaiwaldSchindleretal.2017, author = {Kaufmann, Yvonne Marie and Maiwald, Lisa Marie and Schindler, Svenja and Weck, Florian}, title = {Wie wirkt sich mehrmaliges Kompetenz-Feedback auf psychotherapeutische Behandlungen aus?}, series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis}, volume = {46}, journal = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis}, number = {2}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, issn = {1616-3443}, doi = {10.1026/1616-3443/a000412}, pages = {96 -- 106}, year = {2017}, abstract = {Theoretischer Hintergrund: Einfl{\"u}sse von therapeutenorientiertem Kompetenz-Feedback in der Psychotherapieausbildung wurden bislang wenig untersucht. Fragestellung: Wie gehen Ausbildungstherapeuten mit Feedback um? Welchen Einfluss hat ein regelm{\"a}ßiges Kompetenz-Feedback auf die Qualit{\"a}t psychotherapeutischer Behandlungen (insbesondere Therapiesitzungen, therapeutische Beziehung, Person des Therapeuten, Supervision)? Methode: Elf Therapeuten wurden mithilfe eines halbstrukturierten Interviewleitfadens befragt. Die Auswertung erfolgte mittels qualitativer Inhaltsanalyse nach Mayring (2015). Ergebnisse: Das auf Basis der Interviews erstellte Kategoriensystem umfasste die Kategorien „Erwartungen an das Feedback", „Wahrnehmung des Feedbacks", „Verarbeitung von und Umgang mit Feedback", „Folgen, Auswirkungen und Ver{\"a}nderungen durch Feedback" sowie „Verbesserungsw{\"u}nsche". Schlussfolgerungen: Therapeuten streben eine Umsetzung des Feedbacks an, welches sich auf die Behandlung, die Supervision, die eigene Person und die therapeutische Beziehung auswirkt.}, language = {de} } @misc{Weck2021, author = {Weck, Florian}, title = {Ein hilfreicher Leitfaden zur Verfassung des Berichts an den Gutachterim Rahmen der Verhaltenstherapie}, series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie}, volume = {49}, journal = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie}, number = {3}, publisher = {Hogrefe}, address = {G{\"o}ttingen}, issn = {1616-3443}, doi = {10.1026/1616-3443/a000553}, pages = {193 -- 194}, year = {2021}, abstract = {Seit dem 01. 04. 2017 erfolgte eine umfangreiche Reform der Psychotherapie-Richtlinie. Neben der Einf{\"u}hrung neuer Leistungen (z. B. Akutbehandlung, psychotherapeutische Sprechstunde) wurden auch {\"A}nderungen im Ablauf und der Beantragung von Psychotherapie beschlossen. Beispielsweise ist der Bericht an den Gutachter bzw. die Gutachterin seltener eine notwendige Voraussetzung zur Durchf{\"u}hrung einer psychotherapeutischen Behandlung, als dass zuvor der Fall war. Im Zuge der Reform wurde auch der Leitfaden f{\"u}r die Gestaltung des Berichts an den Gutachter bzw. die Gutachterin {\"u}berarbeitet. Vor dem Hintergrund der Psychotherapie-Richtlinien-Reform ist das Werk „Leitfaden f{\"u}r den VT-Bericht an den Gutachter" von Daniel Surall und Oliver Kunz sehr willkommen. Das Buch gliedert sich insgesamt in zehn Kapitel, in denen die Autoren ausf{\"u}hrlich auf den reformierten Bericht an den Gutachter bzw. an die Gutachterin eingehen. In den ersten beiden Kapiteln fassen die Autoren die {\"A}nderungen zur Psychotherapie-Richtlinie und im Bericht an den Gutachter / die Gutachterin zusammen. In den folgenden sechs Kapiteln wird auf die einzelnen Abschnitte des neuen Berichts an den Gutachter/die Gutachterin eingegangen. Sehr hilfreich ist hierbei, dass die Autoren zahlreiche Fallbeispiele nutzen, um die einzelnen Abschnitte des Berichts an den Gutachter/die Gutachterin zu erl{\"a}utern. Auch die {\"u}bersichtliche Darstellungsform in Form von Tabellen (z. B. zur Darstellung der Verhaltensanalyse) erleichtert den Leser_innen die Nachvollziehbarkeit der Inhalte. Erfreulich ist auch, dass die Autoren hinsichtlich der Antragstellung auch immer auf Unterschiede zwischen erwachsenen Patient_innen und Kindern und Jugendlichen eingehen. Im neunten Kapitel des Leitfadens wird ausf{\"u}hrlicher das Thema Umwandlungs- und Fortf{\"u}hrungsantr{\"a}ge aufgegriffen. Dies ist insbesondere sinnvoll, da nach der neuen Psychotherapie-Richtlinie f{\"u}r Kurzzeitantr{\"a}ge in der Regel keine Berichtspflicht besteht und Umwandlungs- und Fortf{\"u}hrungsantr{\"a}ge in der Praxis h{\"a}ufiger als zuvor von Relevanz sein d{\"u}rften. Im zehnten Kapitel wird in knapper Weise darauf eingegangen, wie bei Ablehnung oder K{\"u}rzung von beantragten Leistungen vorgegangen werden kann. Das Buch umfasst einen umfangreichen Anhang (67 Seiten), in dem Beispiele f{\"u}r Berichte an den Gutachter / die Gutachterin und Behandlungspl{\"a}ne f{\"u}r verschiedene psychische St{\"o}rungen zu finden sind. Auch hierbei werden sowohl Berichte f{\"u}r Erwachsene als auch f{\"u}r Kinder und Jugendliche pr{\"a}sentiert. Zudem beinhaltet der Anhang des Buches das Berner Inventar f{\"u}r Therapieziele, Ausz{\"u}ge aus dem AMDP-Befundbogen (Arbeitsgemeinschaft Methodik und Dokumentation in der Psychiatrie, 2018)<\litr>, den Leitfaden zum Erstellen des Berichts an die Gutachter_innen (PTV 3) sowie einer Gegen{\"u}berstellung des alten und des neuen Leitfadens f{\"u}r den Bericht an die Gutachter_innen. Bei dem von Surall und Kunz vorgelegten Buch handelt es sich um einen {\"a}ußerst hilfreichen Leitfaden, der Therapeut:innen bei der Abfassung des Berichts an den Gutachter / die Gutachterin im Rahmen der Verhaltenstherapie unterst{\"u}tzen kann. Hierbei kann der Leitfaden Psychotherapeut_innen in Ausbildung bei der Abfassung ihrer ersten Antr{\"a}ge unterst{\"u}tzen. Aber auch erfahrenen Kolleg_innen k{\"o}nnen bei dem {\"U}bergang in die neuen Antragsformalit{\"a}ten, die mit der Reform der Psychotherapie-Richtlinie einhergingen, unterst{\"u}tzen werden. Hierbei ist insbesondere die Im Anhang befindliche Gegen{\"u}berstellung des alten und des neuen Leitfadens f{\"u}r den Bericht an den Gutachter / die Gutachterin hilfreich, um sich einen schnellen {\"U}berblick {\"u}ber die {\"A}nderungen zu verschaffen. Insgesamt werden die einzelnen Abschnitte des Berichts an den Gutachter / die Gutachterin sehr gut strukturiert und verst{\"a}ndlich erl{\"a}utert. Die vielen Beispiele und die ausf{\"u}hrlichen Materialien im Anhang erg{\"a}nzen zudem die Erl{\"a}uterungen und erleichtern das Verst{\"a}ndnis. Zu Beginn des Buches w{\"a}re zudem noch eine Abbildung hilfreich gewesen, die den Ablauf der Beantragung von Psychotherapie schematisch darstellt, um einen genaueren {\"U}berblick {\"u}ber die Beantragung von Psychotherapie nach der neuen Psychotherapie-Richtlinie zu erhalten. Auch ein Stichwortverzeichnis w{\"u}rde die Suche nach bestimmten Inhalten erleichtern. Zusammenfassend kann festgehalten werden, dass es sich bei dem Werk von Surall und Kunz um einen sehr empfehlenswerten Leitfaden handelt, der im Rahmen der Antragstellung von Verhaltenstherapie genutzt werden kann. Aufgrund der klaren Struktur und Anschaulichkeit durch viele Beispielantr{\"a}ge bringt das Buch alle Voraussetzungen mit, um sich als Standartwerk zu etablieren, dass Therapeut_innen bei der Beantragung von Verhaltenstherapie in {\"a}ußerst hilfreicher Weise unterst{\"u}tzt.}, language = {de} }