Zeitschrift Fur Kinder-Und Jugendpsychiatrie Und Psychotherapie最新文献

Parental Distress of Patients Who Refuse to Eat: Toward a Deeper Understanding and Greater Support for Parents of Children Suffering from an Eating Disorder Abstract: Many parents experience their role as parents of a daughter/son with anorexia nervosa as very troublesome and demanding. In several departments of child and adolescen psychiatry in Germany, the contact between parents and adolescent patients with anorexia nervosa is still restricted because parents are often judged responsible for the eating disorder of their child - or at least seen as troublemakers during their child's inpatient treatment. Parents blame themselves for the development of anorexia nervosa, and in comparison to other mental disorders of adolescence, they experience even more guilt and shame. Many of them suffer from psychiatric disorders themselves (not a few from eating disorders), which reinforce feelings of helplessness and shame. Several parents have partnership problems and must take off work to support their child, which often leads to financial losses for the whole family. They complain that they have insufficient support and feel misunderstood by health professionals whom they wish to have a profound knowledge of the disorder and who would trust and understand the carers. This article provides several recommendations to improve the relationship between parents and therapists: termination of contact restrictions, detailed information for the parents about possible biological and psychological causes of eating disorders, including psychoeducational groups and involvement in treatment, not only through therapeutic conversations but also through practical exercises such as meal support. An innovative approach is home treatment, which offers the chance to integrate parents into treatment and thus improve their skills in handling their daughter´s/son´s illness. We should be aware that parents are the most important resource to help young patients with debilitating eating disorders.

Participation in a Hospital for Child and Adolescent Psychiatry and Psychotherapy: What are the Connections Between the Participatory Attitude of Employees and their Personality Factors? Abstract: Previous studies have demonstrated a great desire for participation among underage patients. The implementation of participative elements in child and adolescent psychiatry and psychotherapy is influenced by the staff's attitude. The present study investigated the attitude toward the participation of the clinical staff working in a child and adolescent psychiatric hospital department via a questionnaire survey and assessed personality traits that may potentially affect their attitude toward participation. All respondents (N = 54) indicated a positive attitude toward participation, independent of the participants' age and professional background. Participants scoring higher on the personality trait "agreeableness" considered "trust" a more important factor of participation. More research is needed to identify factors that hinder and promote participation in child and adolescent psychiatric treatment and to implement participation in clinical practice.

Objective: In 2018, Herwig Czech (2018, 2020) and Edith Sheffer (2018) accused Hans Asperger of complicity in the Nazi child euthanasia program also because of his participation in the Gugging Commission. Method: We reviewed all documents related to the Commission to clarify Asperger's role. Results: The Commission consisted of officials from Vienna and Lower Danube and had the primary task of determining which children admitted to Gugging could attend an auxiliary school. As part of the investigations, a group of children was also diagnosed as incapable of learning and developing normally based on a list prepared by Gugging's Director. According to two documents prepared for the Commission, these children were to be assigned to the "Aktion Jekelius". The two authors imply that "Aktion Jekelius" was a cover term for the murder of these children and was known as such. However, this designation was communicated only within the Reich Governor's Office in Lower Danube. Conclusion: According to the available documents, there is no indication that Hans Asperger, as a member of the Vienna delegation, knew about "Aktion Jekelius" and its hidden murderous intentions. He therefore had no reason to refuse to participate in the Commission. Analysis of the subsequent transfers of children to Spiegelgrund showed no direct connection with the Commission's activities.

Current State of Research on Surf Therapy and its Possible Application as an Intervention for Adolescent Depression Abstract: Depression is one of the most common mental health disorders experienced in adolescence. Because of its high prevalence rates and significant impact on affected individuals, alternative and complementary interventions are being explored. In recent years, physical activity has received increasing attention as a form of treatment. Current reviews highlight the potential benefits of this therapeutic approach in reducing depressive symptoms. Surf therapy is an innovative approach in the field of physical activity that additionally utilizes the therapeutic effects of the ocean. It combines surfing with structured exercises to promote mental and physical well-being. Internationally, surf therapy is already being applied to children and adolescents dealing with mental health problems as well as to adults diagnosed with conditions such as depression and posttraumatic stress disorder. Initial studies suggest positive effects of surf therapy in terms of symptom reduction, although the research is limited and requires further investigation. We present our pilot study investigating the feasibility and effectiveness of surf therapy for the treatment of adolescent depression in Germany.