Antje Gumz - Academia.edu (original) (raw)
Papers by Antje Gumz
Wie können Versuchspersonen und vulnerable Bevölkerungsgruppen in einer globalen und zunehmend ko... more Wie können Versuchspersonen und vulnerable Bevölkerungsgruppen in einer globalen und zunehmend komplexen Forschungsumgebung geschützt werden? Viele wissenschaftliche Fragen des 21. Jahrhunderts werden sich nur mit der Durchführung von Studien am Menschen bearbeiten und lösen lassen. Gleichzeitig hat gerade das 20. Jahrhundert bei Humanexperimenten Verstöße gegen Moral und Menschenrechte in einem nie gekannten Ausmaß gesehen. Seit genau 50 Jahren versucht die Deklaration von Helsinki als Leitlinie zu dienen für Forschung und Wissenschaft, Ethik und Recht, Patienten und Politik. Der vorliegende Band möchte zu einem tieferen Verständnis der historischen Entwicklung von Forschung am Menschen und einer höheren ethischen Sensibilität bei der Durchführung von wissenschaftlichen Studien beitragen und vereinigt hierzu die Arbeiten von führenden Wissenschaftlern aus Medizin, Bioethik, Philosophie und Geschichte der Heilkunde zu einem Thema von größter individueller wie auch kollektiver Bedeut...
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, 2012
Das Gesundheitswesen, 2013
In the context of the public debate on psychological strain among students, the prevalence of bur... more In the context of the public debate on psychological strain among students, the prevalence of burnout, procrastination, test anxiety, other work disruptions, interpersonal problems and psychic symptoms were analyzed depending on academic degree. The data of 358 college students (of Leipzig University) were examined. The academic degree had only a marginal effect on burnout- and work disruptions-related variables. In terms of interpersonal problems and psychic symptoms, differences between students were identified, depending on the academic degree. Diploma students reported many complaints, whereas undergraduates aspiring for a State Examination, were comparatively less affected. Knowledge of the population-specific psychological load is useful in order to develop preventive and therapeutic measures.
Das Gesundheitswesen, 2013
ABSTRACT The situation of the health-care services in the GDR during the 1980s has been reconstru... more ABSTRACT The situation of the health-care services in the GDR during the 1980s has been reconstructed on the basis of the in part not previously released files of the Ministry for State Security (Stasi files).A research application was submitted to the responsible German Agency to examine the Stasi files on district physicians in the GDR. 78 extensive files were made available and evaluated according to the topics drugs and other medicinal aids, medical techniques, building status, procurement of foreign currencies, hygiene, Chernobyl, appeals and shortage of physicians.The Stasi files reveal a dismal picture for the status of health-care services in the GDR during the 1980s. The authorities responsible for public health and the Ministry for State Security were well informed about the existing problems. Towards the end of the GDR the Ministry of Sate Security admitted internally that research and technology were lagging about 10 years behind that in Western countries.The discrepancy between the official reports and inofficial opinions was considerable. The Ministry of State Security worked mainly passively in an ideological fantasy world in which all such discrepencies had to be denied.
Ethik in der Medizin, 2012
ABSTRACT Definition of the problem The potential corruptibility of contracted medical practioners... more ABSTRACT Definition of the problem The potential corruptibility of contracted medical practioners has been controversially discussed for a long time: following the so-called “heart valve scandal”, numerous other pharmaceutical companies have also made the headlines when being accused of trying to bribe medical practioners. The issue not only raises judicial and sociopolitical questions, but also ethical questions. Thus far, only few reflections have been made on the matter. The medical profession has preferred to let politicians and legal professionals assess these aspects.Arguments The question of criminal bribery remains in its core a problem for the medical profession and medical ethics. In daily life, it is often difficult to recognize compensations as bribery. The border between harmless acceptance of gifts and possible corruption is often not very clear. It mostly remains in the moral perception of the doctors themselves to recognize the border between cooperation and corruption when dealing with a pharmaceutical company. Inevitably there will be conflicts between private and ethical interest of the medical professionals. Since the official ruling on the matter is insufficient, doctors are forced to decide individually what behavior is appropriate in each case.Conclusion Awareness of sociopolitical and professional-ethical conflicts of interest among doctors should be improved. It is desirable to establish a more agressive dialogue on the question of bribery of doctors.
Counselling and Psychotherapy Research, 2011
Background: An important focus of current psychotherapy research is to explore how change occurs ... more Background: An important focus of current psychotherapy research is to explore how change occurs in the psychotherapeutic processes. There is a lack of studies that track the process of emotional change throughout therapy. Aim: Analysis of a single case is used to examine transformations of emotional functions during the course of psychodynamic long‐term therapy. Method: A rating instrument was used to assess three aspects of emotional expression over 120 hours of therapy. Results: The number of verbalised emotions and the variability of the emotional profile increased during the course of the therapy. These developments occured in three distinct phases. The proportion of positive emotions varied across each stage although there was no linear increase across the case as a whole. Modifications of the rating scale were made, in relation to its applicability to the analysis of therapeutic dialogue. Conclusions: The findings of this study suggest that discontinuous transitions can be re...
BackgroundA long duration of untreated illness (DUI) is an unfavorable prognostic factor in anore... more BackgroundA long duration of untreated illness (DUI) is an unfavorable prognostic factor in anorexia nervosa and often associated with chronic illness progression. The FABIANA- checklist, developed using a qualitative multi-informant approach, includes factors influencing treatment initiation which are potentially modifiable and are mentioned as being relevant by patients with AN. The study focusses on the development and evaluation of the FABIANA-Checklist and aims at providing descriptive data on DUI in a German sample.MethodsAfter cognitive pretest and revision, dimensionality of the 18-item version of the FABIANA-checklist was tested by Principal Component Analysis (PCA). For item validation we assessed support from social environment (FSozU), support in the health care system (PACIC-5A), illness perception and coping (BIPQ).ResultsWe included a sample of female patients (N=75), aged >14 years ( M = 21.4 years) with AN. Average BMI was 15.5 kg/m 2 , age of onset was 19.2 year...
Die Psychotherapie
Zusammenfassung Hintergrund Die Berücksichtigung psychischer Komorbiditäten in der Wirksamkeitsfo... more Zusammenfassung Hintergrund Die Berücksichtigung psychischer Komorbiditäten in der Wirksamkeitsforschung ist aufgrund hoher Komorbiditätsraten bei Depressionen und deren Auswirkungen auf die Behandlungspraxis relevant. Ziele Ziel dieses Beitrags ist, die Berücksichtigung von Komorbiditäten in aktuellen Studien zur Wirksamkeit von Depressionsbehandlungen zu untersuchen und die Relevanz eines wissenschaftlichen Einbezugs für die praktische Arbeit mit Depressionen zu betonen. Methode In einschlägigen Datenbanken wurde nach deutsch- und englischsprachigen Metaanalysen zum Thema mit einem Veröffentlichungsdatum zwischen 2000 und 2020 gesucht. Zur Prüfung des methodischen Umgangs mit Komorbiditäten in Wirksamkeitsstudien zu Depressionsbehandlungen wurden spezifische Kriterien formuliert. Studien, deren Stichproben wegen einer primär somatischen Erkrankung behandelt wurden, wurden nicht betrachtet. Ergebnisse Die Auswertung des methodischen Umgangs mit psychischen Komorbiditäten ergab, das...
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, 2021
ZusammenfassungEine veränderte Interozeption ist ein zentrales Korrelat der Anorexia nervosa (AN)... more ZusammenfassungEine veränderte Interozeption ist ein zentrales Korrelat der Anorexia nervosa (AN) und stellt einen potentiellen Ansatz in der Genesung der AN dar. Erste Ergebnisse zur Wirksamkeit von Yoga als körperorientierte Methode in der Therapie der AN sind vielversprechend. Dennoch liegen bislang unzureichende empirische Befunde bezüglich der Frage vor, auf welche Weise Yoga-Strategien und Yoga-Elemente wie Körperhaltungen, Entspannungs-, Atem-, und Meditationsübungen eingesetzt werden sollten. Vor diesem Hintergrund führten wir eine qualitative Pilotstudie mit einer Stichprobe von n=6 Patientinnen mit AN durch, die sich im Anschluss an eine klinische stationäre Behandlung in einer pädagogisch-therapeutischen Facheinrichtung der Jugend- und Eingliederungshilfe (SGB VIII/XII) befanden. Die Studienteilnehmerinnen erhielten eine einstündige Hatha-Yoga-Intervention über mindestens 12 Wochen. Nach der Yoga-Intervention wurden ½- bis 1-stündige halbstrukturierte Leitfadeninterviews ...
Journal of Eating Disorders, 2021
Background A long duration of untreated illness (DUI) is an unfavorable prognostic factor in anor... more Background A long duration of untreated illness (DUI) is an unfavorable prognostic factor in anorexia nervosa (AN) and is associated with chronic illness progression. Although previous preventive measures aimed at reducing DUI and thus improving short- and long-term treatment outcomes have been partially successful, a better understanding of the factors involved in the sensitive phase prior to treatment initiation is needed. To date, there is no validated instrument available to assess these factors specifically for patients with AN. The FABIANA-project (Facilitators and barriers in anorexia nervosa treatment initiation) aims at identifying predictors of the DUI in order to target preventive measures better in the future. As part of this project, the FABIANA-checklist was developed, based on a multi-informant perspective and a multimodal bottom-up approach. The present study focusses on the process of item generation, item selection and psychometric validation of the checklist. Meth...
Psychotherapeut, 2021
Der gezielte Einsatz von Musik im Rahmen einer therapeutischen Beziehung hat sich als Bestandteil... more Der gezielte Einsatz von Musik im Rahmen einer therapeutischen Beziehung hat sich als Bestandteil eines multimodalen Behandlungskonzeptes in den meisten Kliniken etabliert. Der Beitrag stellt die psychodynamische Musiktherapie aus der Perspektive klinischen Arbeitens vor. Es werden theoretische Grundlagen, aktuelle Forschungsdaten und ausgewählte Fallbeispiele beschrieben. Illustriert wird, wie die Musiktherapie musikalische Parameter nutzt, um Konflikte, Strukturniveau und Beziehungsmuster zu identifizieren sowie maladaptiven Beziehungsmustern mit Interventionen zu begegnen. Durch den Einsatz von unterschiedlichen musiktherapiespezifischen und an anderen psychotherapeutischen Verfahren orientierten Techniken können Patient*innen neue Beziehungserfahrungen machen. Für die Wirksamkeit der Musiktherapie liegt zunehmend empirische Evidenz vor, was sich auch in den Empfehlungen der S3-Leitlinien für verschiedene Störungsbilder widerspiegelt.
Zeitschrift für Psychosomatische Medizin und Psychotherapie, 2021
Functions of language in psychotherapy: A qualitative study of psychotherapists' subjective theor... more Functions of language in psychotherapy: A qualitative study of psychotherapists' subjective theories of the "talking cure" Objectives: Psychotherapy is traditionally considered as a "talking cure". The specific functions of verbal activity, however, are disputed. The present study aims at identifying central therapeutic functions of verbal activity. Methods: In qualitative interviews n = 23 psychotherapists with psychodynamic (n = 12) or behavioral (n = 11) background were interviewed regarding their theories of the "talking cure." Based on Consensual Qualitative Research (CQR) a category system of therapeutic functions of verbal activity was constructed. Results: The participants described a wide range of relational, experiential, and behavioral functions of verbal activity in psychotherapy. Psychodynamic therapists emphasized relational and experiential functions of verbal activity, while behavioral therapists emphasized behavioral functions. Conclusions: The findings imply that verbal activity fulfills diverse functions in therapeutic contexts. This suggests a basic verbal materiality of many therapeutic techniques and common factors that needs to be specified in subsequent research.
Wie können Versuchspersonen und vulnerable Bevölkerungsgruppen in einer globalen und zunehmend ko... more Wie können Versuchspersonen und vulnerable Bevölkerungsgruppen in einer globalen und zunehmend komplexen Forschungsumgebung geschützt werden? Viele wissenschaftliche Fragen des 21. Jahrhunderts werden sich nur mit der Durchführung von Studien am Menschen bearbeiten und lösen lassen. Gleichzeitig hat gerade das 20. Jahrhundert bei Humanexperimenten Verstöße gegen Moral und Menschenrechte in einem nie gekannten Ausmaß gesehen. Seit genau 50 Jahren versucht die Deklaration von Helsinki als Leitlinie zu dienen für Forschung und Wissenschaft, Ethik und Recht, Patienten und Politik. Der vorliegende Band möchte zu einem tieferen Verständnis der historischen Entwicklung von Forschung am Menschen und einer höheren ethischen Sensibilität bei der Durchführung von wissenschaftlichen Studien beitragen und vereinigt hierzu die Arbeiten von führenden Wissenschaftlern aus Medizin, Bioethik, Philosophie und Geschichte der Heilkunde zu einem Thema von größter individueller wie auch kollektiver Bedeut...
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, 2012
Das Gesundheitswesen, 2013
In the context of the public debate on psychological strain among students, the prevalence of bur... more In the context of the public debate on psychological strain among students, the prevalence of burnout, procrastination, test anxiety, other work disruptions, interpersonal problems and psychic symptoms were analyzed depending on academic degree. The data of 358 college students (of Leipzig University) were examined. The academic degree had only a marginal effect on burnout- and work disruptions-related variables. In terms of interpersonal problems and psychic symptoms, differences between students were identified, depending on the academic degree. Diploma students reported many complaints, whereas undergraduates aspiring for a State Examination, were comparatively less affected. Knowledge of the population-specific psychological load is useful in order to develop preventive and therapeutic measures.
Das Gesundheitswesen, 2013
ABSTRACT The situation of the health-care services in the GDR during the 1980s has been reconstru... more ABSTRACT The situation of the health-care services in the GDR during the 1980s has been reconstructed on the basis of the in part not previously released files of the Ministry for State Security (Stasi files).A research application was submitted to the responsible German Agency to examine the Stasi files on district physicians in the GDR. 78 extensive files were made available and evaluated according to the topics drugs and other medicinal aids, medical techniques, building status, procurement of foreign currencies, hygiene, Chernobyl, appeals and shortage of physicians.The Stasi files reveal a dismal picture for the status of health-care services in the GDR during the 1980s. The authorities responsible for public health and the Ministry for State Security were well informed about the existing problems. Towards the end of the GDR the Ministry of Sate Security admitted internally that research and technology were lagging about 10 years behind that in Western countries.The discrepancy between the official reports and inofficial opinions was considerable. The Ministry of State Security worked mainly passively in an ideological fantasy world in which all such discrepencies had to be denied.
Ethik in der Medizin, 2012
ABSTRACT Definition of the problem The potential corruptibility of contracted medical practioners... more ABSTRACT Definition of the problem The potential corruptibility of contracted medical practioners has been controversially discussed for a long time: following the so-called “heart valve scandal”, numerous other pharmaceutical companies have also made the headlines when being accused of trying to bribe medical practioners. The issue not only raises judicial and sociopolitical questions, but also ethical questions. Thus far, only few reflections have been made on the matter. The medical profession has preferred to let politicians and legal professionals assess these aspects.Arguments The question of criminal bribery remains in its core a problem for the medical profession and medical ethics. In daily life, it is often difficult to recognize compensations as bribery. The border between harmless acceptance of gifts and possible corruption is often not very clear. It mostly remains in the moral perception of the doctors themselves to recognize the border between cooperation and corruption when dealing with a pharmaceutical company. Inevitably there will be conflicts between private and ethical interest of the medical professionals. Since the official ruling on the matter is insufficient, doctors are forced to decide individually what behavior is appropriate in each case.Conclusion Awareness of sociopolitical and professional-ethical conflicts of interest among doctors should be improved. It is desirable to establish a more agressive dialogue on the question of bribery of doctors.
Counselling and Psychotherapy Research, 2011
Background: An important focus of current psychotherapy research is to explore how change occurs ... more Background: An important focus of current psychotherapy research is to explore how change occurs in the psychotherapeutic processes. There is a lack of studies that track the process of emotional change throughout therapy. Aim: Analysis of a single case is used to examine transformations of emotional functions during the course of psychodynamic long‐term therapy. Method: A rating instrument was used to assess three aspects of emotional expression over 120 hours of therapy. Results: The number of verbalised emotions and the variability of the emotional profile increased during the course of the therapy. These developments occured in three distinct phases. The proportion of positive emotions varied across each stage although there was no linear increase across the case as a whole. Modifications of the rating scale were made, in relation to its applicability to the analysis of therapeutic dialogue. Conclusions: The findings of this study suggest that discontinuous transitions can be re...
BackgroundA long duration of untreated illness (DUI) is an unfavorable prognostic factor in anore... more BackgroundA long duration of untreated illness (DUI) is an unfavorable prognostic factor in anorexia nervosa and often associated with chronic illness progression. The FABIANA- checklist, developed using a qualitative multi-informant approach, includes factors influencing treatment initiation which are potentially modifiable and are mentioned as being relevant by patients with AN. The study focusses on the development and evaluation of the FABIANA-Checklist and aims at providing descriptive data on DUI in a German sample.MethodsAfter cognitive pretest and revision, dimensionality of the 18-item version of the FABIANA-checklist was tested by Principal Component Analysis (PCA). For item validation we assessed support from social environment (FSozU), support in the health care system (PACIC-5A), illness perception and coping (BIPQ).ResultsWe included a sample of female patients (N=75), aged >14 years ( M = 21.4 years) with AN. Average BMI was 15.5 kg/m 2 , age of onset was 19.2 year...
Die Psychotherapie
Zusammenfassung Hintergrund Die Berücksichtigung psychischer Komorbiditäten in der Wirksamkeitsfo... more Zusammenfassung Hintergrund Die Berücksichtigung psychischer Komorbiditäten in der Wirksamkeitsforschung ist aufgrund hoher Komorbiditätsraten bei Depressionen und deren Auswirkungen auf die Behandlungspraxis relevant. Ziele Ziel dieses Beitrags ist, die Berücksichtigung von Komorbiditäten in aktuellen Studien zur Wirksamkeit von Depressionsbehandlungen zu untersuchen und die Relevanz eines wissenschaftlichen Einbezugs für die praktische Arbeit mit Depressionen zu betonen. Methode In einschlägigen Datenbanken wurde nach deutsch- und englischsprachigen Metaanalysen zum Thema mit einem Veröffentlichungsdatum zwischen 2000 und 2020 gesucht. Zur Prüfung des methodischen Umgangs mit Komorbiditäten in Wirksamkeitsstudien zu Depressionsbehandlungen wurden spezifische Kriterien formuliert. Studien, deren Stichproben wegen einer primär somatischen Erkrankung behandelt wurden, wurden nicht betrachtet. Ergebnisse Die Auswertung des methodischen Umgangs mit psychischen Komorbiditäten ergab, das...
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, 2021
ZusammenfassungEine veränderte Interozeption ist ein zentrales Korrelat der Anorexia nervosa (AN)... more ZusammenfassungEine veränderte Interozeption ist ein zentrales Korrelat der Anorexia nervosa (AN) und stellt einen potentiellen Ansatz in der Genesung der AN dar. Erste Ergebnisse zur Wirksamkeit von Yoga als körperorientierte Methode in der Therapie der AN sind vielversprechend. Dennoch liegen bislang unzureichende empirische Befunde bezüglich der Frage vor, auf welche Weise Yoga-Strategien und Yoga-Elemente wie Körperhaltungen, Entspannungs-, Atem-, und Meditationsübungen eingesetzt werden sollten. Vor diesem Hintergrund führten wir eine qualitative Pilotstudie mit einer Stichprobe von n=6 Patientinnen mit AN durch, die sich im Anschluss an eine klinische stationäre Behandlung in einer pädagogisch-therapeutischen Facheinrichtung der Jugend- und Eingliederungshilfe (SGB VIII/XII) befanden. Die Studienteilnehmerinnen erhielten eine einstündige Hatha-Yoga-Intervention über mindestens 12 Wochen. Nach der Yoga-Intervention wurden ½- bis 1-stündige halbstrukturierte Leitfadeninterviews ...
Journal of Eating Disorders, 2021
Background A long duration of untreated illness (DUI) is an unfavorable prognostic factor in anor... more Background A long duration of untreated illness (DUI) is an unfavorable prognostic factor in anorexia nervosa (AN) and is associated with chronic illness progression. Although previous preventive measures aimed at reducing DUI and thus improving short- and long-term treatment outcomes have been partially successful, a better understanding of the factors involved in the sensitive phase prior to treatment initiation is needed. To date, there is no validated instrument available to assess these factors specifically for patients with AN. The FABIANA-project (Facilitators and barriers in anorexia nervosa treatment initiation) aims at identifying predictors of the DUI in order to target preventive measures better in the future. As part of this project, the FABIANA-checklist was developed, based on a multi-informant perspective and a multimodal bottom-up approach. The present study focusses on the process of item generation, item selection and psychometric validation of the checklist. Meth...
Psychotherapeut, 2021
Der gezielte Einsatz von Musik im Rahmen einer therapeutischen Beziehung hat sich als Bestandteil... more Der gezielte Einsatz von Musik im Rahmen einer therapeutischen Beziehung hat sich als Bestandteil eines multimodalen Behandlungskonzeptes in den meisten Kliniken etabliert. Der Beitrag stellt die psychodynamische Musiktherapie aus der Perspektive klinischen Arbeitens vor. Es werden theoretische Grundlagen, aktuelle Forschungsdaten und ausgewählte Fallbeispiele beschrieben. Illustriert wird, wie die Musiktherapie musikalische Parameter nutzt, um Konflikte, Strukturniveau und Beziehungsmuster zu identifizieren sowie maladaptiven Beziehungsmustern mit Interventionen zu begegnen. Durch den Einsatz von unterschiedlichen musiktherapiespezifischen und an anderen psychotherapeutischen Verfahren orientierten Techniken können Patient*innen neue Beziehungserfahrungen machen. Für die Wirksamkeit der Musiktherapie liegt zunehmend empirische Evidenz vor, was sich auch in den Empfehlungen der S3-Leitlinien für verschiedene Störungsbilder widerspiegelt.
Zeitschrift für Psychosomatische Medizin und Psychotherapie, 2021
Functions of language in psychotherapy: A qualitative study of psychotherapists' subjective theor... more Functions of language in psychotherapy: A qualitative study of psychotherapists' subjective theories of the "talking cure" Objectives: Psychotherapy is traditionally considered as a "talking cure". The specific functions of verbal activity, however, are disputed. The present study aims at identifying central therapeutic functions of verbal activity. Methods: In qualitative interviews n = 23 psychotherapists with psychodynamic (n = 12) or behavioral (n = 11) background were interviewed regarding their theories of the "talking cure." Based on Consensual Qualitative Research (CQR) a category system of therapeutic functions of verbal activity was constructed. Results: The participants described a wide range of relational, experiential, and behavioral functions of verbal activity in psychotherapy. Psychodynamic therapists emphasized relational and experiential functions of verbal activity, while behavioral therapists emphasized behavioral functions. Conclusions: The findings imply that verbal activity fulfills diverse functions in therapeutic contexts. This suggests a basic verbal materiality of many therapeutic techniques and common factors that needs to be specified in subsequent research.