Die kultursensible Therapiebeziehung: Ein Konzept für die Aus-, Fort- und Weiterbildung von Psychotherapeutinnen und Psychotherapeuten

Haller, Julia A.; Hillebrecht, Jennifer; Bengel, Jürgen

doi:10.1055/a-1120-9004

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…Die dazu notwendigen interkulturellen Kompetenzen können bei Therapeut*innen jedoch nicht immer vorausgesetzt werden (Danzinger et al 2018;Kupfer und Gamper 2020). Dies liegt nicht zuletzt daran, dass die Vermittlung interkultureller Kompetenzen in Aus-, Fort-und Weiterbildung noch nicht flächendeckend implementiert ist, obwohl entsprechende Leitlinien dies fordern (Haller et al 2020;von Lersner et al 2016). Auch wenn die Vermittlung interkultureller Kompetenzen verbessert würde, kann man von Therapeut*innen nicht erwarten, umfassende kulturelle und sprachliche Kenntnisse zu erwerben .…”

Section: Kulturelle Zugangsbarrierenunclassified

Digitale Interventionen für Geflüchtete. Herausforderungen, Chancen und die Perspektive der agency

Rubeis

2021

Ethik Med

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ZusammenfassungGeflüchtete weisen eine hohe Prävalenz an psychischen Störungen auf. Dem hohen Behandlungsbedarf stehen jedoch Barrieren gegenüber, die den Zugang zu psychischen Versorgungsleistungen behindern. Zu den Zugangsbarrieren gehören strukturelle Hürden ebenso wie kulturell differente Haltungen gegenüber psychischer Gesundheit und Krankheit sowie therapeutischen Maßnahmen. Eine Möglichkeit, diese Zugangsbarrieren zu überwinden und Geflüchteten Versorgungsleistungen nach ihrem Bedarf zukommen zu lassen, wird in digitalen Interventionen gesehen. In Form von interaktiven Websites oder Smartphone-Apps haben sich diese internet- und mobilgestützten Interventionen bereits in der Versorgung bewährt. Auch gibt es erste Beispiele für einen gelungenen Einsatz bei Geflüchteten. Die ethischen Aspekte digitaler Interventionen für Geflüchtete sind bislang aber kaum erforscht. Ziel des Beitrags ist es, dieses Desiderat zu bearbeiten. Als Instrument der ethischen Analyse wird dazu das agency-Konzept verwendet. Nach dem agency-Konzept sind Personen als handlungsfähige Akteure zu verstehen, die aus eigenen Ressourcen und Kompetenzen schöpfen und selbstwirksam handeln können. Agency ist in vorliegender Arbeit das Leitprinzip, um die Chancen und Risiken digitaler Interventionen bei Geflüchteten zu analysieren. Darüber hinaus werden die Perspektiven eines agency-basierten Einsatzes digitaler Interventionen für Geflüchtete aufgezeigt. Auf dieser Grundlage können therapeutische Konzepte entwickelt werden, die aus ethischer Sicht zu einer Verbesserung der Versorgungssituation von Geflüchteten beitragen können.

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Section: Kulturelle Zugangsbarrierenunclassified

Digitale Interventionen für Geflüchtete. Herausforderungen, Chancen und die Perspektive der agency

Rubeis

2021

Ethik Med

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“…To date, there is a lack of evaluated training programs teaching and thereby increasing transcultural competence in clinical psychologists [17,37]. This is the case even though guidelines exist that highlight learning objectives and structural and content requirements of such trainings [38,39]. One training that builds upon these guidelines was recently investigated and its effectiveness was demonstrated in a pilot study [22].…”

Section: Introduction Background and Rationale {6a}mentioning

confidence: 99%

Increasing transcultural competence in clinical psychologists through a web-based training: study protocol for a randomized controlled trial

Studer,

Kleinstäuber,

von Lersner

et al. 2023

Preprint

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Background: In mental health care, the number of patients with diverse cultural backgrounds is growing. Nevertheless, evaluated training programs for transcultural competence are missing. Barriers for engaging in transcultural therapy can be identified in patients as well as in therapists. Besides language barriers, clinical psychologists report insecurities, for example, fear of additional expenses when involving a language mediator, ethical concerns such as power imbalances, or fear of lack of knowledge or incorrect handling when working with patients from other cultures. Divergent values and concepts of disease, prejudices and stereotyping are also among the issues discussed as barriers to optimal psychotherapy care. The planned study aims to empower clinical psychologists to handle both their own as well as patients’ barriers through a web-based training on transcultural competence. Methods: The training includes 6 modules, which are unlocked weekly. A total of N=174 clinical psychologists are randomly assigned to two groups: the training group (TG) works through the complete training over six weeks, which includes a variety of practical exercises and self-reflections. In addition, participants receive weekly written feedback from a trained psychologist. The waitlist control group (WL) completes the training after the end of the waiting period (2 months after the end of the TG’s training). The primary outcome is transcultural competence. Secondary outcomes consist of experiences in treating people from other cultures (number of patients, satisfaction and experience of competence in treatment, etc.). Data will be collected before and after the training as well as two and six months after the end of the training. Discussion: This randomized controlled trial tests the efficacy of and satisfaction with a web-based training on transcultural competence for German-speaking clinical psychologists. If validated successfully, the training can represent a time- and place-flexible training opportunity that could be integrated into the continuing education of clinical psychologists in the long term. Trial registration: DRKS00031105, registered on February 21, 2023.

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Observation on the Effect of Rehabilitative Physical Training on Sports Injuries under Ultrasound Image Examination

Wang

2022

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In order to observe the effect of rehabilitative physical training on sports injuries under ultrasound examination, this study firstly carried out experiments, induction and analysis of ultrasound examination, and evaluation-related content, especially the diagnosis of ultrasound examination in muscle and tendon injuries caused by various reasons. And the clinical application of treatment (clinical research) is reviewed, in order to provide reference data for clinical stage summary. Then, by determining the fasciculation and location of the tendon rupture injury by ultrasound, the clinic can decide whether or not to proceed with surgery. Small Achilles tendon tears only require conservative treatment to avoid the development of complete Achilles tendon rupture. Finally, 26 patients and 10 healthy adults were examined by ultrasonography, and each subject was segmented to examine 11 muscles, including the tongue muscle. The bilateral trapezius, bilateral biceps brachii, bilateral abductor pollicis brevis, bilateral quadriceps femoris, and bilateral tibialis anterior muscles were evaluated by ultrasound and statistical methods. The experimental results show that if the fasciculation of the Achilles tendon injury does not reach more than 3/11, it indicates that no surgical treatment is required; for those with a complete tear of the Achilles tendon, the distance between the broken ends should be further measured in the toe flexion state to evaluate whether surgical treatment is required. It effectively solves the problem of visual diagnosis of sports injuries.

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Die kultursensible Therapiebeziehung: Ein Konzept für die Aus-, Fort- und Weiterbildung von Psychotherapeutinnen und Psychotherapeuten

Cited by 4 publications

References 42 publications

Digitale Interventionen für Geflüchtete. Herausforderungen, Chancen und die Perspektive der agency

Digitale Interventionen für Geflüchtete. Herausforderungen, Chancen und die Perspektive der agency

Increasing transcultural competence in clinical psychologists through a web-based training: study protocol for a randomized controlled trial

Observation on the Effect of Rehabilitative Physical Training on Sports Injuries under Ultrasound Image Examination

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