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    Therapeutic alliance during trauma focused treatment in adolescent and young adult patients with PTSD

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    Background Greater therapeutic alliance has been associated with an improved treatment outcome in various clinical populations. However, there is a lack of evidence for this association in posttraumatic stress disorder (PTSD) in young patients. We therefore investigated the development of the therapeutic alliance during Developmentally adapted cognitive processing therapy (D-CPT) in adolescents and young adults with PTSD following abuse to answer the question whether there was a connection between the therapeutic alliance and symptom reduction. Methods Weekly assessments of therapeutic alliance, rated by patients and their therapists, as well as PTSD symptom severity from a randomized controlled trial (RCT) of D-CPT were analyzed with multilevel modelling. The sample consisted of n = 39 patients aged 14–21 with a history of sexual and/or physical abuse. Results Therapeutic alliance increased during D-CPT. The ratings of the therapeutic alliance by patients and therapists were strongly correlated ( r = .512, p < .01); however, at session level, there was a significant difference between the patients’ and their therapists’ alliance assessments. Patients with a higher perceived therapeutic alliance showed a greater reduction in self-reported symptoms over the course of therapy, compared to patients with lower alliance ratings. However, this only applied to the therapeutic alliance assessed by the patients. Discussion The therapeutic alliance plays a crucial role in D-CPT with young patients, contributing to a reduction in symptom severity over the course of treatment. It is essential that therapists prioritize the development of a strong alliance and seek feedback from their patients. The results suggest that patients’ perceptions, which often differ from therapists’ assessments, were more important in determining treatment success in the sample. Studies with larger samples sizes and additional independent ratings of alliance are needed to further examine the alliance-outcome link. Trial registration The trial was registered at the German Clinical Trial Registry, DRKS00004787, 18 March 2013, https://www.drks.de/DRKS00004787

    Latent Profile Analysis of Moral Foundations : Emotional and Decisional Forgiveness Approaches to Models of Morality

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    This study delves into the intricate relationship between morality and episodic forgiveness (i.e. emotional and decisional), guided by moral foundations theory. Survey data were collected from 927 English-speaking Canadians, aged 18–57, using the Moral Foundations Questionnaire, Decision to Forgive Scale, and Emotional Forgiveness Scale. Employing latent profile analysis, the research revealed three distinct moral foundation profiles—high moralists, individuators, and neutrals—each linked to different levels of decisional and emotional forgiveness. Further analysis using MANOVA and follow-up ANOVAs indicated that the high moralist group exhibited higher scores in both forgiveness dimensions compared to the individuator and neutral groups, whereas the individuator group reported higher emotional forgiveness than the neutrals. These findings illuminate the significance of moral development in forgiving and underscore the utility of moral profiling based on moral foundations theory in predicting episodic forgiveness

    Transformation Leadership ist Female Leadership : dieses Mal aber wirklich!

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    Schulpastoral oder Schuldiakonie? : zur Notwendigkeit einer Neukonturierung christlichen Handelns in der Schule angesichts wachsender Konfessionslosigkeit

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    Schulpastoral gerät angesichts wachsender Konfessionslosigkeit immer stärker in Plausibilisierungsstress. Ihre – vor allem liturgisch-mystagogischen – Angebote sind selbst vielen Getauften fremd. Der Kreis der Adressaten schrumpft kontinuierlich, während die kirchliche Ressourcenknappheit zu Sparmaßnahmen zwingt. Angesichts dieser Herausforderungen ist es notwendig, diesen wertvollen christlichen Dienst am Menschen in öffentlichen Schulen neu zu konturieren, um ihn auch in Zukunft erhalten zu können. Genau dies ist das Ziel dieses Beitrags, in dem ein Plädoyer für Schuldiakonie formuliert wird

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