555 research outputs found
Connections between coping strategies and quality of life in patients before and 1 year after ICD implantation
No full textConnections between coping strategies and quality of life in patients before and 1 year after ICD implantation
No full textEinzel- und Paarintervention für depressive Koronarpatienten
No full textDepressive symptoms in patients presenting with coronary heart disease have an impact on quality of life, health behavior, and prognosis. The psychotherapeutic interventions which had been tested for their efficacy in previous randomized controlled trials, showed only minor effects. A stepwise approach consisting of individual and group psychotherapeutic interventions was tested for efficacy in a German multicenter study. The presented paper describes the therapeutic procedure for two individual sessions and one couple session by means of case examples. The main focus was to determine depressive symptoms along with underlying maladaptive personality traits such as negative affectivity and social inhibition (type D pattern). Depressive mood, disappointments and mortifications both in private and professional life and also during the previous treatment are verbalized. Dysfunctional relation patterns and maladaptive sickness behavior are taken up by the psychotherapist and alternative behavior patterns are developed. The objective of the couple session is strengthening the partnership resources and offering relief of fears and worries relative to the heart disease. The psychotherapeutic procedure is psychodynamically oriented but also contains cognitive-behavioral and interactional treatment approaches
Propaganda on Trial: the Cases against Julius Streicher and Hans Fritzsche
No full textThrough Article 25(3)(e) ICC Statute, the International Criminal Court has jurisdiction where there is “direct and public incitement to commit genocide”. However, this provision has not been applied by the court yet. In 1946, the International Military Tribunal for Nuremberg convicted Julius Streicher as the first person for the crime of incitement. Hans Fritzsche was also tried for incitement. He was acquitted. The question explored in this dissertation is what relevance these two cases have regarding the interpretation of Article 25(3)(e). The question is answered through analysing the international criminal law on the subject. The main focus will be the cases against Streicher and Fritzsche. However, other important considerations are the ICTR propaganda cases which took place within the last 10 years. Especially, the Prosecutor v Nahimana established a clear link to the IMT cases. The dissertation therefore examines such legal problems which were discussed by the IMT and the ICTR but are still not solved by the ICC Statute. The dissertation examines the normative status of incitement in the ICC Statute, the possibility of holding private propagandists liable under international law and the definition of the elements of the crime of incitement. These last points make it necessary to discuss the legal nature of incitement and its external and mental elements.
Other papers on the subject usually put the ICTR trials in the centre and use the IMT cases as a supporting argument. However, this dissertation answers the questions vice versa. Thus, the legal problems are explained in the context of the IMT cases and then answered through considering the IMT judgments and the development of the law. The dissertation argues that the cases against Streicher and Fritzsche are particularly relevant and laid the foundation for the subsequent development of the crime. The author considers this development as positive and argues in favour of the IMT judgments.
The dissertation illustrates that the IMT answered important questions several centuries before the ICTR and gives therefore the blueprint for the ICC. The ICC is not bound by their findings and it is still not possible to regard these specific legal answers of the IMT and ICTR as customary law. However, the ICC will have to find good arguments if it does not want to apply the jurisprudence, created by the IMT in its propaganda cases against Streicher and Fritzsche
Cardiological and psychosocial status of patients with malignant ventricular arrhythmias before implantation of a cardioverter defibrillator first results from the German Austrian ICD Multicenter study (GAIMS)
No full textIn a prospective multicenter study of coping, subjective wellbeing and objective course of the disease we recruited patients with life-threatening cardiac arrhythmias awaiting the implantation of a cardioverter defibrillator. All patients received a semistructured interview and a number of well validated self-assessment questionnaires. In addition, detailed cardiological findings were documented. The present paper describes the study rationale and design as well as the main study hypotheses. In addition, we present representativity data for the inclusion sample and cross-sectional psychometric findings obtained before implantation of the device. The study sample consists of 286 patients with severe ventricular arrhythmias and is almost representative for all ICD recipients in the participating centers and ICD recipients in general. Despite their severe physical impairment, patients only showed moderate levels of psychological abnormalities. Only patients with severe heart failure or a history of repeated resuscitations showed elevated rates of anxiety or depression. However, there were relevant associations among the self-rating scales: Patients with abnormal anxiety or depression scores reported significantly elevated levels of physical complaints and depressive coping. They also showed low social support and an impaired quality of life. These cross-sectional findings add to the international literature on coping and wellbeing of patients with malignant cardiac arrhythmias. On the background of earlier research findings and clinical experience our results show high plausibility. Prospective changes over time in the different dimensions of psychosocial adjustment and their progostic power for future quality of life and arrhythmic events will be reported separately
Psychotherapeutische Interventionen bei lebensbedrohlich Erkrankten im psychosomatischen Konsil- und Liaisondienst
No full textAgile as a Vehicle for Values: A Value Sensitive Design Toolkit
No full textThe ethics of technology has primarily focused on what values are and how they can be embedded in technologies through design. In this context, some work has been done to show the efficacy of several design approaches. However, existing studies have not clearly pointed out the ways which design team managers can use design-for-values approaches to organise and use technologies in practice properly. This chapter attempts to fill this gap by discussing the value sensitive design (VSD) approach as a valuable means of co-designing technologies as a toolkit for existing workflow management, in this case, Agile. It will be demonstrated that VSD shows promise as a way of democratically designing technologies as well as fostering democratic technology policy innovation.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Ethics & Philosophy of Technolog
AI, Control and Unintended Consequences: The Need for Meta-Values
No full textDue to their self-learning and evolutionary character, AI (Artificial Intelligence) systems are more prone to unintended consequences and more difficult to control than traditional sociotechnical systems. To deal with this, machine ethicists have proposed to build moral (reasoning) capacities into AI systems by designing artificial moral agents. I argue that this may well lead to more, rather than less, unintended consequences and may decrease, rather than increase, human control over such systems. Instead, I suggest, we should bring AI systems under meaningful human control by formulating a number of meta-values for their evolution. Amongst others, this requires responsible experimentation with AI systems, which may neither guarantee full control nor the prevention of all undesirable consequences, but nevertheless ensures that AI systems, and their evolution, do not get out of control.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Ethics & Philosophy of Technolog
Recurrent depression predicts high leptin concentrations in patients with coronary artery disease over an 18-months follow-up period
No full texthttp://dx.doi.org/10.13039/501100002347 Bundesministerium für Bildung und Forschunghttp://dx.doi.org/10.13039/100010447 Deutsches Zentrum für Herz-Kreislaufforschunghttp://dx.doi.org/10.13039/501100001659 Deutsche Forschungsgemeinschaf
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