Herausgeber: O. F. Kernberg A. Buchheim S. Doering B. Dulz (federführend) S. Herpertz H.-P. Kapfhammer U. Sachsse M. Zaudig Gründungsherausgeber: P. Buchheim J. Eckert S. O. Hoffmann H. Saß Index 15. Jahrgang, 2011 Inhalte Keywords Schlüsselwörter Autoren http://www.ptt-online.info Inhalt PTT 2011; 15 (1 4) Anna Buchheim; Otto F. Kernberg; Udo Rauchfleisch Editorial ................................................................................................................................................................................ 1 Angelica Staniloiu; Hans J. Markowitsch Genetische und neuroanatomische Korrelate von antisozialem und kriminellem Verhalten................................................. 3 Genetic and neuroanatomical correlates of antisocial and criminal behavior Sabine C. Herpertz; Anna Buchheim Zur Differenzialtypologie aggressiver Persönlichkeiten ....................................................................................................... 17 On differential typology of aggressive personalities Egon Fabian; Astrid Thome Defizitäre Angst, Aggression und Dissoziale Persönlichkeitsstörung .................................................................................. 24 Deficient anxiety, aggression and dissocial personality disorder Udo Rauchfleisch Antisoziale Persönlichkeiten eine ungeliebte Patientengruppe ....................................................................................... 35 Anisocial personalities a disliked group of patients Klaus Hoffmann Stationäre Behandlungskonzepte ....................................................................................................................................... 45 Concepts of inpatient treatment Michael H. Stone Evil in peacetime ................................................................................................................................................................ 53 Article written in English Willi Pecher Sozialtherapeutische Behandlung von Gefangenen mit antisozialer Persönlichkeit ........................................................... 64 Social therapy treatment of prisoners with antisocial personality Birger Dulz; Stephan Doering Editorial .............................................................................................................................................................................. 77 Sven Olaf Hoffmann Lug, Trug und Angst ........................................................................................................................................................... 79 Lying, fraud and anxiety Udo Rauchfleisch Lug und Trug der Patienten ................................................................................................................................................ 87 Lying and cheating by patients Ulrich Sachsse Machen wir uns nichts vor! Lug und Trug in der therapeutischen Beziehung..................................................................... 92 Lies and deceit in the therapeutic alliance Horst Kächele Lug und Trug der Psychotherapie-Schulen ........................................................................................................................ 103 Lie and deception by schools of psychotherapy Thomas Giernalczyk Persönliche und institutionelle Dynamik von Lug und Trug in Organisationen ................................................................. 113 Personal and institutional dynamics of lie and deception in organizations Thomas Ross; María Isabel Fontao Lüge, Täuschung und Narzissmus bei Straftätern und Rechtsbrechern ............................................................................. 121 Lying, deception and narcissism in offenders and forensic psychiatric patients Reingard Cancola Lügen Borderline-Patienten? ............................................................................................................................................ 130 Do borderline patients lie? Harald J. Freyberger Münchhausen-Syndrom und Pseudologia phantastica ..................................................................................................... 139 Munchhausen syndrome and pseudologia phantastica II http://www.ptt-online.info Inhalt PTT 2011; 15 (1 4) Andreas Schindler Gibt es Zusammenhänge zwischen Borderline-Persönlichkeitsstörungen und Prostitution? ............................................ 145 Is there a link between borderline personality disorder and prostitution? Willy Herbold; Ulrich Sachsse Editorial ............................................................................................................................................................................ 157 Barbara Wild Humor in der Psychiatrie................................................................................................................................................... 161 Humor in psychiatry Hartmut Kraft Tabu, Humor und Psychotherapie ..................................................................................................................................... 171 Taboo, humour, and psychotherapy Christa Diegelmann Humor als Ressource ........................................................................................................................................................ 181 Humor as a resource Willy Herbold Narzissmus und Humor..................................................................................................................................................... 192 Narcissism and humour Egon Fabian Humor in der Borderline-Therapie .................................................................................................................................... 200 Humor in borderline therapy Ulrich Sachsse Die dunkle Seite des Humors ............................................................................................................................................ 210 The dark side of humor Georg Schwikart Über den Tod lachen? ....................................................................................................................................................... 223 Laughing about death? Beate Herpertz-Dahlmann, Stephan Herpertz, Sabine C. Herpertz Editorial ............................................................................................................................................................................ 237 Hans-Christoph Friederich; Katrin Ingenerf Zur Rolle neurobiologischer Faktoren in der Pathogenese der Magersucht ...................................................................... 239 The role of neurobiological factors in the pathogenesis of anorexia Beate Herpertz-Dahlmann; Katharina Bühren Anorexia nervosa in Adoleszenz und Erwachsenenalter ................................................................................................... 247 Anorexia nervosa in adolescence and adulthood Jochen Seitz; Kerstin Konrad; Beate Herpertz-Dahlmann Bulimia nervosa und ADHS ............................................................................................................................................... 255 Bulimia nervosa and ADHD Astrid Müller; Martina de Zwaan Impulskontrollstörungen und Essstörungen ...................................................................................................................... 263 Impulse control disorders and eating disorders Stephan Herpertz; Ute Engelbach Adipositas und Persönlichkeitsstörungen ......................................................................................................................... 269 Adipositas and personality disorders Ulrich Schweiger; Valerija Sipos Therapie von Patientinnen mit Borderline-Persönlichkeitsstörung und Essstörung........................................................... 279 Treatment of patients with eating disorder and borderline personality disorder III http://www.ptt-online.info Keywords PTT 2011; 15 (1 4) ADHD ...........................................................255 Adolescence .................................................247 Adulthood ....................................................247 Affective neuroscience .................................239 Aggression .....................................................24 Amygdala.........................................................3 Anorexia nervosa .........................239, 247, 279 Antisocial personality.....................................79 Antisocial personality disorder .............3, 17, 35 Antisocial personality disorder, ......................64 Anxiety...........................................................79 Epigenetics ...................................................... 3 Errors ........................................................... 103 Evil .............................................................. 53 Factitious disorder ....................................... 139 fMRI 239 Forensic psychotherapy ......................... 45, 121 Fraud ............................................................. 79 Bifocal concept of treatment ..........................35 Binge eating.................................................279 Borderline patients.......................................130 Borderline personality disorder ......14, 145, 279 Borderline psychotherapy ............................200 Brain abnormalities ........................................53 Bulimia nervosa ...................................255, 279 Identity ........................................................ 171 Impulse control disorder .............................. 263 Impulsive vs. predatory violence.................... 53 Impulsivity ................................................... 255 Inattention ................................................... 255 Children .......................................................223 Clinical cases ...............................................145 Cognitive flexibility ......................................239 Cognitive neuroscience ................................239 Collective defense of risk .............................113 Comorbidity .................................247, 255, 279 Conduct disorder........................................3, 17 Context ........................................................171 Countertransference ......................................45 Countertransference problems .....................130 Course..........................................................247 Custody ..........................................................64 Laughter ...................................................... 161 Lie as self-defense ....................................... 113 Limits of treatment ........................................ 64 Lying .............................................. 79, 121, 130 Death ...........................................................223 Deception.....................................................121 Deficient anxiety ............................................24 Dissocial personalities ....................................87 Dissocial personality disturbance ...................24 Eating disorder.............................................263 Emotion .......................................................161 Emotion regulation ......................................279 Happiness .................................................... 161 Humor ......................................... 192, 210, 223 Humor and cancer ....................................... 181 Joke .................................................... 171, 200 Machiavellian intelligence ............................. 79 Mentalisation .............................................. 210 Moral dimension of organizations ............... 113 Mortality ...................................................... 223 Munchhausen syndrome.............................. 139 Narcissism ........................................... 121, 192 Narcissistic disorders ..................................... 87 Narcissistic lie .............................................. 113 Negative countertransference........................ 87 Negative transference.................................... 87 Neuropsychological dysfunctions................. 247 Obesity ................................................ 263, 269 Offender treatment ...................................... 121 Personality disorder ..................... 192, 247, 269 Personality traits .......................................... 269 Positive psychology ..................................... 181 Practice ....................................................... 103 Prefrontal cortex.............................................. 3 Prostitution ................................................. 145 Pseudologia................................................. 130 Pseudologia phantastica ............................. 139 Psychodynamic psychotherapy ...................... 35 Psychopathic lying....................................... 130 Psychopathy .................................. 3, 14, 53, 64 Psychotherapeutic alliance ............................ 92 Psychotherapy ............................................... 24 Resilience .................................................... 181 Retraumatisation ......................................... 210 Review ........................................................ 145 Risk Factors ................................................. 145 Schools of psychotherapy ............................ 103 Self deception................................................ 79 Self-destruction ............................................. 87 Smile ........................................................... 161 Social interaction......................................... 161 Social moral .................................................. 79 Social reality .................................................. 35 Social therapy................................................ 64 Subjective well-being and health ................ 181 Super-ego pathology ..................................... 87 Taboo .......................................................... 171 Theory ......................................................... 103 Therapeutic community ................................. 45 Therapeutic harm .......................................... 92 Therapeutic relationship .............................. 210 Therapy, limits of treatment .......................... 64 Trauma disorders......................................... 210 Treatment motivation.................................... 35 TRUST .......................................................... 181 Unethical behaviour ...................................... 92 Violence in peacetime ................................... 53 IV http://www.ptt-online.info Schlüsselwörter PTT 2011; 15 (1 4) ADHS ...........................................................255 Adipositas ............................................263, 269 Adoleszenz ...................................................247 Affektive Neurowissenschaft .......................239 Aggression .....................................................24 Amygdala.........................................................3 Angst .............................................................79 Anorexia nervosa .........................239, 247, 279 Antifusionäre Lüge .......................................113 Antisoziale Persönlichkeit ..............................79 Antisoziale Persönlichkeitsstörung.........3, 17, .......................................................35, 64 Artifizielle Störung .......................................139 Autodestruktivität ..........................................87 Behandlungsmotivation .................................35 Betrug ............................................................79 Bifokales Behandlungskonzept ......................35 Binge-Eating ................................................279 Borderline-Patienten ....................................130 Borderline-Persönlichkeitsstörung (BPS) .......17, ...................................................145, 279 Borderline-Psychotherapie ...........................200 Bulimia nervosa ...........................................255 Conduct disorder..............................................3 Defizitäre Angst .............................................24 Dissoziale Persönlichkeit ................................87 Dissoziale Persönlichkeitsstörung ..................24 Emotion .......................................................161 Emotionsregulation ......................................279 Epigenetik ........................................................3 Erwachsenenalter ........................................247 Essstörung ...................................................263 Fallbeispiele .................................................145 fMRT ............................................................239 Forensische Psychotherapie ...................45, 121 Fusionäre Lüge.............................................113 Gefängnis ...................................................... 64 Gegenübertragung ........................................ 45 Gegenübertragungsprobleme ...................... 130 Glück ........................................................... 161 Grenzen der Behandelbarkeit ........................ 64 Humor ................................. 192, 200, 210, 223 Humor und Krebs ......................................... 181 Identität ....................................................... 171 Impulsivität.................................................. 255 Impulskontrollstörung ................................. 263 Irrtümer ....................................................... 103 Kinder .......................................................... 223 Kognitive Flexibilität .................................... 239 Kognitive Neurowissenschaft ...................... 239 Kollektive Abwehr von Risiko ...................... 113 Komorbidität ............................... 247, 255, 279 Kontext ........................................................ 171 Lächeln ........................................................ 161 Lachen ......................................................... 161 Literaturübersicht ........................................ 145 Lüge .............................................................. 79 Lüge als Selbstverteidigung ......................... 113 Lügen................................................... 121, 130 Machiavellische Intelligenz ............................ 79 Mentalisierung ............................................ 210 Moralische Dimension von Organisationen .................................... 113 Münchhausen-Syndrom ............................... 139 Narzissmus .......................................... 121, 192 Narzisstische Lüge ....................................... 113 Narzisstische Störung .................................... 87 Negative Übertragung ................................... 87 Negative Gegenübertragung ......................... 87 Neuropsychologische Veränderungen.......... 247 Persönlichkeitsmerkmale ............................. 269 Persönlichkeitsstörung................. 192, 247, 269 Positive Psychologie .................................... 181 Praxis .......................................................... 103 Prostitution ................................................. 145 Pseudologia phantastica ............................. 139 Pseudologie ................................................. 130 Psychodynamische Psychotherapie ............... 35 Psychopathie ....................................... 3, 17, 64 Psychopathisches Lügen .............................. 130 Psychotherapie .............................................. 24 Psychotherapie-Schulen .............................. 103 Resilienz ...................................................... 181 Retraumatisierung ....................................... 210 Risikofaktoren ............................................. 145 Selbsttäuschung ............................................ 79 Soziale Interaktion ...................................... 161 Soziale Moral ................................................ 79 Soziale Realität.............................................. 35 Sozialtherapie................................................ 64 Sterben ........................................................ 223 Stirnhirn .......................................................... 3 Störung des Sozialverhaltens ........................ 17 Straftäterbehandlung .................................. 121 Subjektives Wohlbefinden und Gesundheit.......................................... 181 Tabu ............................................................ 171 Täuschung ................................................... 121 Theorie ........................................................ 103 Therapeutische Beziehung .................... 92, 210 Therapeutische Gemeinschaft ....................... 45 Therapieschäden ........................................... 92 Tod ............................................................ 223 Traumafolgestörungen ................................ 210 TRUST .......................................................... 181 Über-Ich-Pathologie ...................................... 87 Unaufmerksamkeit ...................................... 255 Unethisches Handeln in der Therapie ............ 92 Verlauf ........................................................ 247 Witz .................................................... 171, 200 V http://www.ptt-online.info Autoren PTT 2011; 15 (1 4) Buchheim, A. .............................................1, 17 Bühren, K. ....................................................247 Cancola, R. ...................................................130 Diegelmann, C. ............................................181 Doering, S. .....................................................77 Dulz, B. ..........................................................77 Engelbach, U. ...............................................269 Fabian, E. ...............................................24, 200 Fontao, M. I. ................................................121 Freyberger, H. J. ...........................................139 Friederich, H.-C. ...........................................239 Giernalczyk, T. .............................................113 Herbold, W. ......................................... 157, 192 Herpertz, S. .......................................... 237, 269 Herpertz, S. C. ........................................ 17, 237 Herpertz-Dahlmann, B. ................ 237, 247, 255 Hoffmann, K. ................................................. 45 Hoffmann, S. O. ............................................. 79 Ingenerf, K. .................................................. 239 Kächele, H. .................................................. 103 Kernberg, O. F. ................................................ 1 Konrad, K..................................................... 255 Kraft, H. ....................................................... 171 Markowitsch, H. J. ........................................... 3 Müller, A...................................................... 263 Rauchfleisch, U.................................... 1, 35, 87 Ross, T. ........................................................ 121 Sachsse, U. .................................... 92, 157, 210 Schindler, A. ................................................ 145 Schweiger, U. .............................................. 279 Schwikart, G. ............................................... 223 Seitz, J. ........................................................ 255 Sipos, V. ...................................................... 279 Staniloiu, A...................................................... 3 Stone, M. H. .................................................. 53 Thome, A. ...................................................... 24 Wild, B. ....................................................... 161 Zwaan de, M. .............................................. 263 Pecher, W. ..................................................... 64 VI http://www.ptt-online.info