Benefits and challenges in practice-oriented psychotherapy research in Germany: The TK and the QS-PSY-BAY projects of quality assurance in outpatient psychotherapy

Objective: Two patient-focused long-term research projects performed in the German outpatient psychotherapy system are focused on in this article. The TK (Techniker Krankenkasse) project is the first study to evaluate a quality assurance and feedback system with regard to its practical feasibility in German routine care. The other study (“Quality Assurance in Outpatient Psychotherapy in Bavaria”; QS-PSY-BAY) was designed to test a new approach for quality assurance in outpatient psychotherapy using electronic documentation of patient characteristics and outcome parameters. In addition this project provides the opportunity to analyze data on health-related costs for the patients undergoing outpatient psychotherapy. Method: Both projects and their results indicating high effect sizes are briefly described. Results: From the perspectives of the research teams, advisory boards and other stakeholders, the experiences with these projects are discussed focusing on obstacles, challenges, difficulties, and benefits in developing and implementing the studies. The triangle collaboration of therapists, researchers, and health insurance companies/health service institutions turned out to be fruitful in both studies. Conclusions: Despite some controversies between the partners the experiences indicate the importance of practiced-research collaborations to provide relevant information about the delivery of outpatient psychotherapy in the health system

Vernetzungen. Aspekte siedlungsarchäologischer Forschung. Festschrift für Helmut Schlichtherle zum 60. Geburtstag

n einer Festschrift für Helmut Schlichtherle, der die Pfahlbauforschung in Deutschland ganz wesentlich mitgeprägt hat, berichten 50 seiner Fachkollegen aus Frankreich, der Schweiz, Deutschland und Slowenien über aktuelle Ergebnisse der Siedlungsarchäologie. Die Beiträge befassen sich in erster Linie mit der Vernetzung von Siedlungen und deren ökonomischen Grundlagen, aber auch mit der Herstellung und sozialen Funktion von herausragenden Artefakten. Thematisiert wird auch die Frage nach den Anfängen hierarchischer Siedlungssysteme. Der zeitliche Rahmen erstreckt sich von den frühesten Bauernkulturen bis zur Völkerwanderungszeit. Mit dem Buch wird für die Siedlungsarchäologie ein Werk vorgelegt, das sowohl neue Erkenntnisse vorbringt als auch Perspektiven für die zukünftige Forschung aufzeigt. Es wird in den Fachbibliotheken der Universitäten, Denkmalämter und Museen unverzichtbar sein .

Calcareous dinoflagellate cysts in surface sediments from the Mediterranean Sea

The distribution of calcareous dinoflagellate cysts in surface sediments from the Mediterranean Sea was quantitatively analysed. The samples contain 11 cyst species and the vegetative coccoid Thoracosphaera heimii. Cyst abundance increases towards the deeper parts of the basins and is generally higher in the eastern Mediterranean Sea. Three major distribution characteristics exist: (1) different assemblages in oceanic and neritic regions, (2) little agreement with the associations of areas studied so far like the Atlantic Ocean, and (3) a unique oceanic assemblage in the eastern Mediterranean Sea. A gradual change in cyst assemblages from the western to the eastern Mediterranean Sea was observed and statistically compared with the main environmental gradients in the upper water column. Temperature, nitrate concentration and possibly salinity appear to be the most important factors controlling cyst production. Three groups containing cysts with similar environmental preferences can be distinguished: (1) an eastern Mediterranean group related to relatively high temperature and salinity but low nitrate concentration, (2) a group of more or less consistently abundant cosmopolitan species tolerating or even preferring relatively low temperature and salinity but high nitrate concentration, and (3) a group containing species that are possibly adapted to neritic environments and have probably been transported from coastal areas into the studied regions. In contrast to other calcareous plankton, calcareous dinoflagellate cysts correlate strongly with the main environmental gradients in the Mediterranean Sea, bearing a high potential for palaeoenvironmental reconstructions.