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A family practitioners' (FP) consultation is usually understood as an interaction between two people. Studies from other countries show that a large proportion of patients, however, attend FP consultations accompanied by another person. Neither the frequency of bringing an accompanying person nor cultural differences have been studied so far for the German-speaking countries. In 2018, an explorative study was conducted in six urban family practices in North Rhine–Westphalia (numerical recording of patients with/without accompaniment in the consultation hour; guideline-based interview of accompanied patients after the consultation). Of the 1155 patients recorded, 27% (95% confidence interval [95% CI] = 24.31–29.41) were accompanied. There is a significant relationship between the existence of a Turkish migration background and bringing an accompanying person to the GP practice (χ2 (2) = 92.37; p < 0.01). Patients with a Turkish migration background were accompanied more often (47%; 95% CI = 41.64–52.98) than patients without a migration background (19%; 95% CI = 16.38–21.95). From all patients recorded, a short interview was conducted with 124 accompanied patients. The average age of all interviewed accompanied patients was 50 years. Women were accompanied more often (67%) than men. The accompanying persons came almost exclusively from the family circle. Slightly more than half of the accompanying persons were women. The majority of the accompanying persons were themselves patients in this family practice and 60% had their own reason for treatment in this consultation. The motives for bringing along a companion related to the areas of organization, communication, and social support. Prominently represented was the wish to involve the family in the illness process, emotional support, and support in communication. Accompanied patients without and with a Turkish migration background, however, differed little with regard to the motives mentioned. [ABSTRACT FROM AUTHOR]

In the case of important theories that have been taught for decades, it is usually assumed that the foundation is correct, the research has been verified and therefore one does not have to scrutinize the theoretical basis. This is how I felt about John Bowlby's theory of attachment, until the primatologist and anthropologist Volker Sommer confronted me with the claim, that the biological foundation of attachment theory cannot be maintained. This paper discusses that criticism as well as others: the vague definition, the postulated universality of attachment theory and the occasionally problematic methodology for testing attachment qualities. The critique is supplemented by a modulating reflection of my own process in the context of dealing with the topic. [ABSTRACT FROM AUTHOR]

Kültür, sadece farklı toplumlara mensup bireyleri birbirinden ayıran bir kavram olmayıp yaş, cinsiyet, yaşam stili ve alışkanlıklar gibi birçok faktörü içinde barındıran bir yapıya sahiptir. Bu nedenle aynı aile içinde bile farklı kültürlere mensup bireylerin olduğunu söylemek mümkündür. Gelişen teknoloji ve ulaşım kolaylığı farklı kültürlere mensup bireylerin eskiye oranla daha çok iletişim kurmasını sağlamaktadır. Bunun sonucu olarak kişilerarası diyaloglarda kültürel farklılıklardan doğan güçlükler kendini göstermektedir. Toplumsal olarak yaşanan bu zorlukların psikolojik danışma sürecine de yansıdığı görülmektedir. Bu makalede psikolojik danışma sürecinde kültür faktörünün önemi üzerinde durulmakta ve kültüre duyarlı psikolojik danışma yeterlilikleri incelenmektedir. Bu doğrultuda öncelikle kültür, kültürleşme ve çok kültürlülük kavramları açıklanmaktadır. Ardından psikolojik danışma sürecinde kültürel farklılıklardan doğan güçlüklere değinilmektedir. Bu güçlüklerin başında bir profesyonel olarak psikolojik danışmanın kültüre duyarlı olma konusunda tereddütlü olması, yanlış çıkarım etkisi, psikolojik danışmanın doğası ve felsefi temelleri, ön yargılar, mikro saldırganlıklar ve danışandan kaynaklanan güçlükler bulunmaktadır. Buna ek olarak, kültüre duyarlı psikolojik danışman yeterliliklerine belirli kuramcılar ışığında değinilmektedir. Son olarak, Türkiye’de kültüre duyarlı psikolojik danışmanın durumu tartışılmış ve psikolojik danışma sürecinde Türk kültürü açısından dikkate alınması gereken noktalar üzerinde durulmuştur.

Copyright of Der Diabetologe is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper summarizes the results of the translation work carried out within an international project aiming to develop the language skills of staff working in hotel and catering services. As the topics touched upon in the English source texts are related to several European cultures, these cultural differences bring about several challenges related to the translation of realia, or culture-specific items (CSIs). In the first part of the paper, a series of translation strategies for rendering source-language CSIs into the target language are enlisted, while the second part presents the main strategies employed in the prepared translations.

Copyright of Psychotherapeut is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ergotherapie & Rehabilitation is the property of Schulz-Kirchner Verlag Gmbh and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The number of patients with an immigration background in geriatric healthcare institutions in Germany is growing continuously. The number of medical staff with a migration background is also increasing because of the shortage of qualified employees in the healthcare sector. Therefore, the ability to act culturally sensitive is essential. A training course for employees caring for chronically ill elderly patients with a migration background was developed, tested and evaluated., Methods: The training was developed on the basis of interviews with experts and research literature and took place over half a day. It was then tested in a pilot study in three hospitals (geriatric, orthopaedic, cardiologic clinics) and evaluated with respect to content and implementation using both guided interviews, which were subjected to content analysis, and a questionnaire., Results: The training was feasible and well received by the participants, and a high demand for interventions on cultural sensitivity could be derived from the interviews. Improvements were achieved on the dimensions of self-reflection (recognizing one's own and others' cultural imprint), communication with patients and their relatives, and teamwork., Discussion: The participants asked for a more extensive and broader training. A multiplier training should be considered in order to implement the contents nationwide and sustainably in clinics. A randomized controlled design is necessary to verify the assumed effects., Conclusion: Based on the results and the need for culture-sensitive training, the training should be carried out within a wider timeframe and in a bigger population., (Copyright © 2021. Published by Elsevier GmbH.)

Objective: How does the German child and adolescent psychiatry system respond to the increasing number of migrant children and adolescents?, Method: Senior doctors from German child and adolescent psychiatric hospitals (Association of Medical Hospital Directors in Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy in Germany, BAG) completed a specially constructed questionnaire about the treatment needs of migrant children, while a «random, representative» sample of child and adolescent psychiatrists in private practice (German Professional Association for Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, BKJPP) was administered a slightly modified version., Results: The 100 psychiatrists in private practice represented only about one-eighth of their group, whereas the 55 medical directors comprised a representative sample. One-third of the hospitals has treatments tailored to the specific needs of migrants. In both settings, however, competent interpreters were rarely found, despite the treatment problems arising from the understanding the illness by the parents, language problems, and the clinical knowledge of the patient. Cultural diversity is perceived as enriching. The migration background and the sex of child and adolescent psychiatrists influence the treatment of migrants., Conclusion: Facilitating the process of «cultural opening» in child and adolescent psychiatry involves enacting concrete steps, such as the funding of interpreter costs.