Medical boards around the world face challenge of creating competency-based postgraduate training programs. Recent legislation requires that all medical programmes in The Netherlands be reformed. In this article Dutch Advisory Board for Postgraduate Curriculum Development shares some their experiences with guiding design specialist programs, based on Canadian Educational Directives Specialists (CanMEDS). All twenty-seven Specialty Societies take three steps designing a curriculum. First they...

Objective Existential anxiety (EA) is a construct that refers to fears are provoked by core threats of human existence, such as death, meaninglessness, and fundamental loneliness. The objective this study was develop an EA measure can be used in research clinical practice. Method Concerns Questionnaire (ECQ) completed nonclinical sample 389 adults, together with questionnaires measuring death anxiety, intolerance uncertainty, neuroticism, distress, meaning, life events. Adaptations were made...

Context: Results of meta-analyses show weak associations between religiosity and well-being, but are based on divergent definitions religiosity. Objective: The aim this meta-analysis was to examine the magnitude God representations aspects psychological functioning. Based object-relations attachment theory, study discerns six dimensions representations: Two positive affective representations, three negative control. Associations with well-being distress self-concept, relationships others...

Borsboom and colleagues have recently proposed a “network theory” of psychiatric disorders that conceptualizes as relatively stable networks causally interacting symptoms. They also claimed the network theory should include non-symptom variables such environmental factors. How are factors incorporated in theory, what kind explanations can an “extended” provide? The aim this article is to critically examine explanatory strategies includes both symptoms accommodate. We first analyze how...

Objective Psychotherapies are increasingly incorporating spiritual and religious systems of belief practice, which aligns with recent developments toward person-centered treatments. The main objective this meta-analysis was to compare the efficacy a religion spiritually-based (R/S) therapy non-R/S treatments.Method A multi-level conducted randomized controlled studies between R/S-based regular treatments in mental health care setting. Inclusion criteria were diagnosis, psychotherapeutic...

Abstract In half of Obsessive Compulsive Disorder (OCD) patients the disorder runs a chronic course despite treatment. The factors determining this unfavourable outcome remain unknown. Netherlands Association (NOCDA) study is multicentre naturalistic cohort biological, psychological and social determinants chronicity in clinical sample. Recruitment OCD took place mental health organizations. Its design six‐year longitudinal among representative sample 419 patients. All five measurements...

Existential anxiety (EA) is an expression of being occupied with ultimate concerns such as death, meaninglessness, and fundamental loneliness. Philosophers psychologists have claimed its importance for the study human thinking, emotion, decision making, psychopathology. Until now research has mainly focused on death anxiety. Several instruments been developed evaluated. This article first to review measuring EA in a comprehensive way, that is, by covering several existential themes. Such...

Previous studies have suggested that specific features of religion such as religious denomination and level religiosity might influence the severity obsessive- compulsive disorder (OCD) occurrence (OC) cognitions, whereas others could not confirm these findings. The purpose this study was to elucidate relation between religion, OCD, OC cognitions in a Dutch sample OCD patients. Data were drawn from baseline assessment Netherlands Obsessive Compulsive Disorder Association (NOCDA; Schuurmans...

In this article, we argue that a crucial component of “self-management” as management the self consists reducing what John Sadler has called “self-illness ambiguity” (Sadler, 2007). The article seeks to supplement Sadler’s view on self-illness ambiguity in two ways. First, zoom out and provide philosophical analysis self-ambiguity more generally. We will may arise both level (unreflective) self-experience well (reflective) self-understanding. Acknowledging these levels their interplay...

ABSTRACT Psychotherapy may contribute to the experience of meaning in life. This study investigated life among patients with personality disorders during inpatient or day‐hospital psychotherapy. Meaning was approached from two conceptual perspectives: functioning an emphasis on self‐direction and existential psychology. We changes sense accounted for depressive symptoms identity interpersonal pathology. Using pre–post measures, Livesley's General Assessment Personality Disorder, especially,...

We propose the concept of a problem-sustaining pattern as revision established mental disorder. The proposed preserves valuable features concept, such recognition client’s hardships and scientifically informed justification specific interventions. However, several assumptions behind have been widely criticized, both in terms their clinical moral normativity well ontological empirical soundness. argue that focus on problem-sustainment allows us to reframe issue demarcation way helps avoid...

Article Abstract Objective: The tic-related subtype of obsessive-compulsive disorder (OCD) has a distinct clinical profile. course OCD previously been investigated in treatment studies, with inconclusive results. This study aimed to compare profiles between and tic-free patients establish the influence tics on 2-year natural adult patients. Methods: Within Netherlands Association cohort, 377 current DSM-IV diagnosis were divided into group (28%) compared variables t tests or χ2 tests. Linear...

Patients with obsessive–compulsive disorder (OCD) not only suffer from symptoms, but also the is associated aberrant social functioning and a diminished quality of life (QoL). Although studies concerning effect treatment interventions on symptoms are common, regard to QoL scarce. We examined pharmacological intervention in 150 patients OCD. Furthermore, we studied whether two different drugs, venlafaxine paroxetine, differed their QoL. Finally, any found improvement was related and/or...

Abstract The World Assumption Scale (WAS) is a frequently used measure in trauma research. 32 items of the WAS are intended to represent eight assumptions about benevolence world, meaningfulness events, and worthiness self. Debate validity ongoing, particularly terms its empirical factor structure; some studies have confirmed model correlated factors whereas several other not. were administered clinical sample patients who sought professional help because posttraumatic complaints ( n =...

This article sketches in which way clinical practice and the science of anxiety disorders could benefit from an enactive approach. It starts with phenomenology disorder. describes why traditional theories emotion have difficulty doing justice to aspects that are important psychiatric practice, most importantly contextual embedding self-referential nature manifestations anxiety. The shows how approach provides a possible route do these two dimensions anxiety, both theoretically practically....

The purpose of this study was to develop an expertise-based prognostic model for the treatment complex posttraumatic stress disorder (PTSD) and dissociative identity (DID). We developed a survey in 2 rounds: In first round we surveyed 42 experienced therapists (22 DID 20 PTSD therapists), second subset 22 (13 9 therapists). First, drew on therapists' knowledge factors stabilization-oriented DID. Second, prioritized list by estimating size each variable's effect; clustered these according...

In the emerging literature on self-management within psychiatry role of emotion is still hardly addressed. This article describes a conceptual framework that elucidates how emotions can inform strategies for improving self-management. The first section four different ways speaking about self in psychopathology: terms self-relatedness, self-referentiality, self-awareness, and self-interpretation. following focuses by addressing its self-referential features. These features play pivotal next...