Seelsorgerinnen und Seelsorger kommen bei der Ausübung ihres Berufs mitunter mit schwierigen psychiatrischen und psychologischen Krisen und Akutsituationen in Berührung. Wie kann man damit gut umgehen? Das praxisorientierte Handbuch reflektiert leibseelische Erkrankungen pastoraltheologisch und behandelt psychiatrische Grundlagen, u.a. Grundwissen über die Entstehung, Verbreitung und Folgen leibseelischer Erkrankungen; Darstellung typischer pastoraler Situationen, in denen einem solche Notlagen begegnen können; rechtliche Aspekte; spezialisierte Berufsgruppen und Institutionen. Außerdem vermittelt es psychiatrisches Wissen zu den typischen Krankheitsbildern, u.a. Depression und affektive Störungen, Suizidalität, Erschöpfung und Nervenzusammenbruch, Angsterkrankungen, Zwänge, Abhängigkeits- und Impulskontrollstörungen, psychotische Erkrankungen inklusive wahnhafter Störungen, Probleme mit der sexuellen Identität und Präferenz, Traumatisierung und Missbrauch.

Abstract: Anorexia nervosa is the most severe eating disorder; it has a protracted course of illness and the highest mortality rate among all psychiatric illnesses. It is characterised by a restriction of energy intake followed by substantial weight loss, which can culminate in cachexia and related medical consequences. Anorexia nervosa is associated with high personal and economic costs for sufferers, their relatives and society. Evidence-based practice guidelines aim to support all groups involved in the care of patients with anorexia nervosa by providing them with scientifically sound recommendations regarding diagnosis and treatment. The German S3-guideline for eating disorders has been recently revised. In this paper, the new guideline is presented and changes, in comparison with the original guideline published in 2011, are discussed. Further, the German guideline is compared to current international evidence-based guidelines for eating disorders. Many of the treatment recommendations made in the revised German guideline are consistent with existing international treatment guidelines. Although the available evidence has significantly improved in quality and amount since the original German guideline publication in 2011, further research investigating eating disorders in general, and specifically anorexia nervosa, is still needed

Abstract: The treatment of patients with anorexia nervosa (AN) is often challenging, due to a high degree of ambivalence towards recovery and weight gain these patients often express. One part of the multimodal treatment is the utilization of treatment contracts (i.e., contingency contracts) that aim to motivate patients to gain weight by applying positive and negative consequences for the (non-)achievement of weight goals. The main aim of this study is to assess and analyze current standards of contingency contracts' utilization in German eating disorder centers. n = 76 mental health professionals of twelve specialized university centers in Germany that are currently or were formerly treating patients with AN in an inpatient setting participated. Most experts use contingency contracts in their clinic with weekly weight goals ranging between 500 and 700 g. Overall effectiveness and significance of contingency contracts for the inpatient treatment of patients with AN was rated high. Typical characteristics of a contingency contract in specialized German university hospital centers, such as the most frequent consequences, are described. The survey results assist the planning of further studies aiming to improve the multimodal treatment of patients with AN. For clinical practice, using external motivators such as contingency contracts as well as targeting internal motivation (e.g., by using motivational interviewing) is proposed