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Önal A, Rapp MA, Sebold M, Garbusow M, Chen H, Kuitunen-Paul S, Montag C, Kluge U, Smolka MN, Heinz A. Empathy and the ability to experience one's own emotions modify the expression of blatant and subtle prejudice among young male adults. J Psychiatr Res 2021; 137:471-479. [PMID: 33798974 DOI: 10.1016/j.jpsychires.2021.03.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 03/02/2021] [Accepted: 03/05/2021] [Indexed: 01/10/2023]
Abstract
Prejudices can lead to discrimination, social exclusion, and violence particularly among young male adults. Previous findings suggest that the degree of holding prejudices is linked to low levels of empathy, while low levels of empathy have been associated with alexithymia, the inability to experience one's own feelings. We tested the hypothesis that the impact of a lack of empathy on reporting blatant and subtle prejudices is moderated by the inability to identify one's own feelings. In a sample of n = 136 young male adults aged 21 years (mean = 21.5 years; sd = 0.3), we conducted correlation and moderator analyses to determine possible relationships between prejudices, empathy, and alexithymia as assessed by self-report questionnaires. Prejudices were assessed by the Blatant and Subtle Prejudice Scale (BSPS), empathy was assessed by the German modified version of the Interpersonal Reactivity Index (IRI), and alexithymia by the 20-item Toronto Alexithymia Scale (TAS-20). Self-reported empathy levels were correlated with the strength of subtle and blatant prejudices. The moderation analyses revealed that the negative association between empathy and subtle prejudice increased with decreasing alexithymia. The negative association between empathy and blatant prejudice, on the other hand, was significant only for participants with low levels of alexithymia. These results suggest that empathy can limit the expression of blatant and to some degree also subtle prejudice when subjects are capable to identify their own feelings in a group of young males.
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Affiliation(s)
- A Önal
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Institute of Psychiatry and Psychotherapy, 10117, Berlin, Germany.
| | - M A Rapp
- Department for Social and Preventive Medicine, University of Potsdam, 14469, Potsdam, Germany.
| | - M Sebold
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Institute of Psychiatry and Psychotherapy, 10117, Berlin, Germany.
| | - M Garbusow
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Institute of Psychiatry and Psychotherapy, 10117, Berlin, Germany.
| | - H Chen
- Department of Psychiatry and Neuroimaging Centre, Technische Universität Dresden, 01307, Dresden, Germany.
| | - S Kuitunen-Paul
- Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, 01187, Dresden, Germany; Department of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, 01307, Dresden, Germany.
| | - C Montag
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Institute of Psychiatry and Psychotherapy, 10117, Berlin, Germany.
| | - U Kluge
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Institute of Psychiatry and Psychotherapy, 10117, Berlin, Germany.
| | - M N Smolka
- Department of Psychiatry and Neuroimaging Centre, Technische Universität Dresden, 01307, Dresden, Germany.
| | - A Heinz
- Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, And Berlin Institute of Health, Institute of Psychiatry and Psychotherapy, 10117, Berlin, Germany.
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Abstract
ZusammenfassungDer Beitrag gibt eine einführende Übersicht über Zahlen und Fakten, gesundheitsrechtliche Hintergründe und die aktuelle psychosoziale Situation von Geflüchteten und Asylsuchenden in Deutschland. Dargestellt werden die Herausforderungen für die psychiatrische, psychotherapeutische und psychosoziale Versorgung. Anhand eines erweiterten Traumabegriffes, welcher neben den medizinischen, psychologische, politische und soziale Zugänge berücksichtigt, werden Chancen und Schwierigkeiten in der Versorgung aufgezeigt. Abschließend wird anhand der Erfahrungen des Zentrums für Interkulturelle Psychiatrie und Psychotherapie (ZIPP) der Klinik für Psychiatrie und Psychotherapie der Charité Universitätsmedizin Berlin, Campus Mitte das Spannungsverhältnis zwischen therapeutischem und gesellschaftspolitischem Alltag dargestellt. Als Ausblick werden neuere Projekte und Initiativen an der Klinik für Psychiatrie vorgestellt.
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Adorjan K, Kluge U, Heinz A, Stamm T, Odenwald M, Dohrmann K, Mokhtari-Nejad R, Hasan A, Schulze TG, Falkai P, Pogarell O. [Healthcare models for traumatized refugees in Germany]. Nervenarzt 2017. [PMID: 28642982 DOI: 10.1007/s00115-017-0364-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
People with a migration background are a risk group for psychiatric disorders. Innovative, transnational and sustainable projects are necessary to ensure adequate care for refugees and asylum seekers. Selected projects of the University of Munich, the Charité Berlin and the University of Konstanz show promising approaches in addition to other initiatives.
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Affiliation(s)
- K Adorjan
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, LMU, Nußbaumstr. 7, 80336, München, Deutschland. .,Institut für Psychiatrische Phänomik und Genomik, Klinikum der Universität München, LMU, München, Deutschland. .,Center for International Health, Ludwig-Maximilians-Universität München, München, Deutschland.
| | - U Kluge
- Zentrum für Interkulturelle Psychiatrie und Psychotherapie (ZIPP), Klinik für Psychiatrie und Psychotherapie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.,Berliner Institut für empirische Integrations- und Migrationsforschung (BIM), Humboldt Universität zu Berlin, Berlin, Deutschland
| | - A Heinz
- Berliner Institut für empirische Integrations- und Migrationsforschung (BIM), Humboldt Universität zu Berlin, Berlin, Deutschland.,Klinik für Psychiatrie und Psychotherapie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland
| | - T Stamm
- Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Ruppiner Kliniken, Hochschulklinikum der Medizinischen Hochschule Brandenburg Theodor Fontane, Neuruppin, Deutschland
| | - M Odenwald
- Klinische Psychologie und klinische Neuropsychologie, Universität Konstanz, Konstanz, Deutschland.,vivo international e. V., Konstanz, Deutschland
| | - K Dohrmann
- Klinische Psychologie und klinische Neuropsychologie, Universität Konstanz, Konstanz, Deutschland.,vivo international e. V., Konstanz, Deutschland
| | - R Mokhtari-Nejad
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, LMU, Nußbaumstr. 7, 80336, München, Deutschland.,Klinik und Poliklinik für Psychiatrie und Psychotherapie, Migrationsambulanz, Klinikum der Universität München, LMU, München, Deutschland
| | - A Hasan
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, LMU, Nußbaumstr. 7, 80336, München, Deutschland
| | - T G Schulze
- Institut für Psychiatrische Phänomik und Genomik, Klinikum der Universität München, LMU, München, Deutschland
| | - P Falkai
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, LMU, Nußbaumstr. 7, 80336, München, Deutschland
| | - O Pogarell
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, LMU, Nußbaumstr. 7, 80336, München, Deutschland.,Klinik und Poliklinik für Psychiatrie und Psychotherapie, Migrationsambulanz, Klinikum der Universität München, LMU, München, Deutschland
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Abstract
Conflicts and precarious living conditions resulted in the arrival of large numbers of refugees in Europe and especially in Germany. Evidence suggests that immigrant populations are at elevated risk of psychotic disorders. Considering the traumatic pre- and post-migratory adversities refugees may have encountered, people granted refugee status may even be more susceptible to psychosis than non-refugee migrants. The aim of this literature review is to summarise and interpret recent research on the incidence or prevalence of psychotic disorders in refugees, additionally focusing on the aspects of gender and Middle Eastern provenance. A systematic search in PubMed was performed in the time from 20 to 28 May 2016. Relevant literature was limited to articles describing cohort studies conducted in Western industrialised countries. Articles published between 1 June 2006 and 28 May 2016 were analysed. Content relating to psychotic disorders in refugees was reviewed and summarised. The selected studies showed an increased risk of psychotic disorders in refugees compared with both the indigenous population and non-refugee. migrants. The elevated risk was more pronounced in refugee men. A particularly high risk in refugees of Middle Eastern origin could not be inferred. The higher susceptibility to psychotic disorders in refugees emphasises the need for the development and implementation of adequate prevention strategies. Clinicians and people working in a refugee setting should be aware of early signs and symptoms of psychosis. Further research is required to evaluate post-migratory experiences and investigate the population of refugees affected by the current humanitarian crisis.
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Affiliation(s)
- J Dapunt
- Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - U Kluge
- Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, Berlin, Germany,Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, Berlin 10117, Germany. E-mail:
| | - A Heinz
- Department of Psychiatry and Psychotherapy, Charité – Universitätsmedizin Berlin, Berlin, Germany
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Vardar A, Kluge U, Penka S. How to express mental health problems: Turkish immigrants in Berlin compared to native Germans in Berlin and Turks in Istanbul. Eur Psychiatry 2013; 27 Suppl 2:S50-5. [PMID: 22863251 DOI: 10.1016/s0924-9338(12)75708-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
The paper explores expressions used by Turkish immigrants in Berlin to delineate psychiatric illnesses and psychological problems. These are compared to expressions used by native Germans in Berlin and Turks in Istanbul to assess possible cultural differences in articulating mental disorders. For this purpose, results of a Free Listing carried out with the three above mentioned groups are presented. The data suggest that relevant items which are connected to mental health issues vary between the groups as well as within the groups, thus showing dependency on factors such as education. For the group of Turkish immigrants the data further suggest that this group connects psychic stress to family problems. Concerning help seeking, Turkish immigrants, like members of the other groups, mention professional psychological/psychiatric help as useful for solving mental health problems.
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Affiliation(s)
- A Vardar
- Department of Psychiatry and Psychotherapy, Charité Berlin, Germany.
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