A traditional male role orientation is considered to increase the risk of depression and preventing men from disclosing symptoms of mental illness and seeking professional help.Less is known about the variance of masculinity orientations in men already treated for depression and their role in the treatment process. In this study, patterns of masculinity norms and work role orientations will be identified among men treated for depression. Associations of these patterns with depressive symptoms, stigma and delay in professional helpseeking will be investigated. MethodsIn a cross-sectional study, male role orientations (MRNS), work-related attitudes (AVEM), symptoms of mental disorders (PHQ), and attitudes related to stigma of mental illness (DSS) were assessed by standardized methods in a sample of 250 men treated for depression in general medical, psychiatric and psychotherapeutic services. Data were analyzed by means of latent profile analysis (LPA), by multinomial and linear regression models, and by path analysis. ResultsThe results of LPA revealed three latent classes of men treated for depression. Men assigned to class one reported a less traditional male role orientation, low professional ambitions and low coping capacities; men assigned to class two reported a traditional masculinity orientation, high professional ambitions but low coping capacities; men assigned to class three reported less traditional masculinity tended orientations, medium professional ambitions and high coping capacities. Men assigned to classes one and two to have more

Zusammenfassung In Kooperation mit der und gefördert durch die Deutsche Gesellschaft für Humangenetik hat eine Arbeitsgruppe des Instituts für Geschichte, Theorie und Ethik der Medizin der Heinrich-Heine-Universität Düsseldorf zu Beginn des Jahres 2017 ein Forschungsprojekt zur Geschichte der Humangenetik in Deutschland seit den 1970er-Jahren begonnen. Ein weiterer Kooperationspartner ist das Institut für Medizingeschichte und Wissenschaftsforschung der Universität zu Lübeck. Methodisch zeichnet sich die Forschung dadurch aus, dass die Erinnerungen von Zeitzeugen mithilfe der Methode der Oral History erhoben und systematisch ausgewertet werden. In diesem Beitrag stellen wir die inhaltliche Ausrichtung des Projekts auf Basis des derzeitigen Forschungsstands zur Zeitgeschichte der Humangenetik in Deutschland vor. Dabei beschreiben wir die Herausforderungen des Schreibens einer Zeitgeschichte der Medizin und problematisieren die Zeitzeugenbefragung als Methode.

This contribution describes and analyses the dialogue between human geneticists and the public on reproductive health, genetic counselling and disability in the Federal Republic of Germany between 1969 and 1996. We chose a qualitative content analysis of documents from the archives of Human Genetic and Medical History Institutes, University Archives and the Archive of the German Society of Human Genetics, supplemented by a systematic literature search. The results show that human geneticists actively sought dialogue with politicians and the press. Organizations representing patients and people with disabilities joined the discourse later. They were instrumental in voicing their own perspectives and contributed to a paradigm shift towards non-directive genetic counselling in Germany.

Basierend auf forschungspraktischen Erfahrungen in mehreren Zeitzeugenprojekten betrachtet die Autorin methodische Problemfelder mit Blick auf ethische Implikationen der historischen Zeitzeugenarbeit. Diskutiert werden Chancen und Risiken des methodischen Ansatzes sowie ethische Leitlinien in der Oral History. Reflexion und Ausblick verweisen auf eine notwendige Ethikkultur in der Zeitzeugenarbeit.

Since the WHO’s “Influenza Pandemic Preparedness Plan” in 1999, pandemic preparedness plans at the international and national level have been constantly adapted with the common goal to respond early to outbreaks, identify risks, and outline promising interventions for pandemic containment. Two years into the COVID-19 pandemic, public health experts have started to reflect on the extent to which previous preparations have been helpful as well as on the gaps in pandemic preparedness planning. In the present commentary, we advocate for the inclusion of social and ethical factors in future pandemic planning—factors that have been insufficiently considered so far, although social determinants of infection risk and infectious disease severity contribute to aggravated social inequalities in health.

Zusammenfassung Zwischen 2016 und 2018 wurden mit 33 Personen Interviews zur Geschichte der Humangenetik in Deutschland zwischen 1970 und den 2000er Jahren geführt. 29 Interviewte stimmten einer wissenschaftlichen Analyse zu. Diese Interviews wurden mit den Methoden der qualitativen Inhaltsanalyse und der Grounded Theory ausgewertet. Im Zentrum dieses Beitrags steht die kritische Auseinandersetzung mit der Methode der Oral History und ihrer Anwendung auf die Humangenetik. Das Oral-History-Projekt konzentriert sich auf Fragen zu (1) biographischen Daten und Werdegang der Gesprächspartner*innen, (2) Entwicklung und Anwendung von diagnostischen und therapeutischen Techniken, (3) Etablierung und Ausbau der Institutionen der Humangenetik und (4) der Wahrnehmung der das Fach betreffenden gesellschaftlichen Debatten.

Analysis of the perception of effects of anthropological psychiatry on the Psychiatrie-Enquete and psychiatric reform in the Federal Republic of Germany (West Germany). Qualitative content analysis of expert interviews and systematic literature search. Literary sources and expert interviews point to the impact of the anthropologic concept on discourse on and approach to those suffering from mental illness. The attention focused on the visualisation of material-social and subjective living conditions of persons with mental illness. Reform approaches of anthropological psychiatrists were perceived as a basis for the development of social psychiatry. Academic departments of psychiatry in Frankfurt (Zutt, Kulenkampff) and Heidelberg (von Baeyer, Kisker, Häfner) were considered important centres of innovation and reform. The thinking of phenomenological-anthropological psychiatry was understood as a facilitator of the Psychiatrie-Enquete and psychiatric reform in West Germany.

The Enquete was not a straightforward process and was also not tied to any moment. It fits more into the longer-term reform process of psychiatry in the Federal Republic of Germany.