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Therapy

While diagnostics provide insights into resources and impairments, treatment aims to facilitate change. Specially developed therapeutic approaches and techniques can provide orientation, point out possible paths for interventions and support the path to progress.

APC model - explanatory model / SORCK for chronic fatigue

Many people with chronic fatigue - for example after a COVID illness - experience their everyday life as a constant up and down: on some days many things seem possible, on others hardly anything works. The APC model (Active and Protective Coping) according to Tempfli & Randerath is designed to help people better understand this pattern in the therapeutic process - and to find new ways of dealing with their own energy. See also research interests.

Link to the German and English material DOWNLOAD HERE (external link, opens in a new window)

  • APC model description for psychoeducation
  • APC model description for psychoeducation (basic version)
  • Example of a behavioural analysis incorporating elements of the SORCK model
  • Blank worksheet for behaviour analysis incorporating elements of the SORCK model. Suitable for deriving explanatory models for active and protective coping separately
  • Extended blank worksheet for behavioural analysis including elements of the SORCK model. Suitable for deriving explanatory models for active and protective coping separately (with more space to fill in)

From the paper in the Journal of Contemporary Psychotherapy entitled: The Concept of Active and Protective Coping for Individual Psychotherapy in Chronic Fatigue: An Example from Post COVID. (external link, opens in a new window)

Integrative trichotillomania therapy

Using an individual case, we were able to show that trichotillomania (compulsive hair pulling) can be effectively reduced through a combination of behavioural therapy and modern wearable technology. At the centre of integrative trichotillomania therapy is what is known as habit reversal training, which is supplemented by a vibrating wristband that recognises critical movements and immediately alerts the patient with a vibration signal.

Download: Manual (external link, opens in a new window)

When using the materials, please cite them appropriately:

Randerath, J., & Leibinger, K. (2023). Integrative Trichotillomania Therapy: A brief manual (1 ed.). Konstanz: Lurija Institute at the University of Konstanz. https://doi.org/10.48787/kops/352-2-bnp1hvnzrrvr2 (external link, opens in a new window)

Study: Leibinger KW, Murray E, Aschenbrenner S and Randerath J (2023) Short-term intervention complemented by wearable technology improves Trichotillomania - A naturalistic single-case report. Front. Psychol. 14:1071532. doi: 10.3389/fpsyg.2023.1071532 (external link, opens in a new window)

Langensteinbach post-COVID group therapy

The group therapy approach and materials were among the first in Germany to be used as part of psychotherapy during the COVID pandemic, incorporating strategies such as PACING (known from ME/CFS research) and approaches from Acceptance & Commitment Therapy (ACT). The original materials are now being revised and re-evaluated.

A project in collaboration with the SRH Klinikum Karlsbad-Langensteinbach (2021-2023):

Manual and materials see: Download link Hans-Ruland-Stiftung (external link, opens in a new window)

If you use the materials, please cite the following sources:

The materials for PPT presentations for the eight sessions, the handouts and worksheets can be found in the download area of the HANS-RULAND-STIFTUNG für Rehabilitationsforschung: hans-ruland-stiftung.de/download/ (external link, opens in a new window)(POST COVID MANUAL: print version, 104 pages incl. worksheets and handouts) can be ordered here for a contribution towards expenses of 35 euros (plus postage) )

Naturalistic Action Therapy - Tool use training

The Naturalistic Action Therapy approach was developed to train patients with impaired real tool use and associated anosognosia . The manual contains a description of sample tasks that have been trained in our laboratory. In addition, video materials and evaluation forms were created to facilitate the application. Patients with hemiparesis, aphasia or neglect can be trained with this form of therapy. Requirements are, however, that the patients can understand simple task instructions.

See also research interests.

Download: Manual (external link, opens in a new window)

When using the materials, please cite the appropriate place:

Regensburg Energy Diary

Link to download (external link, opens in a new window)

Link to epub (for citations) (external link, opens in a new window)

The worksheet enables the recording of physical, emotional and cognitive energy levels over the course of a week (diary) or over 12 weeks (weekly diary).
INSTRUCTIONS: Daily energy levels are documented on a scale from 0 to 10 (0 = no energy; 10 = healthy energy level as before the illness) and relevant characteristics are recorded, including emotional events, physical activity, cognitively demanding tasks, illness or recovery phases. In addition, the daily activity time (e.g. work or school time) is recorded in order to visualise correlations between stress and energy levels.
At the end of each week, the values are transferred to a graphical overview using coloured crosses (physical: grey, cognitive: blue, emotional: red and activity time: black). Connecting the crosses makes it possible to illustrate trends across the different coloured energy levels and activity times.
A second worksheet is used to systematically record the weekly average values over a period of 12 weeks. The mean values of the physical, cognitive and emotional energy levels as well as the weekly activity time are entered here. This procedure allows for a structured, longitudinally comprehensible presentation of individual energy trends and supports the analysis of short and medium-term changes across all three energy levels.

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