A huge number of clinical studies and meta-analyses have shown that psychotherapy is effective on average. However, not every patient profits from psychotherapy and some patients even deteriorate in treatment. Due to this result and the restricted generalization of clinical studies to clinical practice, a more patient-focused research strategy has emerged. The question whether a particular treatment works for an individual case is the focus of this paradigm. The use of repeated assessments and the feedback of this information to therapists is a major ingredient of patient-focused research. Improving patient outcomes and reducing dropout rates by the use of psychometric feedback seems to be a promising path. Therapists seem to differ in the degree to which they make use of and profit from such feedback systems. This dissertation aims to better understand therapist differences in the context of patient-focused research and the impact of therapists on psychotherapy. Three different studies are included, which focus on different aspects within the field: Study I (Chapter 5) investigated how therapists use psychometric feedback in their work with patients and how much therapists differ in their usage. Data from 72 therapists treating 648 patients were analyzed. It could be shown that therapists used the psychometric feedback for most of their patients. Substantial variance in the use of feedback (between 27% and 52%) was attributable to therapists. Therapists were more likely to use feedback when they reported being satisfied with the graphical information they received. The results therefore indicated that not only patient characteristics or treatment progress affected the use of feedback. Study II (Chapter 6) picked up on the idea of analyzing systematic differences in therapists and applied it to the criterion of premature treatment termination (dropout). To answer the question whether therapist effects occur in terms of patients’ dropout rates, data from 707 patients treated by 66 therapists were investigated. It was shown that approximately six percent of variance in dropout rates could be attributed to therapists, even when initial impairment was controlled for. Other predictors of dropout were initial impairment, sex, education, personality styles, and treatment expectations. Study III (Chapter 7) extends the dissertation by investigating the impact of a transfer from one therapist to another within ongoing treatments. Data from 124 patients who agreed to and experienced a transfer during their treatment were analyzed. A significant drop in patient-rated as well as therapist-rated alliance levels could be observed after a transfer. On average, there seemed to be no difficulties establishing a good therapeutic alliance with the new therapist, although differences between patients were observed. There was no increase in symptom severity due to therapy transfer. Various predictors of alliance and symptom development after transfer were investigated. Impacts on clinical practice were discussed. Results of the three studies are discussed and general conclusions are drawn. Implications for future research as well as their utility for clinical practice and decision-making are presented.

Die Aufgabe der vorliegenden Arbeit lag darin, anhand der Quelle von Luthers Tischreden zu zeigen, welche Art von Kunstwerken Martin Luther erwähnt und welche Funktion diese in den Colloquia hatten. Sie untersucht das Corpus der über 7000 Tischreden systematisch auf Äußerungen, die im Zusammenhang mit Kunstwerken im weitesten Sinne stehen. Es erfolgte eine textkritische Bearbeitung der Tischreden. Der Anspruch der Arbeit war, diese Bildwerke zu identifizieren und in ihren historischen bzw. kunsthistorischen Kontext zu stellen. Da viele Parallelstellen gefunden und herangezogen werden konnten, ließen sich zahlreiche Irrtümer aufdecken und Fehldeutungen korrigieren. Der Fokus lag dabei nach der Auswertung und der anschließenden Beschäftigung mit den Stellen auf Luthers geradezu leitmotivisch auftretendem Thema der Superbia. Diesem Themenbereich der Todsünden wurde in der Lutherforschung bisher nur wenig Beachtung geschenkt, denn die sie galt für die Reformation als unwesentlich. Es konnte aber in dieser Arbeit dargelegt werden, wie wichtig die Todsünden und vor allem die Superbia in Luthers Tischreden und in seinem Gesamtwerk sind. Darüber hinaus hat sich die Arbeit mit der Performanz der Bilder in Luthers Werk beschäftigt. Sie leistet zudem einen Beitrag zu der Fragestellung, mit welcher Intention Luther seine eigenen Porträts in Auftrag gegeben hat. So wird dargelegt, wie Luther seine Bildstrategien verfolgt. Die Arbeit hat ferner gezeigt, wie wichtig für die effektive, interdisziplinär nutzbare Auswertung der Tischreden als Quelle eine digitale Ausgabe wäre, die mit Metadaten versehen ist und dadurch nach semantischen Kriterien durchsucht werden kann.

In dem Beitrag wird ein praxissoziologischer Ansatz für die Beschreibung und Analyse der grenzüberschreitenden Zusammenarbeit vorgestellt. Dafür wird zunächst die Entwicklung der Kooperationsforschung, ihre charakteristischen Orientierungen sowie die Grundzüge praxistheoretischen Denkens skizziert. Darauf aufbauend wird die heuristische Denkfigur der grenzüberschreitenden Praxisformation erarbeitet, die mit Prämissen herkömmlicher Kooperationsforschung bricht. Sie wird am Beispiel von vier Herausforderungen der grenzüberschreitenden Zusammenarbeit weiter ausdifferenziert, um schließlich zu einer alternativen Perspektivierung der grenzüberschreitenden Zusammenarbeit zu gelangen. Es folgt ein Ausblick, der auf die forschungspraktischen Besonderheiten des vorgestellten Ansatzes eingeht mit Blick auf eine künftige praxissoziologische und multidisziplinär anschlussfähige Kooperationsforschung.

In a first step, this paper analyses the emergence of the UN Sustainable Development Goals (SDGs) as new global development framework with regard to key actors, social learning cycles, innovation platforms, fundamental policy changes and transition dynamics towards sustainability. In a second step, it traces the convolution of social, political and environmental dimensions, social power relations and governance paradigms embedded in the drafting process and final framework of the water related SDG 6. This research concludes that the SDGs induced important paradigm and policy changes in addition to rearranging existing power relations.

Sample surveys are a widely used and cost effective tool to gain information about a population under consideration. Nowadays, there is an increasing demand not only for information on the population level but also on the level of subpopulations. For some of these subpopulations of interest, however, very small subsample sizes might occur such that the application of traditional estimation methods is not expedient. In order to provide reliable information also for those so called small areas, small area estimation (SAE) methods combine auxiliary information and the sample data via a statistical model. The present thesis deals, among other aspects, with the development of highly flexible and close to reality small area models. For this purpose, the penalized spline method is adequately modified which allows to determine the model parameters via the solution of an unconstrained optimization problem. Due to this optimization framework, the incorporation of shape constraints into the modeling process is achieved in terms of additional linear inequality constraints on the optimization problem. This results in small area estimators that allow for both the utilization of the penalized spline method as a highly flexible modeling technique and the incorporation of arbitrary shape constraints on the underlying P-spline function. In order to incorporate multiple covariates, a tensor product approach is employed to extend the penalized spline method to multiple input variables. This leads to high-dimensional optimization problems for which naive solution algorithms yield an unjustifiable complexity in terms of runtime and in terms of memory requirements. By exploiting the underlying tensor nature, the present thesis provides adequate computationally efficient solution algorithms for the considered optimization problems and the related memory efficient, i.e. matrix-free, implementations. The crucial point thereby is the (repetitive) application of a matrix-free conjugated gradient method, whose runtime is drastically reduced by a matrx-free multigrid preconditioner.