Schwierigkeiten in der psychotherapeutischen Arbeit

Dealing with difficult clients, situations and their own emotions is an integral part of psychotherapists’ daily work; however, what is the nature of difficulties in psychotherapy and how should therapists’ deal with them? In spite of the high relevance of these topics for therapeutic practice, scientific research in this area lacks consistent definitions of difficulties and the respective coping strategies. This article summarizes the development of current research approaches and respective results.     

Academic self-regulation as a function of age: the mediating role of autonomy support and differentiation in school

Numerous studies in the tradition of the self-determination theory (Deci and Ryan in Can Psychol 49(1):14–23, 2008) point out the significance of self-determined academic motivation and its relevance for learning processes and well-being. Whereas these results sketch a rather heterogeneous picture of the development of intrinsic and extrinsic motivation, only a limited amount of research results are dedicated to the development of academic self-regulation. This cross-sectional research is based on the data of 432 pupils aged 6–20 from primary to secondary school. With the aid of questionnaires, participants provided information concerning their academic self-regulation and how much autonomy support and differentiation they perceive in school. The results of cluster analysis and structural equation modelling indicated that age is negatively related to academic self-regulation, while intrinsic and (rather) controlled regulation decreased the older the pupils are. The values for rather self-determined regulation remained comparatively stable. In addition, the longer pupils attended school, the less they reported perceived autonomy support and differentiation. Perceived autonomy support had an impact on intrinsic and rather self-determined regulation but not on controlled regulation, whereas perceived differentiation was not related to academic self-regulation. These findings offer novel explanations why settings in schools—especially in secondary schools—can become less suitable for learners (Eccles and Roeser in Handbook of adolescent psychology, Wiley, Hoboken, pp 404–434, 2009) and how they can assist educators in designing autonomous learning environments that contribute to maintaining and developing intrinsic and self-determined academic regulation strategies.     

Fitts' Law is Applicable to Trunk Coordination Measurements in a Sitting Position

Trunk coordination is essential for many activities of daily living in wheelchair users. This study investigated whether Fitts' law is applicable to trunk movements in a sitting position. Fourteen healthy adults performed two series of 24 tasks of trunk flexion–extension movements in a sitting position. The results showed significant linear relationships between average group movement time (MT) and index of difficulty (ID) over all tasks (r² = 0.92) and within target distances (0.94 < r² < 1.00). Target distance affected intercept and slope (P < 0.001). Hence, Fitts' law is applicable to the studied trunk movements in a sitting position, indicating these trunk movements tasks could serve as a basis for qualitative trunk coordination tests. Transferability of these conclusions to wheelchair users, and optimal test design should be further investigated.     

Rapid Serial Visual Presentation Interacts with Ambiguity During Sentence Comprehension

Journal of Psycholinguistic Research - Conventional opinion about using Rapid Serial Visual Presentation (RSVP) for examining sentence comprehension maintains that RSVP taxes working memory (WM),...     

Recalling what was where when seeing nothing there

So-called “looks-at-nothing” have previously been used to show that recalling what also elicits the recall of where this was. Here, we present evidence from an eye-tracking study which shows that disrupting looks to “there” does not disrupt recalling what was there, nor do (anticipatory) looks to “there” facilitate recalling what was there. Therefore, our results suggest that recalling where does not recall what.     

Psychological Well-Being as an Additional Outcome Parameter in the Treatment of Patients with Gambling Disorder: Results from a Clinical Multicenter Follow-Up Study

According to the World Health Organization well-being has been defined as one outcome parameter indicating successful recovery from diseases. One disease causing significant psychosocial problems and distress is Gambling Disorder that is being characterized as a poorly controlled excessive engagement in gambling activities. While there are several studies investigating treatment-effects in patients with Gambling Disorder, the role of well-being as a complementary treatment outcome has not been studied so far. In our research project it was aimed to fill this gap by gathering data on changes of eudaimonic dimensions of well-being from 76 patients with Gambling Disorder before and 1 year after receiving inpatient treatment. At both waves (pretreatment and follow-up) we collected data regarding well-being (Ryff Scales of Well-being), psychopathological symptoms (SCL-9), and diagnostic criteria for Gambling Disorder (Lie/Bet-Questionnaire). We found some dimensions of well-being changing 1 year after treatment and that patients recovered from Gambling Disorder displayed significant increments in Autonomy and Environmental Mastery. In contrast, patients still meeting criteria for Gambling Disorder displayed well-being increments only in Environmental Mastery and decreases in Personal Growth and Positive Relations with Others. Only changes in Environmental Mastery and Self-Acceptance were significantly associated with decreases in psychosocial distress indicating that well-being is an additional indicator for treatment outcome. It was also intended to identify factors predicting increments in well-being. However, no relationships were found regarding demographics, clinical variables, or treatment parameters. It is proposed to acknowledge well-being as an additional indicator for treatment effects and suggested to implement therapeutic strategies for an early enhancement of well-being.     

Screening for Specific Language Impairment in Preschool Children: Evaluating a Screening Procedure Including the Token Test

Specific language impairment (SLI) comprises impairments in receptive and/or expressive language. Aim of this study was to evaluate a screening for SLI. 61 children with SLI (SLI-children, age-range 4–6 years) and 61 matched typically developing controls were tested for receptive language ability (Token Test—TT) and for intelligence (Wechsler Preschool-and-Primary-Scale-of-Intelligence—WPPSI). Group differences were analyzed using t tests, as well as direct and stepwise discriminant analyses. The predictive value of the WPPSI with respect to TT performance was analyzed using regression analyses. SLI-children performed significantly worse on both TT and WPPSI (\(p \le .0001\)). The TT alone yielded an overall classification rate of 79%, the TT and the WPPSI together yielded an overall classification rate of 80%. TT performance was significantly predicted by verbal intelligence in SLI-children and nonverbal intelligence in controls whilst WPPSI subtest arithmetic was predictive in both groups. Without further research, the Token Test cannot be seen as a valid and sufficient tool for the screening of SLI in preschool children but rather as a tool for the assessment of more general intellectual capacities. SLI-children at this age already show impairments typically associated with SLI which indicates the necessity of early developmental support or training. Token Test performance is possibly an indicator for a more general developmental factor rather than an exclusive indicator for language difficulties.     

Testing probability matching and episodic retrieval accounts of response repetition effects in task switching

This study takes inventory of available evidence on response repetition (RR) effects in task switching, in particular the evidence for RR cost when the task switches. The review reveals that relatively few task-switching studies in which RR effects were addressed have shown statistical support for RR cost, and that almost all are affected by 1 of 2 potential artifacts, either a response bias caused by disallowing stimulus repetitions or the effect of including stimulus repetitions in data analysis. New results with these factors controlled support an episodic retrieval model in which features of the retrieved trace, including the stimulus but also the task, task cue, and response, facilitate or interfere with performance depending on whether they match or mismatch the current processing context.     

Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial

The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consisted of 10 weekly 60 min sessions. The TRT treatment consisted of one 150 min session, one 30 min follow-up and continued daily use of wearable sound generators for a recommended period of at least 8 h/day for 18 months. Assessments were made at baseline, 10 weeks, 6 months and 18 months. At 10 weeks, results showed a superior effect of ACT in comparison with the WLC regarding tinnitus impact (Cohen’s d = 1.04), problems with sleep and anxiety. The results were mediated by tinnitus acceptance. A comparison between the active treatments, including all assessment points, revealed significant differences in favour of ACT regarding tinnitus impact (Cohen’s d = 0.75) and problems with sleep. At 6 months, reliable improvement on the main outcome measure was found for 54.5% in the ACT condition and 20% in the TRT condition. The results suggest that ACT can reduce tinnitus distress and impact in a group of normal hearing tinnitus patients.