Kopfschmerz: Pharmakotherapie? und/oder Psychotherapie? und/oder sonstige Therapie?

Zusammenfassung  Der Kopfschmerz ist ein h?ufiges Leiden, das sich vor allem auch beim praktischen Arzt, und nicht nur beim Facharzt, findet (5 % in der Allgemeinpopulation). Der Kopfschmerz hat mehrfache Ausformungen und Mitursachen-Faktoren. Es ist daher kontraproduktiv, hierbei nur auf eine Art der Behandlung oder eine Ursache abzuzielen. Nur in der multifaktoriellen Betrachtungsweise unter gezieltem Einsatz sinnvoller therapeutischer Kombinationen wird man mit dieser Crux der Patienten und der ?rzte bestm?glich weiterkommen. Es werden immer noch Problempatienten übrig bleiben. Diese müssen psychotherapeutisch begleitet werden. Man darf sie nicht in die Hoffnungslosigkeit und/oder den Abusus versinken lassen, sondern muss immer wieder versuchen, Weiteres zu probieren, und sie auf dem therapeutischen Pfad zu halten (Abb. 1a).      

Tomboyism or Lesbianism? Beyond Sex/Gender/Sexual Conflation

To illuminate questions of sex/gender/sexual conflation the researcher focused on the relationship between reported tomboyism and lesbianism. Narratives of childhood and adolescence were collected from 32 women who were grouped into four gender/sexual status combinations: “lesbian/bisexual butch,” “straight butch,” “lesbian/bisexual femme,” and “straight femme.” The effects of participants’ sexual and gendered statuses on their retrospective accounts of two aspects of tomboyism—“choosing masculinity” and “rejecting femininity”—were examined. Chi square and qualitative analyses suggest that stage in the life cycle, gender, and sexual status influence distinct mergings and separations of sex, gender, and sexuality in women’s retrospective reports. The researcher concludes that attention to sex, gender, and sexuality as both distinct and connected clarifies the relationship between tomboyism and lesbianism.Part of this paper was presented at the Annual Meeting of the American Sociological Association in Atlanta, Georgia in 2003. Interview data for this study were originally collected for an unpublished dissertation (Carr, 2002).     

Ontological Parity and/or Ordinality?

The principles of ontological parity and ordinality have distinct functions in Buchler's ontology. Ontological parity could be independently subscribed to, whereas ordinality signals the positive conception of the nature of reality as irreducibly complex or indefinitely related, which Buchler's metaphysical system seeks to articulate. Both principles inform Buchler's system, but each has a distinctive function. They are not, I suggest, necessarily at odds with one another, as some critics claim. I do identify several difficulties that follow from (1) the level of generality claimed by Buchler and (2) the claim of irreducible complexity or indefinite relatedness.     

Destruktivit?t in Paarbeziehungen Paartherapeutische Behandlungsm?glichkeiten

Streitende Paare, die in destruktiven Kommunikationsmustern gefangen sind lösen oft schwierige Situationen in einer Paartherapie aus. Die Kommunikationsmuster reichen von verbalen Entwertungen und Beschimpfungen bis hin zu gewalttätigen Auseinandersetzungen. Damit der Therapeut bzw. die Therapeutin handlungsfähig bleiben, müssen sie über Erklärungsmodelle zur Entstehung und Aufrechterhaltung destruktiver Interaktionszirkel verfügen. Darüber hinaus benötigen sie Handwerkszeug und konkrete Interventionsmöglichkeiten zur Deeskalation bzw. zur Unterbrechung dieser destruktiven Muster.     

Are Christian/religious people poor tippers?

A web‐based survey was used to assess the relationships of religious faith and frequency of church attendance with tipping under conditions of good and bad service. Results indicated that Jews and those with no religion tipped more than Christians and members of other religions, but that the vast majority of Christians tipped at or above the normative 15% of bill size. Worship frequency also significantly interacted with service quality such that the tips of those who frequently worship vary with service quality less than the tips of those who worship less frequently. The practical implications of these results for service workers and restaurants or other service businesses with a large religious clientele are discussed.     

Kierkegaard and Camus: either/or?

The philosophies of Søren Kierkegaard and Albert Camus have typically been considered as inverted images of each other. Kierkegaard turns to faith in God as a path of redemption from meaninglessness while Camus rejects faith as a form of intellectual suicide and cowardice. I argue that an analysis of key terms of contest—faith and lucidity, revolt and suicide, Abraham and Sisyphus, despair and its overcoming—serves to blur the lines of contrast, making Kierkegaard and Camus much closer in their views of what sort of life we should live in face of the forsakenness of our condition than they seem at first glance.     

Is banara really a word?

Bowers, Davis, and Hanley (Bowers, J. S., Davis, C. J., & Hanley, D. A. (2005). Interfering neighbours: The impact of novel word learning on the identification of visually similar words. Cognition, 97(3), B45-B54) reported that if participants were trained to type nonwords such as banara, subsequent semantic categorization responses to similar words such as banana were delayed. This was taken as direct experimental support for a process of lexical competition during word recognition. This interpretation assumes that banara has been lexicalized, which predicts that masked form priming for items such as banara-banana should be reduced or eliminated. An experiment is reported showing that the trained novel words produced the same amount of priming as untrained nonwords on both the first and the second day of training, suggesting that the interference observed by Bowers et al was not due to word-on-word competition.     

A ratio principle for a red/green and a yellow/blue channel?

There is strong empirical evidence that, under adaptation to another achromatic color stimulus, the lightness of an achromatic color stimulus depends on the ratio of the luminances of the two stimuli. In the present study, the suitability of this ratio principle is tested for two chromatic postreceptoral opponent channels. A Hering red/green channel and a non-Hering yellow/blue channel are specified as chromatic channels. The yellow/blue channel is defined by extrapolating the plane corresponding to unique green-white linearly to the reddish part of color space, using the plane’s surface as the channel’s equilibria. The experiment was run on an isoluminant plane, measured individually for each observer. Moving along an observer’s measured opponent axes, eight adaptation stimuli were selected for each channel and spanned the whole range of the channel’s coordinates. Red/green equilibria or yellow/blue equilibria were measured as excursions along the adaptation axes. For both presumed channels, the ratios of the equilibrium coordinates of test and adaptation stimuli were essentially constant. This supports the principle’s suitability. However, small asymmetries were found with respect to each channel’s opponent hues. The status of the proposed yellow/blue channel is discussed, as are conditions that might have favored the present findings.     

生活中的逻辑4/4=1吗?

前些天,在路上听到两人的一段对话,颇感有趣,现摘记如下。甲:现在有的书上错处真不少。乙:不见得吧! 甲:(拿出一本《银幕歌声》)你看,这书上有好几处都写着4╱4。学过数学的人都知道,这4╱4是个假分数,应把它约简化成1才对。乙:啊!……这书上应该是4╱4还是1?4╱4就一定等于1吗?正确回答这个问题,不能离开语境和论域。逻辑学告诉我们,同一个概念可以用不同的语词来表达;同一个语词也可以表达     

Can Inattention/Overactivity Be an Institutional Deprivation Syndrome?

Elevated rates of attention deficit and overactivity have been noted previously in samples of institution-reared children. This study examined the hypothesis that inattention/overactivity(I/O) might constitute a specific deprivation syndrome. One hundred and sixty five children adopted at varying ages (e.g., 0–42 months of age) into the UK following severe early deprivation were compared with 52 within-UK adoptees who did not suffer deprivation. The children were rated by teachers and parents on levels of I/O, conduct difficulties, and emotional difficulties using the Revised Rutter Scales. Data were collected at age 6 for the entire sample and at age 4 for the UK adoptees and for the subsample of Romanian children who entered the UK before the age of 2 years. Mean level analyses suggested a significant effect of duration of deprivation on I/O, but not on conduct or emotional difficulties. The effects of duration of deprivation were specific to I/O and were not accounted for by low birth weight, malnutrition, or cognitive impairment. Levels of I/O correlated with attachment disturbances. Furthermore, the effects of duration of deprivation on I/O did not attenuate over time. We conclude that I/O may well constitute an institutional deprivation syndrome, but that the type of attention deficit and overactivity exhibited by these children may present a different clinical picture from that of ordinary varieties of attention deficit disorder or hyperkinetic syndrome.     

Which Executive Functioning Deficits Are Associated With AD/HD,ODD/CD and Comorbid AD/HD+ODD/CD?

This study investigated (1) whether attention deficit/hyperactivity disorder (AD/HD) is associated with executive functioning (EF) deficits while controlling for oppositional defiant disorder/conduct disorder (ODD/CD), (2) whether ODD/CD is associated with EF deficits while controlling for AD/HD, and (3)~whether a combination of AD/HD and ODD/CD is associated with EF deficits (and the possibility that there is no association between EF deficits and AD/HD or ODD/CD in isolation). Subjects were 99~children ages 6–12 years. Three putative domains of EF were investigated using well-validated tests: verbal fluency, working memory, and planning. Independent of ODD/CD, AD/HD was associated with deficits in planning and working memory, but not in verbal fluency. Only teacher rated AD/HD, but not parent rated AD/HD, significantly contributed to the prediction of EF task performance. No EF deficits were associated with ODD/CD. The presence of comorbid AD/HD accounts for the EF deficits in children with comorbid AD/HD+ODD/CD. These results suggest that EF deficits are unique to AD/HD and support the model proposed by R. A. Barkley (1997).