Schizophrene Patienten der forensischen Psychiatrie im Vergleich zu schizophrenen Patienten der Allgemeinpsychiatrie

Background

The number of schizophrenic patients admitted to forensic hospitals according to section 63 of the German Criminal Code has increased continuously over the past years. Some researchers assume that these forensic patients form a group of patients with very complex mental disorders, a number of risk factors and insufficient pretreatment in general psychiatry. This study aimed to identify differences regarding the history of treatment of forensic and general psychiatric patients diagnosed with schizophrenia.

Method

The matched samples included 72 male patients from forensic wards and 72 male patients from general psychiatric institutions diagnosed with schizophrenia. The history of psychiatric treatment was reconstructed by interviewing the patients as well as outpatient psychiatrists and patients’ legal custodians and by analyzing patient medical records.

Results

In contrast to the general psychiatric patients, prior to admission forensic patients were less integrated into psychiatric care and showed a lower rate of treatment compliance. They also showed a higher rate of previous compulsory treatment because of aggressive behavior towards other persons as well as higher rates of treatment difficulties and violent behavior during previous inpatient treatment. Furthermore, forensic patients had a higher number of previous criminal convictions and had been convicted more often for violent offences. With regard to other relevant risk factors (e.g. comorbid substance abuse disorder, age, education, conduct disorder, antisocial personality disorder, previous exposure to violent and abusive behavior) the two patient groups were, however, comparable.

Conclusions

Regarding schizophrenic patients with comorbid substance abuse disorders, previous violent delinquency and violent behavior during previous inpatient treatment, an intensive outpatient aftercare should be arranged before they are discharged from general psychiatric institutions.     

Relational aggression in college students: Examining the roles of social anxiety and empathy

This study examined the unique contributions of social anxiety and empathy to relational aggression in 300 19–to–25–year–old (M=21.25; SD=1.32) male (n=97) and female (n=203) college students using hierarchical linear regression analysis. The interactive relations between gender and social anxiety, and between gender and empathy, were also assessed. In addition to the gender and overt aggression covariates, fear of negative evaluation and perspective taking were unique predictors of relational aggression. Males, students who were more overtly aggressive, and those who reported greater fear of negative evaluation were more relationally aggressive than were peers. Students with higher levels of perspective taking reported using less relational aggression than did peers. A gender x empathetic concern interaction indicated that for males only, lower levels of empathetic concern were associated with higher levels of relational aggression. Results are discussed within a social information‐processing perspective. Aggr. Behav. 29:430–439, 2003. © 2003 Wiley‐Liss, Inc.     

Effects of Accountability on Rating Behavior and Rater Accuracy

We tested whether improvements in rater accuracy on a performance-appraisal task attributed to rater accountability could be explained by variance in rater behavior. Data from Mero and Motowidlo (1995) were used initially to test whether observed improvements in rater accuracy could be explained by rating process behaviors of attending to relevant subordinate performance and taking better notes to record that performance. Results showed that both behaviors were correlated with accuracy and that these behaviors partially mediated the relationship between accountability and improved decision quality for participants who were held accountable for their rating decision and did not have any preconceived information about that rating from their supervisor. We then tested this process model on a new sample of participants and found that attentiveness and notetaking mediated the relationship between accountability and accuracy.     

Investigating the relationship between trait and ability emotional intelligence and theory of mind

Theoretical links between emotional knowledge and theory of mind (ToM) have previously been proposed. This study investigates this relationship using measures of both ability and trait emotional intelligence (EI). Our sample comprised 194 children, divided into two age groups (5–7 years and 8–10 years). Children participated in measures of false belief understanding, advanced tests of ToM, ability EI and trait EI, and a standardized language assessment. For both age groups, we found that only ability EI was related to false belief understanding. Furthermore, regression analyses revealed that the understanding and managing branches of ability EI predicted unique variance in false belief understanding once controlling for age, language, and the other ability EI branches. Trait EI failed to display any association with false belief understanding. Ability and trait EI were associated with more advanced ToM tasks undertaken only by the older sample. These results offer support for previous research that has found a relationship between emotion perception and labelling and ToM. They also provide new knowledge: (1) higher order emotional knowledge, measured by ability EI, is associated with advanced ToM; and (2) emotional self efficacy, as measured by trait EI, is also important in advanced ToM. Furthermore, they provide the first account of associations between standardized EI measures and ToM.     

Choice as an Intervention to Improve Behavior: A Review of the Literature

In recent years, choice making has been evaluated as an intervention for people with disabilities. This review examines applied research during the past two decades using choice as a distinct intervention or as part of an intervention package. Fourteen studies published between 1975 and 1996 were identified that implemented choice as an intervention to increase or decrease a target behavior. These studies applied choice-making in the following three broad areas: (a) vocational or domestic activities; (b) academic activities; and (c) leisure, recreational, or social activities. All of the studies indicated that choice-making procedures resulted in behavioral improvements with some, if not all of the participants.     

Bidirectional Effects of Positive Affect,Warmth, and Interactions Between Mothers With and Without Symptoms of Depression and Their Toddlers

Maternal depression has negative implications for parenting and child outcomes, but it is also important to understand the daily transactional interactions that occur between mothers varying in symptoms of depression and their children. The current study aimed to examine immediate bidirectional effects between maternal warmth and positive affect and toddler affect in a sample of mothers varying in symptoms of depression. Ninety-one mothers and their 24-month-old toddlers completed a laboratory free-play/clean-up task. Mothers rated their symptoms of depression using the CES-D, and maternal warmth and positive affect and toddler positive and negative affect were observationally coded from a free-play and clean-up laboratory task. Sequential analyses indicated that mothers with no or mild symptoms of depression exhibited mutual positive affect with their children, but mothers with more severe symptoms of depression did not. Mothers with higher symptoms of depression displayed a decrease in warmth concurrent with toddlers’ positive affect. Further, unlike dyads in which mothers had higher symptoms of depression, dyads of mothers with lower symptoms appeared to exhibit some covariation in positive affect across the episode. These results provide evidence that even in non-clinical samples, affective manifestations of mothers’ subthreshold levels of depression may have negative immediate effects on toddlers’ emotions, and that mothers without symptoms of depression may have more reciprocal affective exchanges with their toddlers.     

Dispositional resistance to change and emotional exhaustion: moderating effects at the work-unit level

Organizational change, although essential for business success, may negatively impact employees’ well-being. Based on person–environment fit theory, the authors investigate employees’ dispositional resistance to change as it impacts emotional exhaustion. Furthermore, the authors examine boundary conditions that may affect dispositional resistance to change and its influence on emotional exhaustion. They take a trait activation approach and test the moderating roles of two work-unit-level internal contextual factors: perceived organizational support and informational team climate. Using a longitudinal research design of 709 participants in 30 work units, multilevel analyses reveal that dispositional resistance to change (time 1) is positively related to emotional exhaustion (time 2). Moreover, a lack of perceived organizational support and a high informational team climate strengthen these effects. The authors conclude that organizations should offer coaching and training programmes to cope with organizational change for employees who are highly change resistant. Furthermore, personal and organizational development strategies should consider the insights gained from the study regarding internal contextual factors that moderate change management processes.