Geschichte und Perspektiven der Psychotherapie-Richtlinie

This article gives an historical review of the 48 years of development of the psychotherapy guidelines for outpatient treatment by the statutory health insurance (GKV). Furthermore, some plans for further developments of psychotherapy are discussed.     

Self-help interventions for adjustment disorder problems: a randomized waiting-list controlled study in a sample of burglary victims

Adjustment disorders (AjD) are among the most frequent mental disorders yet often remain untreated. The high prevalence, comparatively mild symptom impairment, and transient nature make AjD a promising target for low-threshold self-help interventions. Bibliotherapy represents a potential treatment for AjD problems. This study investigates the effectiveness of a cognitive behavioral self-help manual specifically directed at alleviating AjD symptoms in a homogenous sample of burglary victims. Participants with clinical or subclinical AjD symptoms following experience of burglary were randomized to an intervention group (n = 30) or waiting-list control group (n = 24). The new explicit stress response syndrome model for diagnosing AjD was applied. Participants received no therapist support and assessments took place at baseline, after the one-month intervention, and at three-month follow-up. Based on completer analyses, group by time interactions indicated that the intervention group showed more improvement in AjD symptoms of preoccupation and in post-traumatic stress symptoms. Post-intervention between-group effect sizes ranged from Cohen’s d = .17 to .67 and the proportion of participants showing reliable change was consistently higher in the intervention group than in the control group. Engagement with the self-help manual was high: 87% of participants had worked through at least half the manual. This is the first published RCT of a bibliotherapeutic self-help intervention for AjD problems. The findings provide evidence that a low-threshold self-help intervention without therapist contact is a feasible and effective treatment for symptoms of AjD.     

Parents’ influence on the development of their children’s ethnic intergroup attitudes: a longitudinal analysis from middle childhood to early adolescence

This study investigated to what extent parents’ intergroup attitudes influence the development of their children’s ethnic intergroup attitudes (i.e., ingroup bias), and which socialization factors moderate this influence. We report on a four-year longitudinal study of 213 children (M_age = 7.94) and their parents conducted in Eastern Germany. Findings showed significant interindividual differences in children’s developmental trajectories, which could, in part, be explained by child gender, socio-economic status and parental attitudes. The influence of parents’ intergroup attitudes was moderated by parenting style and parental similarity in attitudes both of which, our findings suggest, can make the transmission of parental attitudes more likely.     

Cue-elicited food seeking is eliminated with aversive outcomes following outcome devaluation

In outcome-selective Pavlovian-to-instrumental transfer (PIT), stimuli that are predictive of specific outcomes prime instrumental responses that are associated with these outcomes. Previous human studies yielded mixed evidence in respect to whether the PIT effect is affected by a posttraining devaluation of an outcome, with the PIT effect being preserved after a devaluation of a primary reinforcer (food, drugs) but not following the devaluation of a secondary reinforcer (money). The present research examined whether outcome-selective transfer is eliminated when the devaluation of a primary (liquid) reinforcer is strong and aversive. Experiment 1 confirmed these expectations following a devaluation with bad tasting Tween 20. However, outcome-selective transfer was still observed when the earned (devalued) outcome was not consumed immediately after each test (Experiment 2). These results suggest that the capacity of a Pavlovian cue to motivate a specific response is affected by the incentive value of the shared outcome only when the devaluation yields an aversive outcome that is consumed immediately.     

Refining the Openness–Performance Relationship: Construct Specificity,Contextualization, Social Skill,and the Combination of Trait Self- and Other-Ratings

Scholars have raised concerns that openness to experience has ambiguous relationships with performance. In this study, we examine both openness and one of its more narrow dimensions, learning approach. In addition, the research context was made narrow (i.e., higher education academic performance in science), and social skill was interactively combined with peer- and self-rated personality in the prediction of academic performance (i.e., grades). We found that those high on learning approach, but not openness, 1 year later performed better academically than those lower on learning approach. Furthermore, for those high and average on social skill, increased peer-rated learning approach was associated with higher performance. Finally, the combination of self- and other-ratings of learning approach was a better predictor of academic performance than the combination of self- and other-ratings of openness. The relationship of openness with academic performance benefits from narrowing predictors and criteria, framing the study within a relevant context, accounting for social skill, and combining self- and other trait ratings.     

What is Said?

It is sometimes argued that certain sentences of natural language fail to express truth conditional contents. Standard examples include e.g. Tipper is ready and Steel is strong enough. In this paper, we provide a novel analysis of truth conditional meaning (what is said) using the notion of a question under discussion. This account (i) explains why these types of sentences are not, in fact, semantically underdetermined (yet seem truth conditionally incomplete), (ii) provides a principled analysis of the process by which natural language sentences (in general) can come to have enriched meanings in context, and (iii) shows why various alternative views, e.g. so‐called Radical Contextualism, Moderate Contextualism, and Semantic Minimalism, are partially right in their respective analyses of the problem, but also all ultimately wrong. Our analysis achieves this result using a standard truth conditional and compositional semantics and without making any assumptions about enriched logical forms, i.e. logical forms containing phonologically null expressions.     

Soziales Trauma

Social traumatization is targeted at entire victim groups and occurs in a societal context. The classification of posttraumatic stress disorders in DSM-5, which intentionally fails to differentiate between different types of traumatic events, ignores the social factors of traumatogenic pathologies. Whereas clinical practice unanimously embraces the thorough exploration of patients’ individual life experiences and history of suffering, taking the relevant social and environmental factors into account, in the classification systems (DSM-5 and ICD-10) it has been decided to address posttraumatic disorders as individual pathologies and not as social phenomena. Even equating social trauma with a disease may foster this partial exclusion, which in turn can contribute to perpetuation of the posttraumatic condition.