Psychoanalytic inpatient psychotherapy of depression – Two naturalistic samples throughout the course of a decade

Background: While the general effectiveness of psychodynamic inpatient psychotherapy has been established, very few studies have specifically investigated the effectiveness of psychodynamic inpatient treatment of depression, though depressed patients represent the largest group of inpatients.

Method : This study investigated two naturalistic samples of depressed patients regarding treatment outcome as well as clinical and treatment characteristics. Patients were treated in a psychoanalytical psychosomatic hospital unit. Data was collected from 2000 to 2002 (N=234) and from 2008 to 2010 (N=514). Data was acquired at admission and discharge.

Results: The findings reveal high pre-post effect sizes for symptom reduction (SCL-90-R), general functioning (GAF) and medium changes of interpersonal problems (IIP). The improvement on the IIP was significantly higher for patients with comorbid personality disorder. Based on therapist ratings, the sample treated from 2008-2010 showed higher levels of impairment on several levels: chronic, complex, functional (GAF) and structural (OPD).

Conclusion: Findings indicate that patients show substantial short-term benefit following psychoanalytic inpatient psychotherapy, as practiced under naturalistic conditions. Open questions remain regarding the long-term nature of these benefits and the possible influence of placebo-effects.     

Trait anxiety, working memory capacity, and the effectiveness of memory suppression

We aimed at replicating the finding that humans are able to suppress unwanted memories, and tested whether this ability varies with individual differences in working memory capacity, trait anxiety and defensiveness. In a think/no-think experiment, participants either recalled or suppressed previously learned words for 0, 8 or 16 times. Suppression did not have an overall detrimental effect on later recall performance. However, higher recall rates after repeated suppression were exclusively predicted by higher trait anxiety. These results are discussed in relation to current theories on anxiety and executive control.     

Does Kantian mental content externalism help metaphysical realists?

Standard interpretations of Kant’s transcendental idealism take it as a commitment to the view that the objects of cognition are structured or made by conditions imposed by the mind, and therefore to what Van Cleve calls “honest-to-God idealism”. Against this view, many more recent investigations of Kant’s theory of representation and cognitive significance have been able to show that Kant is committed to a certain form of Mental Content Externalism, and therefore to the realist view that the objects involved in experience and empirical knowledge are mind-independent particulars. Some of these recent interpreters have taken this result to demonstrate an internal incompatibility between Kant‘s transcendental idealism and his own model of cognitive content and the environmental conditions of empirical knowledge. Against this suggestion, this article argues that, while Kant’s theory of content is indeed best construed as externalist, an adequately adjusted form of transcendental idealism is not only compatible with this externalism, but in fact supports it. More generally, the article develops the position that mental content externalism cannot force the adoption of metaphysical realism.     

Indikation zur ambulanten Nachsorge (Curriculum Hannover) in der Psychosomatischen Rehabilitation

Outpatient psychosomatic aftercare (Curriculum Hannover) was introduced nationwide in 2000 by the pension scheme. The effectiveness and efficacy of outpatient psychosomatic aftercare has been widely researched. This publication presents an indication-model based on four levels (capacity, participation, activity and impairment) whereas empirical results and clinical experience concerning participation in psychosomatic outpatient aftercare following an in-patient rehabilitation are considered in accordance with the international classification of functioning, disability and health.     

Average Effects Based on Regressions with a Logarithmic Link Function: A New Approach with Stochastic Covariates

Psychometrika - Researchers often use regressions with a logarithmic link function to evaluate the effects of a treatment on a count variable. In order to judge the average effectiveness of the...     

Analysis of Variance Models with Stochastic Group Weights

The analysis of variance (ANOVA) is still one of the most widely used statistical methods in the social sciences. This article is about stochastic group weights in ANOVA models – a neglected aspect in the literature. Stochastic group weights are present whenever the experimenter does not determine the exact group sizes before conducting the experiment. We show that classic ANOVA tests based on estimated marginal means can have an inflated type I error rate when stochastic group weights are not taken into account, even in randomized experiments. We propose two new ways to incorporate stochastic group weights in the tests of average effects – one based on the general linear model and one based on multigroup structural equation models (SEMs). We show in simulation studies that our methods have nominal type I error rates in experiments with stochastic group weights while classic approaches show an inflated type I error rate. The SEM approach can additionally deal with heteroscedastic residual variances and latent variables. An easy-to-use software package with graphical user interface is provided.     

Reminiscing together: joint experiences,epistemic groups,and sense of self

In this essay, I consider a kind of social group that I call ‘epistemic’. It is constituted by its members’ possession of perceptually grounded common knowledge, which endows them with a particular kind of epistemic authority. This authority, I argue, is invoked in the activity of ‘joint reminiscing’—of remembering together a past jointly experienced event. Joint reminiscing, in turn, plays an important role in the constitution of social and personal identity. The notion of an epistemic group, then, is a concept that helps explain an important aspect of a subject’s understanding of who she is.