Fibromyalgie und Leistungseinschränkung

Interdisciplinary guidelines allowed for new quality standards in pain appraisal. Simultaneously, the scientific notion of fibromyalgia changed from a subjectively overvalued malaise to a central disturbance of coping with stress, which is neurobiologically determined. Therefore, in this article a psychosomatics-based guide is given for the socio-medical appraisal of fibromyalgia with reference to the new International Classification for Functioning and Disability (ICF) of the World Health Organization (WHO). As illustration a case study is presented.     

Inferring the popularity of an opinion from its familiarity: a repetitive voice can sound like a chorus

Despite the importance of doing so, people do not always correctly estimate the distribution of opinions within their group. One important mechanism underlying such misjudgments is people's tendency to infer that a familiar opinion is a prevalent one, even when its familiarity derives solely from the repeated expression of 1 group member. Six experiments demonstrate this effect and show that it holds even when perceivers are consciously aware that the opinions come from 1 speaker. The results also indicate that the effect is due to opinion accessibility rather than a conscious inference about the meaning of opinion repetition in a group. Implications for social consensus estimation and social influence are discussed.     

Is Psychology Based on a Methodological Error?

It is believed a proven fact that variables in social and personality psychology match to normal distribution with its single peak. Multiple peaks are explained by independent variables. However, after a comprehensive data analysis of more than 8.000 patients and on the basis of a bio-psycho-social model with 27 scales, we arrived at the conclusion that normal distribution and the psychometric error theory cannot withstand critical analysis in large samples. Beyond the “truth” that is proved by distribution-dependent statistical inferences, there exists another “truth” that is denied by the empirical doctrine. This “truth” is influenced by compensatory belief systems and explains paradoxes in quality of life research. We hypothesize that items, referred to life risks are micro-stressors, triggering self-regulatory processes as a humanly inherent response, deeply anchored in human evolution. Especially when exposed to threatening experiences, self-focused attention generates amplified multimodal distributions and subverts the methodological premises by an ambivalence-bias between thrill and threat, hopes and fears, pleasure and pain, success and failure, etc. In this article we want to focus attention to the incommensurability between test theoretical axioms and the way people usually respond to self-focused items. We discuss basic distribution patterns and approach to an evolutionary theory of fluctuation of validity.

If It's Difficult to Pronounce, It Must Be Risky

ABSTRACT— Low processing fluency fosters the impression that a stimulus is unfamiliar, which in turn results in perceptions of higher risk, independent of whether the risk is desirable or undesirable. In Studies 1 and 2, ostensible food additives were rated as more harmful when their names were difficult to pronounce than when their names were easy to pronounce; mediation analyses indicated that this effect was mediated by the perceived novelty of the substance. In Study 3, amusement-park rides were rated as more likely to make one sick (an undesirable risk) and also as more exciting and adventurous (a desirable risk) when their names were difficult to pronounce than when their names were easy to pronounce.     

„Da wirst du ja auch bekloppt bei“

Given a growing demand of psychotherapeutic care the interest of students in a psychotherapeutic occupation is gaining relevance. At the same time psychoanalytic training institutions and societies have been confronted with a continuous decrease of candidates over the last decades. Psychology students, medical students and students of educational sciences (the latter only in the child and adolescent treatment sector) are admitted for a psychotherapeutic training approved by the health care insurances in Germany and have the possibility to choose between a behavioral or a psychodynamic oriented training. In the present multimethodological cross-sectional study those student groups (N?=?679) were questioned about their interest in a psychotherapeutic training in general and, if they proved to be interested, about their specific choice of training. Amongst psychology students the largest group of those interested in a psychotherapeutic training would opt for a behavioral education. Amongst medical students and students of pedagogy and social pedagogy a psychotherapeutic training is less frequently an option for their future career plans. Amongst the students of educational sciences, for those interested in training, psychodynamic methods are more often of interest. Possible reasons for the students' decisions in the context of the specific German legal situation are discussed.     

Young adults with severe congenital hypothyroidism: cognitive event related potentials (ERPs) and the significance of an early start of thyroxine treatment

Congenital hypothyroidism (CH) has devastating effects upon brain development if left untreated. Despite early start of thyroxine treatment, patients still show subtle cognitive deficits compared to controls. We aimed to study auditory event related potentials (ERPs) in young CH adults (N = 12) to verify previous reports of normal attention functions measured by P3 in CH children. We also include ERP components (P1, N1, P2) allowing assessment of a wider range of auditory processing functions. No significant change in P3 latency or amplitude was found in the CH group, but a more subtle change in amplitude topography. A later start of thyroxine treatment was related to increased P3 latency and reduced amplitude. Group differences were found in early ERP components tapping sensory processing, sensory gating and selective attention. The results suggest persisting abnormalities in auditory processing and selective attention that may have influenced cognitive development.     

Das Ausmaß von Müdigkeit und Erschöpfbarkeit in der über 60-jährigen Normalbevölkerung in Deutschland

In a community-based random sample of 622 elderly persons over 60 years of age, fatigue was assessed by means of the multidimensional fatigue inventory (MFI; a self-assessment measure). Higher fatigue values were found with increasing age, particularly physical feelings of fatigue, reduced activity and reduced motivation. Fatigue was associated with depression, with a low health-related quality of life and with subjective physical complaints. Distinct fatigue symptoms in the elderly should therefore be regarded as possible indicators for somatic and/or psychological burdens and should receive diagnostic and therapeutic attention. In the present paper, mean values and percentiles for different age groups over 60 years are given as norm values for the normal population over 60 years of age.     

Service Experiences and Satisfaction Judgments: The Use of Affect and Beliefs in Judgment Formation

Recalling a service experience may increase the accessibility of relevant beliefs and affect an individual's temporary mood. We examine the interplay of mood and accessible beliefs in the construction of satisfaction judgments. We find that episodically recounting the specific service encounter results in assimilation effects on the satisfaction ratings of both the service provider and a competitive company. Analytically recounting the service encounter, on the other hand, results in assimilation effects for judgments of the service provider and effects in the direction of contrast for judgments of the competitive company. In this case, beliefs about the service provider appear to provide a comparison standard against which the competitive company is judged. Implications of these findings for measuring and managing consumer satisfaction are discussed.