Inventar zur therapeutischen Beziehung (ITB)

A successful psychotherapy requires a good therapeutic relationship. An adequate operationalization by German diagnostic instruments has to be improved. A new instrument for measuring the therapeutic relationship from the patient’s perspective is presented. It is suitable for various therapeutic orientations, integrates current empirical findings in a broad theoretical framework and corrects methodological deficits of the existing German questionnaires. The therapeutic relationship questionnaire (ITB) was developed with a sample of 44 therapists and 519 inpatient, outpatient and day clinic patients. The ITB findings confirm a very good reliability (internal consistency and retesting reliability). There is initial evidence for convergent, divergent and differential validity and for associations with therapy effects. The ITB is an economic instrument that in contrast to other questionnaires measures a general factor which could be replicated in several confirmatory and exploratory factor analyses.     

Personality and Cognitive Ability as Predictors of Typical and Maximum Managerial Performance

Despite long-established distinctions between typical and maximum performance variables on both the predictor and criterion side, little previous research has directly addressed the extent to which these distinctions translate into differential predictor-criterion relationships. Using a sample of candidates for managerial positions, we examined relations of predictors conceptually linked to typical (i.e., broad, narrow, and compound personality traits) and maximum (i.e., broad and narrow cognitive abilities) performance with corresponding criterion measures (N = 84–873). Supervisory ratings of managerial performance served as the typical performance criterion, whereas maximum performance was assessed via an assessment center. Confirmatory factor analyses supported the distinction between typical and maximum performance. Results also confirmed our hypothesis that cognitive abilities are more strongly correlated with maximum performance than with typical performance and largely supported the expectation of the opposite pattern with personality traits as predictors.     

Of Keys and Gifts: How to Read The Gift of Authority

Abstract

The Gift of Authority has received a cautious welcome from Anglicans. A reason for this, it is said, is that its language or culture are insufficiently Anglican. The article argues that this should not deter anyone because there are non-Anglican ecclesiologies – most notably that of Medard Kehl – which contain a vision of the Church that is basically the same as that behind The Gift, and which at the same time bear a close family resemblance to principles of Anglican ecclesiology. It is argued that using these as an Anglican ‘hermeneutical key’ to The Gift instead of focusing primarily on the language used, would substantially increase Anglican understanding and appreciation of the report.     

Internistische Psychosomatik

Die psychische Komorbidität internistischer Patienten im Sinne einer ICD-Diagnose des Kapitels F beträgt mehr als 35%: Neurotische, besonders somatoforme, Schmerz-, affektive Störungen und Suchterkrankungen sind häufig. Die Liegedauer ist bei psychischer Komorbidität deutlich erhöht. Es benötigen 5% der internistischen Patienten ein psychosomatisches Konsil. Neue, komplexe Behandlungsstrategien, wie Transplantationen, Kardioverter-Defibrillatoren, Medikamentenpumpen, erfordern häufig spezifische psychosoziale Interventionen. Ältere Patienten haben Erkrankungen, die zunehmend chronifizieren und komplexer werden. Damit werden Lebensqualität und psychische Komorbidität zu zentralen Outcomevariablen der Volkskrankheiten. Das zweite große Aufgabenfeld internistischer Psychosomatik ist die Untersuchung und die Behandlung psychosomatischer Patienten im engeren Sinne (Essstörungen, Schmerz- und somatoforme Störungen), weil internistische Diagnostik und Therapie erforderlich oder die Motivation der Patienten primär somatisch ist. Organisationsmodelle reichen von Konsil-/Liaisondiensten bis zu integrierten psychosomatischen Abteilungen oder Fachabteilungen an Allgemeinkrankenhäusern. Aussichtsreiche Forschungsstrategien werden neben der Erforschung psychosomatischer Mechanismen in der Entwicklung pragmatischer Behandlungsprogramme, ihrer Überprüfung in klinischen Studien und der Versorgungsforschung gesehen. Darüber hinaus sollte eine Intensivierung nationaler und internationaler Forschungsnetze erfolgen, wenn immer möglich unter Beteiligung anderer Disziplinen, um auch im Bereich der Forschung konkurrenzfähig zu bleiben.     

A method for detailed movement pattern analysis of tadpole startle response

Prolonged space flight, specifically microgravity, presents a problem for space exploration. Animal models with altered connections of the vestibular ear, and thus altered gravity sensation, would allow the examination of the effects of microgravity and how various countermeasures can establish normal function. We describe an experimental apparatus to monitor the effects of ear manipulations to generate asymmetric gravity input on the tadpole escape response. To perform the movement pattern analysis, an imaging apparatus was developed that uses a high‐speed camera to obtain time‐resolved, high‐resolution images of tadpole movements. Movements were recorded in a temperature‐controlled test chamber following mechanical stimulation with a solenoid actuator, to elicit a C‐start response. Temperature within the test cell was controlled with a recirculating water bath. Xenopus laevis embryos were obtained using a standard fertilization technique. Tadpole response to a controlled perturbation was recorded in unprecedented detail and the approach was validated by describing the distinct differences in response between normal and one‐eared tadpoles. The experimental apparatus and methods form an important element of a rigorous investigation into the response of the tadpole vestibular system to mechanical and biochemical manipulations, and can ultimately contribute to improved understanding of the effects of altered gravity perception on humans.     

Personality Traits Predict Smartphone Usage

The present study investigates to what degree individual differences can predict frequency and duration of actual behaviour, manifested in mobile application (app) usage on smartphones. In particular, this work focuses on the identification of stable associations between personality on the factor and facet level, fluid intelligence, demography and app usage in 16 distinct categories. A total of 137 subjects (87 women and 50 men), with an average age of 24 (SD = 4.72), participated in a 90‐min psychometric lab session as well as in a subsequent 60‐day data logging study in the field. Our data suggest that personality traits predict mobile application usage in several specific categories such as communication, photography, gaming, transportation and entertainment. Extraversion, conscientiousness and agreeableness are better predictors of mobile application usage than basic demographic variables in several distinct categories. Furthermore, predictive performance is slightly higher for single factor—in comparison with facet‐level personality scores. Fluid intelligence and demographics additionally show stable associations with categorical app usage. In sum, this study demonstrates how individual differences can be effectively related to actual behaviour and how this can assist in understanding the behavioural underpinnings of personality. Copyright © 2017 European Association of Personality Psychology     

Einfluss des Behandlungssettings auf den Gesundungsverlauf

Even though managed care systems research emerged as an important field in psychotherapy research in the last years, studies examining the effects of its psychotherapeutic measures on outcome are still rare, especially in Germany. Little is known about the effectiveness of psychotherapy in different treatment settings, i. e. whether and how patients in outpatient psychotherapy differ from inpatients in respect to initial impairment status and pace of improvement. Two longitudinal data sets—inpatient (N=759) and outpatient (N=521)—were used to scrutinize these questions. Results yielded no differences between treatment settings as to patients’ initial impairment. A linear model adequately represented the mean course of improvement in inpatient psychotherapy. For outpatient psychotherapy, a bipartite linear model for treatment and for the follow-up period proved more appropriate. During 1 year, patients in both settings attained a similar amount of improvement. However, pace of in-treatment improvement was 10 times faster in the inpatient setting. Initial impairment substantially predicted the course of psychological improvement in both treatment settings.     

Severity of childhood attention-deficit hyperactivity disorder--a risk factor for personality disorders in adult life?

Some evidence points to an increased rate of cluster B and C personality disorders (PDs) in adult ADHD patients. In order to assess axis II disorders comprehensively we used the diagnostic instrument of the WHO. In sixty adult out-patients with ADHD according to DSM-IV criteria PDs were assessed with the International PD Examination (IPDE) and severity of childhood ADHD with the Wender-Utah-Rating Scale (WURS). We found at least one PD in 25% of cases. Cluster C PDs were most common (36.6%) followed by Cluster B (23.3%) and A (8.3%). Avoidant (21.7%) and borderline (18.3%) were the most frequent single PD entities. ADHD patients with PD suffered from significantly more severe childhood ADHD compared to those without co-occurring PD. Applying the IPDE we confirmed a high number of PDs among adult ADHD patients. Our findings point to a higher vulnerability for the development of PDs in patients with severe childhood ADHD.