On the determination of autistoid organizations in non-autistic adults

Psychogenic autistic phenomena occurring in non-autistic adults are being increasingly discussed in the psychoanalytical literature. The author endeavours to determine autistoid organizations, which are understood to be a particular form of pathological retreat. Together with the use of autistic objects, two-dimensional levelling out, the failure of unconscious communication, and of projective identification, a characteristic of these retreats is that they are meant to afford protection against paranoid-schizoid fears of the external and unintegrated states of the internal world. The formation of such autistic reactions should be sought not only in traumatic separations and the inadequate containment of primary objects, but also in constitutional weakening. Intolerance accompanying projective identification and damage to primal fantasies/preconceptions are discussed. In conclusion, a clinical illustration with autistoid and hypochondriacal retreats clarifies some of the aspects discussed.     

Voicing One’s Ideas: Intragroup Respect as an Antecedent of Assertive Behavior

In this research, we tested equality-based respect from ingroup members as a social antecedent of positive assertiveness (i.e., voicing one’s opinions) and group performance. A pretest with employees at the workplace supported that the variables of interest were indeed correlated. The main experimental study then confirmed that participants who had received high as compared with low intragroup respect displayed more assertive behavior and yielded higher group performance in dyadic intragroup discussions. In contrast, high intergroup respect (i.e., from outgroup members) lowered assertiveness and performance levels in intergroup interactions relative to low respect. We discuss implications for social interactions and discourses.     

Kosteneffektivität ambulanter Psychotherapie

Background

There is a lack of cost-effectiveness analyses (CEA) of psychotherapeutic treatments.

Material and methods

Cost-effectiveness analysis was applied to a sub-sample of 122 psychotherapy outpatients who participated in a large longitudinal study on outpatient psychotherapy (TRANS-OP study). Participants received either psychodynamic psychotherapy (PD, n=69) or cognitive behavioral therapy (CBT, n=53). Effectiveness (change in symptomatic impairment over 2 years) was assessed via the German version of the Outcome Questionnaire (OQ-45.2). Direct health care costs during a 2-year period (psychotherapy and other health care utilizations) were obtained from health insurance claims. Cost-effectiveness analysis methods included incremental cost-effectiveness ratios (ICER) and the net benefit regression approach.

Results

Cost-effectiveness analyses showed no significant differences between the two treatments, neither head-to-head, nor with regard to advantages in certain subgroups of psychotherapy outpatients. A slight dominance of CBT in costs was not maintained after controlling for covariates.

Conclusion

Provided that pivotal covariates such as treatment need are taken into account, cost-effectiveness analyses can contribute to a more equitable distribution of psychotherapeutic resources.     

Bidimensional regression: assessing the configural similarity and accuracy of cognitive maps and other two-dimensional data sets

Bidimensional regression is a method for comparing the degree of resemblance between 2 planar configurations of points and, more generally, for assessing the nature of the geometry (Euclidean and non-Euclidean) between 2-dimensional independent and dependent variables. For example, it can assess the similarity between location estimates from different tasks or participant groups, measure the fidelity between cognitive maps and actual locations, and provide parameters for psychological process models. The authors detail the formal similarity between uni- and bidimensional regression, provide computational methods and a new index of spatial distortion, outline the advantages of bidimensional regression over other techniques, and provide guidelines for its use. The authors conclude by describing substantive areas in psychology for which the method would be appropriate and uniquely illuminating.     

Evidence of separable spatial representations in a virtual navigation task

Three experiments investigated spatial orientation in a virtual navigation task. Subjects had to adjust a homing vector indicating their end position relative to the origin of the path. It was demonstrated that sparse visual flow was sufficient for accurate path integration. Moreover, subjects were found to prefer a distinct egocentric or allocentric reference frame to solve the task. "Turners" reacted as if they had taken on the new orientation during turns of the path by mentally rotating their sagittal axis (egocentric frame). "Nonturners," by contrast, tracked the new orientation without adopting it (allocentric frame). When instructed to use their nonpreferred reference frame, both groups displayed no decline in response accuracy relative to their preferred frame; even when presented with reaction formats based on either ego or allocentric coordinates, with format unpredictable on a trial, both groups responded highly accurately. These findings support the assumption of coexisting spatial representations during navigation.     

The consumer psychology of customer–brand relationships: Extending the AA Relationship model

The Attachment–Aversion (AA) Relationship model offers a unifying model of customer–brand relationships. To develop it further as a relevant consumer-psychology model, future research should examine three key factors: how brand perception differs from person perceptions; what role brand experiences play as determinants of customer–brand relationships, and how the AA Relationship model fits with other brand frameworks. The author offers insights and suggestions on how to address these three tasks.     

Retention of Quiet Eye in Older Skilled Basketball Players

There is mounting research to suggest that cognitive and motor expertise is more resistant to age-related decline than more general capacities. The authors investigated the retention of skills in medium-aged skilled (n = 14) and older-aged skilled (n = 7) athletes by comparing them with medium-aged less skilled (n = 15) and older-aged less skilled (n = 15) participants. Participants performed basketball free throws and dart throws as a transfer task under standardized conditions. Motor performance (accuracy) and perceptual performance (quiet eye) were examined across the four groups. There were significant differences between skill groups and age groups in throwing accuracy on both throwing tasks. Skilled players outperformed less skilled and medium-aged players outperformed older-aged players in basketball and dart throws. There were no significant differences in quiet eye duration across the skill or age groups in either task. These results indicate expertise in a perceptual motor task such as the basketball free throw can be retained in older athletes and that present models of skill maintenance should be re-evaluated to consider the issue of transfer.     

Differences in sharing knowledge interpersonally and via databases: The role of evaluation apprehension and perceived benefits

Knowledge sharing is an essential component of effective knowledge management. However, evaluation apprehension, or the fear that your work may be critiqued, can inhibit knowledge sharing. Using the general framework of social exchange theory, we examined the effects of evaluation apprehension and perceived benefit of knowledge sharing (such as enhanced reputation) on employees' knowledge sharing intentions in two contexts: interpersonal (i.e., by direct contact between two employees) and database (i.e., via repositories). Evaluation apprehension was negatively associated with knowledge sharing intentions in both contexts while perceived benefit was only positively associated with knowledge sharing intentions in the database context. Moreover, compared to the interpersonal context, evaluation apprehension was higher and knowledge sharing lower in the database context. Finally, the negative effects of evaluation apprehension upon knowledge sharing intentions were worse when perceived benefits were low compared to when perceived benefits were high.     

Aus vier mach zwei

Background

The diagnostic and statistical manual of mental disorders 5 (DSM-5) includes a revision of the DSM-IV criteria for somatoform disorders. The aim of the current work was to investigate whether (a) patients with DSM-IV diagnoses of somatization disorder, pain disorder and hypochondriasis and (b) whether patients categorized as having the DSM-5 somatic symptom disorder and illness anxiety disorder differ with respect to illness anxiety and cognition regarding somatic symptoms.

Material and methods

The data from 269 inpatients from the psychosomatic clinic Schön Klinik Bad Bramstedt were used. Somatoform disorders were diagnosed using the German version of the structured clinical interview for DSM-IV (SCID).

Results

Patients with a DSM-IV diagnosis of hypochondriasis differed in illness anxiety and catastrophizing interpretation of somatic symptoms compared to patients with other somatoform disorders. Patients with illness anxiety disorder differed in the catastrophizing interpretation of physical symptoms, autonomic sensations, bodily weakness and intolerance of physical complaints compared to patients with somatic symptom disorder.

Conclusion

The present results indicate that illness anxiety and a catastrophizing interpretation of somatic symptoms play a fundamental role in patients with somatoform disorders. Therefore, psychotherapy should address illness anxiety and health-related concerns in all patients with somatoform disorders.