The Effectiveness of Brief Versus Intermediate Duration Psychodynamic Psychotherapy in the Treatment of Adjustment Disorder

Treatment studies and particularly psychotherapeutic treatment studies of patients suffering from an adjustment disorder are very scarce, leading to insufficient evidence regarding the efficacy of treatment in this population. Whereas timely psychotherapy is known to be of benefit in the treatment of adjustment disorders, the ideal duration of psychotherapeutic interventions is not known. This study examined whether a brief 12-session focused psychodynamic psychotherapy may be as efficient as a longer intermediate-term (1?year) psychodynamic psychotherapy in treating patients suffering from an adjustment disorder. Subjects (n?=?66) were randomly assigned to either brief or intermediate psychotherapy. They were assessed by self-report measures and clinician’s evaluation at baseline, end of therapy, and 9?months after therapy was terminated. The results showed a good overall improvement in the whole group. Furthermore, brief psychotherapy was found to be as good as intermediate psychotherapy both at the end of treatment and at follow-up. Although our study was not designed to confirm the efficacy of dynamic psychotherapy in the treatment of adjustment disorders, our results suggest that brief interventions may be good enough in adjustment disorder, thus allowing treatment of a greater number of patients without compromising for the quality and suitability of treatment.     

Motivation as a Mediator of Social Disparities in Academic Achievement

The present study aimed at contributing to the understanding of social disparities in relation to students' academic achievement in the science, technology, engineering and mathematics domains. A sample of n = 321 German 11th graders completed measures of their family socio‐economic status (SES), general intelligence, domain‐specific ability self‐concepts and subjective scholastic values in math, physics and chemistry. Students' grades in these subjects received four months after testing served as criteria. Significant mediation effects were found for all motivational variables between fathers' SES and students' achievement, whereas for mothers' SES, only children's academic self‐concept in chemistry was a significant mediator. These results also held when students' general intelligence was controlled. Additionally, we controlled for students' grades before testing to investigate which variables mediated the influence of SES on change in school performance. Motivational variables significantly mediated the influence of fathers' SES on change in school performance in math but not in chemistry and physics. Intelligence significantly mediated the influence of fathers' SES on change in school performance in physics and chemistry but not in mathematics. The impact of mothers' SES on change in grades in chemistry was mediated by intelligence. Among others, the reasons potentially accounting for the differential influences of fathers' and mothers' SES are discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Psychoedukation bei Personen mit erh?htem Psychoserisiko

Background

So far only few studies are available which have evaluated the effectiveness of psychoeducation for individuals at risk of psychosis in the early initial prodromal state (EIPS) whereas the benefit of psychoeducation in psychotic patients has been repeatedly confirmed. Thus the aim of this study was to investigate the effect of psychoeducation in individuals with increased risk of psychosis in the EIPS.

Method

A total of 128 help-seeking outpatients in the EIPS participated in a randomized controlled multicentre trial of 12 months of either psychoeducation as part of an integrated psychological intervention (IPI) or supportive counseling (SC). The time to transition to psychosis at 12-month and 24-month follow-up as well as the social adjustment at baseline, time of transition or post-treatment by means of the social adjustment scale (SAS?II) were assessed.

Results

The IPI was superior to SC in preventing progression to psychosis at 12-month (3.2% versus 16.9%, p?=0.008) and 24-month follow-up (6.3% versus 20.0%, p?=0.019). Both treatments resulted in significant pre-post improvements in SAS?II with no significant differences between the two groups.

Conclusions

Psychoeducation as part of an integrated intervention is effective for preventing the onset of psychosis over a 24-month time period in people in an EIPS. Moreover patients at risk of developing first episode psychosis seem to benefit from a specific psychoeducational intervention in the context of other treatments as well as from SC.     

The vocational ID – connecting life design counselling and personality systems interaction theory

ABSTRACT

We introduce the Vocational ID that integrates linguistic and visual representations of a career counselling client’s self. Based upon findings from the Life Design paradigm [Savickas, M. L., Nota, L., Rossier, J., Dauwalder, J.-P., Duarte, M. E., Guichard, J.,?…?van Vianen, A. E. M. (2009). Life designing: A paradigm for career construction in the twenty-first century. Journal of Vocational Behavior, 75(3), 239–250. doi:10.1016/j.jvb.2009.04.004] and the Personality Systems Interaction theory [Kuhl, J. (2000b). The volitional basis of personality systems interaction theory: Applications in learning and treatment contexts. International Journal of Educational Research, 33(7–8), 665–703. doi:10.1016/S0883-0355(00)00045-8], the Vocational ID facilitates working on clients' vocational identity. In this article, we present the theoretical framework, its practical applications, and a case study.     

Encoding context and retrieval conditions as determinants of the effects of natural category size

Studying a familiar word activates its associates in long-term memory. In the present experiments we manipulated the number of associates activated by words studied in the presence of unrelated context words, meaningfully related context words, or in the absence of modifying context words. Memory was tested by either cued or free recall. The results showed that the number of directly activated associates can facilitate, have no effect, or disrupt recall for studied words. The direction and magnitude of the effects of number of activated associates is shown to be determined by the encoding/retrieval context. Implications for the distinction between episodic and semantic memory are discussed.     

Ein Kontrollzwang und seine Therapie

Das folgende nachempfundene Erlebnisprotokoll zeigt einen kurzen Ausschnitt aus dem Leidensweg einer Patientin mit Kontrollzw?ngen. Es handelt sich dabei um eine schwere St?rung, welche die Lebensqualit?t der Betroffenen stark beeintr?chtigen kann. In einem solchen Fall ist eine Psychotherapie unerl?sslich. Die Methode der Wahl ist dabei die Verhaltenstherapie.