Internistische Psychosomatik

Zusammenfassung 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.Herrn Prof. Dr. Ernst Richard Petzold zum 65. Geburtstag gewidmet.     

SLOT: A research platform for investigating multimodal communication

In this article, we present the spatial logistics task (SLOT) platform for investigating multimodal communication between 2 human participants. Presented are the SLOT communication task and the software and hardware that has been developed to run SLOT experiments and record the participants’ multimodal behavior. SLOT offers a high level of flexibility in varying the context of the communication and is particularly useful in studies of the relationship between pen gestures and speech. We illustrate the use of the SLOT platform by discussing the results of some early experiments. The first is an experiment on negotiation with a one-way mirror between the participants, and the second is an exploratory study of automatic recognition of spontaneous pen gestures. The results of these studies demonstrate the usefulness of the SLOT platform for conducting multimodal communication research in both human-human and human-computer interactions.     

Evaluation of living conditions of free-ranging animals by automated chronobiological analysis of behavior

A biorhythmical method has been developed to assess behavior patterns and to evaluate the living conditions of animals that can be applied also to humans. All kinds of continuous and equidistant long-term recordings of behavior are suitable for this method. Time functions from an automatic telemetry system (ETHOSYSII) were analyzed macroscopically (comparison of daily levels) and microscopically (autocorrelation function and power spectral analysis). Degrees of functional coupling (DFCs) were calculated to identify and evaluate disturbances in behavior. Hierarchic frequency tuning of complex rhythmic functions of behaviors, leads primarily to period lengths that are synchronized with the 24-h period. DFCs, a measure of harmony between internal rhythms and the external 24-h period, were found to be high in well-adapted, healthy, and undisturbed individuals but were lowered during periods of adaptation, sickness, or social interaction. Specific stress conditions could be identified and evaluated in several species, under various conditions, using these biorhythmic analyses.     

How owls structure visual information

Recent studies on perceptual organization in humans claim that the ability to represent a visual scene as a set of coherent surfaces is of central importance for visual cognition. We examined whether this surface representation hypothesis generalizes to a non-mammalian species, the barn owl (Tyto alba). Discrimination transfer combined with random-dot stimuli provided the appropriate means for a series of two behavioural experiments with the specific aims of (1) obtaining psychophysical measurements of figure–ground segmentation in the owl, and (2) determining the nature of the information involved. In experiment 1, two owls were trained to indicate the presence or absence of a central planar surface (figure) among a larger region of random dots (ground) based on differences in texture. Without additional training, the owls could make the same discrimination when figure and ground had reversed luminance, or were camouflaged by the use of uniformly textured random-dot stereograms. In the latter case, the figure stands out in depth from the ground when positional differences of the figure in two retinal images are combined (binocular disparity). In experiment 2, two new owls were trained to distinguish three-dimensional objects from holes using random-dot kinematograms. These birds could make the same discrimination when information on surface segmentation was unexpectedly switched from relative motion to half-occlusion. In the latter case, stereograms were used that provide the impression of stratified surfaces to humans by giving unpairable image features to the eyes. The ability to use image features such as texture, binocular disparity, relative motion, and half-occlusion interchangeably to determine figure–ground relationships suggests that in owls, as in humans, the structuring of the visual scene critically depends on how indirect image information (depth order, occlusion contours) is allocated between different surfaces. Electronic Publication     

Acculturation and Cognitive Performance of Migrant Children in The Netherlands

Acculturative strategies and cognitive acculturation were studied among 118 Dutch migrant children (age: 7–12 years). Both an exploratory factor analysis and a Linear Logistic Test Model analysis provided evidence for the bipolar unidimensionality of Berry's four acculturation strategies; integration constituted one pole and assimilation, separation, and marginalization the other. Integration was by far the most popular strategy. Cognitive performance was measured by the Snijders-Oomen Nonverbal Intelligence Test, school report measures, and a computer-assisted choice reaction-time measure. A good fit was found for a structural model that postulated cognitive acculturation as the latent variable linking background measures (i.e. acculturation strategy, second language usage, age, and gender) to the cognitive measures. Relationships between background variables and cognitive performance were stronger in the first than in the second generation. Both older children and children who favour an integration strategy showed a higher degree of cognitive acculturation.     

The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

Development of the Iowa Infant Feeding Attitude Scale (IIFAS) is described. In Study 1, a set of 17 items was selected on the basis of responses by 125 postpartum women. Analyses of the reliability and validity were then conducted. In Study 2, these analyses were replicated using data from an independent sample of 130 postpartum women. Study 3 involved an analysis of the ability of scores on the IIFAS to predict duration of breast-feeding among a sample of 725 women who had initiated that method of feeding their babies while in the hospital. Limitations of this research and possible future uses of the IIFAS in studies addressing the determinants and consequences of infant-feeding attitudes are discussed.     

Motion aftereffect of combined first-order and second-order motion

When, after prolonged viewing of a moving stimulus, a stationary (test) pattern is presented to an observer, this results in an illusory movement in the direction opposite to the adapting motion. Typically, this motion aftereffect (MAE) does not occur after adaptation to a second-order motion stimulus (i.e. an equiluminous stimulus where the movement is defined by a contrast or texture border, not by a luminance border). However, a MAE of second-order motion is perceived when, instead of a static test pattern, a dynamic test pattern is used. Here, we investigate whether a second-order motion stimulus does affect the MAE on a static test pattern (sMAE), when second-order motion is presented in combination with first-order motion during adaptation. The results show that this is indeed the case. Although the second-order motion stimulus is too weak to produce a convincing sMAE on its own, its influence on the sMAE is of equal strength to that of the first-order motion component, when they are adapted to simultaneously. The results suggest that the perceptual appearance of the sMAE originates from the site where first-order and second-order motion are integrated.     

Axiomatic foundations of the Marxian Theory of Value

The aim of the present paper is to provide a logical reconstruction of the Marxian Theory of Value. This reconstruction is based upon the concept of abstract as opposed to that of homogeneous labor. Abstract labour is a social relation that holds in a market economy, (at least) whenever the profit rate is uniform; it consists in a comparison of the different labors through the exchange relationship. The author proved in a different place (see García de la Sienra, 1987) that there exists a mathematical representation of abstract labor which is unique up to similarity transformations. The existence of this function — which is none other than the value function — is the basis of the present axiomatization, which includes detailed reconstructions of two of the most important models of the theory.     

Young Muslim Women in France: Cultural and Psychological Adjustments

Even though France has experienced increasing and inevitable feminization in its immigrant population since 1974, research has tended to ignore the role of immigrant women, especially Muslim women, in the migration process. Public attention has been diverted by concern over such relatively marginal issues as the headscarf affair, and insufficient attention has been paid to the important role Muslim women play in France, especially those coming from Algeria. These women function as cultural mediators between the traditional culture of the sending country and the modern one of the host country. They see themselves as both tradition-bearers and integration proponents. The demands of immigration have given rise to the growth and development of different leaders, among them cultural mediators seeking a bridge between Islam and modernity, economic mediators seeking to establish women in the media and as entrepreneurs, and political mediators who seek access to power at the local level for the immigrants. These new mediators will eventually shape a new generation of female actors very far from the traditional countries of origin, although for the time being they still suffer from the inequality of rights for women and chances in their overall social life.