Dokumentation ambulanter Diagnostik in psychosomatischer Medizin und Psychotherapie

Zusammenfassung Das vorgestellte Dokumentationssystem vereint in sich die folgenden Anforderungen: Die zeitökonomische Abbildung der aktuellen Befunde, die Visualisierung der Biographie bzw. Lerngeschichte, die strukturierte Erfassung der Operationalisierten Psychodynamischen Diagnostik (OPD), die psychische und somatische Diagnostik einschließlich Rating des Beeinträchtigungsschwere-Score (BSS) und der Global Assessment of Functioning Scale (GAF) sowie die psychotherapeutisch-psychiatrischen Vorbefunde und die abschließende Indikationsstellung. Lediglich der Arztbrief, der beispielhaft dargestellt wird, wird diktiert. Eine so strukturierte Dokumentation ist patientennah, zeitökonomisch und bewährt sich an den Schnittstellen einer ambulant-stationär-ambulanten Behandlungskette. Sie ist eine ideale Basis für ein Qualitätsmanagement sowie Evaluation in der niedergelassenen Praxis, Ambulanz sowie im Konsiliardienst.      

Rape Perceptions, Gender Role Attitudes, and Victim-Perpetrator Acquaintance

The connection between rape perceptions, gender role attitudes, and victim-perpetrator acquaintance was examined. One hundred fifty Israeli students rated their perceptions of the victim, the perpetrator, the situation, and the appropriate punishment, after reading scenarios in which rape was committed by a neighbor, an ex-boyfriend, and a current life partner. Significant negative correlations were found between gender-role attitudes and four measures of rape perceptions. “Traditionals” minimized the severity of all rapes more than “Egalitarians” did. As the acquaintance level increased, there was a greater tendency to minimize the severity of the rape, in the perceptions of the victim, the situation, and the punishment; the situation was characterized less as rape, and was perceived as less violating of the victim's rights and less psychologically damaging. Women tended to have more egalitarian attitudes than men did, and women were less likely to minimize the severity of the rape in the measures of perceptions of the situation and the appropriate punishment.     

Task-switching performance with 1:1 and 2:1 cue-task mappings: not so different after all

When task-switching studies use the task-cuing procedure with a 1:1 cue-task mapping, task switching and cue switching are confounded, which is problematic for interpreting switch costs. The use of a 2:1 cue-task mapping is a potential solution to this problem, but it is possible that introducing more cues may also introduce marked changes in task-switching performance. In 5 experiments involving 160 subjects, the authors compared performance with 1:1 and 2:1 mappings across several methodological changes. Differences in switch costs between mappings were small and, in most analyses, nonsignificant. In all experiments, both mappings yielded significant reductions in switch cost across cue-target interval, and there were significant cue-switching effects with the 2:1 mapping. A model of cue encoding fit the data from both mappings about equally well. Overall, task-switching performance was more similar than it was different between mappings, leading the authors to suggest that the use of a 2:1 mapping is a viable solution to the problem associated with a 1:1 mapping.     

Children's episodic and generic reports of alleged abuse

With the present data, we explored the relations between the language of interviewer questions, children's reports, and case and child characteristics in forensic interviews. Results clearly indicated that the type of questions posed by interviewers—either probing generic or episodic features of an event—was related to the specificity of information reported by children. Further, interviewers appeared to adjust their questioning strategies based on the frequency of the alleged abuse. Children alleging single instances of abuse were asked more episodic questions than those alleging multiple abuses. In contrast, children alleging multiple incidents of abuse were asked a greater proportion of generic questions. Given that investigators often seek forensically relevant episodic information, it is recommended that training for investigators focus on recognition of prompt selection tendencies and developing strategies for posing non‐suggestive, episodically focused questions. Copyright © 2010 John Wiley & Sons, Ltd.     

Psychosoziales Gesundheitsmanagement im Betrieb

After presenting basic prevention concepts, preventive and rehabilitative tasks and initiatives in work places will be presented. It is pointed out that especially the promotion of psychosocial resources both at individual and organizational levels is a central issue in prevention. As the next step the basic principles of health management are described and relevant psychosocial topics and procedures are outlined. The different elements of a systematic process of health management and the implementation and evaluation of procedures are shown. It is demonstrated that such developments can only have a chance in an enterprise if they have quality assurance and are supported by all important protagonists of the organization. This is especially true concerning the management, because without their acceptance of such measures it is not possible to implement them.     

Do Suicides’ Characteristics Influence Survivors’ Emotions?

The suicide of a related person can often induce severe negative emotional reactions. The objective of this study was to explore the relationships between sociodemographic and diagnostic data of suicides and survivors' emotions and to close this substantial gap. The main outcome of this study was that survivors' severity of emotional disturbance was inversely correlated with age of suicides. In the multivariable approach, only age remained related to the majority of the assessed survivors' emotions, whereas other characteristics, such as gender, presence of psychiatric disorder, or suicide method were not associated with survivors' emotions. Age had a dominant impact on the relationship between suicides' characteristics and survivors' emotional reactions and supersedes the effect of most suicides' characteristics including diagnoses.     

Diversity and General Student Scholarship Recipient Essays: 2010 National Society of Genetic Counselors Membership Committee

In an effort to increase the diversity of the membership of the National Society of Genetic Counselors (NSGC), the Membership Committee provided two $500 scholarships to genetic counseling students planning to attend the NSGC AEC meeting in Dallas, Texas in October 2010. Requirements for applicants of both scholarships included enrollment in the fall of 2010, good standing at an accredited genetic counseling training program, and NSGC membership or plans to join in 2011. Students who are from communities underrepresented in the NSGC, including, but not limited to, those of minority cultural/ethnic backgrounds and those with disabilities were eligible to apply for the “Diversity” scholarship. Students from all backgrounds who have an interest in diversity issues were eligible to apply for the “General” scholarship. Applicants wrote essays 1000 words or less answering the following questions: How has your identity as a member of a group underrepresented in the genetic counseling profession affected your pursuit of this career? What do you feel is lacking in genetic counseling to address the issues of underrepresented groups? What strategies do you recommend for addressing these issues and/or increasing diversity? Why do you think diversity is an important issue for the field of genetic counseling? What strategies do you recommend to attract and retain students, especially those from underrepresented populations, into the field of genetic counseling? How do you envision contributing to these strategies? The essays by the award recipients elucidated interesting perspectives and ideas for increasing diversity in the genetic counseling profession.     

Daily patterns of communication and contact between Italian early adolescents and their friends

The goal of the present study was to explore patterns of communication between adolescents and their friends across both "online" and "in-person" contexts. The participants were adolescents (n?=?727) aged 11-16 years attending middle schools in urban and rural areas of Italy. Participants completed daily logs of their in-person and online contacts with friends for 20 consecutive school days. Girls reported more total contacts with their friends than did boys as well as friendships that were closer and more intimate. However, boys indicated more contact than girls via electronic communication and online. Contacts with peers in general were less frequent among the older participants, perhaps because of increasing academic demands. Participants who complemented in-person contact with friends with electronic contact were less lonely than their counterparts who were less versatile in accessing different modalities of making contact with friends.     

Disentangling the adult attention-deficit hyperactivity disorder endophenotype: parametric measurement of attention

Attention deficit hyperactivity disorder (ADHD) persists frequently into adulthood. The decomposition of endophenotypes by means of experimental neuro-cognitive assessment has the potential to improve diagnostic assessment, evaluation of treatment response, and disentanglement of genetic and environmental influences. We assessed four parameters of attentional capacity and selectivity derived from simple psychophysical tasks (verbal report of briefly presented letter displays) and based on a "theory of visual attention." These parameters are mathematically independent, quantitative measures, and previous studies have shown that they are highly sensitive for subtle attention deficits. Potential reductions of attentional capacity, that is, of perceptual processing speed and working memory storage capacity, were assessed with a whole report paradigm. Furthermore, possible pathologies of attentional selectivity, that is, selection of task-relevant information and bias in the spatial distribution of attention, were measured with a partial report paradigm. A group of 30 unmedicated adult ADHD patients and a group of 30 demographically matched healthy controls were tested. ADHD patients showed significant reductions of working memory storage capacity of a moderate to large effect size. Perceptual processing speed, task-based, and spatial selection were unaffected. The results imply a working memory deficit as an important source of behavioral impairments. The theory of visual attention parameter working memory storage capacity might constitute a quantifiable and testable endophenotype of ADHD.