Einzel- und Paarintervention f��r depressive Koronarpatienten

Depressive symptoms in patients presenting with coronary heart disease have an impact on quality of life, health behavior, and prognosis. The psychotherapeutic interventions which had been tested for their efficacy in previous randomized controlled trials, showed only minor effects. A stepwise approach consisting of individual and group psychotherapeutic interventions was tested for efficacy in a German multicenter study. The presented paper describes the therapeutic procedure for two individual sessions and one couple session by means of case examples. The main focus was to determine depressive symptoms along with underlying maladaptive personality traits such as negative affectivity and social inhibition (type D pattern). Depressive mood, disappointments and mortifications both in private and professional life and also during the previous treatment are verbalized. Dysfunctional relation patterns and maladaptive sickness behavior are taken up by the psychotherapist and alternative behavior patterns are developed. The objective of the couple session is strengthening the partnership resources and offering relief of fears and worries relative to the heart disease. The psychotherapeutic procedure is psychodynamically oriented but also contains cognitive-behavioral and interactional treatment approaches.     

Deutungen

The author characterizes with the help of several examples different types of interpretations: interpretations ??in?? the transference, interpretations outside transference and reconstructive interpretations. He describes how a transference topic is to be reconstructed not as much by analogies but rather by the use by the analyst, that means by countertransference. The aim of psychoanalytic treatment to make unconscious motives conscious should allow the patient a greater freedom of action, but at the same time it expects more responsibility for him.     

Vom allm?hlichen Verschwinden der Gruppenverfahren

The prominence of the different methods of working in and with groups, especially group analysis, group dynamics and psychodrama, came to a peak during the cultural changes of the 1960s and 1970s. This applied both to the therapeutic and educational fields and then more and more also to business and administration but since then is slowly fading in all fields. The reasons for this development, specifically in the German speaking countries, are discussed in six theses. The arguments relate to: 1) the differentiation of the psychosocial field, 2) the (successful) diffusion of these methods, 3) the intermezzo character of their success, 4) the inability to modernize, 5) the ambivalent consequences of modernization and 6) the changes in the cultural significance of the group.     

Der Gruppenfragebogen (GQ-D)

An investigation of the psychometric properties of the German version of the Group Questionnaire (GQ; Krogel 2009) is described. The GQ is a self-report instrument economically enabling the assessment of helpful aspects of relationships within small groups. Due to the limited length of the questionnaire it provides a tool of monitoring bonding to the group, the quality of the working relationship as well as negative aspects during group treatment. One advantage of the GQ is that it measures relationships on three different relational levels (group members, group leader and the group as a whole). Following a test of the multidimensional structure of the GQ-D using data from a multisite study (N=438) with structural equation models, the GQ-D was validated using other process measures. The GQ-D proved to be an objective, valid and reliable measure to assess relevant therapeutic relationships within groups.     

Measuring Context-Specific and Cross-Contextual Components of Hierarchical Constructs

Rating scales are often used to measure behavioral constructs. Yet, different informants’ ratings may not necessarily agree. The situational specificity (SS) perspective postulates that discrepancies between ratings by different informants are primarily attributable to contextual behavior of the people being rated. The multitrait-multimethod (MTMM) perspective, however, attributes discrepancies between informants to rater bias, i.e., each informant provides a systematically distorted picture of the person being rated. Similarly, the Attribution-Bias-Context (ABC) perspective also attributes informant discrepancies to systematic biases. Within the context of measuring hierarchical constructs, we proposed a hybrid perspective that takes account of variance attributable to the behavior of the person being rated in a particular context from the perspective of a specific informant. We then provided a parametric representation of this perspective and analyses of mother, teacher, and self-ratings of Rule-Breaking and Aggressive Behavior to illustrate features of the model. Strengths and limitations of the SS, MTMM, and hybrid perspectives are discussed.     

An Examination of the Factor,Convergent, and Discriminant Validity of the Behavioral Inhibition System and Behavioral Activation System Scales

The Behavioral Inhibition System and Behavioral Activation System Scales (BIS/BAS scales) are the most widely used measures designed to assess Gray’s Reinforcement Sensitivity Theory. However, questions remain regarding its factor, convergent, and discriminant validity. We assessed these properties in two samples of undergraduates (N = 723, N = 103). In Study 1, confirmatory factor analysis supported previous findings that suggested removal of several items, resulting in acceptable fit for a four-factor model. Convergent and discriminant validity were assessed for the original and revised scales. In Study 2, a public speaking task was used to assess validity of the scales in reference to positive/negative affect. Convergent and discriminant validity for the revised scales were not substantially different from the original scales. We suggest that future researchers should consider the use of the revised measure we describe. We also suggest that the creation of a revised BIS/BAS scale using new items may be warranted.     

Emotional Functioning in Children and Adolescents with Elevated Depressive Symptoms

Difficulties with emotion and its regulation are of central importance to the etiology and course of depression. The current study investigated these constructs in relation to childhood and adolescence by comparing the emotional functioning of 170 9- to 15-year-olds reporting high levels of depressive symptoms (HD) to a matched sample of 170 children and adolescents reporting low levels of depressive symptoms (LD). Compared to LD, HD participants reported significantly greater shame proneness, poorer functioning on emotion regulation competencies (emotional control, self-awareness and situational responsiveness), less healthy emotion regulation strategy use (less reappraisal and greater suppression), and lower levels of guilt proneness. Empathic concern did not differ between the two groups. The findings enhance current knowledge by providing a more comprehensive profile of the emotional difficulties experienced by children and adolescents with elevated depressive symptoms.     

《周易》晋卦“鼫鼠”新证

联绵词由两个音节连缀成义,以音表义,所以从字形上往往不能得到准确的意义信息.《晋》卦中“鼫鼠”是联绵词,表示迟疑不决之貌.通过转语系联,发现“鼫鼠”与“首鼠”、“犹豫”、“蹢躅”等是同一个词的不同书写形式.然后,比较《晋》卦中的类同句,回归语境,证明“鼫鼠”训作“迟疑不决之貌”是合理的.     

Three Students with Developmental Disabilities Learn to Operate an iPod to Access Age-Appropriate Entertainment Videos

Students with developmental disabilities may not have the necessary skills or the same opportunities to access multimedia-based leisure materials as their typical peers. Portable multimedia devices such as the iPod Touch® may provide them with a useful tool for accessing age-appropriate leisure material. The present study examined the feasibility of teaching 3 students with developmental disabilities to independently operate an iPod to watch age-appropriate entertainment videos. A delayed multiple-probe design across participants was implemented with baseline, intervention, fading, and follow-up phases. Video modeling and least-to-most response prompting were successfully used to teach these 3 students to operate an iPod Touch® to watch preferred videos without adult assistance. The results complement previous findings supporting the use of video modeling as an instructional strategy and add to the literature by using portable multimedia devices as assistive technology for teaching an age-appropriate leisure skill.