Burn-out und Arbeitswelt

Burnout and working life is a topical theme. This article demonstrates which aspects of modern working life contribute towards deterioration of mental health. Based on two stress-theoretical models, demand-control and effort-reward imbalance, a short review of epidemiological findings is given which documents significantly elevated risks of stress-related disorders, mainly depression, among exposed people. Symptoms of burnout often manifest as precursors of clinical diseases. Findings from experimental and quasi-experimental studies exploring psychobiological pathways from work stress to stress-related disorders support available epidemiological evidence. Finally, implications of this new knowledge for prevention and intervention are briefly discussed. At a more general level it is concluded that economic and societal life should strive towards strengthening distributive justice and trusting cooperation at the expense of the still powerful principle of selfishness.     

Diagnosespezifische Strukturdefizite

Central to this work are the axes structure and treatment requirements of the Operationalized Psychodynamic Diagnostic in Childhood and Adolescence (OPD-CA), which were studied on a sample of n?=?195 inpatient child and adolescent psychiatric patients [mean age (M)?=?12.9 years, SD±10.1 years] in Austria. The study shows the overall poorer structure of male patients in all structural dimensions and the better treatment requirements of older compared to younger patients. Structural deficits not only affect the capacity for insight and motivation for treatment and the working alliance, but also the possible presence of morbid gain. In the diagnosis-specific analysis it was shown that patients diagnosed as F6 were understructured in emotional control, while patients with a diagnosis F9 have more structural deficits in the self-object differentiation. Patients with F3 and F4 diagnosis have better structural capacities for treatment, but their higher degree of insight and motivation for treatment is counterbalanced by an equally high gain of illness. The implications of these findings for treatment planning are discussed.     

Arm, aber glücklich?

In a nationwide German postal survey study 371 psychotherapists who had studied psychology or pedagogic sciences were asked for their net income and job satisfaction levels. Of these, 303 worked in the public health insurance system and 68 worked as freelance psychotherapists not participating in the public health insurance system. The respondents who had practiced as psychotherapists in 1997 were also surveyed with regards to their previous income and job satisfaction at that time. Results indicated that, as expected, psychotherapists participating in the public health insurance system had higher incomes than those who do not. Since 1997 their net income had increased but was still much lower than those of comparable medical specialist groups. Both psychotherapist groups reported an overall high level of satisfaction with the profession. Additionally, psychotherapists practicing in the public health insurance system reported an increasing overall job satisfaction since 1997 while the psychotherapists who do not, remained on a constant overall job satisfaction level. When compared to these psychotherapists, those practicing in the public health insurance system showed higher satisfaction with their economic situation. Most of the respondents from both groups reported that they would still choose this profession today.     

Evidenzbasierte Diagnostik und Psychotherapie der Zwangsstörung

For a long time obsessive-compulsive disorder (OCD) was considered to be a mental disorder which is very difficult or practically impossible to treat. Based on comprehensive basic research on different models and derived treatment approaches empirical research has shown remarkable improvement in the psychotherapeutic treatment of OCD. Recently, S-3 treatment guidelines have been published on behalf of the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlich Medizinischen Fachgesellschaften, AWMF). Based on these guidelines clinical diagnostic measures and state-of-the-art treatment recommendations are proposed. Specifically, the current article focuses on the step-by-step procedure in cognitive-behavioral intervention strategies and in particular on exposure and response prevention.     

Selective effects of errorful generation on recognition memory: the role of motivation and surprise

ABSTRACT

The current research examined the effects of errorful generation on memory, focusing particularly on the roles of motivation and surprise. In two experiments, participants were first presented with photographs of faces and were asked to associate four facts with each photograph. On Generate trials, the participants guessed two of the facts (Guess targets) before those correct facts, and another two correct facts (Study targets), were revealed. On the remaining Read trials, all four facts were presented without a guessing stage. In Experiment 1, participants also ranked their motivation to know the answers before they were revealed, or their surprise on learning the true answers. Guess targets were subsequently better recognised than the concurrently presented, non-guessed Study targets. Guess targets were also better recognised than Read targets, and recognition of Study and Read targets did not differ. Errorful generation also increased self-reported motivation, but not surprise. Experiment 2 showed that the results of Experiment 1 can outlive a 20-minute delay, and that they generalise to a more challenging recognition test. Together, the results suggest that errorful generation improves memory specifically for the guessed fact, and this may be linked to an increase in motivation to learn that fact.     

SKOOL versus ZOOL: Effects of orthographic and phonological long-term memory on nonword immediate serial recall

People can acquire both true and false knowledge about the world from fictional stories. The present study explored whether the benefits and costs of learning about the world from fictional stories extend beyond memory for directly stated pieces of information. Of interest was whether readers would use correct and incorrect story references to make deductive inferences about related information in the story, and then integrate those inferences into their knowledge bases. Participants read stories containing correct, neutral, and misleading references to facts about the world; each reference could be combined with another reference that occurred in a later sentence to make a deductive inference. Later they answered general knowledge questions that tested for these deductive inferences. The results showed that participants generated and retained the deductive inferences regardless of whether the inferences were consistent or inconsistent with world knowledge, and irrespective of whether the references were placed consecutively in the text or separated by many sentences. Readers learn more than what is directly stated in stories; they use references to the real world to make both correct and incorrect inferences that are integrated into their knowledge bases.     

‘Analytic’ reading, ‘continental’ text: The case of Derrida’s ‘on forgiveness’

This paper seeks to apply some of the tools of analytic philosophy to a text written by a ‘continental’ philosopher, in order to evaluate the quality of its arguments. In ‘On Forgiveness’, Jacques Derrida seems to be making two different claims about forgiveness. First, he claims that an act of forgiveness is only truly meaningful as forgiveness when one is forgiving the unforgivable. Second, he is also recommending that we change our understanding of the concept of forgiveness for ethical reasons. I examine three lines of argument used in the essay to support the first claim. I find each of these lines of argument problematic. Since these arguments are unconvincing, I argue that this leaves only the second claim for Derrida to defend.     

Restoring drinking water acceptance following a waterborne disease outbreak: the role of trust,risk perception,and communication

Although research shows that acceptance, trust, and risk perception are often related, little is known about the underlying patterns of causality among the three constructs. In the context of a waterborne disease outbreak, we explored via zero‐order/partial correlation analysis whether acceptance predicts both trust and risk perception (associationist model), or whether trust influences risk perception and acceptance (causal chain model). The results supported the causal chain model suggesting a causal role for trust. A subsequent path analysis confirmed that the effect of trust on acceptance is fully mediated by risk perception. It also revealed that trust is positively predicted by prior institutional trust and communication with the public. Implications of the findings for response strategies to contamination events are discussed.     

Gender constructions from a project on sex offenders

Abstract

The four-year group therapy of 16 sex offenders in prison was videotaped, and 21 sessions were carefully transcribed and analysed by means of conversation analysis and analysis of metaphor and narration. These qualitative methods are apt for verbal data and can be combined with psychoanalytic thinking in a productive way. New forms of process analysis can be developed. The results presented here are selected to relate to the topic of how the imprisoned group therapy participants constructed “gender” by ways of speaking about themselves, women, and their victims, young girls. The results show that it would be a mistake to think of these ways of speaking as if they could be ignored in favour of “deeper” motives, lying “behind” the words. Our results show how unconscious constructions of gender are not beyond language, but in language. “Doing gender” is a conversational practice.