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.     

View dependence in scene recognition after active learning

Human spatial encoding of three-dimensional navigable space was studied, using a virtual environment simulation. This allowed subjects to become familiar with a realistic scene by making simulated rotational and translational movements during training. Subsequent tests determined whether subjects could generalize their recognition ability by identifying novel-perspective views and topographic floor plans of the scene. Results from picture recognition tests showed that familiar direction views were most easily recognized, although significant generalization to novel views was observed. Topographic floor plans were also easily identified. In further experiments, novel-view performance diminished when active training was replaced by passive viewing of static images of the scene. However, the ability to make self-initiated movements, as opposed to watching dynamic movie sequences, had no effect on performance. These results suggest that representation of navigable space is view dependent and highlight the importance of spatial-temporal continuity during learning.     

What object attributes determine canonical views?

We investigated preferred or canonical views for familiar and three-dimensional nonsense objects using computer-graphics psychophysics. We assessed the canonical views for objects by allowing participants to actively rotate realistically shaded three-dimensional models in real-time. Objects were viewed on a Silicon Graphics workstation and manipulated in virtual space with a three-degree-of-freedom input device. In the first experiment, participants adjusted each object to the viewpoint from which they would take a photograph if they planned to use the object to illustrate a brochure. In the second experiment, participants mentally imaged each object on the basis of the name and then adjusted the object to the viewpoint from which they imagined it. In both experiments, there was a large degree of consistency across participants in terms of the preferred view for a given object. Our results provide new insights on the geometrical, experiential, and functional attributes that determine canonical views under ecological conditions.     

Introduction: Some Remarks on History,Philosophy, and Education

Studies in Philosophy and Education -     

A Semantic Interpretation of Husserl's EpochÉ

This paper presents an interpretation of Husserl's phenomenological epoché or bracketing ( Einklammerung), which makes it possible to compare his position with philosophical programs developed within the framework of modern analytical philosophy. At the same time it asks in what sense Husserl's phenomenology is a form of idealism or exceeds the traditional discussion of idealism versus realism.     

Konzeptualisierung in inkrementell-integrativer Sprachverarbeitung

Conceptualization in incremental-integrative\hb language processing Summary. Language is a versatile instrument in co-operatively solving a construction task. In order to understand instructions given during such a task, objects have to be identified and the type of action to be performed has to be determined. The experiments presented show that the way in which objects and actions are conceptualized depends on the linguistic and the non-linguistic, visually available context. Both kinds of information are processed incrementally in an integrative way. The impact of relevant factors, such as the specificity of verbs and object namings, object properties such as color, size, location and the dynamically determined class to which the object belongs was studied. Conclusions for models of language understanding and language production are drawn and requirements for a grammatical formalism suitable for incremental and integrative processing are formulated. Zusammenfassung. Sprache ist ein wichtiges Instrument bei der kooperativen Lösung einer Konstruktionsaufgabe. Zum Verstehen von Handlungsanweisungen im Rahmen dieser Aufgabe müssen Objekte identifiziert und die Art der Handlung erkannt werden. Es werden empirische Untersuchungen vorgestellt, die zeigen, daß die Konzeptualisierung der Objekte und Handlungen vom sprachlichen und nichtsprachlichen, visuell verfügbaren Kontext abhängt. Beide Arten von Kontextinformation werden inkrementell und integrativ verarbeitet. Dazu wurde der Einfluß einzelner Faktoren wie die Spezifität von Verben und Objektbezeichnungen, Objekteigenschaften wie Farbe, Größe und Position sowie die dynamisch zugewiesene Objektklasse und die Wortstellung der benutzten Sprache untersucht. Es werden Folgerungen für die Modellierung von beiden Richtungen der Sprachverarbeitung, Rezeption und Produktion, gezogen und Anforderungen an einen Grammatikformalismus zur inkrementell-integrativen Satzverarbeitung dargestellt.     

Putnam's Model-theoretic Argument(s). A Detailed Reconstruction

Two of Hilary Putnam's model-theoretic arguments against metaphysical realism are examined in detail. One of them is developed as an extension of a model-theoretic argument against mathematical realism based on considerations concerning the so-called Skolem-Paradox in set theory. This argument against mathematical realism is also treated explicitly. The article concentrates on the fine structure of the arguments because most commentators have concentrated on the major premisses of Putnam's argument and especially on his treatment of metaphysical realism. It is shown that the validity of Putnam's arguments is doubtful and that realists are by no means forced to accept the theses Putnam ascribes to them. It is concluded that Putnam fails to give convincing arguments for rejecting mathematical or metaphysical realism. Furthermore, Putnam's internal realism is discussed critically. This revised version was published online in August 2006 with corrections to the Cover Date.     

Zur Psychotherapie der Depression

Ohne Zusammenfassung