Who needs chaplain's visitation in general hospitals? Assessing patients with psychosocial and religious needs

Owing to the declining length of patients' hospital stay in recent years, chaplains need evidence-based criteria to decide which patients are likely to have the greatest psychosocial and/or religious-spiritual needs. Therefore, the present pilot study aims at sorting out evidence-based criteria to assess patients with lack of coping resources. A total of 610 patients in the German-speaking part of Switzerland were surveyed with regard to their psychosocial health. The results suggest that lack of vitality (including health condition), lack of support and lack of faith (including spiritual struggle) are valid and reliable criteria for chaplains as internal triggers for pastoral visitation.     

Keys and seats: Spatial response coding underlying the joint spatial compatibility effect

Spatial compatibility effects (SCEs) are typically observed when participants have to execute spatially defined responses to nonspatial stimulus features (e.g., the color red or green) that randomly appear to the left and the right. Whereas a spatial correspondence of stimulus and response features facilitates response execution, a noncorrespondence impairs task performance. Interestingly, the SCE is drastically reduced when a single participant responds to one stimulus feature (e.g., green) by operating only one response key (individual go/no-go task), whereas a full-blown SCE is observed when the task is distributed between two participants (joint go/no-go task). This joint SCE (a.k.a. the social Simon effect) has previously been explained by action/task co-representation, whereas alternative accounts ascribe joint SCEs to spatial components inherent in joint go/no-go tasks that allow participants to code their responses spatially. Although increasing evidence supports the idea that spatial rather than social aspects are responsible for joint SCEs emerging, it is still unclear to which component(s) the spatial coding refers to: the spatial orientation of response keys, the spatial orientation of responding agents, or both. By varying the spatial orientation of the responding agents (Exp. 1) and of the response keys (Exp. 2), independent of the spatial orientation of the stimuli, in the present study we found joint SCEs only when both the seating and the response key alignment matched the stimulus alignment. These results provide evidence that spatial response coding refers not only to the response key arrangement, but also to the—often neglected—spatial orientation of the responding agents.     

Safeguarding good scientific practice: New institutional approaches in Germany

After summarising three recent case histories of alleged scientific misconduct in Germany, the efforts of the Deutsche Forschungsgemeinschaft (German Research Council) and the Hochschulrektorenkonferenz (German Rectors' Conference) to promote academic and procedural safeguards in favour of professional self-regulation in science and scholarship are described in outline.     

Software for generating psychological experiments

This review compares four software packages for generating and running psychological computer experiments. It aims to inform researchers' decisions about which software to choose for their lab. Four widely used general purpose commercial packages available for the Windows platform are considered: DirectRT, E-Prime, Inquisit, and SuperLab. An overview of each package is given, and the implementation of two test experiments is described. Packages are evaluated with regard to the amount of complexity reduction they provide for the task of programming an experiment and the variety of experimental designs they can accommodate.     

Contextualist Approaches to Epistemology: Problems and Prospects

In this paper we survey some main arguments for and against epistemological contextualism. We distinguish and discuss various kinds of contextualism, such as attributer contextualism (the most influential version of which is semantic, conversational, or radical contextualism); indexicalism; proto-contextualism; Wittgensteinian contextualism; subject, inferential, or issue contextualism; epistemic contextualism; and virtue contextualism. Starting with a sketch of Dretskes Relevant Alternatives Theory and Nozicks Tracking Account of Knowledge, we reconstruct the history of various forms of contextualism and the ways contextualists try to handle some notorious epistemological quandaries, especially skepticism and the lottery paradox. Then we outline the most important problems that contextualist theories face, and give overviews of their criticisms and defenses as developed in this issue.     

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.     

The Reflecting Team approach: convergent results of two exploratory studies

This paper presents results of two exploratory investigations concerning the effectiveness of the Reflecting Team (RT) approach, conducted in Vienna and in Gottingen. Fifty-nine families/couples participated in the RT approach in the two outpatient settings. Follow-up reports from 35 families – obtained on average 15 months after closure – indicated that this model may be considered effective as well as efficient: two thirds of all clients (who made up a heterogeneous group with regard to diagnostic criteria and stage of development of the identified patient) reported symptom improvement, and about 80% said they were very satisfied; these results were obtained with a fairly small number of sessions.     

An exact and optimal standardized person test for assessing consistency with the rasch model

The Rasch model predicts that an individual's ability level is invariant over subtests of the total test, and thus, all subtests measure the same latent trait. A person test of this invariance hypothesis is discussed that is uniformly most powerful and standardized in the sense that the conditional distribution of the test statistic, given a particular level of ability, does not depend on the absolute value of the examinee's ability parameter. The test can be routinely performed by applying a computer program designed by and obtainable from the author. Finally, a suboptimal test is derived that is extremely easy to use, and an overall group test of the invariance hypothesis discussed. All tests considered do not rely on asymptotic approximations; hence, they may be applied when the test is of only moderate length and the group of examinees is small.     

Marital adaptation,divorce, and parent–infant development: A prospective study

In this prospective study of divorce in the first 4 years of life we have shown that previous marital patterns anticipate the occurrence of divorce and influence the response to that event. Most of the divorces occurred in marriages that were consistently low in satisfaction or decreased in satisfaction from birth on. The family response to the event differed. The continuing effort at conflict resolution and the fact that differing levels of adjustment are reached at different time points are suggested by these reactions. For couples with an unsatisfactory marriage from late pregnancy through the first 2 years (consistently low), the immediate and sustained impact of divorce was to enhance the parent's responsiveness to the needs of their infant and the infant's expectation of being cared for. This was not true for couples decreasing from high to lower satisfaction in their adaptation. However, by child age 4, when all families had been divorced for 1 year, divorce versus no divorce was associated with a differential positive effect on teacher Q-sort ratings of the children for both marital patterns. Children who were from families where the parents were in conflict but did not divorce were more likely to externalize control, were more often uncontrolled, and were more anti- as opposed to prosocial. The implication of these findings are discussed. © 1997 Michigan Association for Infant Mental Health     

Prebirth marital interactions and postbirth marital development

A considerable body of research supports the general statement that “couples who before the birth of their first child are characterized by positive mutuality, partner autonomy, and the ability to confront problems and regulate negative affect are responsive to the needs of their infants, promote their autonomy and have more secure and autonomous children, as seen throughout the first 4 years of life” (Heinicke, 1995). The implications for infant mental health are profound, but more needs to be known about what specific prebirth marital qualities interact with and anticipate postbirth marital and child functioning. This is a study of the association between the nature of the couple's prebirth interaction and their marital adaptation during the first 2 years of the child's life. Linking pre- and postbirth marital functioning, the frequency of negative affect and off-task scores, as well as the inability to resolve their issues in the prebirth marital interaction, anticipated a declining or consistently low postbirth marital adaptation.