Wiederkehrende,primäre Kopfschmerzen im Jugendalter

Background

Recurrent pain, especially primary headache, is a serious health problem in adolescents. Music therapy in the treatment of children with migraine has already been evaluated. The aim of this pilot study was to adopt this treatment manual for adolescent patients with recurrent primary headache in preparation for the main randomized controlled trial.

Patients and methods

In this pilot study two different modes of treatment (standard and compact treatment) were tested in an outpatient setting with 19 patients. Frequency and intensity of headache symptoms were evaluated using pain diaries for 8 weeks in a pre-post design.

Results

The pilot study showed good feasibility of both treatment conditions in outpatient practice. Patients reported a reduction of pain frequency and intensity in both groups. The evaluation of the clinical relevance of these effects remains the objective for the main trial.

Conclusions

The music therapeutic treatment plan for children with migraine is even feasible in the treatment of adolescents with recurrent, primary headache. Further evidence questioning the effectiveness of the treatment under controlled conditions is needed.

     

Does early-career underemployment impact future career success? A path dependency perspective

Whereas many studies have shown that underemployed people experience lower objective career success and lower subjective career success while being underemployed, little research has been done on the lasting effects of underemployment. This study addresses the role of time in career success research by examining the impact of level underemployment, content underemployment and contingent employment on subsequent objective (i.e. salary) and subjective career success (i.e. job satisfaction). Our 10-year longitudinal dataset of 335 Dutch university graduates permits us to examine the impact of preceding underemployment as well as the specific timing of the underemployment in one's career. The multilevel analysis results illustrate that level and contingent underemployment have a negative impact on future pay, whereas content underemployment negatively affects job satisfaction five years later. In addition, for level underemployment also the timing turns out to matter, suggesting that the signal that it sends to employers may differ depending on when in one's career it happened. Taken together, these findings point to the importance of using a path-dependency perspective when trying to understand people's career success.     

Integration sozialarbeiterischer Kompetenz in die psychotherapeutische Versorgung

Social and socioeconomic issues are a risk factor for the development of mental health problems and have the potential to negatively impact the psychotherapeutic treatment process. In addition, mental disorders can also result in socioeconomic stress. Neither professional training nor parameters of everyday practice of medical or psychological psychotherapists are geared towards acquiring sufficient competence to adequately handle complex social problems of highly impaired patients. Especially in times of social crises, three interrelated strategies may be helpful: to enhance psychotherapists’ sensibility and competence to recognize and deal with severe social crises, to promote cooperation with clinical social workers and to incorporate sociotherapeutic elements in the overall treatment planning. Using an approach of integrated care at a university medical department as an example, this article presents examples of how to implement these strategies into everyday therapeutic practice.     

A habituation account of change detection in same/different judgments

We investigated the basis of change detection in a short-term priming task. In two experiments, participants were asked to indicate whether or not a target word was the same as a previously presented cue. Data from an experiment measuring magnetoencephalography failed to find different patterns for “same” and “different” responses, consistent with the claim that both arise from a common neural source, with response magnitude defining the difference between immediate novelty versus familiarity. In a behavioral experiment, we tested and confirmed the predictions of a habituation account of these judgments by comparing conditions in which the target, the cue, or neither was primed by its presentation in the previous trial. As predicted, cue-primed trials had faster response times, and target-primed trials had slower response times relative to the neither-primed baseline. These results were obtained irrespective of response repetition and stimulus–response contingencies. The behavioral and brain activity data support the view that detection of change drives performance in these tasks and that the underlying mechanism is neuronal habituation.     

True overconfidence: The inability of rational information processing to account for apparent overconfidence

The better-than-average effect describes the tendency of people to perceive their skills and virtues as being above average. We derive a new experimental paradigm to distinguish between two possible explanations for the effect, namely rational information processing and overconfidence. Experiment participants evaluate their relative position within the population by stating their complete belief distribution. This approach sidesteps recent methodology concerns associated with previous research. We find that people hold beliefs about their abilities in different domains and tasks which are inconsistent with rational information processing. Both on an aggregated and an individual level, they show considerable overplacement. We conclude that overconfidence is not only apparent overconfidence but rather the consequence of a psychological bias.     

Visuospatial over verbal demands in predicting Tower of London planning tasks

The role of verbal and visuospatial information processing in Tower of London (TOL) tasks was investigated. The first part of the investigation examined the verbal and visuospatial abilities and preferred cognitive style (visualizer vs. verbalizer) of 79 participants, in an inter-individual differences approach. Visuospatial abilities significantly predicted TOL performance, but the impact of cognitive style was negligible. The second part applied a dual-task manipulation of concurrent interference of TOL planning tasks on verbal and visuospatial memory, using the same participants. Concurrent processing of the TOL tasks diminished visuospatial memory performance considerably but had no effect on verbal memory, and there was no interaction between cognitive style and memory. These findings clearly underscore the role of visuospatial information processing in TOL tasks and indicate little bearing of verbal or visual cognitive style on TOL problem solving. These results have important implications for TOL and cognitive style in clinical application and cognitive neuroimaging research.     

Reliabilism and the extra value of knowledge

Goldman and Olsson (2009) have responded to the common charge that reliabilist theories of knowledge are incapable of accounting for the value knowledge has beyond mere true belief. We examine their “conditional probability solution” in detail, and show that it does not succeed. The conditional probability relation is too weak to support instrumental value, and the specific relation they describe is inessential to the value of knowledge. At best, they have described conditions in which knowledge indicates that additional epistemic value is likely to be forthcoming in the future. We also argue that their motive analogy breaks down. The problem, we conclude, is that being produced by a reliable process is not sufficient for a belief to be justified.