„Pervasive refusal syndrome“

Pervasive refusal syndrome (PRS), as a new psychiatric disorder among children and adolescents, was first described 1991 by Lask et al. It is characterized by a determined refusal of the child to eat, talk, walk, care for themselves or participate in daily activities. An organic explanation for the symptoms is absent. The observed refusal of functions can be either active or passive. Children also demonstrate a clear resistance to help or treatment. This paper presents a case study that depicts PRS from the therapists’ and the patients’ viewpoint and helpful elements in therapy are evinced from both points of view.     

Situating Standards in Practices: Multi Drug-Resistant Tuberculosis Treatment in India

Public health care needs to cope with a basic dilemma between providing standardized care within public programmes across entire and at times resource-constrained countries and adapting this care locally when responding to individual needs. This tension between standardization and local adaptation becomes particularly obvious for the prolonged and complicated treatment of multidrug-resistant tuberculosis (MDR-TB). Situated standardization, as introduced by Zuiderent-Jerak [2007a, 2007b] offers a way out of this dilemma. It helps to focus on how standards need to be situated in practice rather than viewing standardization and local adaptation as mutually exclusive practices. How do actors relate standardization and individual care in their practices of treating MDR-TB? Results from qualitative fieldwork at the first MDR-TB treatment sites of the Indian TB programme show that actors situate standards in a particular way. They assess the role of guidelines in a particular situation and on that basis recognize the core recommendations of guidelines or go beyond the guidelines. This allows actors to negotiate how standards should be situated and reconciles the dilemma between local adaptation and standardization. Having guidelines internalized, as is common for Indian TB control, bears both promises and pitfalls for engaging in standardization processes in a situated manner. The results contribute to science and technology study scholarship on guideline development. They highlight how actors coordinate the situating of standards and how this depends upon cultures of control. This illustrates the potential of qualitative studies on local adaptation for guideline developers by revealing existing practices of relating and negotiating local adaptation and standardization.     

Managing Pandemics—Demands,Resources, and Effective Behaviors Within Crisis Management Teams

Pandemics, such as the COVID-19 crisis, are very complex emergencies that can neither be handled by individuals nor by any single municipality, organization or even country alone. Such situations require multidisciplinary crisis management teams (CMTs) at different administrative levels. However, most existing CMTs are trained for rather local and temporary emergencies but not for international and long-lasting crises. Moreover, CMT members in a pandemic face additional demands due to unknown characteristics of the disease and a highly volatile environment. To support and ensure the effectiveness of CMTs, we need to understand how CMT members can successfully cope with these multiple demands. Connecting teamwork research with the job demands and resources approach as starting framework, we conducted structured interviews and critical incident analyses with 144 members of various CMTs during the COVID-19 pandemic. Content analyses revealed both perceived demands as well as perceived resources in CMTs. Moreover, structuring work processes, open, precise and regular communication, and anticipatory, goal-oriented and fast problem solving were described as particularly effective behaviors in CMTs. We illustrate our findings in an integrated model and derive practical recommendations for the work and future training of CMTs.     

How to be an infallibilist

Philosophical Studies - While fallibilism has been the dominant view in epistemology in recent times, the field has witnessed the rise of a new form of infallibilism. In a recent book, Jessica...     

Is it enough to be willing to win or do you have to be smart? The relationship between competitive worldviews,cognitive abilities,and applicant faking in personality tests

Recent research has highlighted competitive worldviews as a key predictor of faking—the intentional distortion of answers by candidates in the selection context. According to theoretical assumptions, applicants’ abilities, and especially their cognitive abilities, should influence whether faking motivation, triggered by competitive worldviews, can be turned into successful faking behavior. Therefore, we examined the influence of competitive worldviews on faking in personality tests and investigated a possible moderation of this relationship by cognitive abilities in three independent high school and university student samples (N₁ = 133, N₂ = 137, N₃ = 268). Our data showed neither an influence of the two variables nor of their interaction on faking behavior. We discuss possible reasons for these findings and give suggestions for further research.     

Flow and enjoyment beyond skill-demand balance: The role of game pacing curves and personality

According to flow theory, skill-demand balance is optimal for flow. Experimentally, balance has been tested only against strong overload and strong boredom. We assessed flow and enjoyment as distinct experiences and expected that they (a) are not optimized by constant balance, (b) experimentally dissociate, and (c) are supported by different personality traits. Beyond a constant balance condition (“balance”), we realized two dynamic pacing conditions where demands fluctuated through short breaks: one condition without overload (“dynamic medium”) and another with slight overload (“dynamic high”). Consistent with assumptions, constant balance was not optimal for flow (balance ≤ dynamic medium < dynamic high) and enjoyment (balance ≤ dynamic high < dynamic medium). Action orientation enabled high flow even under the suboptimal condition of balance. Sensation seeking increased enjoyment under the suboptimal but arousing dynamic high condition. We discuss dynamic changes in positive affect (seeking and mastering challenge) as an integral part of flow.     

Komplexe Traumatisierungen und körperliche Gesundheit

Trauma in childhood, which is considered to be the “prototype” of complex traumatization, is associated with numerous physical diseases, in particular with coronary artery disease (CAD). In this review we present the current state of research on this issue. Despite inconsistencies in details between reported findings, numerous studies consistently show a clear relationship between childhood maltreatment and CAD. This association holds not only for clinical endpoints, e.?g. myocardial infarct and angina pectoris but also for subclinical markers of CAD. In this article three distinct etiopathogenetic pathways are defined linking childhood maltreatment to CAD, namely mental alterations, behavioral alterations, such as harmful health behavior and pathophysiological changes including somatic comorbidities. Methodology critical aspects and future research issues as well as the clinical implications of these findings are briefly discussed.     

How to rapidly construct a spatial–numerical representation in preliterate children (at least temporarily)

Spatial processing of numbers has emerged as one of the basic properties of humans’ mathematical thinking. However, how and when number–space relations develop is a highly contested issue. One dominant view has been that a link between numbers and left/right spatial directions is constructed based on directional experience associated with reading and writing. However, some early forms of a number–space link have been observed in preschool children who cannot yet read and write. As literacy experience is evidently not necessary for number–space effects, we are searching for other potential sources of this association. Here we propose and test a hypothesis that the number–space link can be quickly constructed in preschool children's cognition on the basis of spatially oriented visuo‐motor activities. We trained 3‐ and 4‐year‐old children with a non‐numerical spatial movement task (left‐to‐right or right‐to‐left), where via touch screen children had to move a frog across a pond. After the training, children had to perform a numerosity comparison task. After left‐to‐right training, we observed a SNARC‐like effect (reactions to smaller numbers were faster on the left side, and reactions to larger numbers on the right side), and after right‐to‐left training a reverse effect. These results are the first to show a causal link between visuo‐motor activities and number–space associations in children before they learn to read and write. We argue that simple activities, such as manual games, dominant in a given society, might shape number–space associations in children in a way similar to lifelong reading training.