Illness Beliefs,Treatment Beliefs and Information Needs as Starting Points for Patient Information: The Evaluation of an Intervention for Patients with Depression

Patients with depression are often dissatisfied with disease- and therapy-related information. The objective of this study was to evaluate an intervention that applied the Common Sense Model to the provision of information during inpatient rehabilitation for patients with depression. The intervention was evaluated in a sequential control group design. Analyses of covariance were used to assess differences between the control and intervention groups. Changes with respect to illness and treatment beliefs (personal control, treatment control, coherence and concerns about medicines), satisfaction with information about medicines, illness and rehabilitation, and depressive burden were selected as primary outcome measures. We observed significant between-group differences indicating the intervention group’s superiority in terms of satisfaction with information regarding medicines. However, the two groups’ changes during rehabilitation did not differ in terms of the other outcomes. The intervention resulted in patients judging that their medication information needs had been more thoroughly fulfilled than those patients who received care-as-usual information. However, the intervention did not prove to be effective when the other outcome variables are considered. Taken together and bearing in mind the limitations of our study—particularly the non-randomised design—our results should be replicated in a randomised controlled trial.     

The Explanatory Power of the General Theory of Crime: A Comparative Analysis of a General Population and Serious Offender Sample

The purpose of this study was to investigate—via direct comparison—the fundamental supposition that the general theory of crime should be valid for both criminal and analogous behavior in both an offender and a general population sample. The core constructs of the theory, namely the influence of parenting style on self-control and the relationship with different manifestations of deviance, were analyzed by comparing a sample of incarcerated sexual and violent offenders with a general population sample. The validity of the general theory could only be confirmed for the offender population.     

Disgust,creatureliness and the accessibility of death‐related thoughts

From an existential terror management theory perspective, disgusting stimuli are threatening to human beings because they make salient people's vulnerability to death. Two studies were designed to assess this proposition by measuring implicit death‐related ideation after individuals were presented with stimuli that either were or were not disgusting, under conditions in which the similarities of humans to other animals or the uniquely human aspects of people were made salient. In Study 1, in which rather extreme disgust‐eliciting pictures were used, disgusting stimuli led to higher death‐thought accessibility than neutral pictures regardless of whether or not participants had previously been primed with similarities between humans and other animals. In Study 2, in which milder verbal disgust‐eliciting stimuli were used, disgusting stimuli led to heightened death‐thought accessibility only when human‐animal similarities were first primed. Implications for the regulation and humanization of the human body and its functions are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

Gaze behaviour in hereditary prosopagnosia

Prosopagnosia is the inability to recognize someone by the face alone in the absence of sensory or intellectual impairment. In contrast to the acquired form of prosopagnosia we studied the congenital form. Since we could recently show that this form is inherited as a simple monogenic trait we called it hereditary form. To determine whether not only face recognition and neuronal processing but also the perceptual acquisition of facial information is specific to prosopagnosia, we studied the gaze behaviour of four hereditary prosopagnosics in comparison to matched control subjects. This rarely studied form of prosopagnosia ensures that deficits are limited to face recognition. Whereas the control participants focused their gaze on the central facial features, the hereditary prosopagnosics showed a significantly different gaze behaviour. They had a more dispersed gaze and also fixated external facial features. Thus, the face recognition impairment of the hereditary prosopagnosics is reflected in their gaze behaviour.     

Der informierte Trinker – wozu?

Das Schlagwort vom mündigen Patienten macht derzeit die Runde in allen gesundheitspolitischen Diskussionen. Dabei ist nicht ganz klar, ob es sich um ein Einfordern von Patientenrechten auf Information und Mitgestaltung des therapeutischen Prozesses – sowohl auf der individuellen als auch auf der gesellschaftlichen Ebene (Mitspracherecht von Patientenvertretern bei der Planung von gesundheitspolitischen Ma?nahmen, Finanzierung von Therapieprogrammen etc.) – oder eher um das Abschieben von therapeutischer Verantwortung mit dem Hintergedanken, dass sich der Patient ja aussuchen k?nne, für welche Behandlungsmethode er sich entschlie?e, wie intensiv er mitarbeite und wie eigenverantwortlich er therapeutische Empfehlungen umsetze, handelt.     

Between Amsterdam and Warsaw: Commercial Networks of the Ashkenazic Mercantile Elite in Central Europe

Between the mid-eighteenth and the early nineteenth centuries, commercial networks of Ashkenazim in central Europe experienced major shifts. I argue that this was a transitional period between the extensive trading and credit networks of central European Court Jews in the early modern period and the rise of new Jewish banking houses across Europe in the nineteenth century. Based on examples from Amsterdam, Frankfurt an der Oder (Prussia), and Warsaw I demonstrate how Amsterdam served as a center for the provision of credit to central and, indirectly, eastern Europe until the late eighteenth century, with Jewish merchants in central European cities like Frankfurt an der Oder serving as middlemen. Relying not on far-reaching networks but rather on more regional ones, a new mercantile Jewish elite rose in Warsaw beginning around the turn of the century, creating a new financial hub in east-central Europe. I suggest that the rise of Warsaw as a new center of Jewish banking and commerce can be described as a parallel development—though one on a much smaller scale—to the rise of London and that both new centers prospered at the expense of Amsterdam.     

Disdain for anxious individuals as a function of mortality salience

Terror management theory research has shown that reminders of mortality tend to decrease liking for people who threaten one's worldview. In research, these worldview threats typically come from outgroup members, but they may also come from ingroup members who are negatively characterized. Presumably the negative characteristics of ingroup members threaten to diminish or undermine the worldview by their association with it. In this research we examine anxious individuals as potentially threatening ingroup members. We hypothesized that a brief contemplation of mortality would lead people to decrease their liking for anxious individuals associated with their ingroup. Study 1 showed that a mortality reminder led people to react more negatively to an anxious police liaison from their community, but not to a calm police liaison. Study 2 showed that a mortality reminder led people who strongly identified with university students to react more negatively to a fellow university student who was anxious, but not to a student who did not display anxiety. Copyright © 2009 John Wiley & Sons, Ltd.     

Social competence of adult chimpanzees (Pan troglodytes) with severe deprivation history: I. An individual approach

Early social deprivation in highly social mammals interferes with their varying needs for security and stimulation. Toleration of social stimulation was studied in 18 adult ex-laboratory chimpanzees, who had been deprived for 16 to 27 years, during their 1st year after resocialization into 1 of 3 social groups. For this, a model of social competence was developed with 5 grades of social stimulation. The chimpanzees were classified as either early deprived (EDs; M = 1.2 years) or late deprived (LDs; M = 3.6 years) according to their age at entering the laboratory. EDs did not differ significantly from LD chimpanzees in the first 3 grades of social stimulation (i.e., the toleration of stationary vicinity, initiation of brief sociopositive contacts and gentle social play). LDs, however, clearly exceeded EDs in the 4th and 5th grade of social stimulation (i.e., their engagement in allogrooming and their toleration of passive close proximity). Furthermore, LDs showed greater social initiative in changing a social situation and had more expanded grooming networks compared with EDs. Moreover, in LDs and ED females, but not in ED males, toleration of stationary vicinity increased from the 1st to the 2nd year of group living.     

Ambulante Psychotherapie in Deutschland aus Sicht der Patienten

This study analyzed the provision of outpatient psychotherapy services in Germany in standard practice settings. A total of 1,212 subjects who received or were still receiving outpatient psychotherapy during the past 6 years provided information about their experiences via a telephone survey. Outpatient psychotherapy was sought for many different conditions and was rated as highly effective. The improvement rates for all complaints were higher than 50%, except for obesity (37%) and sexual dysfunctions (44%). Patient ratings of worsening were less than 8% throughout. Treatment had very positive results not only for target symptoms but also for other aspects of patients?? lives. Almost 90% of those questioned stated that they were satisfied with their therapist. High agreement ratings were reported specifically with respect to positive therapeutic relationship, stable working alliance, experience of autonomy during therapy and therapists?? competency and ethical conduct. Patients gave their psychotherapists excellent evaluations and were highly satisfied with the changes achieved through treatment.