Psychoanalytische Psychotherapie mit niedriger Sitzungsfrequenz

Compared to Freud??s use of six sessions a week, the frequency of therapy has now decreased to a maximum of three or four sessions. The current field of applied psychoanalysis using only one or two sessions a week is of much higher relevance for the worldwide supply of the population with psychotherapy. Not only frequency and duration have decreased over the years but also the sum of applied sessions per patient. This is especially the case in psychodynamic short term psychotherapy. With the change in frequency a change in therapy technique took place resulting in a more active and attentive therapist, an interactive pattern with more dialogue and an avoidance of regressive movements of the patient. The crucial role concerning the work with transference and resistance was maintained in tendency but the specific techniques also underwent modifications. The empirical state of psychodynamic psychotherapy is better than it used to be but further studies are urgently needed.     

Pictures in Test Items: Effects on Response Time and Response Correctness

Although pictures are often added to text in items of educational tests, little is known about their influence on item solving. Therefore, we conducted an experiment in which we examined how pictures affected item solving. A total of N = 158 fourth‐grade students completed a physics knowledge test under one of six experimental conditions. The experimental conditions varied according to whether or not pictures were presented in the stem and in the answer options of the test items. The results showed that pictures in the stem and in the answer options increased the correctness with which students responded to the test items. This was particularly true for test items that required the application of relationships. In addition, response time was reduced when pictures were added to the answer options of the test items. Hence, pictures are an important feature of test items that produce changes in item processing. Copyright © 2011 John Wiley & Sons, Ltd.     

Abh?ngigkeitserkrankungen und Pers?nlichkeitsst?rungen

Substance use disorders and personality disorders often co-occur in clinical treatment. In this review the association between substance use disorders and personality disorders is described and discussed. Clinical and neurobiological data as well as psychodynamic concepts are included to focus on the therapeutic implications for patients with these comorbidities. The consumption of substances often begins as a kind of self-medication. Patients suffering from severe personality disorders need these substance effects to avoid severe destructive affects and to regulate their self-esteem. Patients with chronic substance dependence often show changes in brain structure. In the dependency stage of addiction clinical symptoms can make the diagnosis of a specific personality disorder very difficult. The treatments can be classified by the severity of substance use disorders and personality disorders. Substance misuse can be treated with psychotherapy. In substance dependence, specific forms of addiction therapy should be included. In patients with the frequent comorbidity of substance use disorders and severe personality disorders, disorder-specific treatment can be used with good results.