Evidenzbasierte Psychotherapie

Zusammenfassung Seit einiger Zeit wird auch in der Psychotherapie – so wie in anderen Bereichen der Medizin – eine intensive und kontroverse Diskussion über die wissenschaftlichen Standards und deren Praxisrelevanz geführt. Dabei nehmen Fragen der Qualitätssicherung und der Entwicklung von Leitlinien einen zunehmenden Raum ein. Von besonderer Bedeutung sind in diesem Zusammenhang die Evidence Based Medicine (EbM) und ihre methodischen Standards, in deren Mittelpunkt experimentelle Therapiestudien stehen. Im Beitrag wird das Konzept der Evidence Based Medicine im Kontext der Psychotherapie (Evidence based Psychotherapy) vorgestellt und unter methodischen und inhaltlichen Gesichtspunkten diskutiert. Eine zentrale Frage ist dabei die inhaltliche Aussagekraft und die Übertragbarkeit von wissenschaftlichen Befunden auf die klinische Praxis.      

Acute dissociation after 1 night of sleep loss

Recent research has shown that dissociative symptoms are related to self-reports of deviant sleep experiences. The present study is the 1st to explore whether sleep loss can fuel dissociative symptoms. Twenty-five healthy volunteers were deprived of sleep for 1 night. Sleepiness and dissociative symptoms were assessed every 6 hr. The authors measured both spontaneous dissociative symptoms and dissociative symptoms induced by dot-staring during sensory deprivation. Sleepiness as well as spontaneous and induced dissociative symptoms were stable throughout the day but increased during the night. These findings provide further evidence for a robust relationship between disruptions in sleep patterns and dissociative symptoms.     

Bedürfnis- und Motivorientierte Beziehungsgestaltung

According to the Bernese concept of motivational attunement therapists are supposed to offer each patient a custom tailored relationship taking into account the patients’ individual motivational goals. While empirical studies validate the concept, concrete implementation of motivational attunement into practice is not always easy. Therapists have to be able to correctly identify the patients’ motivational goals and attune their behavior to them flexibly. In the following article concrete instructions for therapists are given in order to better realize motivational attunement.     

The new experimental aesthetics—The beginning or the end?

In reference to recent work in aesthetics from a scientific perspective, Berlyne coined the phrase the new experimental aesthetics. Berlyne's contributions to this research area are discussed in terms of the philosophical, theoretical, and methodological issues central to the current literature. The paper concludes with a consideration of the future prospects for experimental aesthetics.This paper was presented at a symposium in honor of Daniel E. Berlyne at the annual meeting of the American Psychological Association, San Francisco, August 27, 1977. The presentation of this paper was supported by a grant from York University.     

Soteriological dimensions in the work of Heinz Kohut

A framework of theological inquiry is utilized to illuminate soteriological dimensions implicit in Heinz Kohut's psychology of the self as expressed in his most recent work,The Restoration of the Self. Kohut's new formulations involve the unfolding of a saving approach that through its broad application seeks to overcome “the psychological danger that puts the psychological survival of modern Western man into the greatest jeopardy.” The theological inquiry employed asks: What is the essential nature of man? How has man fallen away from his essential self? By what means is he to be saved from his broken condition? Kohut's implicit and explicit “answers” are summarized by dealing with four cardinal issues in his book: definitions of the self: the relationship of a psychology of the self to other psychologies; theory concerning the selfs structure, development, and restoration; and the centrality of the empathic response.     

Geography and computer ethics: An Eastern European perspective

Several context-specific social and political factors in Eastern and Central Europe are described — factors that must be considered while developing strategies to introduce Computer Ethics. Poland is used as a primary example. GNP per capita, the cost of hardware and software, uneven and scant distribution of computing resources, and attitudes toward work and authority are discussed. Such “geographical factors” must be taken into account as the new field of Computer Ethics develops.