The Significance of Ferenczi's clinical contributions for working with psychotic patients

This paper tries to show that Ferenczi's contributions in “The Development of Psychoanalysis” (with Otto Rank) and in his “Clinical Diary” are pivotal for the development of modern psychotherapy with severely disturbed patients. In addition, the question of whether a psychotherapeutic technique should or could be communicated to others is discussed.     

Associations between type of treatment and illness-specific locus of control in type 1 diabetes patients

Abstract

This study examined differences in diabetes-specific locus of control beliefs of 82 insulin-treated Type I diabetes patients undergoing either conventional therapy (CT), intensified conventional therapy (ICT) or continuous subcutaneous insulin infusion (CSII). Compared to CT with its adherence to a strict regimen, ICT and CSII allow a much greater flexibility in timing of meals and daily activities. On the other hand, such flexibility requires a much more active role of the patient. The hypotheses of higher internality and lower powerful others locus of control beliefs in ICT and CSII patients than in CT patients could be supported for powerful others locus of control only. A one-year follow-up replicated this finding. Furthermore, high powerful others locus of control was associated with low diabetes-related knowledge and poor glycaemic control. The relevance of the patients' experience with the respective treatment is examined in view of the results and implications for studies on the feasibility of diabetes regimens are discussed.     

Mood-congruent attention and memory bias in dysphoria: Exploring the coherence among information-processing biases

Recent studies indicate that depression is characterized by mood-congruent attention bias at later stages of information-processing. Moreover, depression has been associated with enhanced recall of negative information. The present study tested the coherence between attention and memory bias in dysphoria. Stable dysphoric (n = 41) and non-dysphoric (n = 41) undergraduates first performed a spatial cueing task that included negative, positive, and neutral words. Words were presented for 250 ms under conditions that allowed or prevented elaborate processing. Memory for the words presented in the cueing task was tested using incidental free recall. Dysphoric individuals exhibited an attention bias for negative words in the condition that allowed elaborate processing, with the attention bias for negative words predicting free recall of negative words. Results demonstrate the coherence of attention and memory bias in dysphoric individuals and provide suggestions on the influence of attention bias on further processing of negative material.     

Confirmatory factor analysis of the WPPSI for language-impaired children

The present study used a maximum-likelihood confirmatory factor analysis (CFA) to test the hypothesis that a four-factor model is the most parsimonious explanation of the structure of the WPPSI for language-impaired children. Four separate maximum-likelihood confirmatory factor analyses were performed on a sample of 198 Norwegian language-impaired children tested with the WPPSI, and on the Norwegian (n = 563) and American (n = 1200) standardization samples. A one-factor (general), a two-factor (verbal and performance), three-factor (parallel to the WISC-R) and a four-factor solution composed of "processing dependent" ("knowing how" and "seeing how") and "knowledge dependent" ("knowing that" and "seeing that") were imposed on the average intercorrelation matrices of the 11 WPPSI subtests. Confirmatory factor analysis indicated that the four-factor latent construct model was the most parsimonious explanation of the structure of the WPPSI for language-impaired children, as well as for normally developing children.     

Ceci n'est pas la mort: Evidence for the recruitment of self‐reference from surrealistic art under mortality salience

Previous research has demonstrated that death reminders influence how we perceive art. In the context of terror management theory, this has been explained by the death‐transcending quality of art to convey cultural meaning. In two studies, we examined psychological and neurocognitive responses to naturalistic and surrealistic art when death was primed. We found that naturalistic paintings were evaluated similarly in terms of personal reassurance in both mortality salience and control condition, whereas surrealistic paintings were evaluated as more reassuring in the mortality salience condition than in the control condition. Using high‐field functional magnetic resonance imaging in a second study, we found a similar pattern of results, showing specific activation in the precuneus, a brain area associated with self‐related operations, in all prime conditions for the viewing of naturalistic paintings, but only in the death and disgust prime conditions when viewing surrealistic paintings. Our results suggest motivated self‐reference when viewing both naturalistic and surrealistic artworks under mortality salience. Copyright © 2014 John Wiley & Sons, Ltd.     

Dialectical Behavior Therapy of Anorexia and Bulimia Nervosa Among Adolescents: A Case Series

The aim of this study was to describe a case series of adolescents (mean age = 16.5 years, SD = 1.0) with anorexia nervosa (AN) and bulimia nervosa (BN) who received dialectical behavior therapy (DBT). Twelve outpatients with AN and BN took part in 25 weeks of twice weekly therapy consisting of individual therapy and a skills training group. Family members were involved in the treatment. The patients were compared pre- and posttreatment on behavioral symptoms of AN and BN and symptoms of general psychopathology using standardized instruments (Structured Inventory for Anorectic and Bulimic Syndromes, Eating Disorder Inventory-2, The Symptom Checklist-90-Revised). Posttreatment, significant improvements in behavioral symptoms of eating disorder and symptoms of psychopathology were identified. The application of DBT adapted for the treatment of AN and BN among adolescents was associated with a decrease in behavioral symptoms of eating disorders and symptoms of general psychopathology. However, randomized controlled studies are required to prove the efficacy of this approach.     

Modeling spatial and temporal aspects of visual backward masking

Visual backward masking is a versatile tool for understanding principles and limitations of visual information processing in the human brain. However, the mechanisms underlying masking are still poorly understood. In the current contribution, the authors show that a structurally simple mathematical model can explain many spatial and temporal effects in visual masking, such as spatial layout effects on pattern masking and B-type masking. Specifically, the authors show that lateral excitation and inhibition on different length scales, in combination with the typical time scales, are capable of producing a rich, dynamic behavior that explains this multitude of masking phenomena in a single, biophysically motivated model.     

Die Wirkung von traumatischem Stress auf biopsychische Selbstorganisationsprozesse

Social frameworks have influenced the understanding of trauma-reactive psychic disorders during the course of the past two centuries.The 20th century has further shaped this understanding by the various concepts established by the different therapeutic schools.The incorporation of scientific results, as well as the theory of complex dynamic systems particularly that of synergetics supply now abundant impulses stimulating the discussion of posttraumatic stress disorders on a psychodynamic, neurophysiological, and systemspecific basis, thereby leaving those schools behind.Comparing synergetic models with the current state of neuroscientific research of post traumatic stress disease (PTSD) gives surprising insights of the dynamics of this disorder,and the resulting therapeutic principles.Specific therapeutic approaches, with the two phases of stabilisation and of trauma processing can be derived from such functional principles of neuronal networks.