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.     

Schwere Anorexia nervosa

Background

Psychosomatic support during acute medical treatment of patients with anorexia nervosa is a special need but up to now a rare constellation. These patients can barely accept necessary somatic procedures even if they suffer from severe consequences of the eating disorder. The ambivalence of patients towards treatment is explained by the loss of the right perception of their bodies and the strong obsession with further weight loss.

Methods

This article reports on eight consecutively treated patients on a medical ward who received a liaison psychosomatic, psychotherapeutic visit twice a week. The aim was to maintain better therapy adherence, to support oral food intake and understanding of the disorder as well as to motivate patients for further psychosomatic treatment.

Results

By means of a respectful cooperation between the departments of internal medicine and psychosomatics it was possible to gain psychotherapeutic access to the patients in this highly complicated situation.

Consequence

The psychodynamic aspects of this collaboration are discussed with a focus on the triangulation of the therapeutic process.     

Structural Inference from Conditional Knowledge Bases

There are several approaches implementing reasoning based on conditional knowledge bases, one of the most popular being System Z (Pearl, Proceedings of the 3rd conference on theoretical aspects of reasoning about knowledge, TARK ’90, Morgan Kaufmann Publishers Inc., San Francisco, CA, USA, pp. 121–135, 1990). We look at ranking functions (Spohn, The Laws of Belief: Ranking Theory and Its Philosophical Applications, Oxford University Press, Oxford, 2012) in general, conditional structures and c-representations (Kern-Isberner, Conditionals in Nonmonotonic Reasoning and Belief Revision: Considering Conditionals as Agents, vol. 2087 of LNCS, Springer, Berlin, 2001) in order to examine the reasoning strength of the different approaches by learning which of the known calculi of nonmonotonic reasoning (System P and R) and Direct Inference are applicable to these inference relations. Furthermore we use the recently proposed Enforcement-postulate (Kern-Isberner and Krümpelmann, Proceedings of the 22nd international joint conference on artificial intelligence, vol. 2, IJCAI’11, AAAI Press, pp. 937–942, 2011) to show dependencies between these approaches.     

The semantic specificity of gestures when verbal communication is not possible: The case of emergency evacuation

The aim of the present study was to examine the comprehension of gesture in a situation in which the communicator cannot (or can only with difficulty) use verbal communication. Based on theoretical considerations, we expected to obtain higher semantic comprehension for emblems (gestures with a direct verbal definition or translation that is well known by all members of a group, or culture) compared to illustrators (gestures regarded as spontaneous and idiosyncratic and that do not have a conventional definition). Based on the extant literature, we predicted higher semantic specificity associated with arbitrarily coded and iconically coded emblems compared to intrinsically coded illustrators. Using a scenario of emergency evacuation, we tested the difference in semantic specificity between different categories of gestures. 138 participants saw 10 videos each illustrating a gesture performed by a firefighter. They were requested to imagine themselves in a dangerous situation and to report the meaning associated with each gesture. The results showed that intrinsically coded illustrators were more successfully understood than arbitrarily coded emblems, probably because the meaning of intrinsically coded illustrators is immediately comprehensible without recourse to symbolic interpretation. Furthermore, there was no significant difference between the comprehension of iconically coded emblems and that of both arbitrarily coded emblems and intrinsically coded illustrators. It seems that the difference between the latter two types of gestures was supported by their difference in semantic specificity, although in a direction opposite to that predicted. These results are in line with those of Hadar and Pinchas‐Zamir (2004), which showed that iconic gestures have higher semantic specificity than conventional gestures.     

Auditory Hallucinations as Social Self-Positions: A Theoretical Discussion from a Single-Case Study

This work uses social positioning analysis to investigate the phenomenon of the auditory verbal hallucination (AVH) in schizophrenia in order to describe its social and interactive nature. We focus in detail on a single-case study of a patient who verbalized her AVHs. We analyze 3 significant excerpts from an interview with a person with paranoid schizophrenia. This interview is part of a larger study conducted with 18 participants about life narrative construction in the sociocultural context of care homes. The interaction between the patient and her voices is examined closely to reveal the dynamic between interviewer, patient, and voices. The analysis differentiates the voice of the patient from that of the hallucination and reveals “social interaction” between this dyad and the interviewer. We discuss a possible social and interactive framework to understand the origin of AVHs and the self-construction process.     

Principles derived from the study of simple skills do not generalize to complex skill learning

We review research related to the learning of complex motor skills with respect to principles developed on the basis of simple skill learning. Although some factors seem to have opposite effects on the learning of simple and of complex skills, other factors appear to be relevant mainly for the learning of more complex skills. We interpret these apparently contradictory findings as suggesting that situations with low processing demands benefit from practice conditions that increase the load and challenge the performer, whereas practice conditions that result in extremely high load should benefit from conditions that reduce the load to more manageable levels. The findings reviewed here call into question the generalizability of results from studies using simple laboratory tasks to the learning of complex motor skills. They also demonstrate the need to use more complex skills in motor-learning research in order to gain further insights into the learning process.     

Patterns of comprehension performance in agrammatic Broca's aphasia: a test of the Trace Deletion Hypothesis

We tested the core prediction of the Trace Deletion Hypothesis (TDH) of agrammatic Broca's aphasia, which contends that such patients' comprehension performance is normal for active reversible sentences but at chance level for passive reversible sentences. We analyzed the comprehension performance of 38 Italian Broca's aphasics with verified damage to Broca's area, who completed sentence-to-picture matching tasks using active and passive reversible sentences as stimuli. The results failed to confirm the predictions made by TDH: only a small minority (15%) performed at chance on passive sentences and better than chance on active sentences. Furthermore, the distribution of the 38 subjects' performance on passive sentences differed from that predicted by the TDH since many more subjects performed at better-than-chance levels than expected. We discuss the implication of these results for claims about the distribution of language processing mechanisms in the brain.     

Applied Computer Diagnostics — Theoretical Foundations and Future Perspectives

The paper reviews and discusses a number of issues relating to the use of computer technology to assist the process of assessing psychologically relevant variables — computer-assisted diagnostics. A definition of computer-assisted diagnostics is given and theoretical developments are discussed. The paper emphasizes the need to consider theoretical issues relating to a number of domains: theory of content, test theory, human—computer interaction, programming theory, instructional theory, normative theory and situation theory. The paper concludes with a view of the current situation and future perspectives, and describes some important ethical issues.     

Temporal and atemporal truth in intuitionistic mathematics

In section 1 we argue that the adoption of a tenseless notion of truth entails a realistic view of propositions and provability. This view, in turn, opens the way to the intelligibility of theclassical meaning of the logical constants, and consequently is incompatible with the antirealism of orthodox intuitionism. In section 2 we show how what we call the potential intuitionistic meaning of the logical constants can be defined, on the one hand, by means of the notion of atemporal provability and, on the other, by means of the operator K of epistemic logic. Intuitionistic logic, as reconstructed within this perspective, turns out to be a part of epistemic logic, so that it loses its traditional foundational role, antithetic to that of classical logic. In section 3 we uphold the view that certain consequences of the adoption of atemporal notion of truth, despite their apparent oddity, are quite acceptable from an antirealist point of view.