Religiosity/Spirituality of German Doctors in Private Practice and Likelihood of Addressing R/S Issues with Patients

This study examined the self-assessed religiosity and spirituality (R/S) of a representative sample of German physicians in private practice (n = 414) and how this related to their addressing R/S issues with patients. The majority of physicians (49.3 %) reported a Protestant denomination, with the remainder indicating mainly either Catholic (12.5 %) or none (31.9 %). A significant proportion perceived themselves as either religious (42.8 %) or spiritual (29.0 %). Women were more likely to rate themselves R/S than did men. Women (compared to men) were also somewhat more likely to attend religious services (7.4 vs. 2.1 % at least once a week) and participate in private religious activities (14.9 vs. 13.7 % at least daily), although these differences were not statistically significant. The majority of physicians (67.2 %) never/seldom addressed R/S issues with a typical patient. Physicians with higher self-perceived R/S and more frequent public and private religious activity were much more likely to address R/S issues with patients. Implications for patient care and future research are discussed.     

To help or not to help an outgroup member: The role of the target's individual attributes in resolving potential helpers' motivational conflict

When people are faced with the decision of whether or not to help an outgroup member, they often experience conflicting motivational tendencies due to the concurrent presence of factors prompting help and factors prompting non‐help. We argue that one way of how people deal with this conflict is by taking a closer look at the target's individual attributes, especially at those indicating the target's benevolence. Findings of Experiment 1 (N = 96), in which we manipulated intercultural dissimilarity between participants and a (fictitious) recipient of help and normative pressure to help as two factors affecting motivational conflict, support this basic assumption. Specifically, response latencies analyses confirmed that participants assigned a culturally highly dissimilar target spent more time on inspecting target‐related information when normative pressure, and thus motivational conflict, was high than when it was low. Experiment 2 (N = 141) extended these findings by demonstrating that providing potential helpers with explicit information about an outgroup member's benevolence increased helping intentions through reducing their negative interaction expectancies (and thus motivational conflict). As expected, this mediational relationship could only be observed for participants assigned a culturally highly dissimilar target. Experiment 3 (N = 46) replicated these mediation findings in a within‐subjects design. Copyright © 2014 John Wiley & Sons, Ltd.     

Exogenous attention can be counter-selective: onset cues disrupt sensitivity to color changes

In peripheral spatial cueing paradigms, exogenous attentional capture is commonly observed after salient onset cues or with cues contingent on target characteristics. We proposed that exogenously captured attention disrupts the selectivity to target features. We tested this by experimentally emulating the everyday observation that in a viewing situation in which the observer is monitoring a stationary display fort change to occur, the onset of a salient stimulus (onset cue) or a change in a stationary stimulus similar to the expected one (contingent cue) has a distracting effect. As predicted, we found that both types of cues reduced the target detection sensitivity but enhanced the bias to respond in a go-nogo-paradigm. With the onset cue, the sensitivity loss was more pronounced at the side of the cue, whereas the contingent cue affected both sides likewise. Moreover, the effects of the onset cue interacted with the task difficulty: the more selectivity a task required the more immune it was against disruption, but the more likely was a response. We concluded that onset capture disrupts selective attention by adding noise to the processing of the target location. The effects of contingent capture could be explained with cue-target confounding. Finally, we suggest a new model of attentional capture in which exogenous and endogenous components interact in a dynamic way.     

Who Belongs to Me? Social Relationship and Personality Characteristics in the Transition to Young Adulthood

Not much is known about how social network characteristics change in the transition out of school and what role Big Five personality plays in this context. The aim of this paper was twofold. First, we explored changes in social network and relationship characteristics across the transition out of secondary school. Second, we examined within‐person and between‐person effects of personality on these social network changes. Results based on a series of multilevel models to a longitudinal sample of 2287 young adults revealed four main findings. First, social networks increased in size, and this increase was mainly due to a larger number of nonkin. Stable social networks during the transition consisted mainly of family ties but were generally characterized by high closeness. Second, extraversion and openness consistently predicted network size, whereas agreeableness predicted network overlap. Third, increases in emotional closeness were found only for kin; closeness was generally lower for unstable relationships. Fourth, changes in emotional closeness were related to personality, particularly neuroticism, agreeableness, and conscientiousness for stable relationships; for unstable relationships, however, closeness was related to extraversion and openness. The article concludes by discussing the role of personality for social relationship development and the active moulding of social networks in young adulthood. Copyright © 2014 European Association of Personality Psychology     

Werden Psychotherapeuten,Psychiater oder die Psychotherapie stigmatisiert?

Background

In the last decades much has been found out about the stigmatization of persons with mental illnesses. Recently, a potential stigmatization of psychologists, psychiatrists and psychotherapy has been debated.

Aim

The question should be answered whether there is any scientific evidence for stigmatization of psychologists, psychiatrists and psychotherapy by using the conceptualization of stigma as brought forward by Link and Phelan (Ann Rev Sociol 2001; 27:363–385).

Material and methods

For the systematic literature search in 2013 a databank search was carried out in Web of Science using the search terms stigma or discrimination or stereotypes or prejudice AND psychiatrist or psychotherapist or psychotherapy or mental health professional. A total of 2013 publications were identified which were systematically arranged according to the title and abstract with respect to the relevance for the question whether psychotherapy or associated professional groups are stigmatized. Only four of the articles were considered to be relevant. After advice from experts six further relevant articles could be found which did not appear in the databank search.

Results

The review found evidence for both positive and negative stereotypes but not for other components of the stigmatization process.

Conclusion

At present there is no evidence for a stigma related to psychotherapy or to the professions of psychotherapists and psychiatrists.     

Nichtspezifische,funktionelle und somatoforme Körperbeschwerden

In the S3 guidelines on non-specific, functional and somatoform bodily complaints, a broad group of medical and psychological societies as well as patient representatives have for the first time achieved an evidence-based consensus on terminology and care of these patients. This paper summarizes the main background information and recommendations for psychotherapists. For mild courses treatment by the general practitioner with establishment of a biopsychosocial explanatory model and physical as well as social activation is usually sufficient. More severe courses call for cooperative, coordinated management, including regular appointments with the general practitioner, graded activation and psychotherapy, especially cognitive behavioral, in addition to psychodynamic interpersonal or hypnotherapeutic imaginative psychotherapy. In particularly severe courses multimodal and if necessary day clinic or inpatient treatment is needed. Additionally the patient guidelines for affected people and their relatives are presented.     

Saying and Doing: Speech Actions,Speech Acts and Related Events

The question which this paper examines is that of the correct scope of the claim that extra‐linguistic factors (such as gender and social status) can block the proper workings of natural language. The claim that this is possible has been put forward under the apt label of silencing in the context of Austinian speech act theory. The ‘silencing’ label is apt insofar as when one's ability to exploit the inherent dynamic of language is ‘blocked’ by one's gender or social status then one might justly be said to be silenced. The notion that factors independent of any person's linguistic competence might block her ability to exploit the inherent dynamic of language is of considerable social as well as theoretical significance. I shall defend the claim that factors independent of a person's linguistic competence can indeed block her ability to do things with words but I will show that the cases that have been previously considered to be cases of illocutionary failure are instances of rhetic or locutionary act failure instead. I shall refine the silencing claim as previously advanced in the debate in at least one fundamental respect. I also show that considering the metaphysics of speech acts clarifies many of the issues previously appearing as thorny bones of contention between those who hold that the only notion of silencing that is coherent is that of physically preventing someone from speaking or writing and those who hold the opposite sort of claim sketched above.