Psychoanalytisch-orientierte Fokaltherapie der Depression bei Krebskranken

Emotional distress connected to a cancer disease may result in comorbid mental and especially depressive disorders. Although psychodynamic therapy is one of the most frequently applied forms of psychotherapy of depression in cancer patients there is a lack of empirical studies which meet the criteria of evidence-based psychotherapy research. This is especially true with regard to randomized controlled trials of psychodynamic psychotherapy. As far as we know no manual for psychodynamic treatment of cancer patients has yet been published. In this article a manual for a 20-session short-term psychodynamic treatment is presented. The treatment is based on Luborsky’s supportive-expressive (SE) therapy. The SE treatment manual of depressions in cancer patients presented here is an adaptation of the general SET manual as well as the SE manual for depression. In the first part the general principles of SE therapy are presented. In the second part a manual specifically adapted to the treatment of depressive cancer patients is described. The treatment manual is presently being used in a large-scale randomized controlled multi-centered study comparing short-term psychodynamic psychotherapy and treatment as usual.     

Shaking hands: Priming by social action effects

In a semi‐naturalistic response–effect compatibility paradigm, participants were given the opportunity to learn that hand‐shaking actions would be followed by social effects (human hand‐shaking stimuli from a third‐person perspective) or inanimate effects (block arrow stimuli). Relative to the actions, these effects appeared on the same or the opposite side of the screen (positional compatibility), and pointed towards or away from the response hand (directional compatibility). After learning, response times indicated a positional compatibility effect for both social and inanimate effects, but a directional compatibility effect occurred only for social action effects. These findings indicate that actions can be represented, not only by their effects on the inanimate world, but also by their effects on the actions of others. They are consistent with ideomotor theory, and with the view that actions are represented by bidirectional response–effect associations. They also have implications with respect to the origins and on‐line control of imitation and the systems supporting imitation.     

The origin of language: A scientific approach to the study of man

The Enlightenment regarded language as one of the most significant achievements of man. Consequently inquiries into the origin and development of language play a central role in eighteenth-century moral philosophy. This new science of man consciously adopts the method of analysis and synthesis used in the natural sciences of the time. In moral philosophy, analysis corresponds to the search for the basic principles of human nature. Synthesis is identified with the attempt to interpret all artificial achievements of man (arts, sciences and institutions) as the effect of these principles and of man's physical and social environment - an attempt known as theoretical history. The type of explanation envisaged by theoretical historians is based on the principle of causality. It consists in a genetic reconstruction of the social phenomenon under investigation. Inquiries into the origin of language follow this pattern of explanation. They form part of theoretical history and thus represent a major aspect of the eighteenth-century scientific study of man.     

Creating and Refining Boundaries – Church Splitting Among Pentecostal Vietnamese Migrants in Berlin

In many parts of the world, Pentecostalism is becoming the fastest growing religious movement. As a result of migration, people from Asia, Africa and Latin America carry religious ideas and practices across borders, in other cases, migrants establish religious networks in the diaspora. However, while embracing newcomers from various backgrounds, Pentecostal believers constantly cross cultural boundaries by incorporating people from different ethnic, national and language backgrounds. While Pentecostal charismatic practitioners blurr boundaries in many situations, simultaneously, they create ‘bright boundaries’ by rejecting ‘traditional’ religious practices, imagined as the Other of Pentecostalism and thus to be eliminated. By referring to the concept of boundaries (Barth 1969; Alba (Ethnic and Racial Studies 1:20–69, 2005)) this article argues that charismatic Pentecostal Christianity, alongside its embracing practices with regard to social, ethnic and political boundaries, generates religious boundaries: First, church members reject “traditional” religious practices such as ancestor veneration and spirit possession, practices migrants carry across borders. Second, Pentecostal believers create boundaries towards those who split from the church. By exploring the ambiguities of migrant converts, I will investigate, how some of them subvert and reject control and authority exerted by religious leaders. Therefore, this article, based on ethnographic fieldwork among Vietnamese Pentecostalists, contributes to widely underresearched practices of boundary making and church splitting in the diaspora.     

The precuneus and the insula in self-attributional processes

Attributions are constantly assigned in everyday life. A well-known phenomenon is the self-serving bias: that is, people’s tendency to attribute positive events to internal causes (themselves) and negative events to external causes (other persons/circumstances). Here, we investigated the neural correlates of the cognitive processes implicated in self-serving attributions using social situations that differed in their emotional saliences. We administered an attributional bias task during fMRI scanning in a large sample of healthy subjects (n = 71). Eighty sentences describing positive or negative social situations were presented, and subjects decided via buttonpress whether the situation had been caused by themselves or by the other person involved. Comparing positive with negative sentences revealed activations of the bilateral posterior cingulate cortex (PCC). Self-attribution correlated with activation of the posterior portion of the precuneus. However, self-attributed positive versus negative sentences showed activation of the anterior portion of the precuneus, and self-attributed negative versus positive sentences demonstrated activation of the bilateral insular cortex. All significant activations were reported with a statistical threshold of p ≤ .001, uncorrected. In addition, a comparison of our fMRI task with data from the Internal, Personal and Situational Attributions Questionnaire, Revised German Version, demonstrated convergent validity. Our findings suggest that the precuneus and the PCC are involved in the evaluation of social events with particular regional specificities: The PCC is activated during emotional evaluation, the posterior precuneus during attributional evaluation, and the anterior precuneus during self-serving processes. Furthermore, we assume that insula activation is a correlate of awareness of personal agency in negative situations.     

Subjective well‐being in times of social change: Congruence of control strategies and perceived control

This paper investigates the association between perceptions of broader changes in the social‐ecological context and individuals’ subjective well‐being (SWB). Macro‐level societal changes such as globalization or demographic change give rise to new demands for individual functioning at work and/or in the family. Such new demands associated with social change are stressful and likely to be related to lower levels of SWB. Being active agents, individuals attempt to deal with social change and its increasing demands to protect their SWB. The present study investigates which kinds of control strategies are most effective in protecting one's SWB. Specifically, we predicted that control strategies of goal engagement will be most effective under conditions of perceived high control, and control strategies of goal disengagement will be most effective under conditions of perceived low control. In a large sample of 2537 German adults, work‐ and family‐related demands associated with social change were found to be negatively linked to SWB. Moreover and in line with the motivational theory of lifespan development, control strategies of goal engagement and disengagement were beneficial for SWB to the extent that they matched the perceived control of the demands associated with social change.     

So viel? So oft?

Psychoanalysis is usually only considered as a treatment option when other therapeutic procedures have not resulted in any lasting improvement or in particularly burdensome situations. In psychoanalysis, it is assumed that the unconscious is reflected in a structural pathology of the personality and, based on repetition compulsion, presents itself again and again in the person’s life and relationships with varying psychiatric symptoms. Within the framework of more frequent psychoanalytic treatment in an outpatient clinic, these established structures can be identified and altered as transference and countertransference in the therapeutic relationship. This requires elaborate and systematic reflection on the basis of modern theoretical and clinical developments.     

The impact of context on pattern category learning and representation

Context traditionally has been regarded in vision research as a determinant for the interpretation of sensory information on the basis of previously acquired knowledge. Here we propose a novel, complementary perspective by showing that context also specifically affects visual category learning. In two experiments involving sets of Compound Gabor patterns we explored how context, as given by the stimulus set to be learned, affects the internal representation of pattern categories. In Experiment 1, we changed the (local) context of the individual signal classes by changing the configuration of the learning set. In Experiment 2, we varied the (global) context of a fixed class configuration by changing the degree of signal accentuation. Generalization performance was assessed in terms of the ability to recognize contrast-inverted versions of the learning patterns. Both contextual variations yielded distinct effects on learning and generalization thus indicating a change in internal category representation. Computer simulations suggest that the latter is related to changes in the set of attributes underlying the production rules of the categories. The implications of these findings for phenomena of contrast (in)variance in visual perception are discussed.