Dimensional assessment of personality pathology in female and male juvenile delinquents

A developmental perspective implies similar personality pathology dimensions for adolescents and adults. The present study examined the applicability of a dimensional approach in incarcerated delinquent female and male juveniles using the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ). A sample of detained adolescents (n = 146) was compared to adolescent students (n = 98) and a healthy control group of adults (n = 82). Additionally, psychopathology was assessed in the incarcerated juveniles using the Youth Self Report (YSR). Analyses of variance revealed higher scores on personality disorder traits for juveniles compared to adult controls; the highest scores were observed in criminal juveniles. Hypothesized relationships could be confirmed within the criminal sample between the DAPP factor Emotional Dysregulation and the YSR Internalization syndrome scale, and between the DAPP factor Dissocial Behavior and the YSR Externalization syndrome scale. Moreover, gender differences in the criminal sample are discussed. Results indicate that the DAPP-BQ can assess personality disorder traits in delinquent and nondetained juveniles with sufficient group and criterion validity.     

Psychodynamik und neurophysiologischer Befund bei einem Patienten mit einer zwanghaften Lesestörung

The present single case study is aimed to investigate neuro-physiological correlates of checking and ordering compulsions in a 40 years old patient suffering from obsessive-compulsive disorder (OCD) by means of the functional magnetic resonance imaging (fMRI) method. After the presentation of the psychogenesis and psychodynamic of the OCD case, the cardinal symptom, a compulsive reading disturbance, is described in detail. Based on the symptom analysis eight different texts, hierarchically arranged by their degrees of difficulty were composed and presented to the patient for reading during fMRI. The results of the fMRI during symptom provocation display significant increase of activation in fronto-thalamic-cortical neural circuits with the occurence of compulsive reading disturbances compared with unproblematic texts and with the reading of a control subject. The findings are discussed in relation to the neurobiologic literature as well as to an object-psychological model of the OCD.     

Automatic Associations and Conscious Attitudes Predict Different Aspects of Men’s Intimate Partner Violence and Sexual Harassment Proclivities

Intimate partner violence against women (IPV) and sexual harassment are both widespread. Research on their causes and attitudinal correlates has rarely examined implicit, automatic cognitive associations related to the partner (in IPV aggressors) or to women (in sexual harassment offenders). The aim of the present research was to study these implicit associations in 129 male German students. Participants completed scales of hostile sexism (HS), masculine gender role stress (MGRS), short-term (STMO) and long-term mating orientation (LTMO), and proclivity to both IPV and sexual harassment. Next they performed a primed lexical decision task that measured whether concepts of violence, power, hostility, and sexuality were differentially associated with representations of women, men, and the participant’s own intimate partner. Results showed that implicit associations of own partner with violence as well as hostility were generally high but did not correlate strongly with the proclivity measures. Furthermore, the proclivity measures were positively predicted by HS, MGRS, and STMO, whereas LTMO negatively predicted IPV proclivity. Practice implications point to the need to address early socialization processes that may shape men’s negative associations with female partners. Some strategies to prevent and reduce these types of implicit associations are discussed.

     

Long-term consequences of early experience on adult avoidance learning in female rats: role of the dopaminergic system

Following our hypothesis that juvenile emotional and/or cognitive experience should affect learning performance at preweaning age as well as adulthood, the present study in female Wistar rats aimed to examine the impact of (i) avoidance training at preweaning age, (ii) exposure to repeated maternal separation, (iii) the combination of both, and (iv) the blockade of dopaminergic neurotransmission on adult two-way active avoidance learning in rats. We found that preweaning, i.e. three week old, rats were less capable of avoidance learning compared to adults. Our main findings revealed that preweaning avoidance training alone improved avoidance learning in adulthood. Furthermore, maternal separation alone also improved avoidance learning in preweaning and in adult rats, but this effect of maternal separation did not add up to the beneficial effect of preweaning avoidance training on adult learning. In addition, the pharmacological blockade of dopamine receptors during preweaning avoidance training via systemic application of haloperidol impaired preweaning avoidance performance in a dose-dependent manner. Testing the haloperidol-treated preweaning presumed "non-learners" as adults revealed that they still showed improved learning as adults. Taken together, our results strongly support the hypothesis that emotional as well as cognitive experience at preweaning age leaves an enduring "memory trace," which can facilitate learning in adulthood. Our pharmaco-behavioral studies suggest that unlike the adult brain, preweaning learning and memory formation is less dependent on dopaminergic mechanisms, which raises the intriguing question of possible alternative pathways.     

„Da wirst du ja auch bekloppt bei“

Given a growing demand of psychotherapeutic care the interest of students in a psychotherapeutic occupation is gaining relevance. At the same time psychoanalytic training institutions and societies have been confronted with a continuous decrease of candidates over the last decades. Psychology students, medical students and students of educational sciences (the latter only in the child and adolescent treatment sector) are admitted for a psychotherapeutic training approved by the health care insurances in Germany and have the possibility to choose between a behavioral or a psychodynamic oriented training. In the present multimethodological cross-sectional study those student groups (N?=?679) were questioned about their interest in a psychotherapeutic training in general and, if they proved to be interested, about their specific choice of training. Amongst psychology students the largest group of those interested in a psychotherapeutic training would opt for a behavioral education. Amongst medical students and students of pedagogy and social pedagogy a psychotherapeutic training is less frequently an option for their future career plans. Amongst the students of educational sciences, for those interested in training, psychodynamic methods are more often of interest. Possible reasons for the students' decisions in the context of the specific German legal situation are discussed.     

The developing ego in group psychotherapy

Analytic group psychotherapy offers the potential for developing ego functions and enhancing identity formation. The nature of the interaction in group psychotherapy forces participants to deal with their perception of reality and revise their perceptions. After a brief review of the literature, focusing on the theoretical basis and ego development in analytic group psychotherapy, the paper discusses the following ego functions and gives an example of each: adaptation to reality, judgment, drive control, object relations (relationships with others), thought process and communication, defenses, affect differentiation, autonomy, mastery-competence, regulation of self-esteem, and frustration tolerance. The paper concludes with an example of assessing ego functions from a clinical vignette taken from one group psychotherapy session.     

Terminations

Whether the person leaving the group is a group member or a group therapist, the basic dynamics of separation are the same, involving the separation process as well as mourning. Terminations evoke ambivalent feelings of both separation-pain and hope. Group members and the departing person experience a loss, which reminds them of other losses, and the departing person (group member or therapist) may also experience some guilt. Any termination will have an effect on the-group-as-a-whole, as well as on the individual members, and must be dealt with prior to the actual leaving, as well as after the termination.     

Acting out in group psychotherapy

Acting out is a common occurrence in group psychotherapy. After a brief review of relevant psychoanalytic and group psychotherapy literature, this paper presents various kinds of acting out by the individual group members and the handling of such acting out by the therapist, discusses acting out by the group as a whole, and gives a brief overview of acting out by the group therapist. Specific examples are given of acting out and ways of dealing with it.