Unerwünschte und schädliche Wirkungen von Psychotherapie

Unwanted effects or even damage due to psychotherapy are largely neglected issues within psychotherapy research as compared to other fields. On the other hand, it is reasonable to assume that unwanted effects of a treatment which intends to influence patients into a positive direction are very likely. The rate of negative effects of psychotherapy (the deterioration effect according to Bergin) is consistently estimated to be 10% of all cases and shows this same rate in a variety of studies. This review highlights side effects of psychotherapy both on the part of the patients and of the therapists. It reports unwanted effects related to different psychotherapeutic methods, i.e. psychoanalysis, cognitive behaviour therapy, client-centered psychotherapy and – beyond these basic orientations – group psychotherapy. The paper also reports on negative effects of psychotherapy on an untreated partner. Finally, some proposals are given on how negative effects of psychotherapy could be diminished. The authors especially highlight the possibilities of changing the therapist, the treatment technique, or the theoretical treatment approach as a way to reduce negative effects.     

Categorization of multidimensional geometrical figures by chickens (Gallus gallus f. domestica): fit of basic assumptions from exemplar, feature and prototype theory

Five hens, experienced in discrimination of two categories of multidimensional geometrical figures presented in fixed pairs in a simultaneous discrimination, were tested with familiar figures arranged as new pairs to assess the dependence of categorization performance on learned relational or configural cues. Test performance did not differ from training: relational or configural cues still influenced discrimination performance. It was suggested that – in accordance with exemplar theories – this influence depended on differences between pairs of probe exemplars that facilitate retrieval of learned category members. To test whether exemplar, feature or prototype theory was most suitable to explain categorization by chickens, the rates of pecking at exemplars were analysed using principal components analysis (PCA). The distribution of the exemplars' component loads on the single component obtained was examined in the light of the conditions dictated by the three types of theories on how representative category exemplars should be. The least constraining theory, i.e. the exemplar theory, was most suitable. Defining factors of classificatory behaviour are discussed with a special emphasis on the characteristics of category-defining stimulus attributes. Accepted after revision: 29 May 2001 Electronic Publication     

Heuristic processing of distinctiveness information in minority and majority influence

The role of distinctiveness information in majority and minority influence was studied. Students read a message containing strong or weak arguments advocated by a minority or majority source. The communicator's minority (majority) status was said to be either distinctive to the target topic or nondistinctive across topics. Major dependent variables were attitude judgments and cognitive responses. Across conditions, messages were processed systematically, and a majority communicator tended to be more persuasive than a minority communicator. Most importantly, high distinctiveness led to greater influence than low distinctiveness, and this effect was independent of argument strength and minority versus majority status. Theoretical and applied implications of these findings are discussed. © 1998 John Wiley & Sons, Ltd.     

Motivational determinants of systematic processing: expectancy moderates effects of desired confidence on processing effort

Extending the motivational assumptions of the heuristic-systematic model (Chaiken, Liberman, & Eagly, 1989), the authors hypothesized that a discrepancy between desired and actual judgmental confidence raises processing effort only if the expectancy that processing will increase confidence is high. In Experiment 1, university students expected to review information for upcoming social judgments. Desired confidence was varied through low versus high task importance. To manipulate expectancy, low versus high perceived processing efficacy was induced via feedback. As predicted, high- (as compared to low-) importance participants expressed greater interest in receiving information and selected more information when perceived efficacy was high, and this effect was mediated via a heightened discrepancy between desired and actual confidence. These effects were not obtained under low perceived efficacy. In Experiment 2, students processed a persuasive message. Only high importance conditions were studied; processing efficacy and argument strength were manipulated. As predicted, high- (but not low-) efficacy participants processed the message systematically, as indicated by a different impact of argument strength and by mediational path analyses. It is argued that the precision of social judgment models would benefit from an explicit consideration of processing- and outcome-related expectancy variables. © 1998 John Wiley & Sons, Ltd.     

The interplay of modern myths about sexual aggression and moral foundations in the blaming of rape victims

Moral Foundations Theory proposes five intuition-based moral concerns: Care and Fairness (“individualizing foundations”) as well as Loyalty, Authority, and Sanctity (“binding foundations”). In studies carried out in Italy, Spain, and Germany, the authors examined how these concerns are associated with the acceptance of modern myths about sexual aggression (AMMSA), and how both jointly predict rape victim blaming. Overall, victim blaming was positively predicted by Authority and Sanctity, and negatively predicted by Care and Fairness. Although victim blaming was best predicted by AMMSA, moral concerns also contributed to its prediction, partly independently, partly mediated through AMMSA, and in the case of Sanctity in interaction with AMMSA. Discussion highlights how integrating moral foundations in the investigation of victim blaming and AMMSA across different cultural contexts may deepen our understanding of why, in each cultural context, victim blaming and related beliefs are resistant to change.     

Affective and cognitive attitudes,uncertainty avoidance and intention to obtain genetic testing: An extension of the Theory of Planned Behaviour

To ensure successful implementation of genetic screening and counselling according to patients best interests, the attitudes and motives of the public are important to consider. The aim of this study was to apply a theoretical framework in order to investigate which individual and disease characteristics might facilitate the uptake of genetic testing. A questionnaire using an extended version of the Theory of Planned Behaviour was developed to assess the predictive value of affective and cognitive expected outcomes, subjective norms, perceived control and uncertainty avoidance on the intention to undergo genetic testing. In addition to these individual characteristics, the predictive power of two disease characteristics was investigated by systematically varying the diseases fatality and penetrance (i.e. the probability of getting ill in case one is a mutation carrier). This resulted in four versions of the questionnaire which was mailed to a random sample of 2400 Norwegians. Results showed genetic test interest to be quite high, and to vary depending on the characteristics of the disease, with participants preferring tests for highly penetrant diseases. The most important individual predictor was uncertainty avoidance.     

The Decline of Academic Theology at Göttingen

Until recently, the transfer of an academic theologian to another faculty as a result of objections by ecclesiastical officials was limited to Catholic professors. Now for the first time in the annals of the German university a Protestant professor faces such an action by a church body. Professor Gerd Lüdemann, who since 1983 has taught New Testament Studies in the University of Göttingen, has become the target of criticism by the Confederation of Lutheran Churches in Lower Saxony. As a result of a decision by the President of his University, theology students can no longer receive credit for attending his courses, nor can he serve as director or advisor of graduate studies. Professor Lüdemann tells the story of his censure and describes the present situation which is now before a court of law.     

The Role of Imagery in the Production of Written Definitions

This study of a literacy course begins with methodological approaches useful in the historical study of the literacy profession, its practices, beliefs, and participants. A model course is presented via “moments” in the history of literacy. Results from implementations of the model course are also presented.     

Improving comprehension and communication of risks about health

Many patients have severe difficulties grasping several numerical concepts that are related to their health, such as, for instance, the risk of suffering various diseases. Visual aids have been proposed as a promising method for enhancing risk communication and comprehension. In medical practice, however, not all patients benefit from visual aids. In a study conducted on a probabilistic, representative national sample in the United States, we identified a group of patients for whom visual aids are most useful: Those who have low numeracy but high graphical literacy skills. These patients have high scores in three abilities involved in graph comprehension: (1) the ability to read the data, (2) the ability to read the relations between the data, and (3) the ability to read beyond the data. Our results can have important implications for medical practice and for risk communication about health.