Psychotherapeutischer Prozess und Persönlichkeitsstörungen

This paper begins with a cursory overview of psychotherapy outcome research for personality disorders; however, relatively little is known about process research or process outcome relationships. It then focuses on relevant patient and therapist variables. Significant controversies in personality disorder treatment techniques are examined. Initially, studies generally associated transference interpretation with less favorable therapy outcomes. Recent work supports the possibility of differentiated correlations. There is increasing evidence that a moderate amount of transference interpretation and perhaps even a therapeutic alliance that is not so good, maybe indicative of an inner conflict with the therapist relationship, could ultimately be beneficial. This association most probably does not exist in cluster C personality disorders. A problem with this type of research is that clear definitions are often lacking. This complicates comparisons between studies and the influence of other mediating variables remains vague.     

Leader Inquisitiveness,Political Skill,and Follower Attributions of Leader Charisma and Effectiveness: Test of a moderated mediation model

Given the variability in personality's relationship with leadership and the use of personality measures in leader selection and assessment, we examine the joint influence of leader trait inquisitiveness and leader political skill on subordinate perceptions of leader charisma and effectiveness. Findings indicate a positive main effect of political skill on charisma, the positive relationship between inquisitiveness and charisma is moderated by heightened political skill, and charisma mediates the relationship between the inquisitiveness by political skill interaction and perceived effectiveness. The moderated mediation results of our study suggest that organizations should not only select creative and imaginative leaders, but also select those who are politically skilled or provide political skill training.     

Social information in equine movement gestalts

One model of signal evolution is based on the notion that behaviours become increasingly detached from their original biological functions to obtain a communicative value. Selection may not always favour the evolution of such transitions, for instance, if signalling is costly due to predators usurping signal production. Here, we collected inertial movement sensing data recorded from multiple locations in free-ranging horses (Equus caballus), which we subjected to a machine learning algorithm to extract kinematic gestalt profiles. This yielded surprisingly rich and multi-layered sets of information. In particular, we were able to discriminate identity, breed, sex and some personality traits from the overall movement patterns of freely moving subjects. Our study suggests that, by attending to movement gestalts, domestic horses, and probably many other group-living animals, have access to rich social information passively but reliably made available by conspecifics, a finding that we discuss in relation with current signal evolution theories.     

Exploring In-Session Process with Qualitative and Quantitative Methods in Psychotherapy with an Adolescent

ABSTRACT

There is emerging evidence for the effect of psychotherapy in adolescents with depression. Research indicates that therapists often use techniques from different theoretical models when working with adults. Research on the therapy process in adolescents is scarce. We explore the therapist’s interventions in a time-limited psychodynamic adolescent therapy with Susanna suffering from major depression. Susanna quite suddenly became worse at mid-treatment, with self-harming and suicidal ideations. Rating scales for analyzing in-session relational processes included the Structural Analysis of Social Behavior (SASB), the Adolescent Psychotherapy Q-set (APQ), and the Transference Work Scale (TWS). Self-reports on symptoms, interpersonal problems, and working alliance were obtained before, during, and at the end of and one year after treatment. Different tools seemed to expose different aspects of the process and the patient’s development. Only patient-rated questionnaires revealed the mid-treatment crises. Combining different and pan-theoretical rating scales on here-and-now interventions (TWS and SASB) and whole sessions (APQ), as well as clinician-rated measures and a variety of self-reports, indicated that different psychotherapeutic techniques were integrated in the therapy and seemed beneficial to patient’s outcome. The therapist adhered to the treatment manual. This way of exploring the therapy process may be used for different treatment modalities.     

Monitor yourself! Deficient error-related brain activity predicts real-life self-control failures

Despite their immense relevance, the neurocognitive mechanisms underlying real-life self-control failures (SCFs) are insufficiently understood. Whereas previous studies have shown that SCFs were associated with decreased activity in the right inferior frontal gyrus (rIFG; a region involved in cognitive control), here we consider the possibility that the reduced implementation of cognitive control in individuals with low self-control may be due to impaired performance monitoring. Following a brain-as-predictor approach, we combined experience sampling of daily SCFs with functional magnetic resonance imaging (fMRI) in a Stroop task. In our sample of 118 participants, proneness to SCF was reliably predicted by low error-related activation of a performance-monitoring network (comprising anterior mid-cingulate cortex, presupplementary motor area, and anterior insula), low posterror rIFG activation, and reduced posterror slowing. Remarkably, these neural and behavioral measures predicted variability in SCFs beyond what was predicted by self-reported trait self-control. These results suggest that real-life SCFs may result from deficient performance monitoring, leading to reduced recruitment of cognitive control after responses that conflict with superordinate goals.     

The effects of clinical supervision on supervisees and patients in cognitive behavioral therapy: a systematic review

Clinical supervision is a central part of psychotherapist training but the empirical support for specific supervision theories or features is unclear. The aims of this study were to systematically review the empirical research literature regarding the effects of clinical supervision on therapists’ competences and clinical outcomes within Cognitive Behavior Therapy (CBT). A comprehensive database search resulted in 4103 identified publications. Of these, 133 were scrutinized and in the end 5 studies were included in the review for data synthesis. The five studies were heterogeneous in scope and quality and only one provided firm empirical support for the positive effects of clinical supervision on therapists’ competence. The remaining four studies suffered from methodological weaknesses, but provided some preliminary support that clinical supervision may be beneficiary for novice therapists. No study could show benefits from supervision for patients. The research literature suggests that clinical supervision may have some potential effects on novice therapists’ competence compared to no supervision but the effects on clinical outcomes are still unclear. While bug-in-the-eye live supervision may be more effective than standard delayed supervision, the effects of specific supervision models or features are also unclear. There is a continued need for high-quality empirical studies on the effects of clinical supervision in psychotherapy.     

Apathy or alienation? Political passivity among youths across eight European Union countries

Abstract

Political participation is one of the most studied aspects of the contemporary development of western democracies. A recent trend focuses the lack of political participation among younger generations. At the same time, the last decades have also witnessed a growth in the share of young European Union (EU) citizens who express alienation, and distrust toward social and political institutions at the national as well as the European level. By studying young people across different countries of the EU, the current study aims to examine if youths’ political passivity is better explained by political apathy or alienation. Our analyses are based on a comparative survey data collected by the Catch-EyoU project comprising approximately 4 454 late adolescents assembled from eight member countries of the EU. Results from logistic regressions predicting non-voting from apathy and alienation support the idea that political passivity is best understood as the result of political apathy. Moreover, it seems that the underlying separator of apathetic and alienated youths is cognitive awareness of political life. These results are discussed in relation to potentially built-in paradoxes of apathy present in efficient and well-functional welfare-state democracies.     

Mindfulness-Based Stress Reduction for Coronary Artery Disease Patients: Potential Improvements in Mastery and Depressive Symptoms

Journal of Clinical Psychology in Medical Settings - Depressive symptoms after coronary events are associated with a worse prognosis. When changing the focus from psychopathology towards a...     

Remarks on “equivalent linear logistic test models” by Bechger,Verstralen, and Verhelst (2002)

This paper discusses a new form of specifying and normalizing a Linear Logistic Test Model (LLTM) as suggested by Bechger, Verstralen, and Verhelst (Psychometrika, 2002). It is shown that there are infinitely many ways to specify the same normalization. Moreover, the relationship between some of their results and equivalent previous results in the literature is clarified, and it is shown that the goals of estimating and testing a single element of the weight matrix, for which they propose new methods, can be reached by means of simple, well-known tools already implemented in published LLTM software.