Therapeutische Teams: Theorie—Empirie—Klinik (Therapeutic Teams: Theory—Research—Clinic)

Abstract

Internalized stigma has been suggested to play a major role in negative changes in identity in severe mental illness. Evidence suggests that roughly one-third of people with severe mental illness show elevated internalized stigma and that it is linked to compromised outcomes in both subjective and objective aspects of recovery. Despite substantial evidence for the impact of internalized stigma, few efforts have been made to develop professionally led treatment to address this issue. In this article, we discuss our development of a new group-based approach to the treatment of internalized stigma which we have termed “narrative enhancement and cognitive therapy (NECT)”. We describe the treatment approach and offer an illustration of it by way of a case vignette.     

C. G. Jung after ten years

Thoughts while driving on a quiet street … We were camping out in British Columbia in the most gorgeous campgrounds I'd ever seen. It was raining. We were the only campers around, as it was out of season. Driving up the coast from California to British Columbia, camping a little and staying in motels with our two children, had taken longer than we'd planned. Now, we were finally close to Victoria, and we chose to camp out instead of going to a motel. British Columbia gets a lot of rain. I realized that the lush beauty and greenery of the campgrounds were due to the rain, but it didn't occur to me that we would actually be rained upon. We were soaked by the downpour, ail of our packed clothes and bedding were very damp, and I quickly began to feel miserable.     

Political skill and emotional cue learning via voices: a training study

The ability to discern emotional expressive cues represents an important interpersonal emotional skill at the workplace. In a training study with 123 employee–peer dyads, we examined whether political skill enhances the learning of emotional expressive cues via voices. Controlling for the effects of extraversion and self‐monitoring, it was found that political skill was significantly related to the accurate recognition of emotions via voices after a training session. As predicted, other‐reported political skill was found to be a stronger predictor of such learning than self‐reported political skill. In addition, social astuteness and networking ability were the most predictive of emotional cue learning among the different dimensions of political skill. Implications and limitations are discussed.     

Are cognitive differences between countries diminishing? Evidence from TIMSS and PISA

Cognitive ability differences between countries can be large, with average IQs ranging from approximately 70 in sub-Saharan Africa to 105 in the countries of north-east Asia. A likely reason for the great magnitude of these differences is the Flynn effect, which massively raised average IQs in economically advanced countries during the 20th century. The present study tests the prediction that international IQ differences are diminishing again because substantial Flynn effects are now under way in the less developed “low-IQ countries” while intelligence is stagnating in the economically advanced “high-IQ countries.” The hypothesis is examined with two periodically administered scholastic assessment programs. TIMSS has tested 8th-grade students periodically between 1995 and 2011 in mathematics and science, and PISA has administered tests of mathematics, science and reading between 2000 and 2009. In both TIMSS and PISA, low-scoring countries tend to show a rising trend relative to higher-scoring countries. Despite the short time series of only 9 and 16 years, the results indicate that differences between high-scoring and low-scoring countries are diminishing on these scholastic achievement tests. The results support the prediction that through a combination of substantial Flynn effects in low-scoring countries and diminished (or even negative) Flynn effects in high-scoring countries, cognitive differences between countries are getting smaller on a worldwide scale.     

Meta-analysis of CBT for Bulimia Nervosa: Investigating the Effects Using DSM-III-R and DSM-IV Criteria

This meta-analysis reports the effects of cognitive-behavioural treatment (CBT) on bulimia nervosa as defined by the DSM-III-R or DSM-IV criteria. In a previous meta-analysis, 26 studies were included using less strict diagnostic criteria for inclusion. The present meta-analysis only included randomized controlled studies fulfilling the DSM-III-R or DSM-IV criteria. Computer searches in MedLine, PsychLIT and references cited herein resulted in a large number articles, of which only seven fulfilled the criteria for inclusion. Effect sizes for binge eating and purging frequency were estimated using both between-group (treatment vs control) and within-group (pre- vs post-treatment) comparisons. The combined within-group effect size for binge eating was r = 0.55 ( d = 1.32) and for purging r = 0.61 ( d = 1.54). The corresponding combined effects for the between-group comparisons were r = 0.23 ( d = 0.47) and r = 0.28 ( d = 0.58), respectively. The combined probabilities for frequency of purging in between- and within-group comparisons were p = 0.00001 and p = 0.00000001, respectively. Although the number of studies included in the meta-analysis was limited, the obtained results are in line with the findings of the previous meta-analysis, and support the efficacy of CBT for the treatment of bulimia nervosa. This suggestion is also supported by the fact that in all the studies except one, comparison groups had received other active treatments.     

Last issue of SJBT

Abstract

A system providing prompts (verbal encouragement) at prearranged time intervals was used with a woman with total blindness and profound intellectual disability who had discontinuous performance. The woman was to transport objects from one end of a corridor to the other (a space in which orientation was not a problem) and then assemble them. Data indicated that there was a clear increase in the number of objects transported and assembled in the sessions with the prompting system. Implications of the findings are discussed.     

Do they know how hard I work? Investigating how implicit/explicit achievement orientation,reputation, and political skill affect occupational status

Researchers have yet to precisely test the Socioanalytic proposition that social skill moderates the personality identity–personality reputation relationship. Further, although research has found personality to have both explicit and implicit aspects, scholars have not examined these differences with respect to the Socioanalytic perspective on personality. The present study investigates how explicit and implicit achievement orientation identities relate to one’s reputation for that trait in the workplace and to career success, as measured by occupational status. We propose that explicit and implicit achievement orientation, political skill and their interplay positively relate to reputation of achievement orientation at work, which, in turn, is positively related to occupational status. We found that (1) both explicit and implicit achievement orientation were positively associated with its reputation, as rated by co-workers; (2) reputation mediated both relations between implicit/explicit achievement orientation and occupational status and (3) heightened political skill strengthened the relationship between explicit achievement orientation and its reputation, as well as its indirect effect on occupational status via reputation (first stage moderated mediation). Our research provides a potential explanation for why observer ratings of personality are more strongly associated with outcomes than self-ratings: Observers perceive both implicit and explicit personality behaviours.     

Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: a systematic review and meta-analysis of randomized controlled trials

Anxiety and depressive disorders are often comorbid. Transdiagnostic and tailored treatments seem to be promising approaches in dealing with comorbidity. Although several primary studies have examined the effects of Internet-delivered cognitive behavior therapy (iCBT) for anxiety and depression, no meta-analysis including different types of iCBT that address comorbidity has been conducted so far. We conducted systematic searches in databases up to 1 July 2016. Only randomized trials comparing transdiagnostic/tailored iCBT for adult anxiety and/or depression with control groups were included. Nineteen randomized trials with a total of 2952 participants that met inclusion criteria were analyzed. The quality of the studies was high, however the blinding criteria were not fulfilled. The uncontrolled effect size (Hedges’ g) of transdiagnostic/tailored iCBT on anxiety and depression outcomes was large and medium for quality of life. The controlled effect size for iCBT on anxiety and depression outcomes was medium to large (anxiety: g = .82, 95% CI: .58–1.05, depression: g = .79, 95% CI: .59–1.00) and medium on quality of life (g = .56, 95% CI: .37–.73). Heterogeneity was small (quality of life) to moderate (anxiety, depression). There was a large effect on generic outcome measures and a moderate effect on comorbidities. When compared to disorder-specific treatments there were no differences on anxiety and quality of life outcomes, however there were differences in depression outcomes. Transdiagnostic and tailored iCBT are effective interventions for anxiety disorders and depression. Future studies should investigate mechanisms of change and develop outcome measures for these interventions.     

Philosophy of Science Between the Natural Sciences,the Social Sciences,and the Humanities: Introduction

This introduction provides a detailed summary of all papers of the special issue on the second conference of the German Society for Philosophy of Science: GWP.2016.