Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial

The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consisted of 10 weekly 60 min sessions. The TRT treatment consisted of one 150 min session, one 30 min follow-up and continued daily use of wearable sound generators for a recommended period of at least 8 h/day for 18 months. Assessments were made at baseline, 10 weeks, 6 months and 18 months. At 10 weeks, results showed a superior effect of ACT in comparison with the WLC regarding tinnitus impact (Cohen’s d = 1.04), problems with sleep and anxiety. The results were mediated by tinnitus acceptance. A comparison between the active treatments, including all assessment points, revealed significant differences in favour of ACT regarding tinnitus impact (Cohen’s d = 0.75) and problems with sleep. At 6 months, reliable improvement on the main outcome measure was found for 54.5% in the ACT condition and 20% in the TRT condition. The results suggest that ACT can reduce tinnitus distress and impact in a group of normal hearing tinnitus patients.     

Age-relevance of person characteristics: persons' beliefs about developmental change across the lifespan

The authors investigated normative beliefs about personality development. Young, middle-aged, and older adults indicated the age-relevance of 835 French adjectives by specifying person characteristics as typical for any age decade from 0 to 99 years. With this paradigm, the authors determined age-relevance (How typical is a characteristic for a given age decade?). Most characteristics were ascribed to young adulthood. The pattern differed across the lifespan, however, for positive and negative person characteristics as well as for physical, cognitive, and personal/expressive characteristics. Whereas the total number of ascribed positive characteristics peaked in young adulthood and declined thereafter, the number of ascribed negative person characteristics peaked during adolescence, remained fairly low during middle adulthood, and increased slightly in old age (70+ years). As a consequence, the most positive profile was ascribed to young olds (60 to 69 years), whereas the most negative personality profiles were ascribed to the oldest age groups (70+ years) and to adolescence (10 to 19 years). The negative profiles are primarily due to more negative physical characteristics ascribed to older adults and more negative cognitive characteristics ascribed to adolescence.     

Culture and Development of Self-Regulation

In the present paper, I aim to both contribute to a culture-based theory of self-regulation and clarify some mutually constitutive functions of psychological and sociocultural phenomena. I examine the relations between self and culture and the role of these relations in the development of self-regulation. Self-regulation is based on the intention to modify internal processes and behavior to reach one's goals. Because the development of self-regulation is embedded in a cultural context that gives priority to a specific model of agency, processes of self-regulation are assumed to differ cross-culturally. First, I give a brief overview on self-regulation research. Further, I discuss the contribution of a culture-informed perspective to the study of self-regulation and its development, taking into account interpersonal self-regulation. Finally, I present a 'Cultural Model of Agency and Self-Regulation,' which suggests how to link culture and individual agency.     

Children's and Adults' Understanding of the Feeling Experience of Courage

Children's and adults' feeling experience of courage was investigated using an interview technique for younger children and an open-ended questionnaire method for adolescents and adults. There were 80 subjects in four age groups, 6, 9, 14 years, and adults, with 20 subjects and equal numbers of males and females per age group. Six-year-olds described courage in terms of an internal state corresponding to behaviour, whereas with increasing age courage was described as a multifaceted internal state experience, centring on fear and overcoming fear. Increasingly with age, subjects believed that control over the complex experience of courage could be gained by psychological strategies, such as concentrating on one's abilities and allowing all one's feelings and thoughts. Child age groups viewed courageous activity in terms of physical risk-taking but older subjects focused on psychological risk-taking. Results are interpreted in terms of an increasingly mentalistic understanding of courage.     

A support group for couples who have terminated a pregnancy after prenatal diagnosis: Recurrent themes and observations

Genetic Counselors are increasingly becoming involved in organizing and facilitating support groups for couples who have terminated a pregnancy because of an abnormal fetal diagnosis. This paper discusses recurrent themes which have emerged in the FATE (Feelings After the Termination Experience) support group which was founded in New Jersey in 1990. By becoming familiar with the issues we have observed in our support group, genetic counselors should be better able to understand and empathize with their patients who make the decision to terminate a much wanted pregnancy. They may also feel better prepared to become involved in organizing and facilitating such support groups.     

The Development of Communicative Competence of Securely and Insecurely Attached Children in Interactions with Their Mothers

Coordinated interpersonal timing in preverbal mother-child interactions is assumed to be one fundamental feature of interpersonal relatedness and the basis for parent-child bonding. The ubiquity of and early evidence for this phenomenon in ontogeny hint at its biological prewiredness and relevance for development. The quality of interpersonal timing in early preverbal parent-child interactions was hypothesized (and partially shown) to predict quality of attachment, level of cognitive functioning, and patterns of language acquisition. The aim of this study was to investigate the assumption of a facilitating effect of adequate interpersonal coordination (measured by quality of attachment) on the development of verbal communicative competence in children during the first stages of language development. On the basis of longitudinal data for 25 mother-child dyads, videotaped when the children were 17, 23, 30, and 36 months old in a free play and a short separation situation, it was investigated whether securely and insecurely attached children differ with respect to the amount of verbal contributions, their realization as alternating or simultaneous utterances, and the duration of intra-turn and inter-turn pauses. The results show that attachment was related to children's use of communicative competence especially in stressful situations, its development being paced by the age or maturation of the child.     

Allgemeinpsychologische Untersuchungen zum Vigilanzverhalten

Zusammenfassung Mit Hilfe eines 2×2×2-Designs wurde die Wirkung der Anzahl der Signalflächen, Anzahl der irrelevanten Reize und Art der Motivation auf die Vigilanzleistung untersucht. Dabei zeigte sich, daß die Wahrscheinlichkeiten von verpaßten Signalen und falschen Alarmen mit der Anzahl der Signalquellen zunehmen. Die Menge der Nicht-Signale gleicher Modalität wie die Signalreize beeinflußt weder die Signalentdeckungen noch die falschen Alarme.Weiterhin wurde versucht, eine Systematisierung von Motivationswirkungen in Vigilanzaufgaben im Rahmen des detection-Modells vorzunehmen. Bei großen Gewinnen für richtige Signalentdeckungen und geringen Verlusten für falsche Alarme (Risiko-Motivation) ergab sich eine wesentlich höhere Entdeckungswahrscheinlichkeit und eine geringfügig höhere Rate von falschen Alarmen als bei geringen Gewinnen für richtige Signalentdeckungen und hohen Kosten für falsche Alarme (Vorsichts-Motivation). Weiterhin zeigte sich unter Risiko-Motivation ein Abfall der Entdeckungswahrscheinlichkeit und bei Vorsichts-Motivation ein Anstieg, während sich die entsprechenden Raten der falschen Alarme im Verlauf der Aufgabe nicht signifikant veränderten.

---

Experimental application of detection theory to vigilance behaviour

Summary In a 2×2×2-design the effects of number of dials, number of irrelevant stimuli and kind of motivation were combined. It was found out, that probabilities of missed signals and false alarms increased with spatial uncertainty. The number of irrelevant stimuli, which were of equal sensory modality as the relevant stimuli, had no influence either on detection probability or on false alarms rate.Further attempt was made to systematize effects of motivation on vigilance performance in the detection model. With great values for hits and small costs for false alarms (risky motivation) there was an essentially higher detection pobability and a slightly higher false alarms rate than with small values for hits and high costs for false detections (cautious motivation). The probabilities of detections decreased under risky motivation and increased under cautious motivation as the watch prolonged, whereas the corresponding probabilities of false alarms showed no significant changes.

---

---

Teil I der Dissertation, die im Januar 1969 der Philosophischen Fakultät der Freien Universität Berlin vorgelegt wurde.     

FORMS AND THEIR STRUCTURIZING POWER IN PSYCHOSIS

The author has developed a dynamic approach to psychosis, based on the dialectics of forms. In the case of a borderline patient, it was possible to integrate an hysterical hallucination with the aid of the structurizing power of the mirror.