Fokusbezogene psychodynamische Psychotherapie

The OPD-based diagnostics allows to formulate the psychodynamically significant aspects of the unconscious conflict, of the structural limitations and of the dysfunctional relational dispositions. Considering the relative weight of the conflict- and the structural dynamics we are able to differentiate three types of disturbances: the conflict type, the structural type and the miscellaneous type. For these three types of disturbances the therapeutic consequences for setting and therapeutic attitude, for the hierarchy of the foci, and the working through of dysfunctional relational dispositions and at last for the conflict- vs. structure-related interventions are discussed. The Heidelberger Umstrukturierungsskala enables us to the focus-related documentation and evaluation of the progress and the result of the therapy.     

Attitudes of Counselors and Disadvantaged Students Toward School Guidance

This study of attitudes toward school guidance indicated that a differential pattern of endorsement of attitude items exists between experienced counselors and Upward Bound participants. A statistically significant difference was discovered between counselors and Upward Bound participants in terms of median attitude endorsement. While this difference did not appear to be seriously discrepant in a qualitative sense, at least one-third of the Upward Bound participants held somewhat negative attitudes.     

Antecedentes y aparición de la Psicología del Procesamiento de Información: un estudio histórico

Resumen

El presente artículo recopila los grandes hitos asociados al surgimiento de la Psicología del Procesamiento de Información (principales autores, obras, instituciones, eventos científicos, etc.) en Gran Bretaña y Estados Unidos, países en donde este enfoque tiene su origen. Esto se hace a través de una perspectiva de análisis histórico que, remontándonos a los años veinte—y tras pasar revista a los acontecimientos más relevantes para la Historia de la Psicología acaecidos durante los años treinta, cuarenta y cincuenta—, nos conduce a 1958, fecha clave para el nacimiento y difusión de lo que hoy conocemos como Psicología del Procesamiento de Información.     

Relationship between sleep disturbance,depression and anxiety in the 12 months following a cardiac event

We aimed to assess the prevalence of sleep disturbance in a cardiac patient population over a 12-month period and assess its relationship with treatment adherence, self-efficacy, anxiety and depression. A total of 134 patients consecutively admitted to two Australian hospitals after acute myocardial infarction (31%), or to undergo bypass surgery (29%) or percutaneous coronary intervention (40%) were interviewed at six weeks and four and 12 months. Sleep disturbance was measured using a recode of the Beck Depression Inventory (v.2) item 16. Anxiety and depression were assessed by the Hospital Anxiety and Depression Scale. Sleep disturbance was highly prevalent (69%) at 6 weeks but was not associated with 12-month psychological outcomes. Path analysis revealed that sleep disturbance at 4 months was, however, associated with reduced treatment adherence and self-efficacy, and higher anxiety and depression scores at 12 months. The high prevalence of sleep disturbance in this study and its association with psychological outcomes may have adverse prognostic implications and possibly impede cardiac rehabilitation efforts.     

Cognitive behavioral weight-loss program for individuals with psychotic mental diseases

Overweight derived from the intake of new antipsychotic medication in order to treat schizophrenia is a growing problem. The main purpose of this study is to launch a cognitive behavioural program in outpatients. It is focused on the weight control of patients with chronic mental diseases, especially those diagnosed as psychotic, and who are under treatment in a Psychosocial Rehabilitation Centre. In this study, the results of an experimental group and a control group were compared. The experimental group was made up of 7 individuals, 3 males and 4 females, and the control group comprised 4 males and 4 females. The program had a duration of twelve sessions administered over a period of three months. Three months after concluding the program, both groups were followed up. The data obtained indicate the efficiency of the cognitive-behavioural treatment in the patients. The achievements of this project were, on the one hand, to significantly reduce the patients' weight and, on the other, to modify their nutritional and physical exercise habits.     

The Influence of Gender Identities on Body Image and Breast Health among Sexual Minority Women in Taiwan: Implications for Healthcare Practices

The present paper presents constructions of gender roles among Taiwanese sexual minority women with different gender identities (i.e., butch and femme, known as T and Po, respectively, in Taiwan) and associations between their views toward their own breasts and breast healthcare intentions and behaviour. A total of 37 face-to-face interviews were conducted among women aged 20 years or older who self-identified as lesbians or women who partnered with other women in four areas of Taiwan between August 2012 and October 2012. The majority of the T –identity lesbians held negative views toward their own breasts. The T-identified lesbians’ negative intentions toward breast cancer screenings were associated with their negative views toward their own breasts and body construction process. All Po-identified lesbians reported positive views toward their own breasts; these views facilitated positive breast healthcare intentions and behaviour. The study findings can be used to help healthcare providers in understanding the importance of providing competent cultural care to sexual minority women and to help policymakers in formulating suitable policy to meet women’s healthcare needs.     

The use of the MacAndrew Alcoholism Scale in detecting substance abuse and antisocial personality

We evaluated the hypothesis that characterological factors, particularly antisocial personality, influence scores on the MacAndrew Alcoholism Scale (MAC). Using the Washington University research criteria to establish diagnoses, the following subgroups were defined: subjects who received no psychiatric diagnoses; subjects who received diagnoses other than alcoholism, drug dependence, or antisocial personality; and subjects who received a diagnosis of alcoholism, drug dependence, and/or antisocial personality, alone or in combination with other psychiatric diagnoses. The highest MAC scores were obtained by subjects diagnosed as having antisocial personality without alcoholism or drug dependence and subjects diagnosed with antisocial personality, drug dependence, and alcoholism. Alcoholics without antisocial personality or drug dependence, and subjects with other psychiatric diagnoses scored lowest. Although higher MAC scores were obtained by males, MAC scores greater than 24 correctly classified the greatest number of males and females as alcoholic, drug dependent and/or antisocial. These findings are interpreted as consistent with MacAndrew's reinterpretation of the scale as assessing a dimension of personality, rather than solely a tendency to addiction.