Sexueller Sadismus und Sexualkriminalität

The categorization of sadism has turned out to be a versatile phenomenon, which covers a spectrum from harmless symbolic rituals to extremely violent acts where strong impulses or prolonged fantasies and rituals are involved. As the phenomenon is versatile its causes and appearances vary as well, although so-called BDSM (bondage & discipline & dominance & submission & sadism & masochism) practitioners and persons with severe sadism in a forensic context share only few common preferences. Based on own clinical experiences with sadism in forensic patients the authors support the proposed revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) especially the diagnostic disjuncture of sadism and masochism. Sexual sadism appears more frequently in forensic contexts in combination with sadistic, antisocial and borderline personality disorders but rarely with masochism. Masochism is otherwise reported to be more prevalent in patients of general psychiatry, however, combined with depression or dependent personality traits rather than with sadism. Moreover, the authors believe that if use of the diagnostic term sadism is perpetuated the establishment of the proposed new diagnosis “paraphilic coercive disorder” is unnecessary. The diagnostic term is also important for treatment and assessment. Despite the lack of reliable long-term studies with larger samples, it is reasonable to assume that medication, sometimes even anti-androgenic treatment, can be indicated in patients with severe sadism.     

Psychotherapie und Internet

The Internet plays an important role in healthcare. Approximately two thirds of Internet users search the medium for, e.g. personal questions of health, including aspects of mental health. In countless discussion forums or blogs mentally stressed people discuss their problems and search for contact to other affected individuals but also to professional helpers. In this article an attempt is made to systematize the interface between Internet and psychotherapy in the narrower and broader sense. In particular five topics and problem areas will be dealt with: (1) as information medium Internet delivers an immense number of resources on mental disorders, which raises the problem of quality assurance. (2) As a communication medium it can provide support for therapeutic interventions. Psychological online counseling has now been proven to be effective. (3) Internet alters the traditional therapeutic relationship in one way or another. In particular e-mail communications supplement a face-to-face treatment. (4) Use of the Internet also brings along clinically relevant problems and because of this patients visit psychotherapeutic practices increasingly more often. (5) Internet can be fruitful for psychotherapy research.     

Misperception of sleep can adversely affect daytime functioning in insomnia

This experiment was designed to investigate the relationship between subjective perception of sleep and daytime processes in primary insomnia. Twenty-two individuals with primary insomnia received positive or negative feedback about their sleep, immediately on waking, on three consecutive mornings. The positive feedback was that last night's sleep was good quality. The negative feedback was that last night's sleep was poor quality. Objective sleep on each of the three nights was estimated by actigraphy and did not differ across the three nights or the two feedback conditions. Negative feedback (based on 32 nights of data) was associated with more negative thoughts, sleepiness, monitoring for sleep-related threat, and safety behaviours during the day, relative to positive feedback (based on 34 nights of data). These results indicate that the impaired daytime functioning reported by insomnia patients is maintained, at least in part, by subjective perception of sleep.     

Partizipationsverhalten schizophren erkrankter Patienten in Psychoedukationsgruppen

Background

The effectiveness of psychoeducation groups for people with schizophrenia is well documented; however, there are no studies which examined patient participation behavior although this behavior might be critical for accomplishment of the therapeutic goals. This article presents newly developed 4-point Likert scale, the participation quality rating scale (PQRS), together with initial results on practicability, validity, change sensitivity, sociodemographic and clinical correlates and on the question whether participation quality might be a significant predictor of the short and long-term outcome of psychoeducation.

Patient and methods

Within the framework of the Munich Study “Cognitive Determinants of Psychoeducation and Information in Schizophrenic Psychoses” (COGPIP) the individual participation behavior of 97 patients with schizophrenia was examined after each psychoeducational group session (4 weeks). Individual mean PQRS scores were correlated with sociodemographic, anamnestic and clinical variables. In addition to change sensitivity the ability of the scale to predict the acquisition of illness knowledge during psychoeducation was examined as well as readmission during a 9-month follow-up period and the psychopathological endpoint (positive and negative syndrome scale, PANSS).

Results

Practicability and change sensitivity of the PQRS were found to be sufficient. Significant correlations with independently rated illness insight and medication compliance indicated a construct validity of the scale. Higher age, female sex and less pronounced psychopathological symptoms (PANSS) were associated with better participation behavior. Even patients with clearly impaired participation behavior profited from psychoeducation in that they were able to catch up with the delay with regard to illness knowledge. However, the PQRS was not a predictor of readmission during the 9-month follow-up period or of psychopathological endpoints.

Conclusions

The PQRS is qualified as a new tool for the standardized assessment of participation behavior in people with schizophrenia attending psychoeducation groups. The scale can be applied in research as well as clinical contexts in order to further improve understanding of how psychoeducation works and how this kind of supplementary therapy could become even more effective.     

Internal representation of visual texture as the basis for the judgment of similarity

The relationship between Fourier spectra of visual textures (represented both by the actual frequency components and by the response of four hypothetical channels selectively sensitive to spatial frequency) and the perceptual appearance of the textures was investigated. Thirty textures were synthesized by combining seven spatial frequencies whose amplitudes were randomly chosen and then scaled to give an overall contrast of .9. Similarity judgments were collected using both the method of triadic comparison (two subjects, 4,060 trials each) and the method of paired comparison (six subjects, 435 trials each). The similarity judgments were subjected to MDSCAL and INDSCAL dimensions were found to be optimally oriented in terms of spatial frequency information without rotation. The seven spatial frequency components accounted for 90.6% of the variance in the 3-D INDSCAL space, while the four channels accounted for 91.8% of the variance in the first two dimensions. The data further suggest that the four channels may interact in an opponent process manner. The results support the idea that the visual internal representation of stimuli is based on spatial frequency analysis rather than feature extraction.     

Gender Role of Male Therapists in Both Professional and Personal Life

This study's purpose was to extend the distantresearch on gender roles. The specific objective was tobetter understand the gender role of male psychologists.It was hypothesized that male psychologists would exhibit an androgynous gender role.Gender role styles in professional work and in thepersonal realm were assessed. Questionnaire packets weremailed to 300 male clinical psychologists affiliated with the American Psychological Associationacross six regions within the United States. Sixty ofthe 61 participants reported being Caucasian and 1reported being Native American. Being that the sample was that of practicing psychologists, all withdoctorate degrees, the social class is presumed to be atleast upper middle class. The packets contained ademographics questionnaire and two Personal Attributes Questionnaires. Results suggest that malepsychologists do exhibit an androgynous gender role inboth professional and personal realms. A great deal ofthe prior literature indicates that androgynoustherapists have more adaptive communication skills and arebetter at assessing and treating their clients. Thisresult is therefore advantageous to therapeuticoutcomes.     

Argument Quality and Cultural Difference

Central to argumentation theory is a concern with normativity. Argumentation theorists are concerned, among other things, with explaining why some arguments are good (or at least better than others) in the sense that a given argument provides reasons for embracing its conclusion which are such that a fair- minded appraisal of the argument yields the judgment that the conclusion ought to be accepted -- is worthy of acceptance -- by all who so appraise it.This conception of argument quality presupposes that the goodness of arguments is characterizable in terms of features of the argument itself. It makes no reference either to the attributes of the persons appraising the argument and judging its normative force, or to the context in which that appraisal is carried out. But recent work by a wide range of philosophers, argumentation theorists, and social theorists rejects such an abstract, impersonal notion of argument goodness. Instead, these theorists insist upon taking seriously, in the evaluation of arguments, the features of the evaluators themselves. In particular, such theorists emphasize the importance of cultural difference in argument appraisal. Often locating themselves under the banner of multiculturalism, they argue that the quality of an argument depends upon culturally-specific beliefs, values, and presuppositions; that an argument may be of high quality in one cultural context but of low quality in another. Consequently, they contend, no abstract, impersonal characterization of argument quality can succeed.In this paper I consider this multiculturalist approach to argument quality. I argue that while there is much merit in the general multiculturalist perspective, the multiculturalist argument against impersonal conceptions of argument quality fails. It fails for several reasons detailed below; most fundamentally, it fails because it itself presupposes just the kind of impersonal account of argument quality it seeks to reject. I call this presupposition that of transcultural normative reach. I identify this presupposition in the multiculturalist argument, and show how it undercuts the multiculturalist challenge to abstract, impersonal, transcultural conceptions of argument quality. I conclude with an evaluation of the strengths, and weaknesses, of the multiculturalist challenge to such conceptions of argument quality.