Die Therapeutenrotation

For seven years, the so-called “rotation of therapists”, has been a central part of OLITA, the outpatient longterm intensive therapy for alcoholics. Thus far, the participation of several equally responsible therapists in the treatment of a patient has rarely been seen as a defined therapeutic approach. The present work discusses whether the “rotation of therapists” has any essential influence on the success of OLITA. It considers both, potential advantages and disadvantages for patients and therapists and tries to identify conditions under which this approach appears to promote therapeutic interactions. Following an overview of the present knowledge regarding the therapeutic interaction in addiction therapy, a method is described which may be seen as the precedent of the “rotation of therapists”, the multiple psychotherapy. Finally, the practical procedure in OLITA is outlined as well as its theoretical background. New areas of application for the “rotation of therapists” are discussed.     

Stressful events compromise control strivings during a major life transition

Prior research on stressful events has largely ignored their potential impact on motivational processes. This study prospectively examined the association of a stressful event with control strivings in the school-to-work transition. Five waves of data on stressful events, control strategies, and potential mediating variables were collected from an adolescent sample in Berlin (N = 420) during the year before high school graduation. The occurrence of a stressful event (death of family member, parent divorce) predicted a decline in general career-related and specific apprenticeship-related control strivings. This association was mediated by a decline in control-related means-ends beliefs. Proximity to the deadline of graduation exacerbated this association for apprenticeship-seeking control strivings, but this effect was buffered by usage of selective secondary control strategies (cognitive strategies to enhance commitment to a goal). Thus, stressful events can exacerbate challenges and require additional means of control striving.

Virtual reality for the psychophysiological assessment of phobic fear: responses during virtual tunnel driving

An overall assessment of phobic fear requires not only a verbal self-report of fear but also an assessment of behavioral and physiological responses. Virtual reality can be used to simulate realistic (phobic) situations and therefore should be useful for inducing emotions in a controlled, standardized way. Verbal and physiological fear reactions were examined in 15 highly tunnel-fearful and 15 matched control participants in 3 virtual driving scenarios: an open environment, a partially open tunnel (gallery), and a closed tunnel. Highly tunnel-fearful participants were characterized by elevated fear responses specifically during tunnel drives as reflected in verbal fear ratings, heart rate reactions, and startle responses. Heart rate and fear ratings differentiated highly tunnel-fearful from control participants with an accuracy of 88% and 93%, respectively. Results indicate that virtual environments are valuable tools for the assessment of fear reactions and should be used in future experimental research.     

Sind die mathematifchen Urteile analytifch oder synthetifch?

Ohne Zusammenfassung