Das ABC der farbigen Außenarchitektur

Ohne Zusammenfassung     

Positive procedures and generalized self-choking

In two studies, self-choking by a middle-aged man with mental retardation was controlled both directly and indirectly by positive procedures. In the first study, paced eating procedures were employed to control postmealtime rumination. The frequency of generalized self-choking increased from periods where meals were paced to periods in which meals were not paced and vice versa. In the second study, redirection of self-choking and reinforcement for responses other than self-choking (DRO) reduced the frequency of self-choking, with the procedures applied successively to a number of different environments, trainers, distances from the client, and DRO parameters. These procedures related to a substantial reduction in generalized self-choking measured in other environments at other times.     

Wie können Langzeittherapien mit kürzeren Behandlungen verglichen werden?

Long-term psychotherapy is not recommended in the current guidelines, which are based on the criteria of evidence-based medicine, as there is a lack of confirmation for long-term psychotherapy by efficacy studies. Using the example of psychoanalytic long-term psychotherapy this article describes six dilemmas which impede the realization of efficacy studies for long-term psychotherapy. Finally, basic elements of a study design are proposed, which are considered as being adequate to compare (psychoanalytic) long-term psychotherapy with shorter treatment forms in terms of outcome and cost-effectiveness. The anxiety and personality disorders (APD) study is briefly described as an example of a study realizing the proposed design.     

Kooperatives Lernen auf der Grundlage komplementären Vorwissens: ein Experiment und eine Simulationsstudie

Summary. Knowledge acquisition in collaborative problem solving is mainly realized by two activities: (1) when participants mutually impart their knowledge and (2) when they elaborate their knowledge together. Both activities are favoured by differences in the participants' prior knowledge. To support this thesis, an experimental study and a cognitive simulation are described. In the study, pairs of students were systematically taught complementary knowledge about qualitative resp. quantitative aspects of classical mechanics. During the subsequent collaborative problem solving the students successfully exchanged information about their complementary knowledge. Students who had been taught knowledge about qualitative aspects of physics gained more from their partners than students who had been taught knowledge about quantitative aspects. A cognitive model simulates problem solving and learning under the conditions set up in the study. In a simulation study based on the cognitive model it was possible to reconstruct the main results of the experimental study. Finally, the role of dialogue analysis and external representations are discussed and conclusions for the design of computer systems supporting collaborative problem solving are drawn. Zusammenfassung. Wissenserwerb bei der Kooperation vollzieht sich vor allem durch zwei Aktivitäten: (1) gegenseitige Wissensvermittlung und (2) gemeinsame Elaboration des Wissens. Für beides ist unterschiedliches Vorwissen der Beteiligten eine günstige Voraussetzung. Um diese These zu unterstützen, wird im vorliegenden Artikel eine experimentelle Studie dargestellt, in der Paaren von Schülerinnen systematisch komplementäres Vorwissen über qualitative bzw. quantitative Aspekte der klassischen Mechanik vermittelt wurde. Beim anschließenden kooperativen Problemlösen vermittelten die Schülerinnen sich gegenseitig erfolgreich Teile ihres Wissens. Schülerinnen, die zuvor Wissen über qualitative Aspekte der Physik erworben hatten, lernten dabei mehr von ihren Partnerinnen als Schülerinnen, die zuvor Wissen über quantitative Aspekte erworben hatten. Ein nachfolgend implementiertes kognitives Modell simuliert kooperatives Lernen und Problemlösen unter den Bedingungen der Studie und ist in der Lage, die zentralen Befunde der Studie zu rekonstruieren. In der Diskussion wird auf die Rolle des Dialogverhaltens und der Nutzung externer Repräsentationen für das kooperative Lernen und Problemlösen eingegangen. Abschließend werden Schlußfolgerungen für die Gestaltung von Computersystemen zur Unterstützung kooperativen Lernens und Problemlösens gezogen.     

Krankheitsbewältigung und Überlebenszeit bei Krebskranken

Although a considerable number of studies have addressed the question whether cancer patients’ coping with the disease is a predictor of survival, this issue is still controversely discussed. In the present paper, the previous research on the relationship between coping and survival is reviewed. Whereas some evidence has been produced that active coping is linked with longer survival, results regarding the significance of denial proved inconclusive. However, some researchers demonstrated that emotional distress was predictive of shorter survival, while still others found that the expression of distress predicted a better outcome. Thus, the available data are inconclusive. Moreover, most studies suffered from methodological limitations such as retrospective design, multiple testings, small sample size, heterogeneous sample constitution, unproven assessment instruments, inadequate control for biological prognostic factors, and inadequate statistical analysis. The results of a hypotheses-guided, prospective study with 103 lung cancer patients are presented. Patients were assessed before primary treatment began (inception cohort), using both self-reports and interviewer ratings. After a follow-up of 7 to 8 years, the interviewer rating of active coping predicted a longer survival, and both self and interviewer ratings of depressive coping were predictive of a shorter survival, when entered as continuous variables into a Cox regression model adjusting for biomedical risk factors such as tumor stage, histological classification and Karnofsky performance status. Among the possible mechanisms explaining this relationship are the reactions of the patients to the physical burden of cancer that might be better reflected in subjective measures such as the well-being and quality of life ratings compared with the cruder biomedical classifications, as well as psychoneuroimmunological pathways which, however, to a substantial part remain hypothetical by now, and the compliance with treatment. Further research must engage in experimental studies to clarify the causal relation between coping and survival among patients with cancer.     

Left anterior lobectomy and category-specific naming

Damasio and colleagues (1996) have proposed that the left anterior temporal region supports knowledge pertaining to living objects, whereas more posterior temporal regions play a critical role in naming nonliving things. Accordingly, one might expect that left-sided anterior temporal lobectomy should have a more profound effect on the naming of living as opposed to nonliving things. As part of a multicenter collaborative project, seventy-nine patients (all left-hemisphere speech dominant) were tested pre- and post-left-temporal lobectomy on a task that required naming of living and nonliving items equated for name frequency, familiarity, and visual complexity. Consistent with the proposals of Damasio et al. (1996), left temporal lobectomy impaired naming ability, particularly for living things. When individual outcomes were considered, twice as many patients showed a relative decline in naming living as opposed to nonliving things.     

Psychosocial and organic variables as predictors of lung cancer,cardiac infarct and apoplexy: Some differential predictors

In a longitudinal study started in 1965 in Crvenka (Yugoslavia), a number of psychosocial and organic variables were measured in 1353 Ss and related to the incidence of cancer, circulatory and other diseases in the subsequent 10-yr period by multivariate statistical methods. The present article reports on an attempt at differential prediction of lung cancer and cardiac infarct or apoplexy, which were selected because smoking is usually held to be a common risk factor for them. In a discriminant analysis (minimizing the overall classification error), 86–87% of the lung cancer and infarct/apoplexy cases could be predicted correctly, as well as 97% of the cases showing neither of the diseases. Some psychosocial variables like rationality and anti-emotionality or long-lasting hopelessness were about as relevant as the strongest organic predictors like level and variability of blood cholesterol.