The cognitive therapy of evaluation: Therapeutic techniques-[2]

The main aim of this paper is to introduce the techniques used in cognitive therapy of evaluation. The Cognitive therapy of evaluation is being developed from the theoretical background of general semantics theory and it is a therapy based on language as an instrument of cognitive processes, and on the role it plays, through word-facts identification, in the development and treatment of emotional problems. The main techniques developed (abstraction orders and the extensional devices) and other therapeutic issues are introduced and explained.     

The long past and the short history of social psychology

In 1908 Ebbinghaus distinguished between the long past and the short history of psychology. The short history dated from 1879 when Wundt established a psychological laboratory at Leipzig. The long past concerns the time when psychology was a branch of philosophy. Implicit in such a break with the past is a positivist philosophy of science. I show how this philosophy of science distorts the historical record. I then analyse the history of social psychology. Unwittingly Lindzey and Aronson (1985) distinguish between the long past of social psychology as part of the Western intellectual tradition and its short history as an experimental science that is mainly American. Murchison's Handbook of Social Psychology (1935), whilst marking the boundary between the long past and the short history, belongs to the long past. The break with tradition came in 1954, when Lindzey published the first Handbook in the modern series. There is a self-conscious need, in the post World War II era, to train a whole new generation of social psychologists. The Lindzey series of Handbooks meets that need. The ‘progress’ of modern social psychology is now measured in terms of its distance from the Murchison milestone of 1935.     

Heider,Harré and Herzlich on health and illness: Some observations on the structure of ‘représentations collectives’

Heider's notions of attribution are presented as a theoretical underpinning for the empirical findings of Herzlich concerning health and illness. Her methodology is treated as a good example of the ‘new’ methods advocated by Harré and Secord: - the collection of naive unnegotiated accounts. It is suggested that the potential for attributional artifacts is present when an investigator invites laymen to discuss issues which have favourable as well as issues which have unfavourable outcomes and then accepts their ‘accounts’ at face value. Favourable outcomes tend to be attributed to the self and unfavourable to the environment. The self is seen as the source of health and the environment as the source of illness. Evidence, from other areas of research, supporting this interpretation is presented. In conclusion it is argued that Herzlich's data more neatly exemplify the structure of Lewin's Psychological life-space than they do that of Durkheim's ‘représentations collectives’.     

Dominance bonding through the good old boys sociability group

Informed and illustrated by observational and interview data on two sample groups, a model of one particular form of male social groups was elaborated. Because of the characteristics of its members and its operating principle, the ideal type was labeled the Good Old Boys Sociability (GOBS) group. Members of GOBS groups share successful class and gender histories, and plan and engage in events that reflect dimensions of masculine play learned in boyhood. The GOBS group was found to perpetuate masculine identity and male privilege through dominance bonding, i.e., a process of collective alliance in which members affirm and reaffirm their superiority.     

Neurobiological and endocrine correlates of individual differences in spatial learning ability

The polysialylated neural cell adhesion molecule (PSA-NCAM) has been implicated in activity-dependent synaptic remodeling and memory formation. Here, we questioned whether training-induced modulation of PSA-NCAM expression might be related to individual differences in spatial learning abilities. At 12 h posttraining, immunohistochemical analyses revealed a learning-induced up-regulation of PSA-NCAM in the hippocampal dentate gyrus that was related to the spatial learning abilities displayed by rats during training. Specifically, a positive correlation was found between latency to find the platform and subsequent activated PSA levels, indicating that greater induction of polysialylation was observed in rats with the slower acquisition curve. At posttraining times when no learning-associated activation of PSA was observed, no such correlation was found. Further experiments revealed that performance in the massed water maze training is related to a pattern of spatial learning and memory abilities, and to learning-related glucocorticoid responsiveness. Taken together, our findings suggest that the learning-related neural circuits of fast learners are better suited to solving the water maze task than those of slow learners, the latter relying more on structural reorganization to form memory, rather than the relatively economic mechanism of altering synaptic efficacy that is likely used by the former.     

Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS.

Numerous studies have linked social support to better medication adherence among illness groups, but few have examined potential mechanisms for this relationship. Relationships were examined between social support, depression, positive states of mind (PSOM), and medication adherence among HIV positive men who have sex with men (n = 61) and women (n = 29) on highly active antiretroviral therapy. Depression and PSOM were evaluated as potential mediators of the relationship between support and adherence. Cross-sectional data showed that greater social support and PSOM related to better adherence whereas higher depression scores related to nonadherence. PSOM partially mediated the relationship between social support and adherence. PSOM may be an important mechanism through which social support is related to better medication adherence in this population.     

Patienten- und Elternzufriedenheit bei intensiver,klinikvernetzter Zu-Hause-Behandlung

Background

Due to the increasing importance of effective, patient-oriented treatment options for mentally ill children and adolescents, new alternatives to established inpatient and outpatient care in child and adolescent psychiatry have to be found. Intensive cross-sectoral treatment settings may be an alternative but have not yet been evaluated or implemented in routine care.

Aim

The objective of this randomized study was to compare and assess satisfaction with a new model of care within the underlying BeZuHG (“behandelt zu Hause gesund werden”, treated at home become healthy) study with regular inpatient care (TAU). Patients in BeZuHG received early discharge from inpatient care followed by 3 months of intensive home treatment enhanced by clinical elements.

Material and methods

Youths and parents were asked to fill in a patient satisfaction questionnaire (BesT) at completion of treatment. Participants in the study were evaluated between April 2012 and January 2013.

Results

Neither BeZuHG nor inpatient care was clearly superior. Youths in the control group stated a higher satisfaction with the overall treatment than youths in the BeZuHG group (p?=?0.031), while youths in the BeZuHG group named a significantly higher satisfaction with the home treatment component than with the inpatient component of treatment (p?=?0.007).

Conclusion

Patient satisfaction could be shown for inpatient and BeZuHG treatment at discharge. Data may change at follow-up. A long-term follow-up should be implemented to confirm these results or to allow other conclusions.     

The effects of metabolic stress and vagotomy on emotional learning in an animal model of anxiety

The aim of the present study is to evaluate the role of the blood glucose (BG) level in emotional learning in the elevated plus maze (EPM), an animal model of anxiety. In Experiment 1, male Wistar rats were submitted to different EPM trial lengths (1- or 5-min). Blood samples were withdrawn before and after the maze exploration, through a polyethylene cannula chronically implanted into the jugular vein. In Experiment 2, the animals received either saline or 2-deoxy-D-glucose, a glucoprivic drug (2-DG, 250 or 500 mg kg(-1)) by i.p. route, 30 min before a 5-min EPM exposure and were retested in the maze (Trial1/Trial2 EPM procedure) 24 h later. In an independent group of rats, blood samples were withdrawn 0, 5, 15, and 30 min after 2-DG administration, through the jugular vein, to determine BG. In Experiment 3, the animals underwent a vagotomy and were tested in a Trial1/Trial2 EPM procedure four weeks later. The results showed that rats exploring the EPM for 5 min displayed increased fear and higher hyperglycemia than those exploring the EPM for 1 min. In addition, rats submitted to 5-min EPM Trial1 length displayed higher level of fear on Trial2, as well as higher percentage of shortening of the %Open arm entries and %Open arm time from Trial1 to Trial2, which characterizes the occurrence of emotional learning. In contrast, rats previously vagotomized or treated with 2-DG (500 mg kg(-1)) showed the same level of fear on both EPM trials and a low percentage of shortening, from Trial1 to Trial2, of the %Open arm entries and %Open arm time, indicating poor emotional learning. The data is discussed regarding the role of glycaemia in emotional learning in the EPM.     

Attachment and motivational strategies in adolescence: exploring links

Within the framework of attachment theory and of motivation goal theory, this study explored the relation between quality of attachment strategies and quality of motivational strategies in a sample of young adolescents. Specifically, this study examined patterns of thoughts, behaviors, and emotions as they related to representations of attachment and motivational functioning in situations that challenge or threaten three psychological needs (emotional security, competence, and autonomy). Forty-four students, aged 11 to 14 years, responded to imagined stressful situations in order to: (a) assess attachment strategies; (b) identify and assess students' motivational strategies in stressful classroom circumstances; (c) assess motivational strategies of students with high and low control and agency beliefs; and (d) examine the relations between attachment and motivational strategies. Four distinct action patterns were identified: flexible action, rigid action, passive behavior, and disorganized behavior. Significant relations were found between control beliefs and motivational strategies, as well as a trend toward relations between attachment and motivational strategies, suggesting that secure adolescents show more constructive motivational strategies and less disorganized strategies when compared to insecure adolescents.