Systemische Therapie bei Störungen des Erwachsenenalters

Background

Systemic therapy is a scientifically acknowledged form of psychotherapy in the US and many European countries, but not yet in Germany.

Method

All randomized (or parallelized) controlled trials (RCT) evaluating systemic couples/family/individual therapy with adult index patients published in English, German or Spanish up to the end of 2004 were identified via data base searches and cross-references in other meta-analyses and reviews. A meta-analysis of the identified RCT was performed.

Results

28 RCT (43 publications) evaluating systemic therapy with adult index patients suffering from clinical disorders (ICD-10) were identified. Systemic therapy is efficacious with regard to substance disorders, mental/social factors interacting with somatic disorders, schizophrenia, depression and eating disorders. The results are stable across follow-up periods of up to 5 years.

Conclusion

According to the criteria of the German Scientific Advisory Board Psychotherapy (Wissenschaftlicher Beirat Psychotherapie) there seems to be good evidence for the efficacy of systemic therapy in at least four fields of application of adult psychotherapy.     

Delay and Inhibition as Early Predictors of ADHD Symptoms in Third Grade

We used data from a large, longitudinal study of children in the community, the NICHD Study of Early Child Care and Youth Development, to examine how well earlier measures of delay capacity, inhibitory control, planning, and attention predicted symptoms of attention deficit hyperactivity disorder (ADHD) assessed in third grade. Children with elevated symptoms of both inattention and hyperactivity-impulsivity (n = 57) and with inattentive symptoms only (n = 80) were identified via mother and teacher reports using the “or” rule, as were children without significant symptoms (n = 790). Multinomial logistic regression analyses indicated that poorer performance on earlier measures of resistance to temptation, delay of gratification, response inhibition, attention, and planning obtained from 36 months to 1st grade predicted membership in the two symptom groups relative to the comparison group in 3rd grade, albeit with somewhat different patterns of predictors. Controls for 36 month school readiness and externalizing symptoms indicated that these results were generally robust and not an artifact of initial cognitive or behavioral differences. Implications for developmental models of ADHD are discussed.

Personality types and self-reported aggressiveness

Applying a person-centered approach, three personality types based on the NEO-FFI scales were identified in a sample of N = 141 participants by means of clustering methods. They were described as a resilient (low N, high E), a non-desirable (high N, low E, A, and C), and a reserved overcontrolled prototype (low E and O, high A and C). The prototypes were related to the level of aggressiveness, assessed by the Buss–Perry Aggression Questionnaire (AQ). Results indicate that the three clusters differ mainly in their levels of hostility, verbal aggressiveness, and with respect to anger. With respect to total aggressiveness, the non-desirable prototype displayed the highest and the reserved prototype the lowest AQ scores. The results are discussed in relation to studies based on a variable-centered approach. Possible implications for treatment and research are addressed.     

How to like yourself better, or chocolate less: Changing implicit attitudes with one IAT task

The current paper introduces a novel feature of implicit association tests (IATs) by demonstrating their potential to change implicit attitudes. We assume that such changes are driven by associative learning mechanisms caused by carrying out an IAT task. Currently, evaluative conditioning appears to be the only widespread paradigm for changing implicit attitudes. An IAT task could provide an alternative. In two experiments, participants initially reacted to only one IAT task. Implicit preferences subsequently assessed with different implicit measures depended on the initial IAT task. This was shown for implicit self-esteem and for implicit attitudes towards well-known candy brands. Findings are discussed in relation to task-order effects in IATs.     

What Carries a Mediation Process? Configural Analysis of Mediation

Mediation is a process that links a predictor and a criterion via a mediator variable. Mediation can be full or partial. This well-established definition operates at the level of variables even if they are categorical. In this article, two new approaches to the analysis of mediation are proposed. Both of these approaches focus on the analysis of categorical variables. The first involves mediation analysis at the level of configurations instead of variables. Thus, mediation can be incorporated into the arsenal of methods of analysis for person-oriented research. Second, it is proposed that Configural Frequency Analysis (CFA) can be used for both exploration and confirmation of mediation relationships among categorical variables. The implications of using CFA are first that mediation hypotheses can be tested at the level of individual configurations instead of variables. Second, this approach leaves the door open for different types of mediation processes to exist within the same set. Using a data example, it is illustrated that aggregate-level analysis can overlook mediation processes that operate at the level of individual configurations.     

Emotion Knowledge and Attention Problems in Young Children: a Cross-Lagged Panel Study on the Direction of Effects

Attention problems are likely to hinder children in acquiring knowledge of their own and others’ emotions. Children with little knowledge of emotions tend to have difficulties with representing emotions, interpreting them, and sharing them, so that they are likely to spend more time in making sense of them and may thus appear to be inattentive. In order to disentangle the direction of effects between emotion knowledge and attention problems, 576 four- to- six-year-olds were interviewed at T1 and about 12 months later (T2) about their emotion knowledge. Their kindergarten teachers rated their attention problems, and their conduct problems at T1 and T2. A cross-lagged panel model indicates that children’s emotion knowledge at T1 contributed to the explanation of their attention problems at T2, after language ability and attention problems at T1 were controlled. The other cross-path from attention problems (T1) to emotion knowledge (T2) was not significant. Adding gender, behavioral self-regulation, working memory, conduct problems, or SES as alternative explanations by third variables did not alter this direction of effects. How emotion knowledge impinges on attention problems is discussed.     

Scaling of involvement in personal and global future events

Abstract.— Magnitude estimates of intensity of emotional involvement in 12 potential future events, assumed to occur at 5 alternative points of time within the next 46 years, were obtained from 75 subjects (mean age 19.1 yrs). Two types of relation between involvement and time were found, the dominant one being an exponential decrease of involvement with increasing temporal distance. The response patterns became less differentiated with increasing temporal distance. Differences in the response patterns between men and women, and between subjects differing in respect to satisfaction, activity, and optimism, are discussed.     

Relation between verbal recall and visual recognition of the same stimuli in young children

Five-year-old children (N = 112) were shown drawings of common objects three times either as a naming-and-learning task or as a preference task (incidental learning). A verbal recall test followed by a class- and item-recognition test, scaled to reflect the accuracy of item recognition, were given either 2 min or two weeks after presentation. Intentional learning with naming led to better immediate recall than incidental learning, but the recognition and delayed recall scores were equal for the two learning conditions. The probability of verbal recall of object names was in each case uncorrelated with the accuracy of visual recognition of the same objects by the same Ss. The results are closely similar to those obtained with adult Ss by Bahrick and Boucher (1968).     

Über einige Bedingungen des Zusammenhanges von Lidschlag und Blickwendung

Zusammenfassung Der Zusammenhang zwischen Blickwendung und Lidschlag wurde experimentell untersucht. Als wirksame Faktoren erwiesen sich die Größe der Blickwendung, die Kopfbewegung, die Art der Wahrnehmungsobjekte (Person — Gegenstand) und bei Personen der Grad der Aufmerksamkeitszuwendung. Über alle Versuchsbedingungen hinweg zeigte sich die relative Häufigkeit des Lidschlages bei der Blickwendung als individuell konstant.

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The relationship between gaze movement and eye blink under various conditions

Summary The relationship between gaze movement and eye blink was investigated. The angle of eye movement, movement of the head, the type of objects perceived (person-object) and (when persons were viewed) the degree of attention were found to be relevant factors. Under all conditions studied, the relative frequency of blinking during gaze movement was shown to be individually constant.