Behandlung und Teamprozesse in der stationären Psychotherapie

Ohne Zusammenfassung     

Modeling Person-Situation Correspondence over Time: A Study of 103 Evangelical Disciple-Makers

ABSTRACT Recent Studies of person-situation correspondence demonstrate that people actively select environments that are congruent with their personality, attitudes, motives, and goals (cf. Emmons, Diener, & Larsen, 1986). But do these individual difference variables also influence a person's propensity to remain in an environment over time? To answer this question, we administered the Multidimensional Personality Questionnaire (MPQ; Tellegen, 1982; Tellegen & Waller, 1990) and the Age Universal I-E scale (Gorsuch & Venable, 1983) to a sample of 103 lay-ministers from a large, evangelical church in the upper Midwest. Subjects were participants in a church-sponsored disciple-making program, and our dependent variable was length of involvement as a disciple-maker. Results indicated that the lay-ministers endorsed an intrinsic religious orientation and had high scores on the MPQ dimensions of Control, Harmavoidance, and Traditionalism. Using survival analysis, a statistical technique for modeling event durations, we found that disciple-makers who were both low on Aggression and Harmavoidance remained in the program for the longest period. Our findings are discussed in terms of a temporally oriented model of person-situation correspondence.     

Sheldon's physical-psychical typology revisited

In order to clarify some of the general findings in the literature with respect to relationships between body type and the personality dimension extraversion/introversion, typical experimental paradigms common to this field were replicated but using the first-order factors (from the R. B. Cattell, H. W. Eber, & M. M. Tatsuoka (1970, Handbook for the sixteen personality factor questionnaire, Windsor: N.F.E.R.) analysis) that load on this continuum rather than the continuum itself. Use was made of standard statistical procedures as well as discriminant analysis. The most noteworthy finding was that subjects were able to utilize the first-order factor structure for the continuum extraversion/introversion in a discriminating manner and to assign such factors in a fairly clear-cut way to three extreme body types. Personality appraisals of the mesomorphic body type and an ideal type (composed by the subjects) were shown to be virtually identical. The most positive extravert characteristics were assigned to the endomorph body build and the most positive introvert characteristics to the ectomorph. No differences in personality appraisals by male (n = 50) and female (n = 50) subjects with the exception of factor Q₂ by the ectomorphic body type were found. Both male and female subjects showed a preference for the (male) mesomorphic body type although significant differences between male and female subjects in the pattern of their distribution of preferences over the three body types were found. While the results confirm previous findings, they also extend them by the use of a first-order factor structure for the continuum extraversion/introversion and by the introduction of the explanatory concepts “extravert of affect” and “extravert of action.”     

A conversation analysis of therapist repeats in open dialogue network meetings

Writings on Open Dialogue approaches to working with families experiencing mental distress emphasize the importance of the therapist repeating the family's words back to them verbatim. Repeats are theorized to display the therapist's listening and to encourage elaboration without imposing the therapist's own interpretations or conclusions on the family. These recommendations have not been subjected to rigorous interactional investigation. In this study, we used conversation analysis to analyze 160 examples of therapists repeating the prior talk of the family from 14 h of video-recorded Open Dialogue sessions. We found that these repeats had similar functions to those previously described in conversation analysis research such as initiating repair, marking receipt, and requesting elaboration as well as examples of therapist repeats occurring in overlap with the talk of the client. Open Dialogue writings thus present an oversimplified account of how repeats are utilized in clinical Open Dialogue sessions. Consistent with dialogical writings, repeats can elicit elaboration with limited input from the therapist, however repeats reflect selectivity and function to direct and guide the conversation to some extent. So, while therapist authority can be mitigated by repeating clients' words, when a therapist chooses to employ a repeat actively shapes the direction of the interaction.     

Can humans perceive their brain states?

Although the brain enables us to perceive the external world and our body, it remains unknown whether brain processes themselves can be perceived. Brain tissue does not have receptors for its own activity. However, the ability of humans to acquire self-control of brain processes indicates that the perception of these processes may also be achieved by learning. In this study patients learned to control low-frequency components of their EEG: the so-called slow cortical potentials (SCPs). In particular "probe" sessions, the patients estimated the quality of the SCP shift they had produced in the preceding trial. The correspondence between the recorded SCP amplitudes and the subjective estimates increased with training. The ability to perceive the SCPs was related to the ability to control them; this perception was not mediated by peripheral variables such as changes in muscle tonus and cannot be reduced to simple vigilance monitoring. These data provide evidence that humans can learn to perceive the neural activity of their brain. Alternative interpretations are discussed.     

Negative affect and sensitization to pain

Pain usually has a strong negative affective component, which is believed to modulate pain perception. After reviewing theories on the link between negative affect and pain, mechanisms are discussed by which negative affect may either increase or inhibit pain. Possible pain-inhibiting mechanisms are endogenous opioid release, blood pressure reactivity, and distraction of attention; possible pain-increasing mechanisms are autonomic and muscular reactivity, misattribution of arousal, hypervigilance to pain, worrying, and avoidance behavior. It is emphasized that each of these mechanisms can be very adaptive in acute pain situations to prevent injury and promote recovery. In chronic pain, however, ongoing physiological arousal and hypervigilance to pain, induced or magnified by negative affect, may cause sensitization to pain. Furthermore, worrying about pain and avoidance of pain-inducing activities may increase negative affect, ypervigilance, and functional disability. It is argued that, in the long run, pain-related negative affect has sensitizing and disabling effects.     

Alcohol Affects Emotion Through Cognition

Determining how cognition and emotion interact is pivotal to an understanding of human behavior and its disorders. Available data suggest that changes in emotional reactivity and behavior associated with drinking are intertwined with alcohol's effects on cognitive processing. In the study reported here, we demonstrated that alcohol dampens anticipatory fear and response inhibition in human participants not by directly suppressing subcortical emotion centers, as posited by traditional tension-reduction theories, but instead by impairing cognitive-processing capacity. During intoxication, reductions in fear response (assessed via startle potentiation) occurred only under dual-stimulus conditions, and coincided with reduced attentional processing of threat cues as evidenced by brain response (assessed via P3 event-related potentials). The results are consistent with higher cortical mediation of alcohol's effects on fear, and illustrate more broadly how disruption of a cognitive process can lead to alterations in emotional reactivity and adaptive behavior.     

Prädiktiver Gentest für Chorea Huntington

The development of predictive tests for genetic diseases such as Huntington’s chorea, not only raises new ethical and psychosocial issues for people at risk for genetic diseases, but also poses a challenge for the professionals treating them. The number of patients facing these issues will grow considerably with future advances of the human genome project. While there is general agreement among geneticists and neurologists that concurrent psychosocial and psychotherapeutic counselling for patients considering getting tested should be a prerequisite for predictive test-ing, much less agreement exists in the field of psychotherapy on the form and content of psychotherapeutic counselling for patients with a genetic risk factor. By their very nature, hereditary genetic conditions are a family affair. Whatever the test result will be in the end, it will have repercussions on other family members. In conse-quence, this article argues in favor of a counselling approach that is family and re-source oriented. From their experience with a collaborative treatment project, the authors present the major topics which psychotherapists need to address when working with patients at risk.     

Work and Individual Determinants of Intrinsic Work Motivation, Emotional Exhaustion, and Turnover Intention: A Multi-Sample Analysis

This study tested the influence of personal characteristics on a pattern of specific relationships between work characteristics and psychological outcomes. The study hypotheses were: (1) Growth Need Strength has a direct effect on intrinsic work motivation and moderates the relationship between task characteristics and intrinsic work motivation; (2) Negative Affectivity has a direct effect on emotional exhaustion and moderates the relationships between workload and social support on the one hand and emotional exhaustion on the other; and (3) Upward Striving has a direct effect on turnover intention and moderates the relationship between unmet career expectations and turnover intention. These hypotheses were tested in two samples (bank employees and teachers) using Multi-Sample Analysis. The results showed that, generally, personal characteristics had a direct effect on the outcomes as hypothesized. We only found one moderating effect: Upward Striving moderated the relationship between unmet career expectations and turnover intention.