Die Behandlung von Borderline-Persönlichkeitsstörungen

Zusammenfassung Bereits 1681 beklagte sich ein englischer Arzt in einem Brief über Patienten, die ohne jedes Ma? jene lieben, die sie alsbald ohne jeden Grund hassen würden. Weiterhin seien pl?tzliche Ausbrüche von Wut, Schmerz, Angst oder ?hnlichen Emotionen zu beobachten. Mit dieser frühen Beschreibung typischer Borderline-Symptome wird die Darstellung der Entwicklung der Theorie der Borderline-St?rung von den Anf?ngen bis heute eingeleitet. Vor diesem Hintergrund werden der Stand der Diagnostik und die derzeit wichtigen Behandlungskonzepte umrissen, und zwar die psychodynamischen, verhaltenstherapeutischen und klientenzentrierten Ans?tze. Es wird dargelegt, welche Antworten es auf die Frage gibt, was das angemessene therapeutische Setting ist, insbesondere mit Blick auf station?re Behandlungskonzepte. Die vorliegenden empirischen Studien best?tigen die Wirksamkeit von Psychotherapie bei Borderline-St?rungen. Die geringe Zahl der Studien belegt aber auch die Schwierigkeit der empirischen Forschung in diesem Bereich. Der abschlie?ende Ausblick in die Zukunft der Psychotherapie der Borderline-Pers?nlichkeitsst?rungen prognostiziert eine weitere Zunahme von Pers?nlichkeitsst?rungen im Spektrum psychiatrischer Erkrankungen und eine zunehmende Differenzierung des Behandlungsangebots bzw. Spezialisierung der Behandler.      

Statt einer Übersichtsarbeit: Warum „Wir und Ihr“?

Ohne Zusammenfassung     

The information content of panoramic images I: The rotational errors and the similarity of views in rectangular experimental arenas

Animals relocating a target corner in a rectangular space often make rotational errors searching not only at the target corner but also at the diagonally opposite corner. The authors tested whether view-based navigation can explain rotational errors by recording panoramic snapshots at regularly spaced locations in a rectangular box. The authors calculated the global image difference between the image at each location and the image recorded at a target location in 1 of the corners, thus creating a 2-dimensional map of image differences. The authors found the most pronounced minima of image differences at the target corner and the diagonally opposite corner--conditions favoring rotational errors. The authors confirmed these results in virtual reality simulations and showed that the relative salience of different visual cues determines whether image differences are dominated by geometry or by features. The geometry of space is thus implicitly contained in panoramic images and does not require explicit computation by a dedicated module. A testable prediction is that animals making rotational errors in rectangular spaces are guided by remembered views.     

Inclusion-exclusion of positive and negative past selves: mood congruence as information

The current research challenges the widespread truism that recalling a positive self necessarily increases self-esteem, whereas recalling a negative self necessarily decreases self-esteem. Four experiments demonstrate that chronically happy people show a relative increase in self-esteem by recalling either a positive or a negative self. Chronically sad people, however, show a relative decrease in self-esteem by recalling either a positive or a negative self. These effects are due to divergent perceptions of mood congruence between the recalled self and the current self. Specifically, happy people perceive high mood congruence between a recalled positive self and the current self but low mood congruence between a recalled negative self and the current self. In contrast, sad people perceive high mood congruence between a recalled negative self and the current self but low mood congruence between a recalled positive self and the current self. Independent of chronic mood, mood congruence leads to perceptions of temporal recency, whereas mood incongruence leads to perceptions of temporal distance. In line with the inclusion-exclusion model of social judgment, perceived temporal recency elicits assimilation effects on self-esteem, whereas perceived temporal distance elicits contrast effects on self-esteem.     

Recognition of affective prosody in brain-damaged patients and healthy controls: A neurophysiological study using EEG and whole-head MEG

A passive oddball experiment was used in which stimuli were emotional exclamations differing in their affective tone. In both electroencephalography (EEG) and magnetoencephalography (MEG), deviants elicited an N300 component, sometimes accompanied by a slow wave. Both components had a symmetrical distribution, but the former was more posterior than the latter. The same responses to prosodic stimuli were significant in 6 of 27 patients with severe disorders of consciousness (persistent vegetative state and minimally conscious state) and in all 3 of the examined locked-in patients, indicating that the procedure can be applied for testing neurological patients. The occurrence of significant responses depended on the presence or absence of a lesion to the right temporal lobe. Obviously, the N300 depends on the activity of the right temporal cortex but does not originate there. We suggest that the component is related not to the recognition of affective prosody as such, but to the following detection of affective mismatch due to violations of emotional context of stimulation.     

A randomized‐response investigation of the education effect in attitudes towards foreigners

While negative correlations have often been found between a respondent's education and his attitudes towards foreigners, the reasons for this education effect are still under debate. We examined the hypothesis that the highly educated may not be genuinely less xenophobic, but simply more prone to give socially desirable, xenophile answers in attitude questionnaires. We therefore compared the attitudes of respondents who were either questioned directly or using a cheating detection extension of the randomized‐response technique (RRT). The latter is supposed to yield more honest answers to sensitive questions by experimentally offering the interviewee a higher degree of confidentiality. Under direct questioning conditions, we replicated the education effect; 75% of the highly educated expressed xenophile attitudes, as opposed to only 55% of the less educated. Under randomized‐response conditions, we obtained significantly reduced estimates of 53% for the proportion of xenophiles among the highly educated, and 24% among the less educated, indicating a strong distortion of self‐reported attitudes towards foreigners in both groups. However, a significant proportion of participants disobeyed the RRT instructions regardless of education. Because the education effect was found even after controlling for social desirability, it seems to be a genuine effect, rather than an artefact of a differential response bias. Copyright © 2008 John Wiley & Sons, Ltd.     

Does Acquisitive Self‐Presentation in Personality Self‐Ratings Enhance Validity? Evidence from two experimental field studies

The aim of the present research was to demonstrate that acquisitive self‐presentation in personality scales is not a barrier to their criterion‐related validities in human resource contexts, but rather a means to improve them. A pilot study (Study 1) with 96 job incumbents provided preliminary positive evidence. In Study 2, in the experimental group (n=99), the instructions asked job incumbents to work on a Big‐Five personality inventory (BFI‐K) as if they took part in a personnel selection procedure for a personally very attractive position. In the control group (n=93) of Study 2, job incumbents were asked to answer the inventory items honestly. As expected, the correlation between the self‐ratings of the motive to get along (i.e., which comprises emotional stability, conscientiousness, and agreeableness) and contextual performance assessments was significantly higher in the experimental group than in the control group in Study 2. Additionally, the correlation between the self‐ratings of the motive to get ahead (i.e., which comprises extraversion and openness to experience) and task performance and leadership assessments was significantly higher in the experimental group than in the control group in Study 2. It is proposed that responding to a personality inventory in a human resource decision situation should be conceptualized as a workplace simulation.     

Theory-Based Health Behavior Change: Developing, Testing, and Applying Theories for Evidence-Based Interventions

Theories are needed to explain and predict health behavior, as well as for the design and evaluation of interventions. Although there has been a history of developing, testing, applying, and refining health behavior theories, debates and limitations in evidence exist: The component of theories which, for example, predicts change should be better elaborated so that we can more easily understand what actually drives behavior change. Theories need to be empirically testable in two ways. Theories need to specify a set of changeable predictors to describe, explain, and predict behavior change, and they should enable us to design an effective intervention that produces exactly those changes in behavior that are predicted by the relevant theory. To make this possible, theories need to be specified in such a way that they can be rigorously tested and falsified. Moreover, for the design of theory-based interventions it must be possible to derive change techniques from the theory and to use them to generate changes in behavior. Based on eight state-of-the-science articles that make conceptual and empirical contributions to the current debate on health behavior theories, various approaches are discussed to gain further insights into explaining and changing health behaviors and the iterative process of theory development.