Psychosoziale Versorgung von Krebspatienten

Objectives

The aim of this study was to determine rates of psychooncological care for cancer inpatients and outpatients under routine conditions in a large University hospital. The percentage of patients who received care was analyzed and compared with self-rated and expert rated supportive care needs.

Methods

The percentage of inpatients who received psychooncological care was calculated by comparing the number of cancer patients treated at the hospital as documented by the local tumor registry (n=1,979) with the number of patients treated by a psychooncologist in that hospital as documented by the hospital??s psychooncological consultation liaison service. The percentage of outpatients who received psychooncological care was calculated by comparing the number of incident cancer cases as documented by the local tumor registry (n=5,886) with the number of patients who received at least one consultation at the local tumor counseling centre. Supportive care needs were estimated by analyzing data of a prospective patient survey in the same hospital (n=1,803) using the Hospital Anxiety and Depression Scale and single items to determine social burden and the wish for emotional support.

Results

The results showed that 11% of inpatients and outpatients (n=234 and n=638, respectively) received psychooncological care. Social care needs were prevalent in 37% and psychological care needs in 52% of the patients during the stay in hospital and in 42% (social and psychological) 6 months later. Of the patients 41% expressed the need to see a social worker and 29% to see a psychologist. Large differences were found between patients with different tumor entities.

Conclusion

Psychooncological care delivered to cancer patients under routine conditions was below the actual rate required as estimated by screening instruments and as expressed by the patients.     

Social Identity and Intergroup Conflict

This paper explores why people identify with social groups and what this identification signifies for their sense of self, status in society and intergroup conflict. We describe various theories of social identity to elucidate ways in which individuals can negotiate their different social identities, and what this means for intergroup relations. We consider the implications for both majority and minority group members, and those from high and low status groups. We show that social identification is an essential part of an individual’s social existence, and that such identification is inextricably related to intergroup conflict. While overarching common identities have been hailed as a possible panacea for conflict, we demonstrate that such identities have differential effects for minority and majority group members. There is a serious tension between the assimilationist preference that the majority wishes for minority members to adopt, and the integrationist position that the minority group themselves prefer. We conclude with a call to focus research efforts on how to balance the needs of the many and the few in pluralist and unequal societies.     

Career transitions and career success in the ‘new’ career era

The ‘new’ career, most notably the boundaryless career, is associated with high career mobility, which is in turn associated with employability and career success of individuals. The current study examined how frequency, form (organisational, horizontal or vertical) and impact (objective career success) of career transitions have changed across two cohorts of Austrian business graduates (1970 and 1990) throughout the first 15 years of their careers (n = 291). Data for the study were collected by way of standardised questionnaires; participants' career transitions (n = 807) were plotted based on curriculum-vitae type lists of their successive jobs. This research examined two assumptions: (1) that careers have become more turbulent and complex and (2) that this is generally a positive evolution for individuals. Results indicate that overly dramatic claims about the ‘death’ of the traditional-organisational career need to be reconsidered.     

At the mercy of prior entry: Prior entry induced by invisible primes is not susceptible to current intentions

If one of two events is attended to, it will be perceived earlier than a simultaneously occurring unattended event. Since 150 years, this effect has been ascribed to the facilitating influence of attention, also known as prior entry. Yet, the attentional origin of prior-entry effects(1) has been repeatedly doubted. One criticism is that prior-entry effects might be due to biased decision processes that would mimic a temporal advantage for attended stimuli. Although most obvious biases have already been excluded experimentally (e.g. judgment criteria, response compatibility) and prior-entry effects have shown to persist (Shore, Spence, & Klein, 2001), many other biases are conceivable, which makes it difficult to put the debate to an end. Thus, we approach this problem the other way around by asking whether prior-entry effects can be biased voluntarily. Observers were informed about prior entry and instructed to reduce it as far as possible. For this aim they received continuous feedback about the correctness of their temporal judgments. If elicited by invisible primes the effect could not be reduced at all and only by 12 ms if elicited by visible cues. This challenges decision biases as primary source of prior-entry effects - at least if attention is oriented exogenously.     

Perception of relative depth interval: systematic biases in perceived depth

Given an estimate of the binocular disparity between a pair of points and an estimate of the viewing distance, or knowledge of eye position, it should be possible to obtain an estimate of their depth separation. Here we show that, when points are arranged in different vertical geometric configurations across two intervals, many observers find this task difficult. Those who can do the task tend to perceive the depth interval in one configuration as very different from depth in the other configuration. We explore two plausible explanations for this effect. The first is the tilt of the empirical vertical horopter: Points perceived along an apparently vertical line correspond to a physical line of points tilted backwards in space. Second, the eyes can rotate in response to a particular stimulus. Without compensation for this rotation, biases in depth perception would result. We measured cyclovergence indirectly, using a standard psychophysical task, while observers viewed our depth configuration. Biases predicted from error due either to cyclovergence or to the tilted vertical horopter were not consistent with the depth configuration results. Our data suggest that, even for the simplest scenes, we do not have ready access to metric depth from binocular disparity.     

Kulturdynamisches Modell der bikulturellen Identit?t

In intercultural psychotherapeutic treatment, the psychological integration of different cultures within an individual has to be involved as an additional developmental dimension. Individual change during the process of migration considered as desirable adaptation has often been conceptualized in terms of a bicultural identity, which includes aspects of the culture of origin as well as aspects of the host culture. The theoretical foundation of the concept of bicultural identity, however, has remained insufficient. The culture-dynamic model presented here differentiates personal and social identity according to the identity concept proposed by Mead (Geist, Identit?t und Gesellschaft, 1988, Suhrkamp, Frankfurt a.?M.). Personal identity is essentially formed by an individual??s culture of origin, while influences of the host culture primarily affect the social identity. For healthy coping with the challenges associated with migration and adequate support of this process in intercultural psychotherapy, it can be assumed that a stabilization of personal identity is required to allow for a dynamization of social identity. Implications for identity constitution in second generation immigrants, in different stages of lifespan development and in the process of learning the language of the host culture are discussed.     

Verbal descriptions of spatial information can interfere with picture processing

Two studies are reported that tested the assumption that learning is improved by presenting text and pictures compared to text only when the text conveys non-spatial rather than spatial information. In Experiment 1, 59 students learned with text containing either visual or spatial contents, both accompanied by the same pictures. The results confirmed the expected interference between the processing of spatial text contents and pictures: Learners who received text containing spatial information showed worse text and picture recall than learners who received text containing visual information. In Experiment 2, 85 students were randomly assigned to one of four conditions, which resulted from a 2×2 between-participants design, with picture presentation (with vs without) and text contents (visual vs spatial) as between-participants factors. Again the results confirmed the expected interference between processing of spatial text information and pictures, because beneficial effects of adding pictures to text were observed only when the texts conveyed visual information. Importantly, when no pictures were present no differences were observed between learners with either visual or spatial texts contents, indicating that the observed effects are not caused by absolute differences between the two texts such as their difficulty. The implications of these results are discussed.     

Testing an interactionist perspective on the relationship between personality traits and performance under public pressure

Objectives

The interactionist principle of trait activation [Tett & Gutermann (2000). Situation trait relevance, trait expression, and cross-situational consistency: testing a principle of trait activation. Journal of Research in Personality, 34, 397-423.] explains human behavior through the stimulation of traits by trait-relevant situational cues (i.e., situation-trait relevance). In applied (real-world) high-pressure situations, audiences provide the situational demand of public evaluation. Therefore, traits that are related to public evaluation are appraised as situation-relevant. The purpose of the current study was to test if situation-relevant traits (i.e., narcissism, public self-consciousness) predict performance in applied high-pressure situations, while situation-irrelevant traits (i.e., private self-consciousness) do not contribute to the performance explanation.

Design/Method

Experienced handball players (N = 55) completed personality questionnaires and performed a throwing task in low and high-pressure conditions, whereby the high-pressure condition involved 1500-2000 spectators during halftime breaks of professional handball games.

Results

Findings supported the assumptions about situation-trait relevancies and indicated that narcissism and public self-consciousness were relevant to high-pressure performance (i.e., positively associated), whereas private self-consciousness was found to be irrelevant. No predictors were correlated to low-pressure performance.

Conclusions

Results emphasize that trait activation is a promising explanation for the relevance of personality characteristics to performance under pressure. A systematic consideration of situational demands of high-pressure situations will result in adequate appraisals of situation-trait relevance and help predict performance with trait scores.     

Time Reading in Middle and Secondary School Students: The Influence of Basic-Numerical Abilities

Abstract

Time reading skills are central for the management of personal and professional life. However, little is known about the differential influence of basic numerical abilities on analog and digital time reading in general and in middle and secondary school students in particular. The present study investigated the influence of basic numerical skills separately for analog and digital time reading in N?=?709 students from 5th to 8th grade. The present findings suggest that the development of time reading skills is not completed by the end of primary school. Results indicated that aspects of magnitude manipulation and arithmetic fact knowledge predicted analog time reading significantly over and above the influence of age. Furthermore, results showed that spatial representations of number magnitude, magnitude manipulation, arithmetic fact knowledge, and conceptual knowledge were significant predictors of digital time reading beyond general cognitive ability and sex. To the best of our knowledge, the present study is the first to show differential effects of basic numerical abilities on analog and digital time reading skills in middle and secondary school students. As time readings skills are crucial for everyday life, these results are highly relevant to better understand basic numerical processes underlying time reading.