Interkulturelle Trainings für die psychosoziale Versorgung

The psychosocial care of patients with a migration background is often related to higher access barriers. Also for professionals in mental health care service the treatment of patients with a migration background often represents a challenge. One way to overcome such barriers is to train care givers in order to enhance cross-cultural competence. In addition to knowledge transfer such training focuses on the process of self-reflection and examination of ones own, as well as the unknown cultural orientation system. Sufficient effectiveness of cross-cultural training has been proven on an international level. However, evaluation studies are lacking in the German speaking region. Additionally, guidelines or quality criteria for providers of training for psychosocial care professionals are lacking. Validated psychometric instruments which assess cross-cultural competence in individuals hardly exist. The present article gives an overview of concepts of cross-cultural competence and the effectiveness of such training. Also an outlook is given on the future prospects of development in the field.     

Responding to the Psychological Needs of Health-Care Workers During the COVID-19 Pandemic: Case Study from the Medical College of Wisconsin

With the advent of the novel coronavirus (COVID-19) pandemic, health-care workers have been faced with an inordinately high level of trauma as frontline providers. The Medical College of Wisconsin (MCW) partnered with affiliate hospitals and community partners to mobilize a matrix of available support and interventions to deliver psychological services to reach all levels of health-care providers in timely, accessible formats. While virtual peer support groups were the most utilized resource among the support group options, other opportunities also provided unique benefits to learners whose education had been disrupted by the pandemic. Mental health must be prioritized for health-care workers in the event of future public health crises. Lessons learned from this pandemic indicate that it is critical to involve learners early on in the process in order to meet their educational needs and to increase access to evidence-based care.

     

Becoming a Caregiver: Experiences of Young Adults Moving into Family Caregiving Roles

Journal of Adult Development - While the vast majority of family caregivers struggle to find balance between different roles in their lives, young adult caregivers are faced with the atypical...     

A qualitative study of citizens' experience of participating in health counseling

Individual health counseling is a form of intervention designed to minimize the effects of chronic health disease and to offer a path towards good health practices. The aim of the present study was to explore the experiences of those persons who participated in health counseling in order to assess the psychosocial significance of the counseling upon their health behavior. In addition the study was concerned with the factors which underlay peoples' decision to sign up for health counseling. The research involved 11 semi‐structured interviews with individuals who had participated in a municipality based health counseling program. Data was analyzed using Malterud's systemic text condensation and a theoretical framework around Bandura's social cognitive theory. Analysis revealed that an approach tailored to each individual with minor short‐term goals accompanied by feeling supported by the counselor produced the greatest impact on behavior. Receiving feedback from the counselor and feeling positive about the relationship were seen as essential. These aspects were also crucial in the decision to undertake health counseling. The study indicates that whether individual's sign up on their own initiative or conversely are invited to join the program has no influence upon their motivation to change their behavior. Overall the respondents demonstrated improvement in their behavior and attitudes towards their health. However, the study also indicates that this form of intervention is less or even ineffective without the support of the individual's immediate family.     

Working with unrealistic or unshared hope in the counselling session

Hope has long been identified as an important therapeutic factor in counselling. Further, research evidence for the importance of hope to counselling practice and outcome is abundant. However, the field is only beginning to explicitly consider how hope can be effectively and intentionally practised. One of the most challenging dilemmas encountered by counsellors committed to working with this important therapeutic factor is that of so-called unrealistic hope. In this paper, we outline two real-life counselling vignettes illustrating unrealistic hope, and consider these scenarios alongside relevant scholarship and practice experience. Guiding principles and practices for conceptualising and working with unrealistic hope are offered as a means of beginning the conversation about this complex aspect of working with client hope.     

Feeling before knowing why: The role of the orbitofrontal cortex in intuitive judgments—an MEG study

In theory, intuitive decisions are made immediately, without conscious, reasoned thought. They are experienced as decisions based on hunches that cannot be explicitly described but, nevertheless, guide subsequent action. Investigating the underlying neural mechanisms, previous research has found the orbitofrontal cortex (OFC) to be crucial to intuitive processes, but its specific role has remained unclear. On the basis of a two-stage conceptualization of intuition suggested by Bowers, Regehr, Balthazard, and Parker Cognitive Psychology, 22, 72-110 (1990), we attempt to clarify the OFC’s role in intuitive processing. We propose that it functions as an early integrator of incomplete stimulus input guiding subsequent processing by means of a coarse representation of the gist of the information. On the subjective level, this representation would be perceived as a (gut) feeling biasing the decision. Our aim in the present study was to test this neural model and rule out alternative explanations of OFC activation in intuitive judgments. We used magnetoencephalography (MEG) to record participants' electromagnetic brain responses during a visual coherence judgment task. As in earlier studies, the OFC was found to be activated when participants perceived coherence. Using MEG, it could be shown that this increase in activation began earlier in the OFC than in temporal object recognition areas. Moreover, the present study demonstrated that OFC activation was independent of physical stimulus characteristics, task requirements, and participants’ explicit recognition of the stimuli presented. These results speak to the OFC’s fundamental role in the early steps of intuitive judgments and suggest the proposed neural model as a promising starting point for future investigations.     

Threatening scenes but not threatening faces shorten time-to-contact estimates

We previously reported that time-to-contact (TTC) judgments of threatening scene pictures (e.g., frontal attacks) resulted in shortened estimations and were mediated by cognitive processes, and that judgments of threatening (e.g., angry) face pictures resulted in a smaller effect and did not seem cognitively mediated. In the present study, the effects of threatening scenes and faces were compared in two different tasks. An effect of threatening scene pictures occurred in a prediction-motion task, which putatively requires cognitive motion extrapolation, but not in a relative TTC judgment task, which was designed to be less reliant on cognitive processes. An effect of threatening face pictures did not occur in either task. We propose that an object’s explicit potential of threat per se, and not only emotional valence, underlies the effect of threatening scenes on TTC judgments and that such an effect occurs only when the task allows sufficient cognitive processing. Results are consistent with distinctions between predator and social fear systems and different underlying physiological mechanisms. Not all threatening information elicits the same responses, and whether an effect occurs at all may depend on the task and the degree to which the task involves cognitive processes.     

Social Comparison as the Thief of Joy: Emotional Consequences of Viewing Strangers’ Instagram Posts

This experiment investigates the emotional consequences of viewing strangers’ positive posts on Instagram. From a social comparison perspective, strangers’ positive posts on social media are expected to negatively affect viewers’ emotions. From an emotional contagion perspective, strangers’ positive posts should positively affect viewers’ emotions. The current lab experiment examines both the social comparison and the emotional contagion perspective while taking individual differences into account. Participants viewed positive, neutral, or no posts of confederates. In support of the social comparison perspective, individuals who tend to compare themselves to others reported lower positive affect if they had viewed positive posts than if they had viewed neutral or no posts. In support of the emotional contagion perspective, individuals who tend not to engage in social comparison reported higher positive affect after viewing positive posts than after viewing neutral or no posts. These findings indicate that individual differences in processing tendencies lead people to respond to social information on social media in opposite ways.