Depressive symptoms in patients presenting with coronary heart disease have an impact on quality of life, health behavior, and prognosis. The psychotherapeutic interventions which had been tested for their efficacy in previous randomized controlled trials, showed only minor effects. A stepwise approach consisting of individual and group psychotherapeutic interventions was tested for efficacy in a German multicenter study. The presented paper describes the therapeutic procedure for two individual sessions and one couple session by means of case examples. The main focus was to determine depressive symptoms along with underlying maladaptive personality traits such as negative affectivity and social inhibition (type D pattern). Depressive mood, disappointments and mortifications both in private and professional life and also during the previous treatment are verbalized. Dysfunctional relation patterns and maladaptive sickness behavior are taken up by the psychotherapist and alternative behavior patterns are developed. The objective of the couple session is strengthening the partnership resources and offering relief of fears and worries relative to the heart disease. The psychotherapeutic procedure is psychodynamically oriented but also contains cognitive-behavioral and interactional treatment approaches. 相似文献
Adequate short-term responses to stressors are of great importance for the health and well-being of individuals and factors modulating the physiological stress response (e.g., controllability, suddenness, familiarity) of a stimulus are well described under laboratory conditions. In the present study we aimed at investigating the stress response in greylag geese (Anser anser) in the field, confronting individuals with naturally occurring stressors. We measured beat-to-beat heart rate (HR) via fully implanted transmitters during three different experimental challenges: (1) catching and holding, (2) confrontation with a model predator, and (3) approach by different humans. We compared this to a control period and HR during agonistic encounters, a naturally occurring stressor. All three experimental situations evoked a HR increase. Highest HR responses were elicited by catching and holding the animals. In the third experiment, HR responses were greatest when the geese were approached by a human stranger (i.e., somebody the geese have never seen before). Hence, geese discriminated between different kinds of stressors and adjusted their physiological response depending on the type of stressor. Our results show that geese were able to discriminate between individual humans. In line with a number of lab studies, we suggest that particularly the controllability of certain situation determines the intensity of the HR response, also in a natural setting in the field. 相似文献
Cognitive functions like perception, memory, language, or consciousness are based on highly parallel and distributed information processing by the brain. One of the major unresolved questions is how information can be integrated and how coherent representational states can be established in the distributed neuronal systems subserving these functions. It has been suggested that this so-called "binding problem" may be solved in the temporal domain. The hypothesis is that synchronization of neuronal discharges can serve for the integration of distributed neurons into cell assemblies and that this process may underlie the selection of perceptually and behaviorally relevant information. As we intend to show here, this temporal binding hypothesis has implications for the search of the neural correlate of consciousness. We review experimental results, mainly obtained in the visual system, which support the notion of temporal binding. In particular, we discuss recent experiments on the neural mechanisms of binocular rivalry which suggest that appropriate synchronization among cortical neurons may be one of the necessary conditions for the buildup of perceptual states and awareness of sensory stimuli. 相似文献
Why, during a decision between new alternatives, do people bias their evaluations of information to support a tentatively preferred option? The authors test the following 3 decision process goals as the potential drivers of such distortion of information: (a) to reduce the effort of evaluating new information, (b) to increase the separation between alternatives, and (c) to achieve consistency between old and new units of information. Two methods, the nonconscious priming of each goal and assessing the ambient activation levels of multiple goals, reveal that the goal of consistency drives information distortion. Results suggest the potential value of combining these methods in studying the dynamics of multiple, simultaneously active goals. 相似文献
Physical activity is generally considered as most relevant for modulating heart rate (HR). The authors show here that HR is not only modulated by physical activity but even more by social contexts. HR modulation in three free-ranging, socially embedded, male greylag geese fitted with implanted radiotransmitters was investigated. Measured HR ranged from 40 beats per minute (bpm) during rest to a maximum over 400 bpm during takeoff. Almost the same maximum HRs (400 bpm) were reached during social interactions, which however, generally require less bodily action. Mean HR during social interactions (agonistic interactions, vocalizations) was significantly higher than during behaviors with a less obvious social context (e.g., resting, comfort or feeding behavior), but with comparable physical activity involved. The authors also found significant and consistent differences in HR between the three focal individuals, probably because of individual behavioral phenotype. Our results show that social context has a strong modulatory effect on the sympathico-adrenergic activity in a social bird and conclude that particularly the latter may pose considerable energetic costs. (PsycINFO Database Record (c) 2008 APA, all rights reserved). 相似文献
Rather than embracing the notion that contextualism requires purely qualitative methodologies, Westerman and Yanchar argue that there is a place for quantification in post-positivist research. Both authors provide compelling arguments for this position. From our cognitive developmental perspective, we see this as a move toward a new level of integration in psychology. Whereas reactive shifts between positivist quantification and radical contextualism exemplify the kind of pendulum swing we see in individual development immediately before the emergence of a new developmental level, the moves suggested by Westerman and Yanchar are in the direction of a qualitative shift—a new level of differentiation and integration. We argue that the arguments put forward by Westerman and Yanchar do not quite achieve consolidation at this new level, because they remain embedded in a post-positivist contextualism that demands an a priori rejection of psychological universals and strong forms of quantification. In our view, consolidation at this new level requires a shift to a problem-focused methodological pluralism that assimilates a wide range of methodological approaches, critiques them, and adapts them in light of the problems researchers seek to solve. 相似文献
This short-term therapy model with experiential interventions is based on the basic assumptions of psychodynamic psychotherapy. The focus of treatment is the current psychosocial situation, in which dysfunctional emotional patterns are elicited by specific triggers. These emotional patterns are evidence of anconscious intrapsychic conflict, which has biographically relevant precursors. This conflict and the associated dysfunctional relationships are explored in a supportive therapeutic relationship, formulated in cooperation with the patient and then made accessible in an experience-activating process in the present. The effect is, in addition to the reduction of clinical symptoms, the improvement in managing relationships and improved social competence. The transference is noticed, but it is only addressed if it has a lasting compromising effect on the therapeutic relationship. This therapy model is especially suitable for psychotherapy with time limits of 25–40 hours. 相似文献
I give a semantics for a logic with two pairs of doxastic modals and an indicative conditional connective that all nest without restriction. Sentences are evaluated as accepted, rejected, or neither. Certainty is the necessity-like modality of acceptance. Inferences may proceed from premises that are certain, or merely accepted, or a mix of both. This semantic setup yields some striking results. Notably, the existence of inferences that preserve certainty but not acceptance very directly implies both failure of modus ponens for the indicative conditional in the logic of acceptance and failure of the deduction theorem for the material conditional in the logic of certainty. The latter failure dissolves, in the logic of certainty, the much - discussed tension between modus ponens and the law of import-export.
The psychometric properties of the Parenting Scale (PS), a measure employed to identify use of dysfunctional strategies for
managing child misbehavior, were examined. Parents of 75 children ages 2 to 12 (45 in the clinic-referred and 30 in the community sample group) completed the PS and a measure of child misbehavior. Mean scores were significantly higher for parents in the clinic-referred group on the PS Total, Laxness, and Overreactivity scales. However, there were no between-group differences in the number of parents who scored at or above a cutoff score designed
to identify “clinical significance” on any PS scale. Reported parenting strategies were associated with reported child misbehavior
regardless of group status; associations were not stronger depending on referral status. Results support the ability of the
PS to discriminate between referred and community sample families. However, the PS scales were not precise in identifying
clinically significant variations in parenting practices.
Portions of this work were presented at the 2004 convention for the Association for the Advancement of Behavior Therapy, New
Orleans, LA. 相似文献