Psychiatrische Versorgung im europäischen Strafvollzug

Objective and methods:

We analysed administrative national data regarding mental health care and psychiatric prevalence in the penitentiary systems of 24 European countries. Data was provided by national experts via questionnaire.

Results:

There is a mixed approach for prison mental health care in European countries that either rely on separated psychiatric prison services or collaborate with specialized forensic or general mental health care services. Care provision in general is assessed as deficient. At all decisive points of detention, adequate screening or diagnostic routines are lacking. As a consequence, nothing is known about the prevalence of mental disorders in European prisons. At the moment, only a very limited number of secondary indicators are available for describing the problem.

Conclusion:

There is an urgent need for improving the reporting routines on mental disorders in prison inmates as a first step for improving substantially the mental health care provision for prisoners in European countries.     

A proposed test of temporal nonlocality in bistable perception

The concept of temporal nonlocality is used to refer to states of a (classical) system that are not sharply localized in time but extend over a time interval of non-zero duration. We investigate the question whether, and how, such a temporal nonlocality can be tested in mental processes. For this purpose we exploit the empirically supported Necker-Zeno model for bistable perception, which uses formal elements of quantum theory but does not refer to anything like quantum physics of the brain. We derive so-called temporal Bell inequalities and demonstrate how they can be violated in this model. We propose an experimental realization of such a violation and discuss some of its consequences for our understanding of mental processes.     

Memory distrust and acceptance of misinformation

Relying on a community sample (N = 80), the present study examined whether memory distrust is related to an increased tendency to accept misinformation and whether it interacts with passage of time. Participants were shown video footage of an armed robbery. Approximately 30 minutes later, they were asked to describe as accurately as possible what they had seen. Either 1 day or 2 weeks later they were presented with their own statements, to which five misinformation items had been added. The results showed that people suffering from memory distrust accepted more misinformation than those with optimistic beliefs about their memory. In addition, both age and free recall seemed to modulate this relationship. However, memory evaluation did not interact with time interval. Copyright © 2009 John Wiley & Sons, Ltd.     

The connection between cognitive development and specific fears and worries in normal children and children with below-average intellectual abilities: a preliminary study.

The present study explored the relationship between cognitive development and anxiety phenomena in 4-12-year-old children. Fears and worries of normal children (n=176) were compared to those of children with below-average intellectual abilities (children with BAIA; n=105). We evaluated to what extent level of cognitive development as indexed by a Piagetian conservation task was associated with the presence of fears and worries. While normal children and children with BAIA did not differ with regard to the content of their fears and worries, normal children more frequently reported such anxiety phenomena during the semi-structured Anxiety Interview than did children with BAIA. Furthermore, in normal children, evidence was found to suggest that level of cognitive development contributes to the experience of fears and worries. That is, anxiety phenomena were more prevalent among those children who passed a Piagetian conservation task. However, when anxiety phenomena were assessed by means of the Koala Fear Questionnaire (KFQ), a different picture emerged. KFQ data suggested that fears were less frequent in normal children and those children with BAIA who had a higher level of cognitive functioning. Apparently, the Anxiety Interview and the KFQ tap quite different aspects of anxiety. The KFQ seems to measure primitive fears that are likely to be prevalent among children with limited cognitive capacity, whereas the Anxiety Interview assesses more sophisticated anxiety phenomena that probably depend on high levels of cognitive functioning.     

A four dimensional,integrative, categorial model of psychotherapy

Integration of psychotherapeutic approaches has been notoriously difficult because of incompatibility of technical procedures and theoretical concepts. A categorial analysis from a higher level of abstraction might be able to overcome these difficulties. A model is proposed with four dimensions: personal regard, a relationship component; structure, a planning component; consciousness, a cognitive component; and process, an individual component. It is maintained that these four dimensions span out the space within which psychotherapy of any lineage moves along. Problems with incompatibility of systems and techniques might stem from the fact that different schools of psychotherapy emphasize different aspects of this framework, while using the other aspects only implicitly. It might also be that clients with different problems and pathologies, and at different stages in therapy, need different approaches reflected in different weights of the four dimensions. The model could be used to arrive at a broader understanding of what psychotherapy does. Should it prove helpful, it could also be used as a means of understanding successful and unsuccessful therapies and as a prognostic tool.     

Personality, anxiety and functional dysphonia

Psychological factors are considered for the predisposition and perpetuation of functional dysphonia. In the present study 61 patients with functional dysphonia were compared with 61 healthy controls, matched by age, sex, and occupation with respect to Cloninger’s personality model, mood, and anxiety.The patients with functional dysphonia presented significantly higher scores than the healthy controls with respect to “harm avoidance” (HA); depressive symptoms; symptoms of unspecific and general anxiety; symptoms of specific anxiety concerning “health”, “illness”, and “extraversion versus introversion”. No significant differences were found in “novelty seeking” (NS), “reward dependence” (RD), “persistence” (PE), or in state-anxiety and anxiety of social situations. These results were found considering univariate and multivariate analyses and confirm the relationship of psychological factors such as personality traits, mood, and anxiety on one hand and conversion disorder in general and functional dysphonia in particular on the other hand. This important relationship should be considered in the diagnostic and therapeutic interventions of functional dysphonia.     

Finiteness and verb-second in German agrammatism

This study presents results from sentence-completion and grammaticality-judgement tasks with seven German-speaking agrammatic aphasics and seven age-matched control subjects examining verb finiteness marking and verb-second (V2) placement. The patients were found to be selectively impaired in tense marking in the face of preserved mood and agreement marking. Moreover, our results revealed that V2 scores varied across our patients, with some showing impaired and others preserved V2 performance. These findings will be discussed in the light of different syntactic accounts of agrammatism.     

Cortical plasticity associated with stuttering therapy

Neuroimaging studies have indicated that persistent developmental stuttering (PDS) may be associated both with an abnormality in white matter of left-hemispheric speech areas and a right-hemispheric hyperactivity. The latter may compensate for the deficient structural connectivity in the left hemisphere. To investigate the effects of stuttering therapy on brain activity nine male adults with PDS underwent functional magnetic resonance imaging (fMRI) before and within 12 weeks after fluency shaping therapy. Brain response differences during overt sentence reading before and after therapy were assessed by utilizing random effects analyses. After therapy, a more widespread activation was observed in frontal speech and language regions and temporal areas of both hemispheres, particularly and more pronounced on the left side. Interestingly, distinct posttreatment left-sided activation increases were located directly adjacent to a recently detected area of white matter anomaly [M. Sommer, M.A. Koch, W. Paulus, C. Weiller, C. Buchel (2002). Disconnection of speech-relevant brain areas in persistent developmental stuttering. The Lancet, 360, 380-383] suggesting that fluency shaping techniques reorganize neuronal communication between left-sided speech motor planning, motor execution, and temporal areas. Hence, a therapeutic mechanism can be assumed to remodel brain circuitry close to the source of the dysfunction instead of reinforcing compensation via homologous contralateral brain networks. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to: (1) describe brain activation changes detected shortly after fluency-shaping therapy; (2) identify left-hemispheric regions where a (re)functionalization after fluency-shaping therapy seems to occur adjacent to a recently described abnormal white matter region in PDS subjects; and (3) discuss how an effective cerebral compensation mechanism for stuttering could work.     

Fantasy proneness, but not self-reported trauma is related to DRM performance of women reporting recovered memories of childhood sexual abuse

Extending a strategy previously used by , we administered a neutral and a trauma-related version of the Deese-Roediger-McDermott paradigm to a sample of women reporting recovered (n=23) or repressed memories (n=16) of childhood sexual abuse (CSA), women reporting having always remembered their abuse (n=55), and women reporting no history of abuse (n=20). We found that individuals reporting recovered memories of CSA are more prone than other participants to falsely recalling and recognizing neutral words that were never presented. Moreover, our study is the first to show that this finding even held when trauma-related material was involved. Correlational analyses revealed that fantasy proneness, but not self-reported traumatic experiences and dissociative symptoms were related to false recall and false recognition.     

The facilitated processing of threatening faces: an ERP analysis

Threatening, friendly, and neutral faces were presented to test the hypothesis of the facilitated perceptual processing of threatening faces. Dense sensor event-related brain potentials were measured while subjects viewed facial stimuli. Subjects had no explicit task for emotional categorization of the faces. Assessing early perceptual stimulus processing, threatening faces elicited an early posterior negativity compared with nonthreatening neutral or friendly expressions. Moreover, at later stages of stimulus processing, facial threat also elicited augmented late positive potentials relative to the other facial expressions, indicating the more elaborate perceptual analysis of these stimuli. Taken together, these data demonstrate the facilitated perceptual processing of threatening faces. Results are discussed within the context of an evolved module of fear (A. Ohman & S. Mineka, 2001).