Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial

The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consisted of 10 weekly 60 min sessions. The TRT treatment consisted of one 150 min session, one 30 min follow-up and continued daily use of wearable sound generators for a recommended period of at least 8 h/day for 18 months. Assessments were made at baseline, 10 weeks, 6 months and 18 months. At 10 weeks, results showed a superior effect of ACT in comparison with the WLC regarding tinnitus impact (Cohen’s d = 1.04), problems with sleep and anxiety. The results were mediated by tinnitus acceptance. A comparison between the active treatments, including all assessment points, revealed significant differences in favour of ACT regarding tinnitus impact (Cohen’s d = 0.75) and problems with sleep. At 6 months, reliable improvement on the main outcome measure was found for 54.5% in the ACT condition and 20% in the TRT condition. The results suggest that ACT can reduce tinnitus distress and impact in a group of normal hearing tinnitus patients.     

Phases of Organ Integration and Conflict in a Transplant Recipient: A Longitudinal Study Using a Diary

In this paper the results from a research project on self-perception and psychological processing following transplantation of solid organs are presented. A diary at the individual case level was introduced to generate a longitudinal analysis. In the following paper we describe an evaluation of the entries of a single patient following a living donor kidney transplant. Conflicts in the relationship between the transplant recipient and the donor, who is also his wife, are clearly evident, and these are interpreted as incorporation conflicts in light of current psychoanalytic theory.     

A randomized clinical trial on the effectiveness of a reintegration training program versus booster sessions after short-term inpatient psychotherapy

Although several studies show symptomatic improvements in patients with personality disorders after short-term inpatient psychotherapy, reintegration remains difficult. In this study the effectiveness of a specifically designed reintegration training program is investigated. One hundred twenty-eight patients were randomized to either a reintegration training program aimed at improving general functioning and work resumption, or booster sessions. Outcome measures used were symptom level, work status, absence from and impediments at work. The results showed that compliance in the booster session group was significantly better than in the reintegration training program. The percentage of persons with a paid job increased during the booster sessions from 64 to 87%, but not during the reintegration training (76%). There were no differences in the other outcome measures. We concluded that reintegration training was not more (cost)-effective than booster sessions. Our hypothesis is that continuity of care (same therapists and program) explains the favorable results of the booster sessions.     

What is wrong with religious education? A response to Philip Barnes

This article reviews Philip Barnes’ account of problems with religious eEducation (RE), and explores the practical implications of his position. Acknowledging his compelling logic – that RE is premised on an acceptance of all religions as equally theologically true – this article argues for optimism: with controversy and ambiguity moving to centre stage, a re‐orientation of RE’s attainment targets could focus RE curricula and provide a measure of direction for future progress. Equally, a focus on developing individual values for life in a plural democracy – where personal destinies often conflict both culturally and existentially – would likewise give RE a more potent purpose and the foundations for a normative agenda. Inspired by J.S. Mill, this article concludes that such RE may have to move beyond the classroom to achieve its potential as a critical, inclusive, relevant and progressive subject with coherent social and educational aims.     

Analysis of the Reliability of the Leadership Practices Inventory in the Item Response Theory Framework

The paper examines the psychometric properties of the leadership practices inventory (LPI) in the framework of item response theory (IRT). The LPI assesses five dimensions (i.e. leadership practices) of transformational leadership and consists of 30 items. IRT is a model‐based theory that relates the characteristics of questionnaire items (item parameters) and characteristics of individuals (latent variables) to the probability of choosing each of the response categories. The theory does not assume that the instrument is equally reliable for all levels of the latent variable examined. Samejima's graded response model was used to estimate LPI item characteristics, such as item difficulty and item discrimination power. The results show that some items are redundant in the sense they contribute little to the overall precision of the instrument. Moreover, the LPI seems to be most precise and reliable for respondents with low to medium leadership competence, whereas it becomes increasingly unreliable for high‐quality leaders. These findings suggest that the LPI is best used for training and development purposes, but not for leader selection purposes.     

Tatcharakteristika, Rückfallrisiko und Rückfallprognose bei Sexualstraftätern vom Jugend- bis ins Seniorenalter

The basis of this study was a census of all offenses of sexual assault and sexual abuse that were reported to the Berlin police between 1994 and 1999 (N?=?2,446). The purpose was to analyse the particularities of elderly offenders (60 years or older, n?=?68) compared to the 273 juvenile and the 2,105 younger adult offenders with regard to prior offenses, index offenses and recidivism rates. Furthermore, the analysis focused on the prediction of sexual and violent reoffence by means of the static-99 within the elderly age group. The analysis showed that the rate of former sexual offence committed by seniors was comparable to the younger adults; however, sexual and non-sexual violent pre-offences were much less frequent. On the other hand, the seniors were more frequently involved in sexual abuse, their modus operandi showed lesser degrees of intensity of the sexual acts and less use of force and violence (even among sexual abusers only) and group-offence was definitely uncommon. Furthermore the rate of sexual reoffence was similar to the juvenile offenders, but lower in comparison to adult offenders younger than 60 years. A more sophisticated analysis of the age-effects on recidivism-rates confirmed the anticipation of growing risks until middle adulthood and decreasing risks of reoffence afterwards. However, an explicit trajectory of first growing and than decreasing risks in the course of aging could only be found among offenders with sexual abuse, whereas the zenith was shifted in elderly stages of age. On the other hand, among offenders with sexual assaults, the risks of sexual reoffending seemed rather similar until the middle adulthood and increasingly lower in later stages. In spite of these aging-effects and the particularities of the elderly sexual offenders, the static-99 predicted sexual reoffence among the senior offenders quite well and there was no difference in comparison with the total sample.