Neue Felder in der Operationalisierten Psychodynamischen Diagnostik

After the operationalized psychodynamic diagnostics (OPD) system became well established in clinical as well as research contexts, especially in German speaking countries, the OPD task force now focuses on issues, such as modules and new manuals which are related to various clinical contexts. In this article new modules and manuals are presented and discussed in summarized form: the modules for addiction disorders and for forensic patients, the new OPD-2 manual for children and adolescents, an OPD-based manual for formulating initial assessment reports for insurance companies as well as a conceptualization for an operationalized psychodynamic therapy (OPT).     

Assessing DSM–5 Level of Personality Functioning From Videotaped Clinical Interviews: A Pilot Study With Untrained and Clinically Inexperienced Students

Several authors have raised the concern that the DSM–5 Level of Personality Functioning Scale (LPFS) is relatively complex and theory laden, and thus might put high requirements on raters. We addressed this concern by having 22 untrained and clinically inexperienced students assess the personality functioning of 10 female psychotherapy inpatients from videotaped clinical interviews, using a multi-item version of the LPFS. Individual raters’ LPFS total scores showed acceptable interrater reliability, and were significantly associated with 2 distinct expert-rated measures of the severity of personality pathology. These findings suggest that, contrary to the previously mentioned concerns, successfully applying the LPFS to clinical cases might require neither extensive clinical experience nor training.     

Contextual interference processing during fast categorisations of facial expressions

We examined interference effects of emotionally associated background colours during fast valence categorisations of negative, neutral and positive expressions. According to implicitly learned colour-emotion associations, facial expressions were presented with colours that either matched the valence of these expressions or not. Experiment 1 included infrequent non-matching trials and Experiment 2 a balanced ratio of matching and non-matching trials. Besides general modulatory effects of contextual features on the processing of facial expressions, we found differential effects depending on the valance of target facial expressions. Whereas performance accuracy was mainly affected for neutral expressions, performance speed was specifically modulated by emotional expressions indicating some susceptibility of emotional expressions to contextual features. Experiment 3 used two further colour-emotion combinations, but revealed only marginal interference effects most likely due to missing colour-emotion associations. The results are discussed with respect to inherent processing demands of emotional and neutral expressions and their susceptibility to contextual interference.     

Revisiting the association of aggression and suicidal behavior in schizophrenic inpatients

Our study investigated the association of aggression and suicidal behavior in schizophrenic inpatients. Eight thousand nine hundred one admissions for schizophrenia (1998-2007) to a psychiatric university hospital were included. Schizophrenic suicides (n = 7)/suicide attempters (n = 40) were compared to suicides (n = 30)/suicide attempters (n = 186) with other diagnoses and to schizophrenic non-attempters regarding aggression. Logistic regression analysis was performed to explore risk factors for attempted suicide. Schizophrenic suicides/suicide attempters did not differ from other suicides/suicide attempters or from schizophrenic non-attempters with regard to aggression. Risk of inpatient suicide attempt was increased for patients with attempted suicide at admission, high school graduation, and disorganized subtype. Aggression could not be found to be a predictor of attempted suicide. Aggression seems to have a minor role for suicidal behavior in schizophrenia.     

The Predictive Validity of Injury Proxies: Predicting Early Adolescent Injuries with Assessments of Minor Injuries

This study offers an initial step in establishing the predictive validity of injury proxies. Proxies are utilized frequently by injury researchers to overcome various methodological and ethical issues inherent in injury research, although psychometric data on proxies are limited. Using data from the NICHD Study of Early Child Care and Youth Development we found that minor injuries predicted adolescent injuries longitudinally, even in the context of well-established predictors of injury risk. This study is the first to demonstrate the predictive validity of minor injuries, a common proxy of pediatric injury risk. Findings are discussed with respect to implications for conceptual understanding of injury risk, future research, and prevention efforts.     

Discrepancies Between Implicit and Explicit Self‐concepts of Intelligence Predict Performance on Tests of Intelligence

Three studies investigated the correspondence between implicit and explicit self‐concepts of intelligence and how that correspondence is related to performance on different intelligence tests. Configurations of these two self‐concepts were found to be consistently related to performance on intelligence tests in all three studies. For individuals who self‐reported high intelligence (high explicit self‐concept), a negative implicit self‐concept (measured with the Implicit Association Test) led to a decrease in performance on intelligence tests. For participants whose self‐report indicated a low self‐concept of intelligence, positive automatic associations between the self and intelligence had a similar effect. In line with a stress hypothesis, the results indicate that any discrepant configuration of self‐concepts will impair performance. Importantly, the prediction of performance on intelligence tests by the self‐concept of intelligence was shown to be independent of self‐esteem (Study 3). Copyright © 2011 John Wiley & Sons, Ltd.     

Langzeitergebnisse einer Funktionellen-Magnetresonanztomographie-Studie

In a controlled functional magnetic resonance imaging (fMRI) study the effect of psychodynamic short-term psychotherapy on cerebral activation of panic disorder patients was determined. In a linguistic go-no go paradigm behavioral measures and cerebral activation to affective word stimuli with threatening, neutral and positive content were assessed pretreatment and post-treatment in 9 patients with panic disorder. 18 healthy controls were scanned twice at the same intervals. In an additional long-term follow-up after approximately 3 years post-treatment the effect of brain activation changes during treatment on the long-term outcome of core symptoms (panic-related cognition and fear of body sensations) were determined. In accordance with the hypotheses increased limbic (hippocampus and amygdala) activation accompanied by low prefrontal activation to negative words were found. At treatment termination, panic-related symptoms had improved significantly and fronto-limbic activation patterns were normalized. Reduction of activation of the limbic system during treatment was predictive of a favorable long-term outcome. The results indicate that short-term psychodynamic treatment leads to changes in fronto-limbic networks, similar to previous findings on cognitive-behavioural treatment.