Einzel- und Paarintervention f��r depressive Koronarpatienten

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.     

Psychoanalytisch-orientierte Fokaltherapie der Depression bei Krebskranken

Emotional distress connected to a cancer disease may result in comorbid mental and especially depressive disorders. Although psychodynamic therapy is one of the most frequently applied forms of psychotherapy of depression in cancer patients there is a lack of empirical studies which meet the criteria of evidence-based psychotherapy research. This is especially true with regard to randomized controlled trials of psychodynamic psychotherapy. As far as we know no manual for psychodynamic treatment of cancer patients has yet been published. In this article a manual for a 20-session short-term psychodynamic treatment is presented. The treatment is based on Luborsky’s supportive-expressive (SE) therapy. The SE treatment manual of depressions in cancer patients presented here is an adaptation of the general SET manual as well as the SE manual for depression. In the first part the general principles of SE therapy are presented. In the second part a manual specifically adapted to the treatment of depressive cancer patients is described. The treatment manual is presently being used in a large-scale randomized controlled multi-centered study comparing short-term psychodynamic psychotherapy and treatment as usual.     

From Figure to Argument: <Emphasis Type="Italic">Contrarium</Emphasis> in Roman Rhetoric

In Roman rhetoric, contrarium was variably considered either a figure of speech or an argument. The paper examines the logical pattern of this type of argument, which according to Cicero is based on a third Stoic indemonstrable syllogism: The persuasiveness of this type of argument, however, vitally depends on the validity of the alleged ‹incompatibility’ forming its major premiss. Yet this appears to be the argument’s weak point, as the ‹incompatibilities’ employed generally hold for the most part only, and are reducible to topical argument schemes. This is why in practical usage such arguments are most often phrased as rhetorical questions, the persuasive force of which, enhanced by certain strategical maneuverings and fallacies, makes the audience swallow the argument.     

The hidden persuaders break into the tired brain

There is a long-lasting debate on whether subliminal advertising actually works. In this context there are some studies suggesting that subjects’ motivation is a crucial point. Karremans et al. [Karremans, J. C., Stroebe, W., & Claus, J. (2006). Beyond Vicary’s fantasies: The impact of subliminal priming and brand choice. Journal of Experimental Social Psychology, 42, 792-798] showed that subjects were influenced in their intention to drink a specific brand of soft drink by a subliminally presented brand prime, but only if they were thirsty. In the present study, we adapted their paradigm to the concept of ‘concentration’ and embedded the subliminal presentation of a brand logo into a computer game. Actual subsequent consumption of dextrose pills (of the presented or a not presented brand) was measured dependent on the level of participants’ tiredness and the subliminally presented logo. We found the same pattern as Karremans et al. (2006): only tired participants consumed more of the subliminally presented than the not presented brand. Therefore, the findings confirm that subjects are influenced by subliminally presented stimuli if these stimuli are need-related and if subjects are in the matching motivational state.     

„Da wirst du ja auch bekloppt bei“

Given a growing demand of psychotherapeutic care the interest of students in a psychotherapeutic occupation is gaining relevance. At the same time psychoanalytic training institutions and societies have been confronted with a continuous decrease of candidates over the last decades. Psychology students, medical students and students of educational sciences (the latter only in the child and adolescent treatment sector) are admitted for a psychotherapeutic training approved by the health care insurances in Germany and have the possibility to choose between a behavioral or a psychodynamic oriented training. In the present multimethodological cross-sectional study those student groups (N?=?679) were questioned about their interest in a psychotherapeutic training in general and, if they proved to be interested, about their specific choice of training. Amongst psychology students the largest group of those interested in a psychotherapeutic training would opt for a behavioral education. Amongst medical students and students of pedagogy and social pedagogy a psychotherapeutic training is less frequently an option for their future career plans. Amongst the students of educational sciences, for those interested in training, psychodynamic methods are more often of interest. Possible reasons for the students' decisions in the context of the specific German legal situation are discussed.     

Psychotherapeutinnen und Psychotherapeuten und ihr Beruf

Ohne Zusammenfassung     

Extraversion and rapid tapping: reactive inhibition or general cortical activation as determinants of performance differences

Two samples of subjects (n_tot = 22) scoring high or low on EPI-E tapped a morse-key as fast as possible over a 2-min period. As predicted, extraverts showed a lower tapping performance than introverts with differences between groups increasing significantly over time due to greater delays among the extraverts. Within the E dimension tapping differences could be shown to depend significantly only on the subfactor impulsiveness but not on sociability. There were no differences between groups, however, in frequency of involuntary rest pauses. Therefore the effects of extraversion on tapping performance should be explained more in terms of underlying differences in cortical arousal level than in terms of intermittent blocks as part of inhibitory potentials.     

Evidence for visual persistence during saccadic eye movements

Summary 1. The persistence of visual perception was investigated under conditions of visual fixation as well as eye movement. The Ss' task was to discriminate brief double light impulses; their responses were recorded as a function of the duration of the interstimulus interval. Based on these data the critical interstimulus interval was calculated, which yielded equal response frequencies for the perception of one or two stimuli upon presentation of double light pulses.2. In the condition of visual fixation the two stimuli could not be discriminated until the mean value of interstimulus interval exceeded 73 msec. In the condition with eye movements, when the first stimulus was presented in the parafoveal region of the retina before the beginning of the saccade and the second stimulus in the foveal region just after termination of the eye movement, this duration was shown to be statistically of the same magnitude (76 msec).3. Possible alternative interpretations of this latter result, e.g., that it could be explained in terms of masking or saccadic suppression rather than visual persistence was discussed; it was attempted to invalidate such explanations by means of three control experiments.4. The main result, the persistence of visual perception during voluntary eye movements, was discussed in relation to the problem of spatial and temporal stability of visual perception.I thank Prof. Dr. H.W. Wendt for support in correcting the English translation.