A combined therapeutic approach in a family setting

Combined treatment approaches, co-therapy and family work are three concepts which are under much discussion in psychiatry. This paper describes the systematic use of an integrated treatment approach used by co-therapists working with families in which a child was the referred patient. The rationale behind this approach together with its advantages and disadvantages are discussed. The authors conclude that the approach is sufficiently promising to merit formal evaluation.     

Text comprehension in aphasia

The semantic and pragmatic strategies in the comprehension of spoken texts are investigated in four subgroups of aphasic patients and in normal and brain-damaged controls. Short texts of similar linguistic structure were read to the subjects, who were required to choose the picture, from a multiple choice set of five, that was appropriate to the story. Besides a picture showing the main event of the story, one picture depicted the literal sense of a metaphorical comment, and the others misrepresented semantic functions expressed in the text. With respect to these types of responses, both aphasics and controls exhibited the same pattern of reaction. It is concluded that the redundancy of texts makes up for the difficulties aphasics have in comprehending isolated words and sentences.     

Reaction time in reading a tachistoscopic display for a memory set item

Reaction times were measured in a task which requires the subject to search a brief visual array for a critical letter embedded in a row of background letters. In Experiment 1, the position of a critical letter in an instructed reading order and the size of a set of memorized letters were varied. Mean reaction time increased monotonically with distance of the critical letter from the beginning of the instructed reading path in the display. The variables reading position and memory set size were additive in their effect on mean reaction time. Data from a second experiment in which the retinal location of the critical letter and its reading position were varied showed that both reading position and retinal location influenced mean reaction time, but the effect of reading position on reaction time was greater. These variables interacted.     

Simulation of Preference Information in an Interactive Reference Point‐Based Method for the Bi‐Objective Inventory Routing Problem

In the research area of multiple criteria decision making, very few publications exist that explicitly design the simulation of a decision maker (DM) in an interactive approach. For this reason, we outline some methods widely used in the literature to identify common assumptions of simulating the DM's responses and the required input preference information. Our paper aims at covering the identified gap by introducing experimental concepts. Such concepts are used for theoretical analyses of a combined search‐and‐decision‐making procedure. Simulating the DM is a fruitful idea because the algorithm can be tested without integrating a human decision maker. Finally, we conduct experiments based on the proposed settings for a multiobjective inventory routing problem, which is a relevant and challenging logistic problem. Copyright © 2014 John Wiley & Sons, Ltd.     

Possession and Applicability of Signature Character Strengths: What Is Essential for Well-Being,Work Engagement,and Burnout?

Signature character strengths can foster health-related outcomes in work and private life, thus being particularly important for endangered occupational groups like physicians. However, situational circumstances need to allow character strengths demonstration (applicability) first to enable their application. Therefore, this study addresses the role of (1) applicability of signature character strengths in work and private life beyond their possession and (2) relationships with well-being, work engagement, and burnout dimensions (emotional exhaustion, depersonalization, and reduced personal accomplishment). Hospital physicians (N = 274) completed an online survey examining their signature character strengths and applicability, well-being, work engagement, and burnout dimensions. The top-five individual signature character strengths were fairness, honesty, judgment, kindness, and love. Hierarchical multiple linear regressions revealed that the possession as well as the applicability of signature character strengths was important in work and private life, but to different degrees. Possessing fairness, honesty, or kindness indicated significant positive relations with subjective well-being, whereas judgment and kindness seemed to negatively interact with reduced personal accomplishment. Hospital physicians’ applicability of fairness, honesty, judgment, and love was particularly essential for their psychological well-being and work engagement, whereas the applicability of fairness (reduced personal accomplishment) and judgment (emotional exhaustion, depersonalization) at work interacted negatively with the respective outcomes. Therefore, creating awareness for individual signature character strengths as well as providing applicability in hospitals and private life could be a promising approach to improve physicians’ well-being and consequently patient care as well as the performance of the health-care system in general.

     

Psychometric Characteristics of the German Values in Action Inventory of Strengths 120-Item Short Form

The original Values in Action Inventory of Strengths (VIA-IS) is an international 240 item validated self-report questionnaire measuring character strengths. A validated and reliable English 120-item short form (VIA-120) is available. However, there is limited information about the psychometric properties of the German VIA-120. This article addresses this gap and reports the reliability, validity and comparability of the German VIA-120 with the German VIA-240 version. Two independent samples were recruited: a general population sample (N = 1073, Sample 1) and a sample consisting of medical students and physicians (N = 685, Sample 2). Internal consistency of the VIA-120-scales ranged from α = .58 (modesty) to α = .87 (spirituality) in Sample 1 and α = .63 (honesty) to α = .90 (spirituality) in Sample 2. Intercorrelations between the scales of the 120-item version and the original 240-Items version (Sample 1) ranged from r = .52 (hope) to r = .89 (prudence). Criterion validity with the Satisfaction with Life Scale (SWLS) and the Brief Inventory of Thriving (BIT) was demonstrated. The comparison of the factor structure between the original and the short form showed a good convergence (Tucker’s Phi .93–.99 Sample 1, .95–.98 Sample 2). Overall, the German VIA-120 was reliable, showed good convergence with the German VIA-240 and thus presents a similar level of validity for the assessment of character strengths. This study provides the first indication that the VIA 120 short form is comparable regarding the validity and reliability of the original VIA 240-item version indicating its potential to be used in large scale research studies.

     

Age-related differences in inference revision processing

In comparison to younger adults, older adults demonstrate deficiencies in cognitive and linguistic abilities. Such cognitive factors that decline with age include working memory capacity and inhibitory abilities. The purpose of the present investigation was to measure differences in time course processing of inference revision abilities, as well as working memory, as they exist relative to adult age differences. Fifteen neurologically intact older adults and 15 younger adults participated in this study. A cross-modal lexical priming paradigm was chosen as the measure of the inference revision task; the listening span task of Tompkins, Bloise, Timko, and Baumgaertner (1994) was selected as the measure of working memory. Both groups demonstrated normal priming effects. No age-related differences were found on the working memory measure. Age-related differences did emerge on inferencing abilities. A significant correlation emerged between the older group's performance on comprehending inference revisions and their working memory capacity. Generally, inhibitory abilities and working memory capacity appeared to adversely affect older participant's performance.     

Mechanisms of source confusion and discounting in short-term priming 2: effects of prime similarity and target duration

D. E. Huber, R. M. Shiffrin, K. B. Lyle, and K. I. Ruys (2001) tested two-alternative, forced-choice (2-AFC) perceptual identification in a short-term priming task. For repetition priming, passive viewing of primes resulted in a preference to choose repeated words, but actively responding to primes resulted in a preference against choosing repeated words. These results were explained with a computational model, responding optimally with unknown sources of evidence (ROUSE), using the offsetting mechanisms of source confusion and discounting. An analysis of ROUSE revealed conditions under which discounting efficacy should diminish, causing a preference for primed words even with active prime processing. Two new studies confirm 2 such conditions: very short target flash durations and very low similarity between primes and primed choice words. These a priori predictions contrast with the a posteriori data fits of a multinomial model developed by R. Ratcliff and G. McKoon (2001).     

Reverie: between thought and prayer

Abstract:  Taking inspiration from a quotation by Lao Tzu, this paper considers 'reverie' as a dynamic process of containment as well as a state of mind. Reverie as a quality of thought akin to prayer is explored in the relationship between self and other. In infant observation, the paper contemplates the development of a baby's capacity to reach beyond the personal world to an archetypal experience of being held, where the creation of an internal space in mind could indicate the beginnings of spiritual awareness. 'Maternal/analytic reverie' views the passage of unconscious communication between patient and analyst as the result of a 'window' opening in the meniscus of the analyst's self. 'Paternal/supervisory reverie' reflects on the impact on a patient of an extra containing mind of a supervisor. 'Archetypal reverie' considers the transforming impact of numinous dreams on the psyche, and reflects on the power of prayer. Drawing on clinical examples from these four areas, the aim is to demonstrate the usefulness of the 'void within' and the perceptive function of emptiness in the 'doors and windows' of our mind.     

Syllable structure and sonority in language inventory and aphasic neologisms

Phonological theories have raised the notion of a universally preferred syllable type which is defined in terms of its sonority structure (e.g., ). Empirical evidence for this notion has been provided by distributional analyses of natural languages and of language acquisition data, and by aphasic speech error analyses. The present study investigates frequency distributions of syllable types in German, which allows for a rather complex syllable structure, and in neologistic utterances of a German speaking jargon aphasic. The findings suggest that the sonority structure of the patient's neologisms is generally in accordance with the notion of theoretically preferred syllables. Moreover, comparative analyses suggest that the predominance of the preferred syllable type is especially pronounced in the aphasic data. On the basis of these findings, the influence of sonority in impaired phonological lexical processing is discussed.