Family systems psychiatry in an acute in‐patient setting: the implementation and sustainability 5 years after its introduction

From 2003 to 2008 a multicentre research project, systems therapy methods in acute psychiatry (SYMPA), attempted to establish structured in‐patient treatment based on systemic interventions in German non‐university psychiatric hospitals. Utilising multi‐professional family systems training for team members in six in‐patient wards, its main goal was to improve the involvement of familial and non‐familial important others. This follow‐up study explores the sustainability of family systems psychiatry by evaluating the frequency of the utilisation of four core systemic interventions; elements of a systemic organizational culture in psychiatry; and institutional barriers to this new approach. The degree of implementation was high to moderate, depending on the intervention. More intense communication developed among staff of different professions and the status of nursing staff improved. Organizational barriers to implementation included the ambiguous role of junior doctors in teams, continuously understaffed wards and frequent over‐occupancy.     

Attentional focus on suprapostural tasks affects balance learning

We examined whether the attentional focus induced by a suprapostural task has an influence on the learning of a dynamic balance task. Participants balanced on a stabilometer and were required to hold a tube horizontal with both hands. In Experiment 1, the tube contained a table tennis ball, whereas it was empty in Experiment 2. Participants were instructed to focus on either their hands (internal focus) or the tube (external focus). We measured balance performance as a function of attentional focus on the suprapostural task. Participants practised for 2 days, and on Day 3 they performed a retention test (with tube) and a transfer test (without tube). In both experiments, the external focus groups demonstrated more effective retention and transfer than the internal focus groups (and than the control group in transfer in Experiment 2). In addition, in Experiment 1 the external group was superior in keeping the tube horizontal. This suggests that the performer's attentional focus regarding the suprapostural task affects performance and learning not only of the suprapostural task itself, but also of the postural task.     

Effects of morphosyntactic gender features in bilingual language processing

A central issue in bilingual research concerns the extent to which linguistic representations in the two languages are processed independently of each other. This paper reports the results of an empirical study and a model stimulation, which provide evidence for the interactive view, which holds that processing is not independent. Specifically, a reading experiment examined whether morpho-syntactic features associated with lexical representations in a bilinguals’ native language, in this case the masculine gender feature associated with the er ending of agentive nouns in German, are automatically activated by the processing of morphologically related representations in their second language, in this case English agentive nouns that end in er. Experimental findings suggest that the German-English bilinguals have a bias to interpret the referents of such nouns as male relative to English monolinguals. Subsequent computational simulation studies with an interactive activation network confirmed that this effect is due to the influence of the morphosyntactic er representation in the bilingual models that is absent in the monolingual models. The results provide evidence for an interactive view of bilingual memory and processing for language learners of age 8 and above.     

Dimensions of Religion Associated with Suicide Attempt and Suicide Ideation in Depressed,Religiously Affiliated Patients

There is substantial evidence to support the claim that religion can protect against suicide ideation, suicide attempts, and completed suicide. There is also evidence that religion does not always protect against suicidality. More insight is needed into the relationship between suicidal parameters and dimensions of religion. A total of 155 in‐ and outpatients with major depression from a Christian Mental Health Care institution were included. The following religious factors were assessed: religious service attendance, frequency of prayer, religious salience, type of God representation, and moral objections to suicide (MOS). Multiple regression analyses were computed. MOS have a unique and prominent (negative) association with suicide ideation and the lifetime history of suicide attempts, even after controlling for demographic features and severity of depression. The type of God representation is an independent statistical predictor of the severity of suicide ideation. A positive‐supportive God representation is negatively correlated with suicide ideation. A passive‐distressing God representation has a positive correlation with suicide ideation. High MOS and a positive‐supportive God representation in Christian patients with depression are negatively correlated with suicide ideation. Both are likely to be important markers for assessment and further development of therapeutic strategies.