Zur Prävalenz von Depersonalisation und Derealisation in der stationären Psychotherapie

Depersonalization (DP) and derealization (DR) remain poorly recognized in clinical routine. Active exploration through structured interviews is strongly recommended, because patients rarely describe spontaneously their experiences with DP/DR. 143 psychosomatic, first-admission inpatients were interviewed about the 1-month prevalence of DP/DR using the Structured Clinical Interview for DSM-IV dissociative disorders. Additionally, the German questionnaires of the Cambridge Depersonalization Scale, the Dissociative Experiences Scale, the SCL-90-R and the Inventory of Interpersonal Problems were used. In the sample we found a prevalence of 23.1% (N=33) for depersonalization-derealization syndrom (ICD-10 F48.1) and 7% (N=10) for secondary pathological DP/DR. A total percentage of 62.9% reported DP/DR to some degree or other. There was a noticeably high co-occurrence of anxiety disorders in patients with pathological DP/DR. Patients with pathological DP/DR were generally more impaired, suffered many more interpersonal problems and were particularly characterized by introversion. Considering the high prevalence of this phenomenon, more attention should be paid to DP/DR in routine diagnostic procedures, treatment and research.     

Balance Performance During Perturbed Standing Is Not Associated With Muscle Strength and Power in Young Adults

The authors investigate the ways in which varied postural responses to translating platform perturbations are associated with the variables of strength and power. Twenty-four physically active and 27 sedentary young adults were exposed to a set of postural perturbations at varied velocities (10 and 20 cm/s) and the respective accelerations (6.4 and 6.9 m/s²), constant distance (6 cm), and 4 directions of platform motion (forward, backward, left-lateral, and right-lateral). They also performed maximum voluntary isometric contraction (MVC) and chair rising/chair jumping tests. The analysis of variance revealed significant interaction effect for peak center of pressure displacement, direction by velocity: F_3,129 = 24.43, p = .002; and direction by acceleration: F_3,129 = 34.18, p = .001. There were no significant correlations between peak center of pressure displacements and peak force and peak rate of force development measured during MVC in either standing (r = .27–57) or sitting positions (r = .12–51) and peak power during chair jumping (r = .47–.59) in all participants. As such, only a small proportion of variance was explained (9–39%, 3–23%, and 23–41%, respectively). In conclusion, interaction effects indicate that the composition of stimuli strongly influences compensatory responses and this effect is more pronounced in sedentary than in physically active young adults. Nevertheless, the dynamic balance is not associated with muscle strength and power in either group.     

Life With a Partner with ADHD: The Moderating Role of Intimacy

Adult attention deficit and hyperactivity disorder (ADHD) manifests itself through a variety of symptoms, some of which affect not only occupational and recreational activities but also intimate relationships. Previous findings have focused on the effects of adult ADHD on intimacy and relationships from the ADHD diagnosed person’s point of view. However, spouses of people with ADHD are a neglected population with regard to the effects that ADHD has on their romantic relationships. Our aim was to assess the effects of being married to a spouse with ADHD on marital relationships, and the moderating role of intimacy. We compared healthy spouses of people with ADHD to healthy spouses of healthy adults (M?=?38.23, SD?=?4.78) in their degree of self-reported intimacy and marital satisfaction. Our findings indicate that spouses of individuals with ADHD report significantly lower intimacy and lower marital satisfaction compared to spouses of individuals without ADHD. Moreover, our findings indicate that spousal reports about their degree of intimacy mediate the relationships between their spouses’ ADHD and their marital satisfaction. Results are discussed in relation to the broad implications that adult ADHD has for romantic intimacy. Our research addresses healthy partners married to a spouse with ADHD, suggesting that living with a partner with ADHD behaviors is challenging. ADHD symptoms negatively affect various qualities in the person experiencing them, but of equal importance is the damage occurring to his or her spouse. Implications for future research and recommendations for clinical work are suggested.     

"Motherhood starts in prison": the experience of motherhood among women in prison

This study aims to explore the way in which women prisoners in Israel experience motherhood in prison and construct their motherhood after being released. In-depth interviews were conducted with 9 women, and the data were analyzed according to the phenomenological approach. The qualitative methodology generated 5 main themes: (a) motherhood in prison as a motive for survival; (b) the sense of failure experienced by mothers in prison; (c) coping versus avoidance in the mother-child relationship during imprisonment; (d) motherhood in prison as a motive for change; and (e) the transition from questioning the right to be a mother to redeeming motherhood. The 5 themes were organized into a model that depicts the process of becoming a mother in prison and the move toward mending the experience of motherhood. The findings indicate that side by side with the traumatic experiences of prison are other aspects that allow for growth and rehabilitation. The discussion focuses on 2 main issues that evolved from the findings: the reasons for the change in motherhood that occurs during imprisonment and the aspects of prison that enable this change.     

They heard a cry: psychosocial resources moderate perception of others' distress

Two studies tested whether psychosocial resources affect perception of another's distress. Participants' had their resources depleted, left unchanged, or boosted by elaborately recalling either someone who had betrayed them, a neutral person, or a close and trusted other, respectively. Participants then listened to disturbing baby cries, and rated how much distress the cries conveyed. As predicted, participants who recalled a betrayal subsequently heard the cries as conveying more distress than did other participants (Study 1). However, recalling a betrayal did not amplify cry ratings if, prior to cry rating, betrayal‐related thoughts and feelings were disclosed (Study 2). The moderating effect of disclosure on cry ratings indicates that boosting resources (disclosure) can counteract the effects of resource depletion (betrayal). Results in both studies remained significant even after controlling for mood. This research is the first to show that social contexts, and emotional disclosure, each affects perception of others' distress. Copyright © 2007 John Wiley & Sons, Ltd.     

Poverty Among Adults with Disabilities: Barriers to Promoting Asset Accumulation in Individual Development Accounts

Adults with disabilities disproportionally experience poverty. We examine one novel strategy to promote economic well-being among adults with disabilities living in or near poverty, namely Individual Development Accounts (IDAs). IDAs are designed to help individuals save money and subsequently accumulate assets. Although adults with disabilities account for the majority of IDA participants, scant attention has been paid to their IDA saving performance. We describe the significance of accumulating assets, particularly as it relates to adults with disabilities. We then map the nature of IDA programs and analyze barriers to participation in IDAs and asset accumulation related to conflicting federal policies and a lack of sensitivity to disability-specific needs. We conclude by offering policy recommendations from our analysis, including the need to eliminate the means-tests used in welfare policies, de-linking participation in IDAs from employment status, and involving people with disabilities in designing and evaluating asset accumulation policies and programs.     

Using rituals in couple therapy in cases of wife battering

This article describes the work of a unit specializing in helping couples where there is violence towards the woman. It focuses particularly on ritual, describing couple violence as a type of family ritual, and outlines a number of specific healing rituals which can be substituted for the destructive ritual of violence.     

A fiery conflict: Attachment orientations and the effects of relational conflict on sexual motivation

This study examined the effects of relational conflict on sexual motivation. Sixty‐one couples were videotaped while discussing either a major relationship problem or their daily routine. Both partners then completed measures of sexual motives and rated their romantic partner's sexual attractiveness. Results showed that conflict discussion inhibited relationship‐based motives and had an adverse effect on women's perceptions of partner's attractiveness, but a beneficial effect on men's perceptions. Conflict discussion also inhibited self‐serving sexual motives such as having sex to obtain relief from stress among people with avoidant partners, suggesting that people are unlikely to turn to avoidant partners for sexual consolation. Implications for understanding the role of the sexual system in regulating reactions to relationship distressful events are discussed.     

A Pilot Study of Emotion Regulation Therapy for Generalized Anxiety and Depression: Findings From a Diverse Sample of Young Adults

Emotion regulation therapy (ERT) for generalized anxiety disorder (GAD) and accompanying major depressive disorder (MDD) is a theoretically derived, evidence-based treatment that integrates principles from traditional and contemporary cognitive-behavioral and experiential approaches with basic and translational findings from affect science to offer a blueprint for improving intervention by focusing on the motivational responses and corresponding self-referential regulatory characteristics. Preliminary evidence supports the efficacy of a 20-session version of ERT. However, previous trials of ERT and other traditional and contemporary cognitive-behavioral therapies have often utilized relatively homogeneous samples. Various contextual and demographic factors may be associated with challenges that increase risk for negative mental and social outcomes for young adults ages 18–29, particularly for individuals from diverse backgrounds. The aim of this pilot study was to examine the effectiveness of a briefer 16-session version of ERT in a racially and ethnically diverse sample of young adults. Participants (N = 31) were enrolled at an urban-based, commuter college who consented to treatment for anxiety, worry, or depression at an on-campus counseling center. Open-trial results demonstrate strong ameliorative changes in worry, rumination, self-reported and clinician-rated GAD and MDD severity, social disability, quality of life, attentional flexibility, decentering/distancing, reappraisal, trait mindfulness, and negative emotionality from pre- to posttreatment. These gains were maintained throughout a 3- and 9-month follow-up. These findings provide preliminary evidence for the efficacy of ERT in treating a racially and ethnically heterogeneous population. Further, this study highlights comparable effectiveness of a briefer 16-session version of ERT.     

Professionals’ Reflections About the Impact of Digital Technologies on Eating Disorders

The aim of this study was to explore how professionals working with clients who suffer from eating disorders reflect the impact of digital technologies on their clients. Interviews with 30 professionals were conducted. A qualitative analysis revealed the following areas: (a) the attributes of technologies that influence people with eating disorders, (b) the characteristics of people with eating disorders that influence their interaction with digital technologies, (c) the risks of technology usage, and (d) the benefits of technology usage. The results are discussed with respect to the Rodgers’s theoretical model explaining technology–eating disorder relations and the implications for practice.