Zwangsbehandlung – eine Zwischenbilanz

Each medical treatment encroaches on patient rights; therefore, every patient has the right to freely decide whether to be treated or not and has the freedom to refuse treatment even if it is unreasonable from a medical perspective. The law acknowledges this freedom even if the patient is incapable of responsible self-determination as a result of (mental) illness. Treatment contrary to the patient’s declared intentions (“Zwangsbehandlung”—compulsory treatment) is allowed only under specific, strict circumstances. These requirements must be legally established in a clear and precise manner. On the basis of a number of cases concerning compulsory treatment with drugs of patients in a forensic psychiatric hospital, the Federal Constitutional Court therefore established specific guidelines. The Federal legislators and some state legislators have generally implemented these guidelines, even with reference to partly different settings, but considering the fact that these guidelines were related to a special treatment situation they also found differing solutions to some extent. Nevertheless, there are significant regulatory gaps remaining which in particular relate to the treatment of somatic diseases of psychiatric patients.     

The effect of exercise and childbirth classes on fear of childbirth and locus of labor pain control

This study sought to track changes in intensity of fear of childbirth and locus of labor pain control in women attending an exercise program for pregnant women or traditional childbirth classes and to identify the predictors of these changes. The study was longitudinal/non-experimental in nature and run on 109 healthy primigravidae aged from 22 to 37, including 62 women participating in an exercise program for pregnant women and 47 women attending traditional childbirth classes. The following assessment tools were used: two scales developed by the present authors – the Fear of Childbirth Scale and the Control of Birth Pain Scale, three standardized psychological inventories for the big five personality traits (NEO Five Factors Inventory), trait anxiety (State–Trait Anxiety Inventory) and dispositional optimism (Life Oriented Test–Revised) and a questionnaire concerning socioeconomic status, health status, activities during pregnancy, relations with partners and expectations about childbirth. Fear of childbirth significantly decreased in women participating in the exercise program for pregnant women but not in women attending traditional childbirth classes. Several significant predictors of post-intervention fear of childbirth emerged: dispositional optimism and self-rated health (negative) and strength of the belief that childbirth pain depends on chance (positive).     

Representing Indian Philosophy Through the Nation: an Exploration of the Public Philosopher Radhakrishnan

Several authors working on cross-cultural philosophy underscore that a cross-cultural conversational space, which breaks away from dominant theoretical frameworks, is necessary for a genuine cross-cultural dialog. This paper too seeks to contribute to the development of such a space. To this end, its focus will lie on one salient representation of Indian philosophy in the postcolonial context: the ‘Report of the University Education Commission’ of 1948–1949 (Report 1950). The paper will analyze how this document marries shared values like freedom and equality with the role of philosophy for the Indian nation.     

Sex differences in anger-related behaviour: Comparing expectancies to actual behaviour

Expectancies about and the reactions of men and women to a provocation were compared to self- and observer ratings of the actual behaviour in response to the provocation. In Study 1, men and women were provoked by the experimenter during a laboratory task. In Study 2, participants were presented with video clips of the provocation and estimated how a man or a woman would likely react to it. The man was expected to react more aggressively than the woman. In their actual behaviour, however, men were more likely to react with humour or by distancing than were women. The woman was expected to react more submissively than the man, which was inaccurate with respect to both the observer ratings and the self-ratings.     

Multi- and unisensory decoding of words and nonwords result in differential brain responses in dyslexic and nondyslexic adults

The present functional magnetic resonance imaging (fMRI) study was designed, in order to investigate the neural substrates involved in the audiovisual processing of disyllabic German words and pseudowords. Twelve dyslexic and 13 nondyslexic adults performed a lexical decision task while stimuli were presented unimodally (either aurally or visually) or bimodally (audiovisually simultaneously).The behavioral data collected during the experiment evidenced more accurate processing for bimodally than for unimodally presented stimuli irrespective of group. Words were processed faster than pseudowords. Notably, no group differences have been found for either accuracy or for reaction times. With respect to brain responses, nondyslexic compared to dyslexic adults elicited stronger hemodynamic responses in the leftward supramarginal gyrus (SMG), as well as in the right hemispheric superior temporal sulcus (STS). Furthermore, dyslexic compared to nondyslexic adults showed reduced responses to only aurally presented signals and enhanced hemodynamic responses to audiovisual, as well as visual stimulation in the right anterior insula.Our behavioral results evidence that the two groups easily identified the two-syllabic proper nouns that we provided them with. Our fMRI results indicate that dyslexics show less neuronal involvement of heteromodal and extrasylvian regions, namely, the STS, SMG, and insula when decoding phonological information. We posit that dyslexic adults evidence deficient functioning of word processing, which could possibly be attributed to deficits in phoneme to grapheme mapping. This problem may be caused by impaired audiovisual processing in multimodal areas.     

Proprioception plays a different role for sensorimotor adaptation to different distortions

If proprioceptive feedback is degraded by agonist-antagonist muscle vibration, then adaptation to rotated vision remains intact while adaptation to a velocity-dependent force field worsens. Here we evaluate whether this differential effect of vibration is related to the physical nature of the distortion - visual versus mechanical - or to their kinematic coupling to the subjects’ hand - velocity versus position dependent. Subjects adapted to a velocity-dependent visual distortion, to a position-dependent force, or to a velocity-dependent force; one half of the subjects adapted with, and the other half without agonist-antagonist vibration at the wrist, elbow, and shoulder. We found, as before, that vibration slowed down adaptation to a velocity-dependent force. However, vibration did not modify adaptation to the other two distortions, nor did it influence the aftereffects of any distortion. From this we conclude that intact proprioception supports strategic compensatory processes when proprioceptive signals agree with visual ones, and provide relevant (dynamic) information not available to the visual system.     

The neurobiology of the stress-resistant brain

The 2010 Neurobiology of Stress Workshop brought together scientists from all over the world to share and discuss their results from studies examining the consequences of acute, repeated, and chronic stressor exposure on health and disease. Session IV entitled "The neurobiology of the stress-resistant brain" explored how we can intervene to promote stress resistance and stress resilience. Four scientists, who explore this topic from unique and convergent perspectives, presented their experimental results derived from studies in rat (Fleshner and Maier), non-human primates (Lyons), and human (Raskind). Summaries of each presentation, supporting publications, and overall take-home messages from the session are presented.     

The role of anxiety and perspective-taking strategy on affective empathic responses

Empathy is an important pro-social behaviour critical to a positive client–therapist relationship. Therapist anxiety has been linked to reduced ability to empathise and lower client satisfaction with therapy. However, the nature of the relationship between anxiety and empathy is currently unclear. The current study investigated the effect of experimentally-induced anxiety on empathic responses elicited during three different perspective-taking tasks. Perspective-taking was manipulated within-subjects with all participants (N = 52) completing imagine-self, imagine-other and objective conditions. A threat of shock manipulation was used to vary anxiety between-subjects. Participants in the threat of shock condition reported higher levels of anxiety during the experiment and lower levels of empathy-related distress for the targets than participants in the control condition. Perspective-taking was associated with higher levels of empathy-related distress and concern compared to the objective condition. The present results suggest that perspective-taking can to a large extent mitigate the influence of heightened anxiety on an individual’s ability to empathise.     

Effects of age on cross-modal emotion perception

Efficient navigation of our social world depends on the generation, interpretation, and combination of social signals within different sensory systems. However, the influence of healthy adult aging on multisensory integration of emotional stimuli remains poorly explored. This article comprises 2 studies that directly address issues of age differences on cross-modal emotional matching and explicit identification. The first study compared 25 younger adults (19-40 years) and 25 older adults (60-80 years) on their ability to match cross-modal congruent and incongruent emotional stimuli. The second study looked at performance of 20 younger (19-40) and 20 older adults (60-80) on explicit emotion identification when information was presented congruently in faces and voices or only in faces or in voices. In Study 1, older adults performed as well as younger adults on tasks in which congruent auditory and visual emotional information were presented concurrently, but there were age-related differences in matching incongruent cross-modal information. Results from Study 2 indicated that though older adults were impaired at identifying emotions from 1 modality (faces or voices alone), they benefited from congruent multisensory information as age differences were eliminated. The findings are discussed in relation to social, emotional, and cognitive changes with age.