Aktuelle Entwicklungen in der Psychotherapieausbildung und der Ausbildungsforschung

In the journal Psychotherapeut, issues of psychotherapy training have been repeatedly published during recent years, especially related to discussions about a reform of the current training system. This reform now seems to have been initiated. Besides a historical sketch of the training-related discourse of recent years and a proposal for defining core fields of competence of psychotherapists, this paper summarizes current trends in training research, which seem to be gaining importance within psychotherapy research.     

Testing the Four Main Predictions of the Interpersonal–Psychological Theory of Suicidal Behavior in an Inpatient Sample Admitted Due to Severe Suicidality

This study aimed to evaluate four main predictions of the Interpersonal Psychological Theory of Suicide (IPTS): the importance of perceived burdensomeness (PB), thwarted belongingness (TB), hopelessness (H), and capability for suicide (CS) for (passive/active) suicide ideation, suicide intent and suicide attempts. N = 308 psychiatric inpatients admitted due to severe suicidality (53.6% female: n = 165; age: M = 36.82, SD = 14.30, range: 18–81) completed self-report measures of TB, PB, H, CS and suicide ideation as well as interviews on suicide intent and suicide attempts. TB and PB were associated with (passive/active) suicidal ideation, whereas the three-way interaction PB, TB, and H was not associated with active suicide ideation. Fearlessness about death in conjunction with active suicidal ideation was not associated with suicide intent and the interaction of PB, TB, and CS was neither predictive of recent suicide attempt status nor lifetime number of suicide attempts. Given the cross-sectional nature of the data, conclusions on causality should be handled carefully. The results challenge the theoretical validity of the IPTS and its clinical utility—at least within the methodological limitations of the current study. Yet, findings underscore the importance of PB in understanding suicidality.     

Psychobiological Aspects of Infant Crying

This study addresses the relationship between the amount of infant crying and maternal responsiveness to the infant's facial communicative cues during distress and non-distress situations. From an evolutionary perspective, the interpretation of infant crying as a communicative signal is preferred over its distance-regulating function. This view implies a relation between the amount of infant crying and parameters describing interactional regulation. Maternal responsiveness is operationalized by (a) the contingent reactions in a latency time span which define the intuitive character of parental behaviours (200–800 ms) and by (b) an event-based coding system of maternal inappropriate behaviour. Infant states (crying, fussing, sleeping and waking hours) were assessed by means of diaries kept by the mothers. In two samples (N=10, N=13, respectively), married, middle-class mothers were videotaped in free play situations with their healthy, firstborn children in their family homes. Results show that there is a strong intersituational consistency of maternal behaviour, but context-sensitive components of maternal behaviour could also be found. The contingency of maternal reactions during the free play situation can be regarded as a predictor of the duration of the infant's crying measured by a maternal diary. The whole pattern of the results confirms the regulatory function of infant crying in the context of early caregiver–child interactions.     

Dialectical Behavior Therapy of Anorexia and Bulimia Nervosa Among Adolescents: A Case Series

The aim of this study was to describe a case series of adolescents (mean age = 16.5 years, SD = 1.0) with anorexia nervosa (AN) and bulimia nervosa (BN) who received dialectical behavior therapy (DBT). Twelve outpatients with AN and BN took part in 25 weeks of twice weekly therapy consisting of individual therapy and a skills training group. Family members were involved in the treatment. The patients were compared pre- and posttreatment on behavioral symptoms of AN and BN and symptoms of general psychopathology using standardized instruments (Structured Inventory for Anorectic and Bulimic Syndromes, Eating Disorder Inventory-2, The Symptom Checklist-90-Revised). Posttreatment, significant improvements in behavioral symptoms of eating disorder and symptoms of psychopathology were identified. The application of DBT adapted for the treatment of AN and BN among adolescents was associated with a decrease in behavioral symptoms of eating disorders and symptoms of general psychopathology. However, randomized controlled studies are required to prove the efficacy of this approach.     

A Bayesian approach to the argument from ignorance.

In this paper, we re-examine a classic informal reasoning fallacy, the so-called argumentam ad ignorantiam. We argue that the structure of some versions of this argument parallels examples of inductive reasoning that are widely viewed as unproblematic. Viewed probabilistically, these versions of the argument from ignorance constitute a legitimate form of reasoning; the textbook examples are inductive arguments that are not unsound but simply weak, due to the nature of the premises and conclusions involved. In an experiment, we demonstrated some of the variables affecting the strength of the argument, and conclude with some general considerations towards an empirical theory of argument strength.     

Towards tolerance: Representations of superordinate categories and perceived ingroup prototypicality

According to Mummendey and Wenzel (1999), group members tend to perceive their ingroup, relative to an outgroup, as more prototypical of the superordinate category encompassing both groups. Hence, they tend to regard the outgroup as deviating from the norms of the superordinate category. Factors that inhibit perception of relative ingroup prototypicality should thus promote intergroup tolerance. In two experiments, the representation of the superordinate category was manipulated. Both an undefinable prototype (Experiment 1; N=63) and a complex representation (Experiment 2; N=88) led to a decrease in relative ingroup prototypicality. Dual identification with the ingroup and the superordinate category increased relative ingroup prototypicality, which was negatively correlated with positive attitudes towards the outgroup. The findings supported Mummendey and Wenzel’s assumptions about the conditions that lead to intergroup tolerance.     

Working with families of adults with anorexia nervosa

The aim of this paper is to describe working with the carers (families) of adults with anorexia nervosa (AN), which is different from working with families of younger adolescents. The main difference is in the area of rights and responsibilities of both parties. Moreover, as AN in adults is often a chronic condition, the treatment goal may not focus on recovery, but instead on improvement in quality of life. Thus the spectrum of nature and degree of parental involvement in the treatment of adults with AN is much broader than in children and adolescents. Our framework for intervention is based on a clear model of carer distress, from which targets for intervention follow. The paper outlines some of the core components of this work.     

Anger in Wikipedia: Perceived intentionality and threat appraisal as mediators of anger about man‐made attacks

The online encyclopedia Wikipedia has established strict guidelines for the objectivity of content. At the same time, Wikipedia includes articles on negative events, such as disasters or man‐made attacks. These events can elicit strong emotions, which in turn may spill over into Wikipedia articles. Previous research has shown that Wikipedia articles on man‐made attacks contain more anger‐related content than Wikipedia articles on disasters. Building on these findings, we aimed to investigate whether the threat that Wikipedia authors experience when they learn of an attack is relevant as a factor in explaining the anger effect. Threat is known to elicit active and engaged reactions, such as anger, which is why it is a likely explaining factor. Our research also aimed to replicate the findings from the linguistic analysis of the Wikipedia articles using controlled scenario‐based laboratory experiments. Three studies demonstrated that man‐made attacks (terrorist attack, shooting rampage) elicited more threat, more anger, and more expressions of anger‐related content in Wikipedia texts than nature‐made disasters (earthquake, flood) and man‐made disasters (train accident). Moreover, threat was relevant as a factor in explaining the effects on anger and anger‐related content in the Wikipedia texts. These mediations could be explained by the perceived intentionality of the event. This research highlights the findings that perceived intentionality and threat are relevant mediating factors for feelings and expressions of anger after man‐made attacks.     

Does resting electroencephalograph asymmetry reflect a trait? an application of latent state-trait theory

Recent research on brain asymmetry and emotion treated measures of resting electroencephalograph (EEG) asymmetry as genuine trait variables, but inconsistency in reported findings and modest retest correlations of baseline asymmetry are not consistent with this practice. The present study examined the alternative hypothesis that resting EEG asymmetry represents a superimposition of a traitlike activation asymmetry with substantial state-dependent fluctuations. Resting EEG was collected from 59 participants on 4 occasions of measurement, and data were analyzed in terms of latent state-trait theory. For most scalp regions, about 60% of the variance of the asymmetry measure was due to individual differences on a temporally stable latent trait, and 40% of the variance was due to occasion-specific fluctuations, but measurement errors were negligible. Further analyses indicated that these fluctuations might be efficiently reduced by aggregation across several occasions.