Kombination von Settings und Verfahren in der Psychotherapie

Literature research and own clinical experiences confirm the significance of a combined use of settings and methods in the area of inpatient and outpatient psychotherapy. For inpatient treatment, the combined use of methods, such as individual psychotherapy, group therapy, creative therapies, and sport, are an essential part of the treatment. In outpatient treatment, the regulations of the German insurance do not permit such combinations. Nevertheless, they occur and are often proactively initiated by the patients. The various combined use of psychotherapy and psychotropics is very well studied, but also the combination of settings, i.e. supplementary inpatient treatment, day treatment, and outpatient treatment have to be considered. While administering their therapies, psychotherapists should keep in mind possibly concurrently ongoing treatments as well as former therapies and their effects on the patients. With the exception of combinations with psychotropic treatment, there exist almost no empirical data in this important field.     

Object- and feature-based priming in visual search

Two contrasting accounts for priming in visual search have been proposed. The main difference between the two is the level of perceptual processing at which the priming effects are assumed to occur, whether priming is assumed to operate through the selective facilitation of features or at the level of selection of objects for response. The aim of the experiments here was to contrast these accounts. In the first two experiments, observers performed a search for the odd diamond in the midst of two distractor diamonds. Each diamond had two colors, but the configurations of the colors within the diamonds were different for the two experiments in ways previously shown to lend themselves differently well to object formation. The results show that priming can be both feature- and object-based, depending on the topological properties of the stimuli. This was confirmed in a third experiment, in which a quite dissimilar stimulus set was used to address the same question, once again yielding similar results. We thus show that priming operates at various levels of perceptual processing, a result consistent with new findings from neuroimaging and neuropsychology.     

Personality, risky driving and accident involvement among Norwegian drivers

Despite the large body of studies, the role of personality in risk research still remains debatable and unclear. The objective of this study was to identify determinants of road user behaviour and accident involvement with the aim of developing effective accident countermeasures. Examining relationships between personality, risky driving and involvement in accidents can open up the possibility of early identification of those more likely to be involved in accidents. The aim is not to influence personality as such, but to develop measures constructed for specific groups. The results are based on a self-completion questionnaire survey carried out among a sample of Norwegian drivers in year 2000 and 2001 (n=2605). The Norwegian Directorate of Public Roads financed the study. The questionnaire included measures of risky driving, accident involvement, normlessness, sensation-seeking, locus of control and driver anger. Results showed that those who scored high on sensation seeking, normlessness and driver anger reported more frequent risky driving compared to those who scored low on these variables. They were more often involved in both speeding and ignorance of traffic rules. Respondents involved in risk taking-behaviour experienced near-accidents and crashes leading to both injuries and material damage more often than other drivers.     

Prevention of depression among Icelandic adolescents

Major depression and dysthymia are frequent, debilitating, and chronic disorders, whose highest rate of initial onset is during the late adolescent years. The effectiveness of a program designed to prevent an initial episode of major depression or dysthymia among adolescents was investigated. Participants were 171 fourteen-year-old “at risk” Icelandic adolescents who were randomly assigned to a prevention program or a treatment-as-usual assessment only control group. They were identified as “at risk” by reporting the presence of depressive symptoms or a negative attributional style. The program was based on a developmental psychosocial model of enhancement of resilience to factors associated with the occurrence of mood disorders. The results indicated that the prevention program resulted in a significantly lower rate of major depression and dysthymia than did the control group. The study demonstrated that school personnel in the school setting can implement such prevention programs.     

Psychological Reactance and Adolescents' Attitudes Toward Tobacco-Control Measures

The theory of psychological reactance predicts that, to the extent that smoking-control measures are perceived as threatening the individual's freedom to choose among behavioral alternatives, they may be met with resistance. Data were collected from a national representative sample of 2,400 young people (ages 16–20) by telephone interviews. Dispositional reactance was shown to be associated with smoking. Principal components analyses revealed that a distinction should be made between attitudes toward weak and attitudes toward strong smoking-control measures. Attitudes toward strong measures were particularly negative among regular smokers. Among regular smokers, dispositional reactance was found to be significantly associated with attitudes toward strong tobacco-control measures. Processes of psychological reactance deserve attention when designing smoking control programs.     

Personality factors as predictors of pathological gambling

The aim of this study was to investigate the relationship between different personality variables and pathological gambling (PG). The NEO-FFI and measures of impulsivity and sensation-seeking were administered to a sample of pathological gamblers (n = 90) and to a contrast group of non-pathological gamblers (n = 66) matched on sex and age. Gender, age, education level and the personality variables were entered into crude and adjusted logistic regression analyses with PG-status as the dependent variable. The results showed that educational level and all personality variables were significant predictors of PG in the crude analyses, however only four of the 12 significant predictor variables (Neuroticism, Openness, Impulsivity, and need for Stimulus Intensity) remained significant in the adjusted analysis. All predictor variables accounted for 71% of the variance in PG-status. Clinical implications of the findings are discussed.     

A motivational approach to confirmation: An interpretation of dysphagic patients' experiences

In this paper we articulate confirmation and disconfirmation as components in human motivation. We develop a theory of motivation on the basis of a model of human action and we explore aspects of confirmation and disconfirmation in the context of the meeting of dysphagic patients with their physicians. We distinguish four central elements in confirmation and disconfirmation and use these and the relations between them for the purpose of constructing a typology. Finally, on the basis of the results obtained we interpret a small volume of remarks reflecting the meaning field of some dysphagic patients in relation to their physicians. The underlying motive is to develop tools for understanding health care processes. The “SAUC-Confirmation-Model” and the theoretical framework in which it is embedded should be seen from that point of view.     

Neuropsychological course after surgery for intracranial aneurysms. A prospective study and a critical review

Previously, only three studies with representative samples of patients with ruptured intracranial aneurysms have provided detailed results of prospective, repeated, neuropsychological assessments after surgery. These studies apparently disagree with regard to occurrence of cognitive deficits and to degree of improvement between early and delayed follow-ups. The present paper attempts to analyze the conditions underlying these differences in results. As a first step in this analysis we present a comprehensive, prospective, neuropsychological investigation of a consecutive sample of 41 patients with rupture of a supratentorial aneurysm, assessed 4 and 12 months after surgery. It is concluded that a prorated course of improvement of a wide specter of psychological functions may be revealed, but that sensitive tests and large samples are needed to establish the range of deficits and improvements with time. Differences in patient selection with respect to severity of the acute clinical state and delayed deterioration apparently contribute importantly to the discrepance in previously reported outcome.     

Book reviews

God, Reason, and Religions: new essays in the philosophy of religion. Eugene Thomas Long (Ed.), 1995. Dordrecht Kluwer Academic. 228 pp., hb. £67.50, ISBN 07 923333 810 3

Christians and Muslims: from double standards to mutual understanding. Hugh Goddard, 1995. London, Curzon Press. 200 pp., pb. £14.99, ISBN 0 7007 0364 0

Al‐Bayanat al‐Masihiyya al‐Islamiyya al‐Mushtaraka. Juliette Haddad (Ed.), 1995. Beirut, Dar al‐Mashriq. 207 pp., pb. n.p., ISBN 2 7214 5005 0

Muslim Writers on Judaism and the Hebrew Bible, from Ibn Rabban to Ibn Hazm. Camilla Adang, 1996. Leiden, E. J. Brill. 321 pp., hb. NLG140, ISBN 90 04 10034 2

Abū Ya qūb al‐Sijistani: intellectual missionary. Paul E. Walker, 1996. London, I. B. Tauris. 132 pp., rib. £35, ISBN 1 85043 921 4

The Cambridge Survey of World Migration. Robin Cohen (Ed.), 1995. Cambridge, Cambridge University Press. 570 pp., hb. n.p. ISBN 0 521 44405 5

Musulmans en Europe occidentals bibliographic commentée. Muslims in Western Europe: an annotated bibliography. Felice Dassetto & Yves Conrad (Eds), 1996. Paris, Editions L'Harmattan. 202 pp., pb., n.p., ISBN 2 7384 4126 2

Muslim Politics. Dale F. Eickelman & James Piscatori, 1996. Princeton, NJ, Princeton University Press. 235 pp., pb. n.p., ISBN 0 691 00870 1

Islam and the Myth of Confrontation: religion and politics in the Middle East. Fred Halliday, 1996. London, I. B. Tauris. 255 pp., £12.95, ISBN 1 85043 959 1

Nine Parts of Desire: the hidden world of Islamic women. Geraldine Brooks, 1995. New York, Doubleday. 255 pp. hb. £22.95, ISBN 0 385 47576 4

Aunt Safiyya and the Monastery. Bahaa’ Taher, 1996. Translated from the Arabic by Barbara Romaine. Berkeley, University of California Press. 124 pp., pb. n.p., ISBN 0 520 20075 6

Dreams of Trespass: tales of a harem girlhood. Fatima Mernissi, 1994. Reading, MA, Addison‐Wesley. 242 pp. pb., ISBN 0 201 62649 7

Lettres et message d'Algérie. P. Claverie, 1996. Paris, Karthala. 222 pp., pb. 120FF, ISBN 2 86537 657 5

Islamic Resurgence and Islamization in Malaysia. S. Batumalai, 1996. Perak, Malaysia. 279 pp., pb. RM 25/‐, no ISBN

Christian‐Muslim Relations: a case study of Sarawak, East Malaysia. Theodore Gabriel, 1996. Aldershot, Avebury. xiv, 133 pp., n.p., ISBN 1 85972 325 X

Muslim Communities in the New Europe. Gerd Nonneman, T. Niblock & B. Sjajkowski (Eds), 1996. Reading, Ithaca Press. 356 pp., hb. £35.00, ISBN 0 86372 192 3

Al‐Mughtaribun: American law and the transformation of Muslim life in the United States. Kathleen M. Moore, 1995. Albany, State University of New York Press. 211 pp., pb. $16.95, ISBN 0 7914 2580 0

The Landscape of Belief: encountering the Holy Land in nineteenth‐century American art and culture. [The Princeton Series in Nineteenth‐Century Art, Culture, and Society]. John Davis, 1996. Princeton, Princeton University Press. 264 pp., hb. $65.00, ISBN 0 691 04373 6