Psychosomatische Rehabilitation

Besides inpatient and outpatient treatment, rehabilitation represents the third column of the German healthcare system. The goal for the persons concerned is the conservation of activity and participation in the professional and social life. This article shows the importance and development of German psychosomatic rehabilitation in contrast to regular inpatient treatment. It also explains its place in the whole healthcare concept of rehabilitation and the basic principles of sociomedical assessment, followed by practical advice for the indications and the rehabilitation application process. Compared with other countries Germany has a very well-established system of psychosomatic rehabilitation but this resource is often used too late in the course of treatment, mostly not until severe chronification has occurred and in addition there are also problems with points of interaction concerning the subsequent outpatient treatment. The aim of this article is therefore to contribute to an improved cross-linking of the different areas in the healthcare system.     

Useful lies: The twisted rationality of denial

He who increases knowledge increases sorrow.

Ecclesiastes 1:18

The truth will set you free.

John 8:32

Denial, or the habit of treating a real problem as if it were a nonissue, has both rational and irrational features. The interplay between these is best captured by a utilitarian-rationalist framework stretched to its limits. When in denial, people follow what they feel to be in their best interest by minimizing the psychosocial cost of acknowledging their problems. At its core, denial is thus based on a self-interested rationale of pain avoidance and harm minimization. Depending on the characteristics of the issue at hand, some of the effects are deeply ironic. I demonstrate this by starting from the simplest and most beneficial form of denial, before moving on to cases that are more complex and harmful. I also show how people can be liberated from denial when the practice has become counterproductive. Most of the mystery surrounding denial disappears when we accept that it is premised on a twisted kind of rationality.     

Unity in Christ or Pan-Europeanism? Nathan Söderblom and the ecumenical peace movement in the interwar period

In the summer of 2014 the Swedish Church is celebrating the 100th anniversary of the appointment of Nathan Söderblom as archbishop of Uppsala, and thus head of the Swedish church organisation. As a Lutheran with an enormously broad-minded and broad-reaching approach to ecumenical understanding and community-building, Söderblom shot to prominence in the interwar period not only because of his ecumenical engagement, calling for an evangelical catholicity so stand side by side with the Roman catholic and Orthodox catholic traditions, but also because of his comprehensive secular engagement for peace and understanding between peoples. In the latter context he also acquired a solid reputation as a perhaps less prominent but still noteworthy figure in the history of European integration. This article investigates how, why and to what extent Söderblom’s ecumenical and secular engagements were intertwined. The first part discusses how his biographical and academic background led to such staunch ecumenical positions, while the second part focuses on the secular engagement, which was perceived by Söderblom as necessary to make progress on the ecumenical front in the practical political realities of the 1920s. The final part, comparing and contrasting Söderblom’s views with those of Count Richard von Coudenhove-Calergi and the Pan-European Union, demonstrates why Söderblom’s engagement for Europe had to be limited: unity in Christ is by definition global in nature and therefore cannot be continent-specific.     

Egg incubation effects generate positive correlations between size,speed and learning ability in young lizards

Previous studies have suggested that body size and locomotor performance are targets of Darwinian selection in reptiles. However, much of the variation in these traits may derive from phenotypically plastic responses to incubation temperature, rather than from underlying genetic variation. Intriguingly, incubation temperature may also influence cognitive traits such as learning ability. Therefore, we might expect correlations between a reptile’s size, locomotor speed and learning ability either due to selection on all of these traits or due to environmental effects during egg incubation. In the present study, we incubated lizard eggs (Scincidae: Bassiana duperreyi) under ‘hot’ and ‘cold’ thermal regimes and then assessed differences in hatchling body size, running speed and learning ability. We measured learning ability using a Y-maze and a food reward. We found high correlations between size, speed and learning ability, using two different metrics to quantify learning (time to solution, and directness of route), and showed that environmental effects (incubation temperature) cause these correlations. If widespread, such correlations challenge any simple interpretation of fitness advantages due to body size or speed within a population; for example, survivors may be larger and faster than nonsurvivors because of differences in learning ability, not because of their size or speed.     

How dogs scan familiar and inverted faces: an eye movement study

Faces play an important role in communication and identity recognition in social animals. Domestic dogs often respond to human facial cues, but their face processing is weakly understood. In this study, facial inversion effect (deficits in face processing when the image is turned upside down) and responses to personal familiarity were tested using eye movement tracking. A total of 23 pet dogs and eight kennel dogs were compared to establish the effects of life experiences on their scanning behavior. All dogs preferred conspecific faces and showed great interest in the eye area, suggesting that they perceived images representing faces. Dogs fixated at the upright faces as long as the inverted faces, but the eye area of upright faces gathered longer total duration and greater relative fixation duration than the eye area of inverted stimuli, regardless of the species (dog or human) shown in the image. Personally, familiar faces and eyes attracted more fixations than the strange ones, suggesting that dogs are likely to recognize conspecific and human faces in photographs. The results imply that face scanning in dogs is guided not only by the physical properties of images, but also by semantic factors. In conclusion, in a free-viewing task, dogs seem to target their fixations at naturally salient and familiar items. Facial images were generally more attractive for pet dogs than kennel dogs, but living environment did not affect conspecific preference or inversion and familiarity responses, suggesting that the basic mechanisms of face processing in dogs could be hardwired or might develop under limited exposure.     

Global self-esteem and method effects: Competing factor structures,longitudinal invariance,and response styles in adolescents

The Rosenberg Self-Esteem Scale (RSES) is a widely used measure for assessing self-esteem, but its factor structure is debated. Our goals were to compare 10 alternative models for the RSES and to quantify and predict the method effects. This sample involves two waves (N =2,513 9th-grade and 2,370 10th-grade students) from five waves of a school-based longitudinal study. The RSES was administered in each wave. The global self-esteem factor with two latent method factors yielded the best fit to the data. The global factor explained a large amount of the common variance (61% and 46%); however, a relatively large proportion of the common variance was attributed to the negative method factor (34 % and 41%), and a small proportion of the common variance was explained by the positive method factor (5% and 13%). We conceptualized the method effect as a response style and found that being a girl and having a higher number of depressive symptoms were associated with both low self-esteem and negative response style, as measured by the negative method factor. Our study supported the one global self-esteem construct and quantified the method effects in adolescents.     

Audiovisual presentation of video-recorded stimuli at a high frame rate

A method for creating and presenting video-recorded synchronized audiovisual stimuli at a high frame rate—which would be highly useful for psychophysical studies on, for example, just-noticeable differences and gating—is presented. Methods for accomplishing this include recording audio and video separately using an exact synchronization signal, editing the recordings and finding exact synchronization points, and presenting the synchronized audiovisual stimuli with a desired frame rate on a cathode ray tube display using MATLAB and Psychophysics Toolbox 3. The methods from an empirical gating study (Moradi, Lidestam, & Rönnberg, Frontiers in Psychology 4:359, 2013) are presented as an example of the implementation of playback at 120 fps.