Fokaltherapie

In many psychodynamic short therapy methods, the patient and therapist formulate a central conflict, the so-called focus, at the beginning of therapy. In the following therapy sessions,both concentrate on dealing with this focus. In practice, therapists are faced with the question of how they could organize the concrete work with the focus in the most useful manner.The following article presents a clinical study which examines the influence of the therapist's verbalization of the focus on the success of therapy. Results showed that the therapists in the group having a more successful therapy outcome addressed the focus significantly more often and verbalized it in a more complex and interpersonal manner than the therapists in the group with a less successful therapy outcome.     

Matching Patient and Therapist Anaclitic–Introjective Personality Configurations Matters for Psychotherapy Outcomes

Decades of psychotherapy research suggest that patient–therapist match accounts for outcome beyond single patient or therapist variables. This study examines the associations between different patterns of patient–therapist matching (in terms of orientation on relatedness or self-definition) and outcomes at termination of psychoanalytic psychotherapy with young adults. Thirty-three patients and their therapists were classified as predominately anaclitic or introjective at baseline. Patients in the convergent patient–therapist dyads (both anaclitic or both introjective) showed significantly greater symptom reduction and increased developmental levels of representations of mother than patients in the complementary dyads (opposite personality configurations). Moreover, convergent patient–therapist match was connected with larger effect sizes on all outcome measures and lower proportion of non-improved patients. These findings suggest the importance of the therapists’ early adjusting their orientation on relatedness or self-definition to their patients’ predominant personality configuration in order to enhance treatment outcomes.     

Hypermnesia and the Role of Delay between Study and Test

Hypermnesia is increased recall across repeated tests in the absence of any further study opportunities. Although over the years many factors have been identified that influence hypermnesia, to date not much is known about the role of delay between study and test for the effect. This study addressed the issue in four experiments. Employing both words and pictures as study material, we compared hypermnesia after shorter delay (3 min or 11.5 min) and longer delay (24 h or 1 week) between study and test. Recall occurred over three successive tests, using both free recall (Experiments 1, 2, and 4) and forced recall testing (Experiment 3). In forced recall tests, subjects are instructed to recall as many items as possible, but if unable to remember all studied items, to fill in the remaining spaces with their best guesses. With free recall testing, hypermnesia increased with delay and the effect was driven mainly by reduced item losses between tests. These results suggest a link between hypermnesia and the testing effect, which shows that demanding retrieval practice, as it happens after longer delay, can improve recall by reducing the forgetting of the practiced items. In contrast, with forced recall testing, hypermnesia decreased with delay and was even absent after longer delay. The findings indicate that recall format can influence hypermnesia and different mechanisms may mediate the effects of repeated testing in the two recall conditions.     

Perspectives of children and adolescents on the perceived determinants of physical activity during recess

Promotion of healthy lifestyles in youth focuses on school-based interventions with the aim to increase physical activity (PA) during school days. Drawing on seventeen focus group discussions from three purposively selected Estonian schools, we explored factors that perceivably affect students’ recess physical activity (RPA). Both inductive and deductive principles of data analysis were used to extract major and subthemes related to factors that inhibit or enhance RPA. Participants identified barriers and facilitators to recess PA as originating mainly from physical and organizational school environment. Also, unsuitable weather was described as a barrier to being active. Additionally, feelings, behavioral and normative beliefs were described as constraining or facilitating RPA. Results highlighted two culture-specific unique perceived determinants of RPA that need to be addressed during the development of school-based interventions to increase PA.