Psychotherapie im Kindes- und Jugendalter

Zusammenfassung Wie alle Krankenbehandlungen, unterliegt auch die Psychotherapie mehr und mehr den Anforderungen an eine evidenzbasierte Behandlung. Auch wenn man zu Recht aus methodischen Gründen darüber streiten mag, ob sich jede Form der Psychotherapie einer solchen Evidenzbasierung unterziehen kann und sollte, so steht auf der anderen Seite das Recht der Patienten, dass ihnen eine Behandlung angeboten wird, von der man mit größtmöglicher Sicherheit sagen kann, dass sie helfen wird. Dies ist bei Kindern und Jugendlichen umso bedeutender, weil diese noch weniger als Erwachsene in der Lage sein können, die Indikation einer Psychotherapie zu überprüfen. In diesem Beitrag soll es darum gehen, zunächst anhand einiger übergreifender Fragen den Stand der Forschung zusammenzufassen, um abschließend auf einige spezifische Formen der Psychotherapie im Kindes- und Jugendalter einzugehen. Im Rahmen dieses Überblicks können nur zentrale Vertreter einzelner Psychotherapieformen aufgenommen werden.     

The self-image in borderline personality disorder: an in-depth qualitative research study

Patients with borderline personality disorder (BPD) suffer from affective instability, impulsivity, and identity disturbance which particularly manifest in an unstable or insecure self-image. One main problem for studies of core psychopathology in BPD is the complex subject of identity disturbance and self-image. The purpose of this study was to investigate the self-image of BPD patients with a qualitative research approach. Twelve patients with BPD were compared to 12 patients with remitted major depressive disorder (MDD) without personality disorder, using the Structured Interview of Personality Organization (STIPO). The transcribed interviews were analyzed using a combination of content analysis and grounded theory. BPD patients described themselves predominantly as helpful and sensitive; reported typical emotions were sadness, anger, and anxiety. MDD patients on the other hand reported numerous and various characteristics and emotions, including happiness, as well as sadness and anxiety. Other persons were characterized by the BPD group as egoistic and satisfied, while the MDD group described others as being balanced and secretive. BPD patients displayed an altruistic, superficial, and suffering self-image. Aggressive tendencies were only seen in other persons. Our findings support the concept of a self and relationship disturbance in BPD which is highly relevant for psychotherapy treatment.     

A loss function for alpha factor analysis

Most of the factor solutions can be got by minimizing a corresponding loss function. However, up to now, a loss function for the alpha factor analysis (AFA) has not been known. The present paper establishes such a loss function for the AFA. Some analogies to the maximum likelihood factor analysis are discussed.The author is greatly indebted to Prof. Henry F. Kaiser (University of California, Berkeley) for his kind encouragement. He is also indebted to an anonymous referee ofPsychometrika for having confronted him with the problem in 1977. Financial support by the Wiener Hochschuljubiläumsstiftung is gratefully acknowledged.     

On the locus of speed-accuracy trade-off in reaction time: inferences from the lateralized readiness potential

Lateralized readiness potentials (LRPs) were used to determine the stage(s) of reaction time (RT) responsible for speed-accuracy trade-offs (SATs). Speeded decisions based on several types of information were examined in 3 experiments, involving, respectively, a line discrimination task, lexical decisions, and an Erikson flanker task. Three levels of SAT were obtained in each experiment by adjusting response deadlines with an adaptive tracking algorithm. Speed stress affected the duration of RT stages both before and after the start of the LRP in all experiments. The latter effect cannot be explained by guessing strategies, by variations in response force, or as an indirect consequence of the pre-LRP effect. Contrary to most models, it suggests that SAT can occur at a late postdecisional stage.     

Peirce-Suit of Truth – Why Inference to the Best Explanation and Abduction Ought Not to be Confused

It is well known that the process of scientific inquiry, according to Peirce, is drivenby three types of inference, namely abduction, deduction, and induction. What isbehind these labels is, however, not so clear. In particular, the common identificationof abduction with Inference to the Best Explanation (IBE) begs the question,since IBE appears to be covered by Peirce's concept of induction, not that of abduction.Consequently, abduction ought to be distinguished from IBE, at least on Peirce's account. The main aim of the paper, however, is to show that this distinction is most relevant with respect to current problems in philosophy of science and epistemology (like attempts to supply suitable notions of realism and truth as well as related concepts like coherence and unification). In particular, I also try to show that (and in what way) Peirce's inferential triad can function as a method that ensures both coherence and correspondence. It is in this respect that his careful distinction between abduction and induction (or IBE) ought to be heeded.     

Die Übertragung als Matrix der Traumgenerierung

Zusammenfassung  Traum und Übertragung sind die beiden Grundpfeiler der Erkenntnis in der Psychoanalyse. Sie stammen aus einer gemeinsamen Matrix und können als zwei verschiedene Ausdrucksformen des unbewussten Denkens über die analytische Beziehung beschrieben werden. Dieser Beitrag untersucht die Frage, wie die jeweils aktive Übertragungsform sich auf die Art und Weise des Träumens auswirkt. Sie stellt zwei unterschiedliche Übertragungsmodi als Pole in einem Kontinuum dar, die mit zwei unterschiedlichen Modi des Träumens einher gehen, die wiederum mit den beiden Grundformen des Gedächtnisses — explizit bzw. implizit — verknüpft sind. Wenn die Übertragung vorwiegend prozedurales Erfahrungswissen aus dem impliziten Gedächtnis aktiviert, dann enthält der Traumbericht Zeichenträume als Hinweise auf archaische Ich-Zustände. Diese sind sind der Prototyp der niederstrukturierten Träume. Wenn die Übertragung aber außerdem Erinnerungswissen aus dem deklarativen Gedächtnis aktiviert, enthält der Traumbericht Geschichten als unbewusste Kommentare über die psychoanalytische Begegnung. Solche höherstrukturierten Träume sind vor dem Hintergrund der klassischen neurotischen Übertragung zu betrachten.

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Transference as a matrix for dream generationOn high and low structured dreams

Dream and transference are the two substantial ways in psychoanalysis towards the understanding of the unconscious. Both are rooted in a common matrix and can be regarded as two different modes of expressing unconscious thinking about the analytical relationship. This contribution studies the question of how the respectively active form of transference effects the way of dreaming. There are two different modes of transference as the poles of a continuum, which are combined with two different modes of dreaming and which in turn are connected to the two basic forms of memory — the explicit and the implicit memory. If transference mainly activates procedural information from the implicit memory, then the dream report contains sign dreams which indicate digitally computed, presymbolic archaic ego-states. Those are the prototype of lower structured dreams. If transference in addition activates information from the declarative memory, the dream report contains analogically computed, symbolic episodes as unconscious comments on the psychoanalytical encounter. Such high structured dreams are to be regarded on the background of the classical neurotic transference.

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Zum 10-jährigen Bestehen des DPG-Instituts für Psychoanalyse Frankfurt am Main am 25.11.2004.

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Children of Nazi Germany 60 years on

Abstract

Defence against shock, feelings of guilt, and shame about German atrocities during National Socialism (NS) have dominated the public discourse in Germany for decades. Mitscherlich and Mitscherlich have talked about the inability to mourn due to the involvement of most German families in Nazi terror. The research projects “Childhood in War” at the University of Munich and “War Children and their Flight” at the Hamburg DPG Institute are studying the long-term implications of a childhood during World War II and the Nazi period. In most cases, the personal development of the “war children” was affected – in the case of psychoanalysts, their psychoanalytic socialisation and current professional practice as well. The transgenerational transmission forms an NS introject in the personality. Due to their parents’ lack of empathy, war children are unconsciously looking for a containment of their unbearable feelings in their childhood. Psychoanalysis (including training analysis) becomes a stage where the analysee's childhood loneliness, the taboo-forming, the inhibition to ask and the protection of the parents, as well as feelings of guilt and embarrassment in the family, not talking about matters, and silence, occur once more in transference.     

Literatur in Examensarbeiten

After the Second World War up to the 1980s Harald Schultz-Hencke’s so-called German neopsychoanalysis was an important theoretical reference for psychoanalysts in the German Psychoanalytical Society (DPG). Simultaneously, however, references were increasingly being made to quintessential psychoanalytical sources which of course had an impact on the psychoanalytical training. The references in final papers of a DPG psychoanalytical institute from 1971–2008 were compared to the references in clinical papers of the International Journal of Psychoanalysis. It can be shown that the influence of German neopsychoanalysis in the final theses of the psychoanalytical institute in question has diminished since the 1990s and has become irrelevant in the twenty-first century.