Supervision in der psychotherapeutischen Ausbildung in Deutschland

One of the functions of supervision in psychotherapy training is quality assurance. In order to fulfill this function the quality of supervision itself needs to be high and needs to be controlled. Thus in a large survey of psychotherapy training in Germany questions related to the quality of supervision were included in the survey. Answers to those questions from different samples (trainees, alumni, trainers, training institutes, expert organizations) were compiled. Quantitative and qualitative methods were used. Satisfaction and usefulness ratings with individual and group supervision were high to very high. Supervision amount, group size and frequency were rated as adequate. Criticism pertained to the lack of systematic evaluation, insufficient qualification of the supervisors and lacking integration of supervision into the whole training. As supervision is a very important part of psychotherapy training measures for quality assurance and improvement are necessary.     

Der Exzess einer Tugend

Querulous behavior and querulous paranoia are seldom in forensic settings, but produce major problems because of the chronicity and severity of the disorders. Aspects of psychopathology and differential diagnosis are discussed, especially characteristics of volition, of cognition and of behavior control. Regarding criminal responsibility the capacity of understanding the wrongfulness of behavior will usually not be severely impaired. In cases of strong deformation of personality structure with transition into paranoid disorder the capacity for behavior control may be significantly diminished. Irresponsibility will only occur in the rare cases of psychotic disorders. Because of a poor prognosis detention in forensic hospitals may be necessary when threats and manifest aggressive behavior occur.     

Zusammenhang zwischen Art der strafbaren Handlung und Suizid in Haftanstalten der USA

Does the nature of the criminal charge or conviction influence whether a jail or prison inmate will take his life? In the United States several nationwide surveys provide relevant information for answering this question. Studies of jail suicides in 1979, 1985 and 1986 respectively indicated that most inmates who committed suicide were charged with nonviolent offenses including drug related or minor offenses. In more recent national surveys the rate of suicide among jail inmates charged with violent offenses was triple that for those charged with nonviolent offenses. Offenses with the highest rates of suicide were kidnapping, rape and homicide. In prisons, where the rate of suicide is much lower than in jails, the rate of suicide for violent prisoners was twice that for nonviolent prisoners. Violent offenses with the highest rates of suicide in prisons included kidnapping, homicide, sexual assault and assault. Discussion addresses the discrepant results between the early surveys of jail suicides and the more recent surveys of suicides in jails and prisons. Further explored are possible explanations for the earlier predominance of nonviolent offenses among suicide victims, the recently elevated rates among violent offenses, and the elevated rates among specific criminal offenses. Commentary is also given to the practical implications of these findings.     

Depression and reliance on ease‐of‐retrieval experiences

The relationship between level of depressive symptomatology and reliance on the ease‐of‐retrieval heuristic was investigated. In two studies, differences in ease‐of‐retrieval were instigated by means of the paradigm introduced by Schwarz and co‐workers. Subsequently, participants were screened for depressive symptoms with the Allgemeine Depressionsskala (ADS, Experiments 1 and 2) and the Beck Depression Inventory (BDI, Experiment 2). In both experiments, participants were randomly selected from a non‐clinical population. Results indicate that participants with low levels of depressive symptomatology relied on experienced ease or difficulty, whereas individuals with high levels of depressive symptomatology based their judgment on the accessible content information. Theoretical and practical implications of these findings are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

BDNF is a novel marker of cognitive function in ageing women: the DR's EXTRA Study

Brain-derived neurotrophic factor (BDNF) is one of the key molecules modulating brain plasticity. While low circulating levels of BDNF have been suggested to predispose to Alzheimer's disease, very little data are available on its association with cognitive function in general population. We evaluated the association between plasma BDNF levels and cognition in a representative population sample of ageing men and women. The subjects (n=1389) were participants of the Dose-Responses to Exercise Training (DR's EXTRA) Study and represent a random sample of Eastern Finnish people (684 men and 705 women), 57-79 years of age at baseline of the study. Plasma BDNF levels were measured by enzyme-linked immunosorbent assay (ELISA). Cognitive function was evaluated using the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological test battery. Women had a higher mean (+/-SEM) plasma BDNF level than men (1721+/-55vs. 1495+/-54pg/ml, P<0.001). In women, 1 SD decrease in BDNF increased the risk for a low score in Naming Test by 53% (95% CI 1.21-1.92, P<0.001), in Mini-Mental State Examination by 63% (95% CI 1.21-2.20, P=0.001), in Word List Memory by 56% (95% CI 1.08-2.26, P=0.019), in Word List Recall by 50% (95% CI 1.10-2.05, P=0.010), in Word List Saving by 49% (95% CI 1.12-1.99, P=0.007), and in Word List Recognition by 64% (95% CI 1.19-2.25, P=0.002). Data were adjusted for age, education, depression, impaired glucose metabolism, cardiovascular disease, antihypertensive medication, lipid lowering medication, use of sex hormones, smoking, alcohol consumption, storing time of plasma in the freezer and platelet count. BDNF was not associated with cognition in men. Present data suggest that plasma BDNF is a biomarker of impaired memory and general cognitive function in ageing women.     

OGAMA (Open Gaze and Mouse Analyzer): Open-source software designed to analyze eye and mouse movements in slideshow study designs

In the present article, a new software is introduced that allows the recording and analyzing of eye- and mouse-tracking data from slideshow-based experiments in parallel. The Open Gaze and Mouse Analyzer (OGAMA) is written in C#.NET and has been released as an open-source project. Its main features include slide-show design, the recording of gaze and mouse data, database-driven preprocessing and filtering of gaze and mouse data, the creation of attention maps, areas-of-interest definition, and replay. Eyetracking and/or presentation soft- and hardware recordings in ASCII format can be imported. Data output is provided that can be used directly with different statistical software packages. Because it is open source, one can easily adapt it to suit one’s needs.     

Creative thinking in adolescents with attention deficit hyperactivity disorder (ADHD).

A widened attentional focus, that is typically associated with ADHD, has been postulated to be accompanied by enhanced creative ability. However, creativity has been only limitedly examined in ADHD. Performance across several creativity measures were investigated in three groups: adolescents with ADHD, those with conduct disorder, and a healthy control sample. The ADHD group exhibited selective cognitive advantages and disadvantages by demonstrating an enhanced ability in overcoming the constraining influence of examples, but a reduced capacity to generate a functional invention during an imagery task. These findings are interpreted with reference to inhibitory control mechanisms and the contextual modulation of creative cognition.     

Fibromyalgie und Leistungseinschränkung

Interdisciplinary guidelines allowed for new quality standards in pain appraisal. Simultaneously, the scientific notion of fibromyalgia changed from a subjectively overvalued malaise to a central disturbance of coping with stress, which is neurobiologically determined. Therefore, in this article a psychosomatics-based guide is given for the socio-medical appraisal of fibromyalgia with reference to the new International Classification for Functioning and Disability (ICF) of the World Health Organization (WHO). As illustration a case study is presented.