Psychotherapie und Internet

The Internet plays an important role in healthcare. Approximately two thirds of Internet users search the medium for, e.g. personal questions of health, including aspects of mental health. In countless discussion forums or blogs mentally stressed people discuss their problems and search for contact to other affected individuals but also to professional helpers. In this article an attempt is made to systematize the interface between Internet and psychotherapy in the narrower and broader sense. In particular five topics and problem areas will be dealt with: (1) as information medium Internet delivers an immense number of resources on mental disorders, which raises the problem of quality assurance. (2) As a communication medium it can provide support for therapeutic interventions. Psychological online counseling has now been proven to be effective. (3) Internet alters the traditional therapeutic relationship in one way or another. In particular e-mail communications supplement a face-to-face treatment. (4) Use of the Internet also brings along clinically relevant problems and because of this patients visit psychotherapeutic practices increasingly more often. (5) Internet can be fruitful for psychotherapy research.     

I fear your envy, I rejoice in your coveting: on the ambivalent experience of being envied by others

We present 2 studies on being envied. Study 1 used an emotional narrative methodology. We asked 44 Spanish (23 women, 21 men) and 48 European American (36 women, 12 men) participants to tell us about a recent experience in which others envied them. We classified the antecedents, relationship context, markers of envy, coping strategies, and positive and negative implications of being envied. In Study 2, 174 Spanish (88 women, 86 men) and 205 European American (106 women, 99 men) participants responded to a situation in which they had something someone else wanted. We manipulated the object of desire (academic achievement or having "a better life"). We measured individual differences in orientation to achievement (i.e., vertical individualism), cooperation and interpersonal harmony (i.e., horizontal collectivism), a zero-sum view of success, beliefs that success begets hostile coveting, fear of success, and dispositional envy. We also measured participants' appraisals, positive and negative emotions, and coping strategies. The findings from both studies indicate that being envied has both positive (e.g., increased self-confidence) and negative consequences (e.g., fear of ill will from others). Being envied had more positive and more negative psychological and relational consequences among those participants who were achievement oriented (European Americans) than among participants who were oriented to cooperation and interpersonal harmony (Spanish).     

ASSESSMENT OF THE RELATIVE EFFECTS OF ATTENTION AND ESCAPE ON NONCOMPLIANCE

The current study presents a method for assessing the relative effects of attention and escape on noncompliance in preschoolers. Attention and escape conditions were alternated in a multielement design, and a contingency reversal procedure, in which one test condition served as a control for the other, was used to demonstrate control. For all 3 participants, noncompliance was maintained, at least in part, by social attention. Functional analyses of noncompliance such as the one described here may be valuable for developing function‐based treatments.     

What do dolphins (Tursiops truncatus) understand about hidden objects?

Object permanence, the ability to mentally represent and reason about objects that have disappeared from view, is a fundamental cognitive skill that has been extensively studied in human infants and terrestrial animals, but not in marine animals. A series of four experiments examined this ability in bottlenose dolphins (Tursiops truncatus). After being trained on a “find the object” game, dolphins were tested on visible and invisible displacement tasks, and transpositions. In Experiments 1 and 2, dolphins succeeded at visible displacements, but not at invisible displacements or transpositions. Experiment 3 showed that they were able to pass an invisible displacement task in which a person’s hand rather than a container was used as the displacement device. However, follow-up controls suggested they did so by learning local rules rather than via a true representation of the movement of hidden objects. Experiment 4 demonstrated that the dolphins did not rely on such local rules to pass visible displacement tasks. Thus, like many terrestrial animals, dolphins are able to succeed on visible displacement tasks, but seem unable to succeed on tasks requiring the tracking of hidden objects.     

Sexueller Sadismus und Sexualkriminalität

The categorization of sadism has turned out to be a versatile phenomenon, which covers a spectrum from harmless symbolic rituals to extremely violent acts where strong impulses or prolonged fantasies and rituals are involved. As the phenomenon is versatile its causes and appearances vary as well, although so-called BDSM (bondage & discipline & dominance & submission & sadism & masochism) practitioners and persons with severe sadism in a forensic context share only few common preferences. Based on own clinical experiences with sadism in forensic patients the authors support the proposed revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) especially the diagnostic disjuncture of sadism and masochism. Sexual sadism appears more frequently in forensic contexts in combination with sadistic, antisocial and borderline personality disorders but rarely with masochism. Masochism is otherwise reported to be more prevalent in patients of general psychiatry, however, combined with depression or dependent personality traits rather than with sadism. Moreover, the authors believe that if use of the diagnostic term sadism is perpetuated the establishment of the proposed new diagnosis “paraphilic coercive disorder” is unnecessary. The diagnostic term is also important for treatment and assessment. Despite the lack of reliable long-term studies with larger samples, it is reasonable to assume that medication, sometimes even anti-androgenic treatment, can be indicated in patients with severe sadism.     

The lay distinction between primary and secondary emotions: A spontaneous categorization?

In line with the psychological essentialism perspective, Leyens et al. ( 13 2000) have hypothesized that people attribute different essences to groups and that they attribute more uniquely human characteristics to their own group than to out‐groups. Leyens et al. have focused on two types of emotions, which in Roman languages have specific labels, such as sentimientos and emociones in Spanish. A cross‐cultural study showed that sentimientos (or secondary emotions) are considered uniquely human emotions whereas emociones (or primary emotions) are perceived as nonuniquely human emotions. The present study focuses on whether this categorization into primary and secondary emotions is a spontaneous distinction that people use in their everyday lives, or whether, on the contrary, it is the result of experimental demands. The paradigm “Who says what to whom” was used to test this question. Geometrical shapes of different colours were systematically associated with different stimuli that varied in meaningfulness. In a first condition, shapes were associated with small or large items of furniture (meaningful categories) and with primary and secondary emotions. In a second condition, the items of furniture were replaced by words ending with a vowel or a consonant (meaningless categories). Subsequently, participants had to recognize which shape was associated with each stimulus. Intra‐category errors were significantly more numerous than inter‐category errors, except for the words ending with a vowel or a consonant. Stated otherwise, types of emotions were recognized like the meaningful difference between items of furniture. These results show that the distinction between primary and secondary emotions is an implicit one that people use spontaneously, and not as a result of task demands. The findings are discussed from the perspective of psychological essentialism and inter‐group relations.     

Psychotherapie bei lebensbedrohlich Erkrankten

In den letzten 20 Jahren ist die begleitende psychotherapeutische Behandlung bei körperlich Schwerkranken fester Bestandteil der Tätigkeit von psychosomatischen Konsiliar- und Liaisondiensten im Krankenhaus geworden. Eine Konzeptualisierung dieser Tätigkeit auf psychodynamischer Basis wird beschrieben. Ziele der psychotherapeutischen Interventionen sind die Stabilisierung der Abwehr des Patienten und die Rückgewinnung eines strukturierten Umgangs mit der Krankheit, mit den Behandlern und den nahen Bezugspersonen. Therapiebausteine sind eine narrative Gesprächsstruktur, ein psychodynamisches Verständnis der aktuellen Krankheitssituation auf dem Hintergrund der Lebensgeschichte, aktives Zuhören, Fokusformulierung und systemische Sichtweise. Wichtige Wirkfaktoren sind eine empathische Beziehung, Verbalisierung von belastenden, negativen Gefühlen, Fokussieren auf aktuelle Probleme und Ressourcenorientierung. Probleme entstehen durch negative Gegenübertragung des Psychotherapeuten und ausgeprägte Verleugnungsvorgänge auf Patientenseite. Die Umsetzung erfordert vom Psychotherapeuten kontinuierliche Präsenz und regelmäßige Rücksprachen und Konsultationen mit dem behandelnden Team.     

Assessing cognitive load using oculometrics to identify deceit during interviews

Lying requires a long‐term memory search and is a cognitive load task. Telling a spontaneous lie is associated with a higher cognitive load compared with the truth, although when memories are planned before telling a lie, the cognitive load can be less compared with the truth; therefore, telling a spontaneous lie could be associated with a higher cognitive load compared with a planned lie. In this study, we examined cognitive load, as measured through oculometrics, to identify deceit in interviews. Twenty‐four subjects were questioned, and their answers classified as spontaneous lies, planned lies, and truths. Results show that saccades and fixations were associated with a higher cognitive load when telling spontaneous lies compared with telling truths. Blinks and pupillometry show that subjects require greater cognitive load when telling truths compared with planned lies. Finally, telling spontaneous lies required higher cognitive load compared with planned lies, as assessed by blinks.     

Ecological Predictors of Disciplinary Style and Child Abuse Potential in a Hispanic and Anglo-American Sample

Recent attention to multicultural issues has sparked recognition that parenting is also a culturally construed phenomenon. The present study involved a diverse sample of 90 Anglo-American and Hispanic parents examining predictors based on distal/proximal levels as conceptualized in the ecological model. The study examined background characteristics (e.g., minority status, educational level, income), intrapersonal (anger, parenting competence, parenting satisfaction), and extrapersonal (social support) factors in the prediction of child abuse potential and dysfunctional disciplinary style. Parents participated anonymously in an in-home assessment. Neither minority status nor income predicted abuse potential or parenting style beyond what was accounted for by educational level. The pattern of findings for the sample suggests the relative importance of anger expression, parenting self-efficacy, and social support satisfaction in both abuse potential and disciplinary style for both Hispanic and Anglo-American parents. Future research directions with diverse samples are considered, including the need for measures specifically designed to assess parenting issues in diverse cultural groups.