Zum Matching bei ambulanter Psychotherapie mit Psychosepatienten

In an outpatient setting the matching of patient and psychotherapist is essential as there is – in most cases – no protecting institutional frame. Because of the disturbance in his symbolic function the psychotic patient tends to act out his basic conflict between self- and object-related tendencies. As the patient strives for differentiation and separation, naturally, struggle is involved on various levels. The therapist must feel up to all aspects of this struggle including the more concrete ones. Also psychotic patients always induce an intricate interplay of narcissistic transference and countertransference. The psychotherapist should have the capacity to gain distance from his narcissistic countertransference, which as a rule should find support through supervision. It is necessary that in the patient there exist remnants of relatedness to his fellow-men and also a minimum amount of ego-strength and structure that enables him to cope with a cycle of more or less periodical appointments.     

Insight problem solving in individuals with high versus low schizotypy

Insight problem solving requires restructuring of a problem space by stepping out of the framework provided by the commonly activated cognitive schemas and acquiring a new perspective on the problem. Schizotypy has been linked with loosened associative and overinclusive thinking that may be advantageous for this process. The present study tested this hypothesis and found that individuals with a high degree of schizotypy show better performance on a set of insight problems relative to individuals with low schizotypy, but not on a set of incremental problems that required focused goal-related thinking. Results support the notion that schizotypy is associated not only with enhanced abilities in creative processes involved in divergent thinking but also in creative operations during analytical problem solving.     

Within-person changes in the structure of emotion: the role of cultural identification and language

This study explored the within-person dynamic organization of emotion in East-Asian Canadian bicultural individuals as they function in two cultural worlds. Using a diary design, we examined under what conditions their emotional structure resembles that of Westerners or that of East Asians. As predicted, when these bicultural individuals identified with a Western culture or had recently spoken a non-Asian language, their positive and negative affect were inversely associated. When they identified with an Asian culture or interacted in an Asian language, this inverse association disappeared. This study shows that as bicultural individuals identify and communicate with members of one or the other cultural group, they may adopt a culturally congruent phenomenology, including a distinct affective pattern.     

Overgeneral memory and suppression of trauma memories in post-traumatic stress disorder

The study investigated the relationship between the suppression of trauma memories and overgeneral memory in 42 assault survivors with and without PTSD. Overgeneral memory (OGM) was assessed with a standard autobiographical memory test (AMT). Participants completed two further AMTs under the instructions to either suppress or not suppress assault memories, in counterbalanced order. Participants with PTSD retrieved fewer and more general memories when following the suppression instruction than participants without PTSD, but not under the control instruction. OGM correlated with PTSD symptom severity, and measures of cognitive avoidance. The results are discussed with reference to current theories of overgeneral memory and its possible relationship with PTSD.     

Innovative clinical assessment technologies: challenges and opportunities in neuroimaging

The authors review the reasons for the contrast between the remarkable advances that hemodynamic and electromagnetic imaging of the human brain appear capable of delivering in clinical practice in psychology and their very limited penetration into practice to date. Both the heritage of the relevant technologies and the historical orientation of clinical psychology away from biological phenomena are factors. Discussion of some technical aspects and prospects of these methods and recommendations for facilitating clinical use are provided, with an emphasis on fostering the participation of and contribution by practicing clinical psychologists and professionals in related fields lacking a strong grounding in biological measurement.     

Aging family caregivers: policies and practices

This review examines later life family support for adults with developmental disabilities from a life course perspective that takes into account social trends and changes in service patterns and in attitudes of families. Key issues addressed include: (1) trends affecting family caregiving, (2) health and social outcomes of life-long caregiving, (3) support needs of families, (4) family support policies and practices, and (5) recommendations for a research and policy agenda. Research examining outcomes of life-long caregiving has shown that most families adapt well to having a family member with disabilities. However, some families are at risk for poorer physical and mental health outcomes. These include cultural minorities and families of adults with behavioral challenges. Caregiving does seem to have a negative impact on maternal employment and family income as mothers often give up or cut back on employment to care for a child with developmental disabilities, who is more likely to continue living in the family home throughout adulthood than other adult children. Federal and state initiatives are addressing issues of family support through both the developmental disabilities and aging service systems.