Ätiologie und Pathogenese der Migräne

Migräne ist eine weltweit sehr häufige Erkrankung, die zu einer erheblichen Beeinträchtigung der Lebensqualität Betroffener führen kann. Bereits zu Beginn der Migräneattacke konnte eine Aktivierung des Hypothalamus gezeigt werden. Ein wesentlicher Aspekt ist dann die nachfolgende Aktivierung des trigeminovaskulären Systems. Hier spielt das Neuropeptid Calcitonin Gene-Related Peptide (CGRP) eine tragende Rolle. Durch die Aktivierung nozizeptiver Fasern kommt es zur Reizweiterleitung nach zentral in den Hirnstamm und über periphere und zentrale Sensibilisierung zu den typischen migräneartigen Kopfschmerzen. Durch besseres Verständnis der Pathophysiologie der Migräne ist es zuletzt gelungen, eine medikamentöse Prophylaxe zu entwickeln, die spezifisch in die komplexe Abfolge der Migränekaskade eingreift, indem das CGRP bzw. sein Rezeptor durch spezifische monoklonale Antikörper blockiert werden.     

Selective Social Belief Revision in Young Children

ABSTRACT

Recent research has shown that from early in development, children selectively form new beliefs in response to information supplied by others. However, little is known about the development of selective revision of existing beliefs in response to socially conveyed information. Such selective social belief revision has been extensively studied by social psychologists in the context of advice-taking. Here, we adapted the methods of this research tradition for studying selective advice-taking in young children and adults. Participants solved a perceptual judgment task, received advice, and subsequently made final decisions. The informational access (perceptual quality) of participants and advisor were experimentally manipulated. Adults revised their judgments systematically as a function of both their own and the advisor’s informational access whereas children based their adjustments only on their own informational access. Two follow-up experiments suggest, however, that this pattern of results in children reflected performance rather than competence limitations: In suitably modified tasks, children did proficiently consider both their own informational situation and that of the advisor in their selective social belief revision.     

Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders

The present investigation compared the subjective and physiological effects of emotional suppression and acceptance in a sample of individuals with anxiety and mood disorders. Sixty participants diagnosed with anxiety and mood disorders were randomly assigned to one of two groups. One group listened to a rationale for suppressing emotions, and the other group listened to a rationale for accepting emotions. Participants then watched an emotion-provoking film and applied the instructions. Subjective distress, heart rate, skin conductance level, and respiratory sinus arrhythmia were measured before, during, and after the film. Although both groups reported similar levels of subjective distress during the film, the acceptance group displayed less negative affect during the post-film recovery period. Furthermore, the suppression group showed increased heart rate and the acceptance group decreased heart rate in response to the film. There were no differences between the two groups in skin conductance or respiratory sinus arrhythmia. These findings are discussed in the context of the existing body of research on emotion regulation and current treatment approaches for anxiety and mood disorders.     

Personal names and the human right hemisphere: an illusory link?

Names are thought to be represented in the brain differently from common nouns. Although this idea is supported by both theoretical and empirical arguments, the brain areas that are relevant for the recognition of personal names-and in particular the extent of right hemisphere involvement-remain controversial. We investigated the hypothesis that, unlike common nouns, personal names are represented preferentially by the right hemisphere (D. Van Lancker, 1991; D. Van Lancker et al., 1991; C. Ohnesorge & D. Van Lancker, 1999). Participants performed lexical decisions to common nouns and pseudowords (Experiment 1) or familiarity decisions to personal names (Experiment 2), which were presented briefly to the left or right visual fields. Asymmetries were small or absent for both pseudowords and unfamiliar names. For familiar names, both reaction times and error rates revealed strong advantages for the right visual field/left hemisphere (RVF/LH), which were comparable to the asymmetries for nouns. Familiar personal names may be represented by brain systems that differ from those representing common nouns, but current evidence does not suggest a distinct contribution of the right hemisphere to these brain systems.     

Towards a neural basis of music perception

Music perception involves complex brain functions underlying acoustic analysis, auditory memory, auditory scene analysis, and processing of musical syntax and semantics. Moreover, music perception potentially affects emotion, influences the autonomic nervous system, the hormonal and immune systems, and activates (pre)motor representations. During the past few years, research activities on different aspects of music processing and their neural correlates have rapidly progressed. This article provides an overview of recent developments and a framework for the perceptual side of music processing. This framework lays out a model of the cognitive modules involved in music perception, and incorporates information about the time course of activity of some of these modules, as well as research findings about where in the brain these modules might be located.     

Cognitive assessment of social anxiety: a comparison of self-report and thought listing methods

The goal of the present study was to compare 2 cognitive assessment methods for social anxiety: a thought listing and a self-report method. The focus of this study was on the convergent and divergent validity of these methods using a multi-trait multi-method approach. Furthermore, treatment sensitivity was explored. Fifty-eight patients with social phobia completed thought listings followed by 2 different social stress tasks before and after an exposure group treatment (n = 33), or following a waiting period (n = 25). One task consisted of speaking in front of 2 confederates while the other task involved initiating a conversation with an opposite-sex confederate. Two questionnaires measuring positive and negative self-statements regarding public speaking and social interactions were also completed. To compare the balance of positive and negative thoughts, the State of Mind ratio [positive thoughts/(positive+negative thoughts)] was calculated for both cognitive assessment methods. Results demonstrate that methods related to social interaction anxiety showed better convergent validity than methods related to public speaking anxiety; however, public speaking methods captured treatment effects better than methods related to social interaction anxiety. This study questions the common assumption that different cognitive assessment methods measure the same construct.     

Patrick Sériot: Structure et totalité. Les origines intellectuelles du structuralisme en Europe centrale et orientale

Studies in East European Thought -     

Tone sequences with conflicting fundamental pitch and timbre changes are heard differently by musicians and nonmusicians

An Auditory Ambiguity Test (AAT) was taken twice by nonmusicians, musical amateurs, and professional musicians. The AAT comprised different tone pairs, presented in both within-pair orders, in which overtone spectra rising in pitch were associated with missing fundamental frequencies (F0) falling in pitch, and vice versa. The F0 interval ranged from 2 to 9 semitones. The participants were instructed to decide whether the perceived pitch went up or down; no information was provided on the ambiguity of the stimuli. The majority of professionals classified the pitch changes according to F0, even at the smallest interval. By contrast, most nonmusicians classified according to the overtone spectra, except in the case of the largest interval. Amateurs ranged in between. A plausible explanation for the systematic group differences is that musical practice systematically shifted the perceptual focus from spectral toward missing-F0 pitch, although alternative explanations such as different genetic dispositions of musicians and nonmusicians cannot be ruled out. ((c) 2007 APA, all rights reserved).     

Systemische Therapie bei Störungen des Erwachsenenalters

Background

Systemic therapy is a scientifically acknowledged form of psychotherapy in the US and many European countries, but not yet in Germany.

Method

All randomized (or parallelized) controlled trials (RCT) evaluating systemic couples/family/individual therapy with adult index patients published in English, German or Spanish up to the end of 2004 were identified via data base searches and cross-references in other meta-analyses and reviews. A meta-analysis of the identified RCT was performed.

Results

28 RCT (43 publications) evaluating systemic therapy with adult index patients suffering from clinical disorders (ICD-10) were identified. Systemic therapy is efficacious with regard to substance disorders, mental/social factors interacting with somatic disorders, schizophrenia, depression and eating disorders. The results are stable across follow-up periods of up to 5 years.

Conclusion

According to the criteria of the German Scientific Advisory Board Psychotherapy (Wissenschaftlicher Beirat Psychotherapie) there seems to be good evidence for the efficacy of systemic therapy in at least four fields of application of adult psychotherapy.