Inanspruchnahme, Verlauf und Ergebnis ambulanter Psychotherapie

This paper summarizes the major results of the study ?Optimizing psychotherapy service provision via transparency and outcome orientation: evaluating outpatient psychotherapy“ (TRANS-OP). Between September 1998 and February 2000, all insured persons of a major German health insurance company (?Deutsche Krankenversicherung“) who requested reimbursement of outpatient psychotherapy were asked to participate in the study. Comprehensive data concerning structural, process and outcome criteria of outpatient psychotherapy were collected from 714 participants and from the majority of their psychotherapists during a 2-year observation period. Participants applied for the following treatments eligible for reimbursement in the German health insurance system: psychodynamically oriented psychotherapy (52%), cognitive behavioral therapy (31%), and psychoanalytic psychotherapy (17%). The amounts of sessions claimed for reimbursement were approved almost without exception. Participants in the three treatment modalities did not differ in socio-demographic characteristics, or in initial symptom severity as assessed by standardized measures. Even though courses of improvement of the symptoms varied, therapy outcome after 2 years was similar in the three forms of treatment. In addition, a cost offset was found, i.e. medical costs, especially for hospital days, substantially decreased during the course of psychotherapy. These findings support the effectiveness as well as the economic significance of outpatient psychotherapy across different treatment modalities in routine care. However, allocation of psychotherapeutic resources should be more considerate of individual patient needs and treatment outcome.     

The role of elaboration in the persistence of awareness for degraded objects

When a fragmented line-drawing of an object moves relative to a background of randomly oriented lines, the previously hidden object can be segregated from the background and consequently enters awareness. In this shape-from-motion paradigm, the percept of the object briefly persists after the motion stops, demonstrating the maintenance of a bound percept in awareness. This study investigated how the manipulation of object features that are crucial to recognition influences both the binding process and the maintenance of objects in awareness. Overall, we found that objects that took longer to recognize (i.e., objects missing their vertices) were nonetheless maintained in awareness for longer. We argue that this effect is mediated by additional elaborative processing that is required to bind these less recognizable forms, which generates stronger and more robust representations. These representations are then more easily maintained in awareness, suggesting an important role of elaborative mechanisms for conscious representations.     

Sleep in children improves memory performance on declarative but not procedural tasks

Sleep supports the consolidation of memory in adults. Childhood is a period hallmarked by huge demands of brain plasticity as well as great amounts of efficient sleep. Whether sleep supports memory consolidation in children as in adults is unclear. We compared effects of nocturnal sleep (versus daytime wakefulness) on consolidation of declarative (word-pair associates, two-dimensional [2D] object location), and procedural memories (finger sequence tapping) in 15 children (6-8 yr) and 15 adults. Beneficial effects of sleep on retention of declarative memories were comparable in children and adults. However, opposite to adults, children showed smaller improvement in finger-tapping skill across retention sleep than wakefulness, indicating that sleep-dependent procedural memory consolidation depends on developmental stage.     

Toward a developmental psychology of Sehnsucht (life longings): the optimal (utopian) life

The topic of an optimal or utopian life has received much attention across the humanities and the arts but not in psychology. The German concept of Sehnsucht captures individual and collective thoughts and feelings about one's optimal or utopian life. Sehnsucht (life longings; LLs) is defined as an intense desire for alternative states and realizations of life. Presenting a first effort at capturing this phenomenon, the authors conceptualize LLs as composed of 6 interrelated core characteristics: (a) utopian conceptions of ideal development; (b) sense of incompleteness and imperfection of life; (c) conjoint time focus on the past, present, and future; (d) ambivalent (bittersweet) emotions; (e) reflection and evaluation of one's life; and (f) symbolic richness. Self-report data from 299 adults (19-81 years) support the postulated structure and support predictions regarding the functional role of Sehnsucht. Having LLs was evaluated as providing direction to development and helping to manage life's incompleteness. At the same time, the frequent and intense experience of LLs was associated with lower well-being. When LLs were perceived as controllable, however, this negative association disappeared.     

Is the loss of diagnosticity of the eye region of the face a common aspect of acquired prosopagnosia?

A recent study published in this journal has shown an abnormal performance at discriminating differences with respect to the eyes of unfamiliar faces in two acquired prosopagnosic patients, but preserved processing of the mouth region. Here we extend these findings by showing a similar lack of sensitivity to the eyes in the very same face matching experiment for the prosopagnosic patient PS, who also showed normal performance for detecting differences in the mouth region. These results complement previously published evidence that the patient PS presents a lack of sensitivity to diagnostic information located on the eyes of familiar faces during individual face recognition tasks. More generally, they indicate that the impaired processing of the eyes of faces is a fundamental aspect of acquired prosopagnosia that can arise following damage to different brain localizations.     

Multidisciplinary Engagement with Nanoethics Through Education—The Nanobio-RAISE Advanced Courses as a Case Study and Model

This paper presents and evaluates two advanced courses organised in Oxford as part of the European project Nanobio-RAISE and suggests using their format to encourage multidisciplinary engagement between nanoscientists and nanoethicists. Several nanoethicists have recently identified the need for ‘better’ ethics of emerging technologies, arguing that ethical reflection should become part and parcel of the research and development (R&D) process itself. Such new forms of ethical deliberation, it is argued, transcend traditional disciplinary boundaries and require the active engagement and involvement of both nanoethicists and nanoscientists with the broader issues surrounding technological developments. Whereas significant research efforts into multi- and interdisciplinary collaborations during R&D processes are now emerging, opportunities for encouraging multidisciplinary engagement through education have remained relatively underexplored. This paper argues that educational programmes could be a natural extension of ongoing collaborative research efforts ‘in the lab’ and analyses how the Nanobio-RAISE courses could be used as a model for course development. In addition to exploring how the elements that were conducive to multidisciplinary engagement in this course could be preserved in future courses, this paper suggests shifting the emphasis from public communication towards ethical deliberation. Further course work could thus build capacity among both nanoscientists and nanoethicists for doing ‘better’ nanoethics.     

Priming the ant or the grasshopper in people's mind: How regulatory mode affects inter‐temporal choices

The present study examined the influence of two regulatory mode concerns—a locomotion concern with movement from state to state and an assessment concern with making comparisons—on choices between immediate and delayed (from 2 to 6 weeks) money rewards. Regulatory mode orientation was induced by means of a priming procedure. We predicted that the choices in the assessment condition would be less impulsive and more far‐sighted than those in the locomotion condition. After taking into account the effects of amount of early reward, length of delay and increase in delayed reward—all of which were in the direction of previous studies—this regulatory mode prediction was supported. Our findings suggest that it might be possible to induce more far‐sighted (or economically rational) inter‐temporal choices by means of instructions that induce an assessment orientation independent of stable inter‐individual differences in discount rate. Copyright © 2009 John Wiley & Sons, Ltd.     

The morphosyntactic decomposition and semantic composition of German compound words investigated by ERPs

In two experiments, we investigated the morphosyntactic decomposition and semantic composition of acoustically presented German compound words. A left-anterior negativity (LAN) was found in the ERP for gender incongruent, initial compound constituents although these constituents are syntactically irrelevant in German. This LAN provides online evidence for morphosyntactic decomposition. Experiment 1 showed also preliminary evidence for semantic composition, which was further investigated in Experiment 2 by comparing semantically transparent and opaque compounds. Transparent compounds elicited an increased negativity with a centroparietal maximum that occurred during the presentation of the head constituent. This negativity is suggested to reflect the semantic integration of compound constituents that is necessary after the constituents have been accessed separately.     

The Developmental Perspective in Integral Counseling

The process of making meaning is a core determinant of human experience. Understanding this process, developmentally, is a vital part of integral counseling. In this article, the authors introduce the concept of ego development stages as increasingly complex and flexible systems of meaning making. An understanding of ego development stages can help counselors to assist clients in a way that recognizes that people not only come in different “types” but also differ significantly in the level of their meaning‐making capacity.