Berufsgruppen- und methodenintegrierende Teamarbeit in der stationären psychodynamischen Psychotherapie

Zusammenfassung Die über 50-jährige Entwicklung der stationären psychodynamischen Psychotherapie ist ein Prozess von der Anwendung ambulanter psychoanalytischer Verfahren auf der Station zu einem eigenständigen multiprofessionellen, multimethodalen Therapieverfahren. Die Rahmenbedingungen der Organisation Krankenhaus und das jeweilige psychoanalytische Verständnis des Leiters der Abteilung zur Nutzung des multipersonellen Therapiefelds prägte die psychodynamischen Konzeptionen. Die Entwicklung führte zu einer Formulierung einer Komplexbehandlung für stationäre Psychotherapie im Prozedurenkatalog der DRGs. Ein Herzstück der integrativen stationären psychodynamischen Therapie ist das multiprofessionelle Team. An 2 Beispielen von therapeutischen Funktionen des multiprofessionellen Teams wird die gemeinsame Aufgabenstellung des Teams dargestellt. Darüber hinaus werden Regeln aus gruppenanalytischer Sicht für die Leitung eines solchen multiprofessionellen Teams vorgeschlagen.     

The Infertility Experience: Biopsychosocial Effects and Suggestions for Counselors

Infertility affects many individuals and couples. This article begins with a case study of a couple who have experienced infertility yet do not identify infer tility as their presenting problem. Clients and counselors alike often overlook infertility. This article offers an overview of the biology of infertility and its psychological and sociological effects. Counseling issues are presented to assist counselors to identify infertility as a concern and provide interventions.     

Event-based plausibility immediately influences on-line language comprehension

In some theories of sentence comprehension, linguistically relevant lexical knowledge, such as selectional restrictions, is privileged in terms of the time-course of its access and influence. We examined whether event knowledge computed by combining multiple concepts can rapidly influence language understanding even in the absence of selectional restriction violations. Specifically, we investigated whether instruments can combine with actions to influence comprehension of ensuing patients of (as in Rayner, Warren, Juhuasz, & Liversedge, 2004; Warren & McConnell, 2007). Instrument-verb-patient triplets were created in a norming study designed to tap directly into event knowledge. In self-paced reading (Experiment 1), participants were faster to read patient nouns, such as hair, when they were typical of the instrument-action pair (Donna used the shampoo to wash vs. the hose to wash). Experiment 2 showed that these results were not due to direct instrument-patient relations. Experiment 3 replicated Experiment 1 using eyetracking, with effects of event typicality observed in first fixation and gaze durations on the patient noun. This research demonstrates that conceptual event-based expectations are computed and used rapidly and dynamically during on-line language comprehension. We discuss relationships among plausibility and predictability, as well as their implications. We conclude that selectional restrictions may be best considered as event-based conceptual knowledge rather than lexical-grammatical knowledge.     

Psychopathy and indirect aggression: the roles of cortisol, sex, and type of psychopathy

Salivary cortisol was examined in relation to indirect aggression and primary psychopathy (i.e., cold affect and interpersonal manipulation) and secondary psychopathy (i.e., criminal tendencies and erratic lifestyle) in a sample of 154 undergraduate students. Results revealed that although psychopathy and indirect aggression were strongly correlated, when statistically controlling for each of type of psychopathy, only primary psychopathy was related to indirect aggression. In women but not in men, lower cortisol was associated with higher levels of primary psychopathy and higher cortisol was associated with higher levels of secondary psychopathy. Cortisol was not related to indirect aggression. Results are discussed from both an evolutionary and developmental perspective.     

Associations between evaluation anxiety,cognitive interference and performance on working memory tasks

According to Cognitive Interference Theory, evaluation anxiety leads to increased negative off‐task self‐dialogue which then results in diminished cognitive performance. Given that negative off‐task self‐dialogue is primarily verbal, the phonological loop and central executive components of the working memory system should be most affected by evaluation anxiety. Eighty‐eight participants were randomly assigned to receive evaluation anxiety inducing instructions or supportive instructions prior to administration of three tests (Digit Span, Visual Memory Span, and StroopColour‐Word) that measured the phonological loop, visuospatial sketchpad, and central executive components of working memory. Measures of evaluation anxiety and negative off‐task self‐dialogue were obtained during and after testing. Results showed that participants receiving anxiety inducing instructions reported significantly more evaluation anxiety and off‐task self‐dialogue. They also had significantly lower performance on the Digit Span Test and the StroopColour‐Word Test. Negative off‐task self‐dialogue also mediated the relationship between evaluation anxiety and performance on the Digit Span Test. Copyright © 2011 John Wiley & Sons, Ltd.     

Computer Adaptive Testing (CAT): A Faster,Smarter, and More Secure Approach to Pre-Employment Testing

As the usage of unproctored Internet testing (UIT) rises, new methods of mitigating challenges associated with UIT have been proposed. We suggest that one of the most promising methods is computer adaptive testing (CAT), and is a major advancement in pre-employment testing. CAT combines science and technology to help deliver a targeted and secure testing experience. In this article, we describe the use of CAT in organizations and highlight examples of how CAT has been applied to the measurement of cognitive ability, knowledge, and personality traits. We also set out a research agenda that will advance the development and implementation of future CATs.     

Sex differences in prenatal epigenetic programming of stress pathways

Maternal stress experience is associated with neurodevelopmental disorders including schizophrenia and autism. Recent studies have examined mechanisms by which changes in the maternal milieu may be transmitted to the developing embryo and potentially translated into programming of the epigenome. Animal models of prenatal stress have identified important sex- and temporal-specific effects on offspring stress responsivity. As dysregulation of stress pathways is a common feature in most neuropsychiatric diseases, molecular and epigenetic analyses at the maternal-embryo interface, especially in the placenta, may provide unique insight into identifying much-needed predictive biomarkers. In addition, as most neurodevelopmental disorders present with a sex bias, examination of sex differences in the inheritance of phenotypic outcomes may pinpoint gene targets and specific windows of vulnerability in neurodevelopment, which have been disrupted. This review discusses the association and possible contributing mechanisms of prenatal stress in programming offspring stress pathway dysregulation and the importance of sex.