Weiterbildungsm?glichkeiten in der Verhaltensmedizin

Die Verhaltensmedizin ist das Arbeits- und Forschungsgebiet, in dem empirisch geprüfte Methoden der Verhaltenstherapie in unterschiedlichsten medizinischen Disziplinen eingesetzt werden. Biopsychosoziale Erklärungsansätze für körperliche Gesundheit und Krankheit werden zur Ableitung präventiver, diagnostischer, therapeutischer und rehabilitativer Maßnahmen herangezogen. Dieses interdisziplinäre Arbeitsgebiet ist im Rahmen der psychotherapeutischen Weiterbildung etabliert. In diesem Beitrag wird ein Weiterbildungscurriculum mit den Schwerpunkten Verhaltensmedizin und Kognitive Verhaltenstherapie vorgestellt.     

Non-monotonicity and Informal Reasoning: Comment on Ferguson (2003)

In this paper, it is argued that Ferguson’s (2003, Argumentation 17, 335–346) recent proposal to reconcile monotonic logic with defeasibility has three counterintuitive consequences. First, the conclusions that can be derived from his new rule of inference are vacuous, a point that as already made against default logics when there are conflicting defaults. Second, his proposal requires a procedural “hack” to the break the symmetry between the disjuncts of the tautological conclusions to which his proposal leads. Third, Ferguson’s proposal amounts to arguing that all everyday inferences are sound by definition. It is concluded that the informal logic response to defeasibility, that an account of the context in which inferences are sound or unsound is required, still stands. It is also observed that another possible response is given by Bayesian probability theory (Oaksford and Chater, in press, Bayesian Rationality: The Probabilistic Approach to Human Reasoning, Oxford University Press, Oxford, UK; Hahn and Oaksford, in press, Synthese).     

Perceived legitimacy of intergroup status differences: its prediction by relative ingroup prototypicality

Research demonstrates that the perceived legitimacy of intergroup status differences has profound effects on intergroup attitudes, emotions and behavior. However, there has only been little intergroup research that predicts the perception of legitimacy. We hypothesize that the perception of legitimate or illegitime status relations depends upon the perceived relative prototypicality of the ingroup for the inclusive category. Since the prototype of the inclusive category provides a normative comparison standard for subgroup evaluation, similarity to this standard (i.e. prototypicality) should be positively evaluated and used to justify high status. A first study in a natural intergroup context (N = 67) offered correlational data in support of the predicted relationship. The second study (N = 60), using Germans as ingroup with Poles as outgroup and Europe as inclusive category, demonstrated that the link between prototypicality and legitimacy is contingent upon the valence of the inclusive category. In order to elucidate the causal direction, the third study manipulated relative prototypicality in an artificial intergroup context (N = 94) and introduced status as a moderator variable. Overall, we found strong support for the hypothesis that legitimacy is related to prototypicality and that this relation is moderated by ingroup status and valence of the inclusive category. Copyright © 2002 John Wiley & Sons, Ltd.     

Personality, anxiety and functional dysphonia

Psychological factors are considered for the predisposition and perpetuation of functional dysphonia. In the present study 61 patients with functional dysphonia were compared with 61 healthy controls, matched by age, sex, and occupation with respect to Cloninger’s personality model, mood, and anxiety.The patients with functional dysphonia presented significantly higher scores than the healthy controls with respect to “harm avoidance” (HA); depressive symptoms; symptoms of unspecific and general anxiety; symptoms of specific anxiety concerning “health”, “illness”, and “extraversion versus introversion”. No significant differences were found in “novelty seeking” (NS), “reward dependence” (RD), “persistence” (PE), or in state-anxiety and anxiety of social situations. These results were found considering univariate and multivariate analyses and confirm the relationship of psychological factors such as personality traits, mood, and anxiety on one hand and conversion disorder in general and functional dysphonia in particular on the other hand. This important relationship should be considered in the diagnostic and therapeutic interventions of functional dysphonia.     

Hoarding in a compulsive buying sample

Previous research has indicated that many compulsive buyers also suffer from compulsive hoarding. The present work specifically examined hoarding in a compulsive buying sample. Sixty-six treatment-seeking compulsive buyers were assessed prior to entering a group therapy for compulsive buying using the Compulsive Buying Scale (CBS), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)-Shopping Version, the Compulsive Acquisition Scale (CAS), the German-CBS, the Saving Inventory-Revised (SI-R), the Maudsley Obsessive Compulsive Inventory (MOCI), the Barratt Impulsiveness Scale (BIS-11), and the Structured Clinical Interview for DSM-IV Axis I (SCID). Inclusion criteria were current problems with compulsive buying according to the proposed diagnostic criteria for compulsive buying by McElroy, Keck, Pope, Smith, and Strakowski [(1994). Compulsive buying: A report of 20 cases. Journal of Clinical Psychiatry, 55, 242-248]. Our results support the assumption that many but not all compulsive buyers suffer from compulsive hoarding. A significant association between the SI-R and the compulsive buying measures CBS, Y-BOCS-SV, German-CBS, and the CAS-Buy subscale was found, which is mostly caused by the SI-R subscale acquisition. The SI-R subscales clutter and difficulty discarding were more closely associated with the CAS-Free subscale and with obsessive-compulsive symptoms. Hoarding compulsive buyers reported more severe buying symptoms and obsessive-compulsive symptoms and presented with a higher psychiatric co-morbidity, especially any current affective, anxiety and eating disorder. Specific therapeutic interventions for compulsive buyers who also report compulsive hoarding appear indicated.     

Reasons and impossibility

In this paper, I argue that a person can have a reason to do what she cannot do. In a nutshell, the argument is that a person can have derivate reasons relating to an action that she has a non-derivative reason to perform. There are clear examples of derivative reasons that a person has in cases where she cannot do what she (non-derivatively) has reason to do. She couldn’t have those derivative reasons, unless she also had the non-derivative reason to do what she cannot do. I discuss a number of objections to this view, in particular two: (1) The objection that if there were reasons to do what one cannot do, many of those would be ‘crazy reasons’, and (2) the worry that if there were such reasons, then agents would have reasons to engage in futile deliberations and tryings. I develop an explanation of ‘crazy reasons’ that shows that not all reasons to do the impossible are crazy and only those that are need to be filtered out, and, regarding the second objecting, I show that the reasons for trying as well as for taking the means to doing something—instrumental reasons in a broad sense—are different from the reasons for performing the action in the first place. They are affected by impossibility, and we can explain why that is so. The view I argue for is that a person may have a reason to do what she cannot do, but she does not have a reason to try to do so or to take means to realizing the impossible.     

The Multi-Stimulus Box: An innovative learning device for the comparative study of object perception and recognition with various types of stimuli

In this article, we report the construction of a novel type of automated learning device for exploring a broad range of issues in animal visual cognition. The testing box (Multi-Stimulus Box, or MSB) we describe is an experimental chamber that enables the flexible presentation of various stimulus types while providing control over incidental cues to the greatest possible extent. Among the stimuli that can be presented are photographs, real objects, and even holograms. The MSB allows for comparative research across different stimulus qualities and species, and is thus a promising tool for advancing our understanding of the role of stimulus qualities for animals' perception, discrimination, and categorization of objects.     

Rational action selection in 1½- to 3-year-olds following an extended training experience

Previous studies failed to find evidence for rational action selection in children under 2 years of age. The current study investigated whether younger children required more training to encode the relevant causal relationships. Children between 1½ and 3 years of age were trained over two sessions to perform actions on a touch-sensitive screen to obtain video clips as outcomes. Subsequently, a visual habituation procedure was employed to devalue one of the training outcomes. As in previous studies, 2- and 3-year-olds chose actions associated with an expected valued outcome significantly more often during a subsequent choice test. Moreover, analysis of children’s first responses in the post-devaluation test revealed evidence of rational action selection even in the youngest age group (18–23 months). Consistent with dual-process accounts of action control, the findings support the view that the ability to make rational action choices develops gradually.