The influence of sex hormones on functional cerebral asymmetries in postmenopausal women

Studies investigating changes in functional cerebral asymmetries (FCAs) with hormonal fluctuations during the menstrual cycle in young women have led to controversial hypotheses about an influence of estrogen (E) and/or progesterone (P) on FCAs. Based on methodical, but also on principal problems in deriving conclusions about hormone effects from correlational designs, the present study investigated hemispheric asymmetries in postmenopausal women, who received hormone replacement either with E alone (E group, n = 32), an E–P combination (E–P group, n = 29) or no hormone substitution (control group, n = 31). Speed and accuracy of responses to a word- and a face decision task, both presented laterally by means of the visual half field technique, were assessed. The control group showed the typical pattern of hemispheric asymmetry with more correct responses to verbal stimuli presented in the right visual field (RVF) and to face stimuli presented in the left visual field (LVF). A hormone-effect was demonstrable only for the verbal task, in which the E group showed an enhanced performance of the right hemisphere (LVF). The E–P group showed no significant differences to the control group or the E group. The results suggest a role of E in the modulation of FCAs at least with regard to verbal processing.     

Tötung mit und ohne tiefgreifende Bewusstseinsstörung

The category of “serious disturbance of consciousness” within the regulations for criminal responsibility has caused some uncertainty since is implementation in German Penal Law in 1975. It is applicable for those cases of “crimes of passion” where the mental functioning is heavily disturbed by massive affective arousal. A proposal for assessment and evaluation of such cases with a psychopathological approach is presented. The forensic-psychiatric examination contains 3 elements: (1) the formulation of the case in terms of biography, personality and special situation in the time before the criminal act, (2) a systematic analysis of the act according to two sets of specific criteria for such cases, (3) an evaluation of the state of consciousness by means of a “psychopathological reference system”, comparing all states of normal, abnormal and pathologically disturbed consciousness     

Grouping in the shine-through effect

How the elements of a visual scene are grouped into objects is one of the most fundamental but still poorly understood questions in visual neuroscience. Most investigations of perceptual grouping focus on static stimuli, neglecting temporal aspects. Using a masking paradigm, we show that the neural mechanisms underlying grouping seem to be both fast and complex. For example, a vernier target was followed by, first, a briefly presented grating and, then, a long-lasting, extended grating. Under these conditions, the briefly presented grating is hardly visible. Still, vernier discrimination strongly changed with the number of elements of the briefly displayed grating being worst for small gratings. In accordance with a neural network model of masking, we propose that the edges of the briefly presented grating and the vernier interfere in spite of the short presentation time. We suggest that this fast edge processing is a first step for unconscious grouping processes.     

Weiterbildungsmöglichkeiten in der Verhaltensmedizin

Die Psychotherapie - Die Verhaltensmedizin ist das Arbeits- und Forschungsgebiet, in dem empirisch geprüfte Methoden der Verhaltenstherapie in unterschiedlichsten medizinischen Disziplinen...     

Bewältigung des unerfüllten Kinderwunsches

The article reviews current research in relation to two aspects of involuntary childlessness; firstly, the extent to which involuntary childlessness can be considered a critical life-event and secondly, the short-term effects of childlessness on life-satisfaction and well-being. A study is reported in which 68 middle-aged women (45 to 65 years) who are long term childless because of infertility, are investigated. The study focuses on the extent to which unfilled desire for a child has long term effects on well-being and life-satisfaction. The control group comprised 68 women who did not suffer from fertility problems and became pregnant spontaneously. Life-satisfaction and well-being were assessed using the life-satisfaction questionaire (FLZ; Fahrenberg et al. 2000) and the SCL-90-R (Symptome-Checklist, Derogatis, the German version of Franke 1995). The study shows clearly that psychological well-being is significantly lower in childless middle-aged women compared to women of the same mean age, who have a child. No significant differences were found in social well-being and health. The results support the view that unwanted childlessness may become a chronic stressor. Unintentionally childless middle-aged women do not constitute a clinical group whose need for psychotherapy is urgent. However, the development of specific counselling for women who fail to conceive and those who remain childless in the long term is recommended.     

Julius Springer Psychotherapiepreis

Ohne Zusammenfassung Prof. Dr. med. M. Cierpka Universit?t Heidelberg, Abteilung für Psychosomatische Kooperationsforschung u. Familientherapie, Bergheimerstra?e 54, 69115 Heidelberg, E-Mail: Manfred_Cierpka@med.uni-heidelberg.de     

Die Psychotherapeutenausbildung aus Sicht der Teilnehmer

Background

A survey was performed to assess the current situation in education and to identify critical issues 10 years after the inception of the German law regulating the education of psychological psychotherapists and child and adolescent psychotherapists. The study reports the results of a nationwide survey of German psychological psychotherapists and child and adolescent psychotherapists currently in training. The aim of the survey was to evaluate the individual sections of training, desired alterations and structural and financial conditions.

Methods

All trainees were contacted via the training institutes and the umbrella organizations. A total of 3,223 trainees participated and answered questions mainly using an online questionnaire.

Results

Most respondents practiced their training part-time and in most cases the trainees thought that the training would last longer than initially expected. The practical training was rated most poorly, whereas practical education and individual supervision were rated as most useful. The survey revealed deficits concerning the evaluation of the quality of several components of the training.

Conclusions

From the perspective of the trainees there is a necessity to modify the financial conditions of the training. This result has been considered in the recommendations of a research expertise on psychotherapy training and should stimulate further research.     

Subtypes of drug-addicts in treatment: empirical support for a distinction between Type A and Type B

This study examines the possibility of replicating and generalizing a multidimensional typology of drug-addicts by means of the evaluation of 320 participants who were receiving outpatient treatment for their problem of addiction. A two-stage cluster analysis was performed, revealing the existence of two typologies of consumers, called type A and Type B. The participants classified as Type B showed various indicators of chronicity (higher mean age, higher unemployment rate), more severity of their problem of drug consumption and of medical aspects, employment support, legal, family/social and psychiatric problems in comparison with Type A. Participants from the latter group reported active employment as their main source of income and they had consumed drugs for fewer years. However, they presented more severity associated with alcohol consumption. In view of these data, Type A is called functional drug-addict and Type B chronic drug-addict. Once the groups of drug-addicts were delimited, a more specific characterization was made, taking seven problem areas into account: medical, employment support, alcohol, drugs, legal, family/social, and psychiatric areas. As a general conclusion, more psychosocial severity was observed in Type B as compared with Type A. Lastly, the implications and usefulness of grouping drug-addicts into typologies is discussed.