Stationäre körperbezogene Psychotherapie bei Anorexia und Bulimia nervosa

Disturbances of body-images in women with anorexia and bulimia nervosa are described at the behavioral, perceptional and affective-cognitive level. The disturbances of body image, which are often accompanied by personality-structural deficits and have a decisive influence on the course of disease, can be reached only in part by verbal forms of therapy. Considering these facts, we present an integrative clinical procedure in which the application of body-related therapy modules play a central role in supplement to cognitive-behavioral and psychodynamic forms of therapy. Process-oriented body-perception therapy in an individual setting and a communicative movement group therapy are used and their relevance to the in-patient therapy process examined from the patient’s point of view. The study reveals a high value of body-psychotherapy, wherebydifferences were observed between anorexia (15) and bulimia (27) patients in the course of the process. The results suggest an indication for the application of combined individual and group body-psychotherapy for hospitalized anorexia patients. A communicative body therapy in group form is also very important in the in-patient treatment of bulimia patients, but there is a differential indication with regard to individual body therapy.     

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.     

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.     

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.     

Reproductive issues in adults with cystic fibrosis: Implications for genetic counseling

This article reviews reproductive issues faced by the growing number of individuals with cystic fibrosis (CF) who reach adulthood. Approximately 97–98% of males with CF are infertile and they may have an increased risk for genitourinary anomalies. Females with CF may experience delayed puberty, irregular menstrual cycles, and decreased fertility. Women with CF who have good clinical scores, good nutritional status, and normal lung volumes with mild to moderate airway obstruction, have a better chance for successful pregnancies. The role of the genetic counselor in counseling adults with CF is discussed and resources for CF adults are provided.     

Assessment of handedness using finger spreading

In 50 right handed and 50 left handed subjects we researched the phenomenon of spreading fingers. In the right hand of right-handers we found the smallest angels between fingers, in the right hand of left-handers we found the biggest angels between the spreaded fingers. The higher the dominance of the hand, the lower is the phenomenon of spreading fingers. We assumed smaller motor units at the side of dominance.