Should subjects be forewarned of the possible psychological consequences of filling out a PTSD questionnaire?

In 1993 Albach investigated the long-term consequences of sexual abuse on psychological health. A group of abused women a a control group of nonabused women were asked to fill in a questionnaire assessing posttraumatic stress disorder (PTSD). For ethical reasons, the abused women were warned that filling in the questionnaire might be emotionally stressful. The control group did not receive this warning. The abused women scored higher on the questionnaire than the nonabused women. The warning they received may have influenced their reports. Our experiment investigated this. 101 psychology students were divided into two groups, one who received a warning and a control group who did not. The hypothesis was that people who had been previously warned would score higher on a PTSD questionaire than people who had not. There were, however, no significant differences in mean PTSD scores and no known initial differences between groups.     

Identity management strategies in Northern Ireland

Social identity theory suggests that individuals and groups use different identity management strategies to cope with threatened identities. In October 1998, the authors developed 5 identity management strategy scales for use in the changing political context of Northern Ireland and investigated the relationship of perceptions of stability and legitimacy, as well as in-group identification, to those strategies. Participants were 209 students of the University of Ulster and the Belfast Institute. The results supported the factor structure of the identity management strategy scales. Perceptions of stability and legitimacy and in-group identification were, however, correlated with some strategies only. That finding may indicate that some identity management strategies are related to psychological constructs not covered by social identity theory.     

An application of item response theory to the DSM-III-R criteria for borderline personality disorder

This paper summarizes results from analyses of the DSM criteria for borderline personality disorder (BPD) using models from item response theory (IRT). The study sample consisted of 353 participants, the majority of whom were psychiatric patients. Confirmatory factor analysis showed that a one-factor model provided the best fit to the data. All the DSM BPD criteria had moderate or higher item discrimination parameters, indicating that all items contributed meaningful information in assessing BPD. Item information functions revealed that the BPD criteria as a whole were useful for capturing BPD traits in the moderately severe to severe range, but that they performed less well in the less severe range. The general conclusion is that the criteria do represent a coherent syndrome and that further research on the informational value of the individual criteria would be useful.     

Evaluating the Meta-Slope: Is there a Slippery Slope Argument against Slippery Slope Arguments?

Slippery slope arguments (SSAs) have often been viewed as inherently weak arguments, to be classified together with traditional fallacies of reasoning and argumentation such as circular arguments and arguments from ignorance. Over the last two decades several philosophers have taken a kinder view, often providing historical examples of the kind of gradual change on which slippery slope arguments rely. Against this background, Enoch (2001, Oxford Journal of Legal Studies 21(4), 629–647) presented a novel argument against SSA use that itself invokes a slippery slope. Specifically, he argued that the very reasons that can make SSAs strong arguments mean that we should be poor at abiding by the distinction between good and bad SSAs, making SSAs inherently undesirable. We argue that Enoch’s meta-level SSA fails on both conceptual and empirical grounds.     

Assessing the Quality of the Parent–Child Relationship: Validity and Reliability of the Child–Parent Relationship Test (ChiP-C)

The ChiP-C is a clinically oriented questionnaire for assessing the quality of the child-parent relationship according to the child’s subjective appraisal. The ChiP-C is based on family systems theory and a cumulative vulnerability model. The questionnaire consists of 36 items representing three resource scales, five risk scales, and one additional scale. This article presents the theoretical framework and main psychometric properties of the ChiP-C. A school-based sample of 1,377 youth (ages 10–20; M = 14.4) and a clinic-referred consecutive sample of 197 patients (ages 10–18, M = 14.0) were surveyed. Construct validity was determined by confirmatory factor analyses. The mean of the internal consistencies was 0.79. Systematic correlations between the ChiP-C scales and the German EMBU confirmed the convergent and discriminant validity of the ChiP-C. Moreover, all ChiP-C scales were shown to be significantly correlated with psychopathological symptoms as measured by parent and youth questionnaires. The ChiP-C can be considered an economical screening instrument for a reliable and valid assessment of strengths and disturbances of the child-parent relationship according to the child’s subjective appraisal.     

Weiterbildungsmöglichkeiten in der Verhaltensmedizin

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

Konfliktsituationen im Coaching

This article describes useful consultation practices for individual coaching in typical workplace conflict situations. Our approach for understanding of workplace conflicts is based on the differentiation between various “toxic” conflictual constellations (e.g. contradiction, conflict, dilemma and double bind), between difficulties that can and cannot be resolved (e.g. problems and restrictions) and between problem solving attempts that unintentionally worsen the problems (e.g. individualizing, polarizing and evading responsibility). A sufficient readiness of the company to balance it’s own criteria for management success (e.g. profit versus workers health) and a sufficient openness to try out reflexively found solutions in the coaching process are crucial for successful coaching outcomes. Similarly, a reflexive attitude of the coach, self-critical vis a vis any ideological terms, which also acknowledges and overcomes the anxiety of the coach during the coaching process, can help coachees to find their own attitudes vis a vis the workplace conflict situation that balance cooperation and resistance.     

Health-related quality of life in transgender adolescents: Associations with body image and emotional and behavioral problems

Background: Transgender adolescents who apply for treatment often experience a marked increase in body-related distress when entering puberty, accompanied by internalizing problems and poor peer relations. Although adolescence is a time of considerable psychosocial and physical change, generally associated with a decline in health-related quality of life (HRQoL), research on HRQoL in transgender youth and possible predictors is sparse. This study thus aims to explore the predictive value of body image factors and emotional and behavioral problems for HRQoL.

Methods: This cross-sectional one-group observational study was carried out at the Child and Adolescent psychiatric department (Gender Identity Service) in Hamburg, Germany. A sample of n = 126 (103 trans male and 23 trans female) adolescents, who were referred for counseling and/or treatment completed different standardized instruments before undergoing any sort of treatment. Firstly, five dimensions of HRQoL were explored in transgender adolescents and secondly, a linear regression model was applied to assess the impact of body image and emotional and behavioral problems on overall HRQoL.

Results: HRQoL was generally impaired in transgender adolescents compared to norm scores, especially with regard to aspects of psychological and physical well-being. Linear regression analysis revealed that greater internalizing problems and less body satisfaction significantly predicted lower HRQoL outcomes.

Conclusions: Impaired HRQoL may be explained by high degrees of internalizing problems and low body satisfaction. Thus, one important aim of mental health professionals working with youth should be to provide appropriate treatment and counseling options that may contribute to overall well-being in the long-term.     

Psychopathologie und Aufenthaltsstatus

This study compared the mental health status of various groups of people living in Switzerland. A total of 65 asylum seekers, 34 refugees, 21 illegal migrants, 26 migrant laborers and 56 Swiss citizens were assessed for psychopathological symptoms of posttraumatic stress, anxiety and depression. Specifically, it was tested if the residence permit status was associated with psychopathology if potentially confounding factors, such as social desirability, trauma history and integration were statistically controlled. The results showed that the majority of the asylum seekers, refugees and illegal migrants included in the study suffered from substantial psychopathological symptoms. An association between residence permit status and psychopathology was found even after controlling for other influencing factors. The results imply that not only trauma experiences lead to psychopathology in specific population groups with a migration background but also factors related to an insecure residence permit can contribute to psychopathological symptoms.