Wenn ja,wie lange? – Dauer antiandrogener Behandlung von Sexualstraftätern mit paraphilen Störungen

Background

Since 2010 a total of 15 individually justified, therapeutically accompanied treatment-free intervals from antiandrogenic treatment (ADT) have been carried out in the Forensic Therapeutic Outpatient (FTA) department in Berlin.

Material and methods

This article describes the conditions under which a responsible and legally justifiable cessation of ADT can be carried out.

Results

In all 15 of the investigated stable, forensically rehabilitated patients who had been on long-term psychotherapeutic treatment, no criminally prognostic or clinically relevant destabilization has so far occurred, which would have necessitated cessation of the treatment-free interval with resumption of the antiandrogenic depot medication.

Conclusion

The short-term experiences from the clinical aftercare practice have so far shown that in a strictly structered aftercare setting with continuous clinical monitoring, it is possible to withdraw even long-standing antiandrogenic medication. This is important not least to attest the argumentation for a removal of supervision of conduct in case destabilization does occur. Further long-term longitudinal investigations will be the subject of later publications.

     

Psychometric properties of the Conners-3 and Conners Early Childhood Indexes in a Spanish school population

Ba#ckground/Obje#ctive: To examine the psychometric properties of the Conners 3 ADHD Index (Conners 3 AI) and the Conners Early Children Global Index (Conners ECGI) parents’ form (PF) and teachers’ form (TF) in Spanish schoolers. Method: Two-phase cross-sectional study. In the first phase, information was gathered from teachers (n = 1,796) and parents (n = 882) of 4-5 and 10-11 year-old children. In the second phase (n = 196), children at risk of ADHD and controls were individually assessed. Results: The results confirmed the two-factor structure of the Conners 3 ADHD Index, which contains hyperactive-impulsive and inattentive symptoms, and the two-factor structure of the Conners ECGI PF, consisting of emotional lability and restless-impulsive symptoms. In contrast with the original version, the Conners ECGI TF presented an additional inattentive factor. Moderate-to-high rates of evidence of convergent validity with Child Behavior Checklist and Kiddie-Schedule for Affective Disorders & Schizophrenia, and evidence of external validity (academic achievement) were found. Scores were significantly higher in boys than in girls, for both indexes. Raw scores corresponding to clinical T-scores were higher than the original version. Conclusions: The Conners indexes may be considered reliable and valid instruments for detecting ADHD symptoms in Spanish populations.     

Assessment of hormonal parameters and psychological well‐being in healthy subjects after a Taoist qigong program: An exploratory study

Qigong is an ancient form of health maintenance, which is part of Traditional China Medicine. Numerous beneficial mental and physical effects have been classically ascribed to this traditional psychosomatic method. The purpose of this work has been to assess the effects of Taoist qigong practice on several hormonal parameters of the Hipotalamic‐Pituitary‐Adrenal axis and specific measures of psychological well‐being in healthy subjects. Forty‐three healthy volunteers participated in the study, of whom 22 were randomly allocated to the experimental group, and 21 were assigned to the control group. Experimental participants underwent a qigong training program for one month. Blood samples for the quantification of hormonal parameters, and several instruments to assess anxiety and depression symptoms as well as subjective sleep quality, were obtained before and after the program. Statistically significant differences were found between the experimental and control groups, with the experimental group showing lower blood levels of adrenocorticotropic hormone (ACTH). This study shows that Taoist qigong is a psychosomatic method able to exert a modulatory action on ACTH levels in healthy subjects. We consider the need to continue exploring the psychobiological modulation of this qigong method and its possible repercussion for human health care.     

Less is more? Effects of exhaustive vs. minimal emotion labelling on emotion regulation strategy planning

Previous research suggests that labelling emotions, or describing affective states using emotion words, facilitates emotion regulation. But how much labelling promotes emotion regulation? And which emotion regulation strategies does emotion labelling promote? Drawing on cognitive theories of emotion, we predicted that labelling emotions using fewer words would be less confusing and would facilitate forms of emotion regulation requiring more cognitively demanding processing of context. Participants (N?=?82) mentally immersed themselves in an emotional vignette, were randomly assigned to an exhaustive or minimal emotion labelling manipulation, and then completed an emotion regulation strategy planning task. Minimal (vs. exhaustive) emotion labelling promoted higher subjective emotional clarity. Furthermore, in terms of specific emotion regulation strategies, minimal emotion labelling prompted more plans for problem solving and marginally more plans for reappraisal, but did not affect plans for behavioural activation or social support seeking. We discuss implications for the cognitive mechanisms supporting the generation of emotion regulation strategies.     

Resilience in Holocaust Survivors: A Study of Defense Mechanisms in Holocaust Narratives

There is extensive literature examining the psychological adaptation of survivors after the Holocaust, including studies of Holocaust narratives (HN). As a measure of psychological adaptation, defense mechanisms (DM) have been studied in various clinical samples, however, to date, not in Holocaust narratives. Using a standardized observer-rated measure, we assessed DM in Holocaust versus pre/post Holocaust narratives (other narratives [ON]) in 20 in-depth survivor interviews. Regarding individual DM, isolation of affect and self-assertion were statistically more frequent in the HN than the ON. High adaptive (mature) level defenses were more frequent in the HNs than the ON. Furthermore, the overall defensive functioning (ODF) was higher in the HN than the ON, contradicting previous findings showing lower defensive functioning in life-threatening situations. Possible explanations include differences in the nature of trauma, the time elapsed between the trauma and the interview, and the specificity of the sample. A qualitative overview with several examples from the narratives are also presented.     

Differences in personality between sustained hypertension,isolated clinic hypertension and normotension

The aim of this study was to determine whether there are differences in personality between hypertension and normotension. Forty‐two male patients with essential hypertension were divided into two groups after self‐assessment of blood pressure, 18 with sustained hypertension and 24 with isolated clinic (white coat) hypertension, and were compared with 25 men with normotension on Spielberger's State‐Trait Anxiety Inventory and the Jenkins Activity Survey. In line with hypotheses, the sustained hypertensive group showed higher levels of trait anxiety, Type A behaviour pattern, and hard‐driving behaviours/competitiveness than the normotensive group, whereas isolated clinic hypertensives occupied an intermediate position between those two groups. Results provide support to the hypothesised relationship between personality and hypertension and stress the need of distinguishing sustained hypertension from isolated clinic hypertension. Copyright © 2006 John Wiley & Sons, Ltd.     

Supervenience of Extrinsic Properties

The aim of this paper is to define a notion of supervenience which can adequately describe the systematic dependence of extrinsic as well as of intrinsic higher-level properties on base-level features. We argue that none of the standard notions of supervenience—the concepts of weak, strong and global supervenience—fulfil this function. The concept of regional supervenience, which is purported to improve on the standard conceptions, turns out to be problematic as well. As a new approach, we develop the notion of property-dependent supervenience. This notion is founded on a criterion of relevance adapting the supervenience base to the considered higher-level properties in a specific way, such that only features which are relevant to the instantiation of the higher-level properties under consideration are taken into account.     

Attentional filtering of transients allows for a recovery from change blindness

Previous reports suggest that introducing distracting visual transients during a change-detection task can result in change blindness. In four experiments, we found that presenting the distracting transients repeatedly prior to the change produces a recovery from change blindness. This recovery from change blindness is not due solely to low-level neural adaptation of transient detectors, but instead seems to be based on attentional filtering of the distracting transient signals. This attentional filtering can be object-based rather than location-based. In addition, we found that the ability to achieve this attentional filtering depends critically on presenting the to-be-ignored transient signals prior to the time of the change.     

A challenge for Super-Humeanism: the problem of immanent comparisons

Synthese - According to the doctrine of Super-Humeanism (Esfeld in Synthese. https://doi.org/10.1007/s11229-017-1426-8 , 2017), the world’s mosaic consists only of permanent matter points and...