Psychoedukation bei Personen mit erh?htem Psychoserisiko

Background

So far only few studies are available which have evaluated the effectiveness of psychoeducation for individuals at risk of psychosis in the early initial prodromal state (EIPS) whereas the benefit of psychoeducation in psychotic patients has been repeatedly confirmed. Thus the aim of this study was to investigate the effect of psychoeducation in individuals with increased risk of psychosis in the EIPS.

Method

A total of 128 help-seeking outpatients in the EIPS participated in a randomized controlled multicentre trial of 12 months of either psychoeducation as part of an integrated psychological intervention (IPI) or supportive counseling (SC). The time to transition to psychosis at 12-month and 24-month follow-up as well as the social adjustment at baseline, time of transition or post-treatment by means of the social adjustment scale (SAS?II) were assessed.

Results

The IPI was superior to SC in preventing progression to psychosis at 12-month (3.2% versus 16.9%, p?=0.008) and 24-month follow-up (6.3% versus 20.0%, p?=0.019). Both treatments resulted in significant pre-post improvements in SAS?II with no significant differences between the two groups.

Conclusions

Psychoeducation as part of an integrated intervention is effective for preventing the onset of psychosis over a 24-month time period in people in an EIPS. Moreover patients at risk of developing first episode psychosis seem to benefit from a specific psychoeducational intervention in the context of other treatments as well as from SC.     

Showing that the race model inequality is not violated

When participants are asked to respond in the same way to stimuli from different sources (e.g., auditory and visual), responses are often observed to be substantially faster when both stimuli are presented simultaneously (redundancy gain). Different models account for this effect, the two most important being race models and coactivation models. Redundancy gains consistent with the race model have an upper limit, however, which is given by the well-known race model inequality (Miller, 1982). A number of statistical tests have been proposed for testing the race model inequality in single participants and groups of participants. All of these tests use the race model as the null hypothesis, and rejection of the null hypothesis is considered evidence in favor of coactivation. We introduce a statistical test in which the race model prediction is the alternative hypothesis. This test controls the Type I error if a theory predicts that the race model prediction holds in a given experimental condition.     

THE NUMBERING SYSTEM OF THE TRACTATUS

The significance of the complicated numbering of the propositions in the Tractatus has occasioned much speculation. Wittgenstein's own explanation has, following Stenius, been generally regarded as misleading. But an examination of the Prototractatus reveals that the numbering system was for Wittgenstein principally an aid in the composition of his work. It allowed him to mark out certain propositions which required further work or supplementation, without disturbing the basic structure of the treatise. But the reworking of the Prototractatus to form the Tractatus considerably changed the original order in which the ideas were connected, and thus made it more difficult to understand the Tractatus. Several specific examples make it clear that it is essential to look back at the context of the Prototractatus in order to achieve a correct interpretation of many of the propositions in the Tractatus.     

Selective attention and inhibitory deficits in ADHD: Does subtype or comorbidity modulate negative priming effects?

Selective attention has durable consequences for behavior and neural activation. Negative priming (NP) effects are assumed to reflect a critical inhibitory component of selective attention. The performance of adolescents with Attention Deficit/Hyperactivity Disorder (ADHD) was assessed across two conceptually based NP tasks within a selective attention procedure. Comorbidity (non-comorbid ADHD vs. comorbid ADHD) and subtype (ADHD combined vs. ADHD inattentive) were considered key issues. Results found NP effects to differ as a function of comorbidity but not subtype. Findings are discussed in light of functional neuroimaging evidence for neuronal enhancement for unattended stimuli relative to attended stimuli that strongly complements an inhibitory-based explanation for NP. Implications for the ‘AD’ in ADHD and contemporary process models of the disorder are considered.     

Culture, self, and the emergence of reactance: Is there a “universal” freedom?

In this article we suggest that independent vs. interdependent aspects of the self yield different manifestations of psychological reactance and that this is especially relevant in a cross-cultural context. In Studies 1, 2, and 4 we showed that people from collectivistic cultural backgrounds (individuals holding more interdependent attitudes and values) were less sensitive to a threat to their individual freedom than people from individualistic cultural backgrounds (individuals holding more independent attitudes and values), but more sensitive if their collective freedom was threatened. In Study 3 we activated independent vs. interdependent attitudes and values utilizing a cognitive priming method and yielded similar results as the other studies hinting at the important causal role of self-related aspects in understanding reactance in a cross-cultural context.     

Knowledge junkies or careerbuilders? A mixed-methods approach to exploring the determinants of students' intention to earn a PhD

What are the determinants of students' interest in earning a PhD? In this study, we use a mixed-methods approach to pursue this question. Based on qualitative interview data, we develop a model in which academic motivation and academic achievement interact with contextual factors such as working conditions to influence career intentions. We then test this model using a sample of 229 students currently enrolled in master-level courses of study at a German university. Our results speak to the role of intrinsic versus extrinsic motivations in the context of PhD intentions. In contrast to our expectations, results suggest that while intrinsic life aspirations and the intellectual challenge of gaining a PhD play a significant role for students' intention to pursue a PhD, extrinsic life aspirations and contextual determinants seem to be less influential. Furthermore, results highlight the importance of gaining familiarity and experience with academic work for students' career decisions.     

Träume werden zwischen den Menschen geträumt

Because we humans have a multitude of relationships, which first allow us to live, dreams as a natural phenomenon can express this basic feature of humans but they can also be understood specially for various relationships: they depict multiple relationships in which we are involved, illuminate relationships, give another new component to conscious knowledge and in this way alter relationships. We tell each other about dreams and exchange them amongst ourselves in a special narrative sphere.When working with dreams in the therapeutic process, the messages of dreams on the analytical relationship are important information and experiences from an unaccustomed perspective. That both the analysand and the analyst share an understanding of the dreams, is shown in particular by the initial dream. It can conclusively be shown in dream series how relationship conflicts change through the work with dreams.