Gruppenpsychotherapie Die unbekannte und benachteiligte psychotherapeutische Behandlungsoption

Gruppenbehandlungen stellen die angemessene Indikation für ein sehr breites Spektrum von psychischen Störungsbildern und somatischen Erkrankungen dar. Für einige psychische Störungen, wie Persönlichkeitsstörungen, psychiatrische Erkrankungen, Essstörungen, Substanzmissbrauch, psychosomatische Erkrankungen und funktionelle Störungsbilder sowie chronische körperliche Erkrankungen, ist die Gruppenbehandlung sogar die beste indikative Option. Das mögliche breite Behandlungsspektrum ist weithin unbekannt. Hinzu treten hierzulande administrative Behinderungen, die speziell im ambulanten Versorgungsbereich die Gruppenbehandlung gegenüber der einzeltherapeutischen Behandlung benachteiligen, so dass die angemessenere und kostengünstigere Option einer Gruppenbehandlung hier viel zu wenig zum Tragen kommt.     

Psychosomatische Rehabilitation

Besides inpatient and outpatient treatment, rehabilitation represents the third column of the German healthcare system. The goal for the persons concerned is the conservation of activity and participation in the professional and social life. This article shows the importance and development of German psychosomatic rehabilitation in contrast to regular inpatient treatment. It also explains its place in the whole healthcare concept of rehabilitation and the basic principles of sociomedical assessment, followed by practical advice for the indications and the rehabilitation application process. Compared with other countries Germany has a very well-established system of psychosomatic rehabilitation but this resource is often used too late in the course of treatment, mostly not until severe chronification has occurred and in addition there are also problems with points of interaction concerning the subsequent outpatient treatment. The aim of this article is therefore to contribute to an improved cross-linking of the different areas in the healthcare system.     

Probing the visual representation of faces with adaptation: A view from the other side of the mean

Sensory adaptation and visual aftereffects have long given insight into the neural codes underlying basic dimensions of visual perception. Recently discovered perceptual adaptation effects for complex shapes like faces can offer similar insight into high-level visual representations. In the experiments reported here, we demonstrated first that face adaptation transfers across a substantial change in viewpoint and that this transfer occurs via processes unlikely to be specific to faces. Next, we probed the visual codes underlying face recognition using face morphs that varied selectively in reflectance or shape. Adaptation to these morphs affected the perception of "opposite" faces both from the same viewpoint and from a different viewpoint. These results are consistent with high-level face representations that pool local shape and reflectance patterns into configurations that specify facial appearance over a range of three-dimensional viewpoints. These findings have implications for computational models of face recognition and for competing neural theories of face and object recognition.     

Adaptation of Two Family Therapy Training Instruments to Culturally Suit the Indian Context

Two family therapy training instruments, the Family Concept Assessment (FCA) and Rating Scale and Family Therapy Assessment Exercise (FTE), developed in the United States were adapted to suit the Indian cultural context. Several changes were made to the instruments while at the same time maintaining the equivalency of the scales to the original. Both the instruments were tested for face validity by a panel of cultural and content experts in the United States. The FTE was then pilot tested with an Indian sample. The psychometric properties of the adapted instrument are reported in this article including feedback from the participants.     

Reinforcement of rat hippocampal LTP by holeboard training

Hippocampal long-term potentiation (LTP) can be dissociated in early-LTP lasting 4-5 h and late-LTP with a duration of more than 8 h, the latter of which requires protein synthesis and heterosynaptic activity during its induction. Previous studies in vivo have shown that early-LTP in the dentate gyrus can protein synthesis-dependently be transformed (reinforced) into late-LTP by the association of arousing novel environmental stimuli. Here we show that consolidation of spatial memory also reinforces early-LTP in the dentate gyrus. Both memory consolidation and LTP-reinforcement depend on protein synthesis. Four groups of animals were trained by five, seven, eight or 10 trials, respectively, to recognize a fixed pattern of baited holes. The last trial was performed 15 min after tetanus. Errors of long-term reference memory during the last trial were significantly decreased only in the eight- and 10-trial experimental groups compared to pseudo-trained animals. In correlation to this learning effect we found a reinforcement of early-LTP only in these experimental groups compared to controls. The data suggest that the synthesis of new proteins required for spatial reference-memory formation also contributes to LTP maintenance in the hippocampal dentate gyrus.     

Evidence for holistic representations of ignored images and analytic representations of attended images

According to the hybrid theory of object recognition (J. E. Hummel, 2001), ignored object images are represented holistically, and attended images are represented both holistically and analytically. This account correctly predicts patterns of visual priming as a function of translation, scale (B. J. Stankiewicz & J. E. Hummel, 2002), and left-right reflection (B. J. Stankiewicz, J. E. Hummel, & E. E. Cooper, 1998). The model also predicts that priming for attended images will generalize over configural distortions (split images), whereas priming for ignored images will not. Three experiments tested and confirmed this prediction. Split images visually primed their intact and split counterparts when they were attended but not when they were ignored, whereas intact images primed themselves whether they were attended or not. The data contribute to the growing body of evidence that 1 function of visual attention is to permit the generation of explicitly relational representations of object shape.     

A modified proportional change model of attitude change by group discussion

The data of two experiments of dyadic group discussion have been reanalysed. An extended proportional change model was designed to explain the actual process of attitude change. The model is defined by two parameters. The first represents the impact of single pro-arguments and single con-arguments on the attitude or decision preference. The second describes the resistance to further change that increases with the distance from the initial position. It was hypothesized that the first parameter should be higher and the second lower, with a similar partner than with a dissimilar one. The prediction was confirmed for the first parameter only. A comparison of the extended proportional change model to related models concludes the report.     

Looking behaviour and preference for artworks: The role of emotional valence and location

The position of an item influences its evaluation, with research consistently finding that items occupying central locations are preferred and have a higher subjective value. The current study investigated whether this centre-stage effect (CSE) is a result of bottom-up gaze allocation to the central item, and whether it is affected by item valence. Participants (n = 50) were presented with three images of artistic paintings in a row and asked to choose the image they preferred. Eye movements were recorded for a subset of participants (n = 22). On each trial the three artworks were either similar but different, or were identical and with positive valence, or were identical and with negative valence. The results showed a centre-stage effect, with artworks in the centre of the row preferred, but only when they were identical and of positive valence. Significantly greater gaze allocation to the central and left artwork was not mirrored by equivalent increases in preference choices. Regression analyses showed that when the artworks were positive and identical the participants' last fixation predicted preference for the central art-work, whereas the fixation duration predicted preference if the images were different. Overall the result showed that item valence, rather than level of gaze allocation, influences the CSE, which is incompatible with the bottom-up gaze explanation. We propose that the centre stage heuristic, which specifies that the best items are in the middle, is able to explain these findings and the centre-stage effect.     

Psychotherapie in Westdeutschland nach 1945

Protagonists during the formation of post-World War II medical psychotherapy (e.g. Ernst Speer, Berthold Kihn) had been involved in Nazi selection and ??hereditary health?? policies and continued to express related attitudes and views in the post-war period. To contextualize and analyze these findings, the broader institutional structures and dynamics in psychotherapy before and after 1945 are described. It is argued that for gaining attention, acceptance and resources, psychotherapy and psychiatry are much more dependent on the specific political and economic contexts than somatic medical disciplines, due to the focus on experiences and behavior of human beings. This is related to the fact that such political and economic contexts are themselves bound to anthropological conceptions and norms of behavior. In a further step three paradigms of dealing with the Nazi past are identified for post-World War II psychotherapy and psychiatry: the isolation paradigm, the continuity paradigm and the localizing-complex paradigm.     

Electrophysiological evidence for late maturation of strategic episodic retrieval processes

Improvement in source memory performance throughout development is thought to be mediated by strategic processes that facilitate the retrieval of task-relevant information. Using event-related potentials (ERPs), we examined developmental changes in these processes during adolescence. Adolescents (13-14 years) and adults (19-29 years) completed a memory exclusion task which required the discrimination between words studied in one color ('targets') and words studied in the alternative color ('non-targets') under two conditions that put different demands on strategic control. Memory accuracy improved with age and also increased with decreasing control demands in both age groups. The parietal old/new effect, an ERP correlate of recollection, was reliable for targets across conditions in both age groups. By contrast, ERP correlates of non-target recollection were present in adolescents across conditions but not in adults. This suggests that adults implemented a strategy to prioritize recollection of target information with greater success than adolescents regardless of control demands, presumably reflecting maturational differences in cognitive control. In support of this view, the ERP amplitude difference between targets and non-targets was positively correlated with a measure of working memory capacity (WMC) in adults but not in adolescents. A further age-related difference was that ERP correlates of post-retrieval processing, including late right-frontal old/new effects and late posterior negativities, were observed in adults only. Together, our data suggest protracted maturation in the strategic processes that underlie selective recollection and post-retrieval control.