Anxiety and Depression in Children with HFASDs: Symptom Levels and Source Differences

The purpose of this study was to: (1) examine symptom levels of anxiety and depression in children with high-functioning autism spectrum disorders (HFASDs) compared with matched control children using child self-reports and parent ratings; and (2) examine source differences within the two condition groups. An overall multivariate effect indicated significantly elevated depression and anxiety symptoms for children with HFASDs based on parent reports; however no significant between-group differences based on child self-reports. Within-condition source comparisons (parent vs. child) revealed a significant multivariate effect indicating a significant difference in symptoms of depression and anxiety for the HFASD group but none for the control. Correlations between parent and child reports for the HFASD group suggested some positive association between child-reports and parent-reports for depressive symptoms only; however, the difference in average scores reflected a substantial discrepancy in the magnitude of symptoms by rater. Implications for clinical assessment and future research are provided.     

Gutachtenleitfaden

The article presents an operationalized and manualized approach for the assessment of the capability of performance. This manual has been conceptualized and tested empirically by a multicentric and interdisciplinary workgroup. It is basically oriented to the “International Classification of Functioning” (ICF; WHO), which is well accepted for assessing the course of chronic diseases and the consequences for the individual. It is especially widely applied in the context of rehabilitation. The different diagnostic levels of the manual and their operationalization are outlined. Furthermore, the first results concerning reliability, content validity, applicability and practicability are described and questions on the areas of application of the instrument are discussed.     

Repression-sensitization,gender, and discrepancies in psychobiological reactions to examination stress

Psychobiological responses to examination stress in repressors and sensitizers have rarely been investigated with respect to intraindividual response discrepancies. Furthermore, possible sex differences have rarely been taken into consideration. Therefore the present study investigated if repressors and sensitizers differ in their psychobiological responses to stress and if gender plays a modulating role. 30 and 29 students of both sexes selected from a total group of 96 students were classified as repressors or sensitizers each according to the repression-sensitization-coping-inventory (RSCI, Huwe et al.). State anxiety, heart rate, and cortisol in saliva served as indicators of stress. Sensitizers reported higher state anxiety and showed higher physiological stress responses than repressors. On the intraindividual level sensitizers reported high anxiety as compared to their low cortisol responses whereas repressors reported low anxiety as compared to their high cortisol increases. Gender had no modulating influence on stress responses in repressors and sensitizers.     

Psychophysiological effects of emotional dissonance in a face-to-face service interaction

Abstract

Current research demonstrates that requirements to express emotions which are not genuinely felt in the particular situation (emotional dissonance) are associated with negative long and short-term effects. The aim of the present study was to investigate: (a) the psychophysiological short-term effects of emotional dissonance in a face-to-face service interaction and (b) the moderating role of gender and neuroticism. In total, 32 women and 27 men were instructed to play the role of a service employee, who had to interact with an angry and rude customer. Half of the sample was given information that the organization expected them to be friendly (emotional dissonance), the other half was told they were expected to act naturally and show their genuine feelings (no emotional dissonance). Subjective and behavioral responses revealed that participants in the “friendly” condition modulated their emotional expressions to a greater extent than those in the “naturally” condition. Participants in the “friendly” condition showed stronger systolic and diastolic blood pressure responses. Furthermore, hierarchical regression analyses yielded that gender and neuroticism partly moderated the association between emotional dissonance and participants' psychophysiological response.     

Luther Studies in Germany—The Presence and Absence of Theology

Abstract : German Luther studies are still affected by the constellation of the years after the Second World War. Gerhard Ebeling's interpretation of Luther continues to frame the discourse. At the same time, in both systematic theology and church history, genuine interest in Luther has waned. There are some approaches that promise change. Some contributions in systematic theology have revealed the complex character of Luther's theology. Luther is becoming more contextualized. Most significant is the study of Luther with a view to medieval piety, especially mysticism.     

Gesundheitssystem und psychotherapeutisches Selbst

Psychotherapy as a profession can be analysed from two different theoretical points of view: as far as social conditions are concerned the author profits on the one hand from a system-theoretical approach in treating the health-system as a social system; on the other hand and as far as the inner conditions of psychotherapeutic work are concerned, basic assumptions of psychoanalytic self-psychology may be helpful to demonstrate and understand the special character of psychotherapy as a “people-changing-profession”. This special status historically refers to medical treatment as a communicative practice. Actually the psychotherapeutic self seems to split itself up into many competing directions and thereby weakens its possible impact on the health-system.     

Psychische Betreuung von Patienten und Angehörigen in der Transplantationsmedizin

During the decision making process and waiting period before organ transplantation patients and their families often suffer from psychological distress. After transplantation a subgroup of patients keeps showing psychological symptoms and also impairments of quality of life. Psychological treatment manuals are often demanded, but are rarely achieved. This study describes the experience with a low frequent (8 sessions/year) therapeutic group for lung transplant candidates. The group, which is based on a cognitive behavioural concept, is lead by a physician (internal medicine), a psychotherapist and a physiotherapist. This therapeutic group has been continuously offered for patients and their caregivers for the past 7 years. About 50% of all patients participated in this program before transplantation, after transplantation only a few patients visited the group sessions. On average 12 patients and 8 caregivers visited each session. One problem for these patients with severe lung-disease was the long distance between patient’s homes and the hospital. This has been the reason for self-help organisations to demand better psychotherapeutic outpatient support for patients and their families before and after organ transplantation.     

The Pragmatism of Hilbert's Programme

It is shown that David Hilbert's formalistic approach to axiomaticis accompanied by a certain pragmatism that is compatible with aphilosophical, or, so to say, external foundation of mathematics.Hilbert's foundational programme can thus be seen as areconciliation of Pragmatism and Apriorism. This interpretation iselaborated by discussing two recent positions in the philosophy ofmathematics which are or can be related to Hilbert's axiomaticalprogramme and his formalism. In a first step it is argued that thepragmatism of Hilbert's axiomatic contradicts the opinion thatHilbert style axiomatical systems are closed systems, a reproachposed by Carlo Cellucci. In the second section the question isdiscussed whether Hilbert's pragmatism in foundational issuescomes close to an a-philosophical ``naturalism in mathematics' assuggested by Penelope Maddy. The answer is ``no', because forHilbert philosophy had its specific tasks in the general projectto found mathematics. This is illuminated in the concludingsection giving further evidence for Hilbert's foundationalapriorism by discussing his ``axiom of the existence of mind' andrelating it to the ``one and only axiom' of the German algebraistof logic, Ernst Schröder, postulating the inherence of signs onthe paper.