Die Wirkung von traumatischem Stress auf biopsychische Selbstorganisationsprozesse

Social frameworks have influenced the understanding of trauma-reactive psychic disorders during the course of the past two centuries.The 20th century has further shaped this understanding by the various concepts established by the different therapeutic schools.The incorporation of scientific results, as well as the theory of complex dynamic systems particularly that of synergetics supply now abundant impulses stimulating the discussion of posttraumatic stress disorders on a psychodynamic, neurophysiological, and systemspecific basis, thereby leaving those schools behind.Comparing synergetic models with the current state of neuroscientific research of post traumatic stress disease (PTSD) gives surprising insights of the dynamics of this disorder,and the resulting therapeutic principles.Specific therapeutic approaches, with the two phases of stabilisation and of trauma processing can be derived from such functional principles of neuronal networks.     

Musiktherapie bei Kindern mit Migräne

Migraine in childhood is a serious health problem with a tendency for chronification. According to the bio-psycho-social model migraine is considered as a disorder generated by multiple factors and requiring an interdisciplinary treatment concept consisting of both medical and psychotherapeutic interventions. Music therapy as a nonverbal, creative arts therapy is especially apt for the treatment of children. A specific treatment concept in music therapy for children with migraine, to be applied within a multidisciplinary framework, and its theoretical background are presented in this article. Music therapy is firmly established within the context of stationary infant psychiatric care. Also, it is presently used as a method of outpatient psychotherapy mainly for children and adolescents. Additionally, music therapy finds frequent use in medical care, special needs education and curative education for children. This article will be limited to the presentation of music therapy as artistic psychotherapy.     

Gruppenpsychotherapie

Group therapy treatments represent a most suited treatment option for a broad spectrum of psychological disturbances in the field of psychosomatic, psychiatric and somatic diseases. For some distortions and problems group therapy is the preferential treatment: personality disorders, substance abuses, eating disorders, psychiatric and chronic somatic diseases. The broad indicational options of the group setting are widely unknown, but they certainly need careful preparations and indicational decisions.     

Assembling a task space: global determination of local shift costs

Most theorizing on the origin of the costs that are associated with task shifts focuses on local transitions between individual trials. In the present article we argue that this emphasis has resulted in a neglect of more global representational structures, which also determinate shift costs. To substantiate this claim, we employed a set of four tasks that results from a factorial combination of two types of judgment and two judgment-to-response mappings. From previous work it is known that this kind of task combination is associated with a characteristic profile of shift costs as a function of the relation between successive tasks. Previously we have interpreted this profile as an indication of a hierarchically ordered dimensional representation of the two types of judgment and the two judgment-to-response mappings. Such a representation can only be expected to emerge when the two task features, judgment and mapping, vary independently of each other within the same situation. It is shown that the characteristic shift cost profile can indeed only be observed when the performance of any of the four tasks is required in a block of trials. In contrast, with only two tasks occurring in each block of trials, shift costs do not reflect the relation between successive tasks. This finding confirms the importance of global representational structures as a determinant of shift costs beyond local transitions between individual trials.     

Psychological therapy in prisons: Professionals’ perceptions

This study explored professionals’ perceptions of providing psychological therapy in prisons. Eight professionals, affiliated with counselling as well as counselling, clinical and forensic psychology, were interviewed. A social constructionist paradigm was used to understand how social and discursive practices shaped professionals’ accounts, allowing for critical engagement with taken-for-granted practices. Participants’ accounts were analysed using a social constructionist informed thematic analysis. Four themes were constructed: (a) performing therapy, (b) humanising the client, (c) frames inside frames and (d) a challenging but rewarding experience. The findings of this investigation indicated that therapy provision was interwoven with the socio-political ideals governing prison, which created a conflict between therapeutic values and penal values. This conflict has important implications for establishing and maintaining ethical and deontological practices in prison, particularly surrounding the dynamics power. The study indicated it is important for professionals to monitor and manage potential stigma and discrimination within therapy or service delivery. The results also found that working in prisons is a complex experience, which requires careful consideration for enhancing professional development for the prison therapist.     

Three-Dimensional Information in Face Representations Revealed by Identity Aftereffects

ABSTRACT— Representations of individual faces evolve with experience to support progressively more robust recognition. Knowledge of three-dimensional face structure is required to predict an image of a face as illumination and viewpoint change. Robust recognition across such transformations can be achieved with representations based on multiple two-dimensional views, three-dimensional structure, or both. We used face-identity adaptation in a familiarization paradigm to address a long-standing controversy concerning the role of two-dimensional versus three-dimensional information in face representations. We reasoned that if three-dimensional information is coded in the representations of familiar faces, then learning a new face using images generated by one three-dimensional transformation should enhance the robustness of the representation to another type of three-dimensional transformation. Familiarization with multiple views of faces enhanced the transfer of face-identity adaptation effects across changes in illumination by compensating for a generalization cost at a novel test viewpoint. This finding demonstrates a role for three-dimensional information in representations of familiar faces.     

Konsumenten illegaler Internet-Pornographie – psychische Auffälligkeiten und Risiken der Straffälligkeit

Internet sex offending, especially child pornography, is widespread and numbers of convictions are increasing steadily worldwide. The still sparse data from research as well as empiricism from risk assessment and therapeutic work suggest the following: Internet sex offender as well as child abusers are represented in all social classes and all age ranges. Both show similarities in dependent, avoidant and partially schizoid social interaction as well as in anxiety. However the personality organisation of child abusers is usually less structured and tends towards personality disorder, especially with emotionally instable and antisocial traits. Usually pedophilia can be diagnosed in child abusers. Internet sex offenders on the other hand have fewer prior convictions, are less likely to fail in the community, have a very low risk of sexual recidivism and only part of them fulfil the diagnostic criteria for pedophilia. There is no clear evidence for an escalation from internet sex offending to child abuse. The essential characteristics for an escalation are well known and should lead to immediate therapeutic intervention as well as psychological strain should. Only few institutions worldwide provide professional help to support the ones concerned to reduce stigma and thus prevent recidivism and child abuse.