Das Symptom Schwindel im Fokus der Psychiatrie

Das Symptom Schwindel wird in der klinischen Praxis organisch meist regelrecht durch die zuständige Fachrichtung abgeklärt. Ein möglicher psychiatrischer Impact im Symptom Schwindel wird oft übersehen und somit vernachlässigt. Die Folge ist ein Persistieren und Chronifizieren einer Symptomatik, die unter dem Namen phobischer Schwindel bekannt ist. Neuere Begriffe wie die somatische Symptomstörung des DSM‑5 und der heute stigmatisierende Begriff des somatoformen Schwindels werden in diesem Fallbericht klinisch und theoretisch umrissen. Sofern der phobische Schwindel richtig diagnostiziert wird, kann im Rahmen eines Gesamtbehandlungsplanes unter Einbeziehen von Physiotherapie, dem Erlernen von Angstbewältigungsstrategien und adäquater Aufklärung und Information des Betroffenen konkret an Beschwerden gearbeitet werden. Voraussetzung dafür ist ein interdisziplinäres Denken beim behandelnden Arzt. Im Fallbericht geht es um einen älteren Patienten, der neben schwerwiegenden körperlichen Ursachen für Schwindelsymptome letztlich einen phobischen Schwindel bietet, der nach der richtigen Diagnosestellung umfassend behandelt werden kann.     

Consumer engagement on social media: Evidence from small retailers

This study investigates which characteristics of the social media posts of small firms in Tasmania, Australia elicit higher levels of consumer engagement. Results from an analysis of small retail firms’ social media postings (Facebook, Instagram and Twitter) (N = 2,607) illustrate the importance of the content of the post (i.e., businesses‐related vs. non‐business‐related), the activity (i.e., text, image or video), the time of day of the posting and the platform on which the activity was posted, in eliciting responses from followers. Results show Facebook received significantly higher levels of engagement, compared with Twitter and Instagram. Contrary to expectations, the specific day of the week did not have any impact on levels of engagement. This research demonstrates how small businesses can improve their use of social media marketing to engage more effectively with customers and followers.     

Resistance and outcome expectations in cognitive‐behavioural therapy for generalised anxiety disorder

Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, p < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes.     

Behavioral anatomy of a hunt

It is commonly thought that the mind constructs predictive models of the environment to plan an appropriate behavioral response. Therefore a more predictable environment should entail better performance, and prey should move in an unpredictable (random) manner to evade capture, known as protean motion. To test this, we created a novel experimental design and analysis in which human participants took the role of predator or prey. The predator was set the task of capturing the prey, while the prey was set the task of escaping. Participants performed this task standing on separate sides of a board and controlling a marker representing them. In three conditions, the prey followed a pattern of movement with varying predictability (predictable, semi-random, and random) and in one condition moved autonomously (user generated). The user-generated condition illustrated a naturalistic, dynamic environment involving a purposeful agent whose degree of predictability was not known in advance. The average distance between participants was measured through a video analysis custom-built in MATLAB. The user-generated condition had the largest average distance. This indicated that, rather than moving randomly (protean motion), humans may naturally employ a cybernetic escape strategy that dynamically maximizes perceived distance, regardless of the predictability of this strategy.

     

Where and when to look: Sequential effects at the millisecond level

Attention, Perception, & Psychophysics - Learning and imitating a complex motor action requires to visually follow complex movements, but conscious perception seems too slow for such tasks....     

Exploring Wellbeing in Youth with Vision Impairment: Insights for Vision Rehabilitation

Applied Research in Quality of Life - This article explores the discussions of 21 young Australians (aged 12–25) with vision impairment regarding their lived experiences and what it meant for...     

The assessment of individual “Aggressiveness” in pigeons by a variety of means

Pigeons attack or threaten animate and inanimate targets. The assessment of their aggressiveness was studied by exposing them in their home cages to three different stimuli: the experimenter's hand, a live pigeon, and a rear-projected conspecific image when the birds were exposed to intermittent access to food. A positive correlation between the hand test and live pigeon test was evident, but no relationship between either of these responses and the response to a pictorial image was observed. These results combined with other ethological observations cast doubts on the usefulness of schedule-induced responses to pictorial targets in the assessment of the individual aggressiveness in pigeons, but suggest that the hand test is an adequate and reliable procedure for such evaluations.     

The relation between hiding skill and judgment of eye direction in preschool children

This study examines J. H. Flavell, S. G. Shipstead, and K. Croft's (1978) finding that 2 1/2-year-old children can hide an object behind a screen but cannot achieve the same result by placing the screen in front of the object. Experiment 1 replicated this finding alongside a task in which children judged what a person in a picture was looking at. Performance on the move-object task approached ceiling; performances on the move-screen and looking-where tasks were highly correlated even after age and control task performance were partialed out (r = .54, p < .01). Experiment 2 examined whether the finding resulted because the object was more interesting to manipulate than the screen. The move-object task remained easier than the move-screen task with an interesting screen and a dull object. The move-screen task again correlated specifically with the looking-where task. Results are explained in terms of engagement, a precursor to a mature understanding of attention.     

The course of anhedonia during 10 years of schizophrenic illness

Although anhedonia has been proposed to be a trait-like characteristic in schizophrenia patients, its persistence and stability have not been tested using multiple assessments over a multiyear period. Specific definitions of anhedonia vary across studies, and relationships between different types of anhedonia as well as their relationship to schizophrenic symptoms over the course of illness have not been addressed. The current research, using prospectively collected longitudinal data covering a 10-year span for 127 individuals with schizophrenic illness, found that (a) physical, but not depressive, anhedonia is a stable characteristic over a 10-year period; (b) physical anhedonia does not show strong and consistent relationships with psychotic, negative, or depressive symptoms; and (c) the relationship between some premorbid characteristics and physical anhedonia are significant even 10 years into the course of illness.