Psychoedukation bei Borderline-Pers?nlichkeitsst?rungen für Betroffene und Angeh?rige

Psychoeducation programs have been developed for patients with psychoses and also for patients with borderline personality disorder (BPD). Psychoeducation has the function of a basic psychotherapeutic program that offers patients and their relatives a better understanding of the illness and of the treatment options as well as a means of communication at eye level with the therapists. This article introduces the Munich model of psychoeducation for BPD and the modifications for the work with relatives.     

Kulturdynamisches Modell der bikulturellen Identit?t

In intercultural psychotherapeutic treatment, the psychological integration of different cultures within an individual has to be involved as an additional developmental dimension. Individual change during the process of migration considered as desirable adaptation has often been conceptualized in terms of a bicultural identity, which includes aspects of the culture of origin as well as aspects of the host culture. The theoretical foundation of the concept of bicultural identity, however, has remained insufficient. The culture-dynamic model presented here differentiates personal and social identity according to the identity concept proposed by Mead (Geist, Identit?t und Gesellschaft, 1988, Suhrkamp, Frankfurt a.?M.). Personal identity is essentially formed by an individual??s culture of origin, while influences of the host culture primarily affect the social identity. For healthy coping with the challenges associated with migration and adequate support of this process in intercultural psychotherapy, it can be assumed that a stabilization of personal identity is required to allow for a dynamization of social identity. Implications for identity constitution in second generation immigrants, in different stages of lifespan development and in the process of learning the language of the host culture are discussed.     

Neurobiologische Korrelate der Psychotherapie von Zwangsst?rungen

Obsessive-compulsive disorders are associated with different neuropsychological impairments concerning executive functions, error monitoring, decision making and other basic functionalities. Contemporary neurocircuitry models emphasize the dysfunction of the fronto-striato-thalamo-cortical network related to parietal regions, the orbitofrontal cortex, the anterior cingulate cortex and other limbic structures. In brief, studies on the functional neuroanatomy of psychotherapy effects realized by positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) are reported. Perspectives concern combined process-outcome research with repeated neuroimaging and highly resolved (daily) self-ratings focussing the nonlinear dynamics of psychotherapeutic change processes. New therapeutic approaches could explore the combination of psychotherapy with fMRI-based real-time neurofeedback and noninvasive neuromodulation with coordinated reset stimulation focusing on the desynchronization of pathologically oversynchronized neural populations and networks.     

Sleep-dependent consolidation of procedural motor memories in children and adults: the pre-sleep level of performance matters

In striking contrast to adults, in children sleep following training a motor task did not induce the expected (offline) gain in motor skill performance in previous studies. Children normally perform at distinctly lower levels than adults. Moreover, evidence in adults suggests that sleep dependent offline gains in skill essentially depend on the pre-sleep level of performance. Against this background, we asked whether improving children's performance on a motor sequence learning task by extended training to levels approaching those of adults would enable sleep-associated gains in motor skill in this age group also. Children (4-6 years) and adults (18-35 years) performed on the motor sequence learning task (button-box task) before and after ~2-hour retention intervals including either sleep (midday nap) or wakefulness. Whereas one group of children and adults, respectively, received the standard amount of 10 blocks of training before retention intervals of sleep or wakefulness, a further group of children received an extended training on 30 blocks (distributed across 3 days). A further group of adults received a restricted training on only two blocks before the retention intervals. Children after standard training reached lowest performance levels, whereas in adults performance after standard training was highest. Children with extended training and adults after reduced training reached intermediate performance levels. Only at these intermediate performance levels did sleep induce significant gains in motor sequence skill, whereas performance did not benefit from sleep in the low-performing children or in the high-performing adults. Spindle counts in the post-training nap were correlated with performance gains at retrieval only in the adults benefitting from sleep. We conclude that, across age groups, sleep induces the most robust gain in motor skill at an intermediate pre-sleep performance level. In low-performing children sleep-dependent improvements in skill may be revealed only after enhancing the pre-sleep performance level by extended training.     

Keeping Academic Field Researchers Safe: Ethical Safeguards

Competent risk management is central to the ethical conduct and profitability of organisations including universities. Recent UK research highlights the risks of physical and psychological harm and emotional distress for researchers and the importance of developing strategies to deal with these issues prior to data being collected. Actual numbers of incidents of researcher harm in Australian universities are unavailable; however anecdotal evidence and Bloor et al.’s (2010) case studies suggest that this is a significant issue. They recommended risk management practices such as training about researcher safety, pre-trip security briefings, established call-back systems, working in pairs, and compulsory de-briefings are recommended. Yet Australian universities do little to protect the safety of field researchers when they collect data in private locations, such as participants’ homes and when dealing with emotionally challenging content. This is at odds with the duty of care requirements on employers in current state based occupational health and safety (OHS) laws where breaches attract considerable penalties. The failure to adequately address the potential safety hazards and manage the risks associated with data collection places Australian universities in a vulnerable position, and possibly at risk of litigation, in their duty to adequately protect researchers. The paper presents a review of the international literature and draws on the UK research. Conceptual modelling is provided to illustrate the risk to universities if researchers are harmed in the field. Finally, the paper concludes with a call for further research to develop robust policy and practice that protects the field researcher.     

Situational countertransference

Situational Countertransference refers to those responses on the part of the therapist that are generated primarily by severe, though temporary, distresses in the therapist's personal life. It has been this writer's experience that many patients are quite attuned to the inner turmoil of their therapist, and that they will react to it in a variety of ways, which will be described. Moreover, a comparison of the level of functioning of two similar therapy groups over the course of nine months found that the group which had inadvertently learned the source of their therapist's distress functioned significantly better than the group which ostensibly knew nothing about it.     

Juror decision making: A case of attitude change mediated by authoritarianism

For a jury to reach a unanimous decision, certain individuals must change their attitudes with regard to the defendant's guilt during deliberations. Because these changers are the key to the group decision-making process, they were carefully scrutinized to ascertain demographic or personality characteristics which might be mediating their behavior. In three experiments, two using college students as subjects and one using Philadelphia Court of Common Pleas jury pool members, it was found that authoritarians changed their attitude with regard to the defendant's guilt more than equalitarians. Further, most of these “changers” were aware they had changed their attitude. There was no generalizable evidence for the proposition that authoritarians are more likely to favor a guilty verdict.     

Race,Gender, and Sexual Orientation in the HIV/AIDS Epidemic: Evaluating an Intervention for Leaders of Diverse Communities

This article discusses the implementation and evaluation of an HIV/AIDS educational intervention for college student leaders in African-American, Latino, feminist, and gay and lesbian campus organizations.     

Wie können Ressourcenbeschränkungen eines Dialogparters erkannt und berücksichtigt werden?

This paper reports on research on the question of how a dialog system can recognize and adapt to the resource limitations of its user: specifically, limitations of time and working memory. The results of an exploratory study, together with other empirical research, yield a number of probabilistic causal relationships among relevant variables. It is shown how these relationships can be represented in dynamic Bayesian networks and used as a basis for inferences and decisions of a dialog system.