Eine Schule für das Leben mit Schizophrenie

Schizophrenia usually appears in young people at an age when they are about to leave home, i.e. at a life stage which is already difficult without a psychological disorder. The “learning by doing” program of “Pension Bettina”, which is described here, supports the affected persons and their families in the process of detachment from home and coping with the disorder. Special emphasis is laid on the difficult balance between increasing the autonomy of the affected person and providing adequate familial support.     

Exploring Factor Model Parameters across Continuous Variables with Local Structural Equation Models

Using an empirical data set, we investigated variation in factor model parameters across a continuous moderator variable and demonstrated three modeling approaches: multiple-group mean and covariance structure (MGMCS) analyses, local structural equation modeling (LSEM), and moderated factor analysis (MFA). We focused on how to study variation in factor model parameters as a function of continuous variables such as age, socioeconomic status, ability levels, acculturation, and so forth. Specifically, we formalized the LSEM approach in detail as compared with previous work and investigated its statistical properties with an analytical derivation and a simulation study. We also provide code for the easy implementation of LSEM. The illustration of methods was based on cross-sectional cognitive ability data from individuals ranging in age from 4 to 23 years. Variations in factor loadings across age were examined with regard to the age differentiation hypothesis. LSEM and MFA converged with respect to the conclusions. When there was a broad age range within groups and varying relations between the indicator variables and the common factor across age, MGMCS produced distorted parameter estimates. We discuss the pros of LSEM compared with MFA and recommend using the two tools as complementary approaches for investigating moderation in factor model parameters.     

Habituation or Normalization? Experiential and Respiratory Recovery From Voluntary Hyperventilation in Treated Versus Untreated Patients With Panic Disorder

Psychophysiological theories postulate respiratory dysregulation as a mechanism contributing to panic disorder (PD). Additionally, symptomatic and respiratory recovery from voluntary hyperventilation (HVT-recovery) have been shown to lag in PD and it is unclear if HVT-recovery normalizes with treatment. Thirty-seven panic disorder patients were randomized to hypoventilation therapy (TX, n = 20) or waitlist control (WL, n = 17) (Meuret et al., 2008). In a secondary analysis, their HVT-recovery was analyzed at pre- and post-TX/WL, compared to 29 healthy controls (HC). HVT included three phases: 5-min baseline, 3-min hyperventilation, and 8-min recovery. HVT-elicited symptom severity and anxiety were rated following each phase, and end-tidal PCO₂ and respiratory rate (RR) were recorded throughout. Treatment, compared to WL, was highly effective in reducing PD pathology (d = 2.21, Meuret et al., 2008). At pre-TX/WL, PD demonstrated delayed HVT-recovery PCO₂ and higher RR. Treated patients demonstrated normalization of HVT-recovery for PCO₂ and RR; however, improvements of HVT-recovery for symptom severity and anxiety did not differ between TX and WL. Results replicate pretreatment HVT respiratory recovery abnormalities in PD and further demonstrate normalization, comparable to HC, following successful treatment. The results provide support for respiratory dysregulation as a feature of PD and demonstrate the utility of HVT respiratory recovery as treatment outcome measure for respiration-based PD therapy.     

Irritability in Children and Adolescents With OCD

Irritability is a common, impairing transdiagnostic symptom in childhood psychopathology, though it has not been comprehensively studied in pediatric obsessive-compulsive disorder (OCD). Further, the central cognitive behavioral treatment component for OCD, exposure and response prevention therapy (ERP), has been recently proposed as a treatment for irritability. This study aimed to evaluate whether certain clinical characteristics are associated with irritability in pediatric OCD and whether irritability reduces following ERP. Participants were 161 youth (ages 7–17) with OCD and a caregiver participating in a randomized controlled trial of D-cycloserine or pill placebo augmented ERP. Participants completed validated assessments during treatment. Irritability was significantly and positively associated with depressive symptoms, defiance, functional impairment, and family accommodation, but was not associated with pretreatment OCD severity, symptom dimensions, obsessive beliefs. Irritability significantly declined following treatment, with over half of youth with any pretreatment irritability experiencing clinically significant change, though this change was not related to OCD improvement. Results suggest that irritability may be a marker of psychiatric comorbidity, parental accommodation, and impairment in youth with OCD. Implications for the exposure-based treatment of irritability are discussed.     

Self‐Compassion as a Facet of Neuroticism? A Reply to the Comments of Neff,Tóth‐Király,and Colosimo (2018)

In this paper, we respond to comments by Neff et al. (2018) made about our finding that the negative dimensions of self‐compassion were redundant with facets of neuroticism (rs ≥ 0.85; Pfattheicher et al., 2017) and not incrementally valid. We first provide epistemological guidance for establishing psychological constructs, namely, three hurdles that new constructs must pass: theoretically and empirically sound measurement, discriminant validity, and incremental validity—and then apply these guidelines to the self‐compassion scale. We then outline that the critique of Neff et al. (2018) is contestable. We question their decisions concerning data‐analytic methods that help them to circumvent instead of passing the outlined hurdles. In a reanalysis of the data provided by Neff et al. (2018), we point to several conceptual and psychometric problems and conclude that self‐compassion does not overcome the outlined hurdles. Instead, we show that our initial critique of the self‐compassion scale holds and that its dimensions are best considered facets of neuroticism. © 2018 European Association of Personality Psychology     

The Logical Form of Interventionism

This paper argues that, notwithstanding the remarkable popularity of Woodward??s (2003) interventionist analysis of causation, the exact definitional details of that theory are surprisingly little understood. There exists a discrepancy in the literature between the insufficient appreciation of the logical details of interventionism, on the one hand, and the amount of theoretical work interventionism is expected to do, on the other. The first part of the paper distinguishes four significantly different readings of the logical form of Woodward??s analysis and identifies the two readings that best capture Woodward??s intentions in (2003) and (2008a), respectively. In the second part, I show that these different readings are not clearly kept apart in the literature, and, moreover, that neither of them can do all the work that interventionists would like the theory to do.     

Measuring the speed of recognising facially expressed emotions

Faces provide identity- and emotion-related information-basic cues for mastering social interactions. Traditional models of face recognition suggest that following a very first initial stage the processing streams for facial identity and expression depart. In the present study we extended our previous multivariate investigations of face identity processing abilities to the speed of recognising facially expressed emotions. Analyses are based on a sample of N=151 young adults. First, we established a measurement model with a higher order factor for the speed of recognising facially expressed emotions (SRE). This model has acceptable fit without specifying emotion-specific relations between indicators. Next, we assessed whether SRE can be reliably distinguished from the speed of recognising facial identity (SRI) and found latent factors for SRE and SRI to be perfectly correlated. In contrast, SRE and SRI were both only moderately related to a latent factor for the speed of recognising non-face stimuli (SRNF). We conclude that the processing of facial stimuli-and not the processing of facially expressed basic emotions-is the critical component of SRE. These findings are at variance with suggestions of separate routes for processing facial identity and emotional facial expressions and suggest much more communality between these streams as far as the aspect of processing speed is concerned.     

Bayesian Rationality for the Wason Selection Task? A Test of Optimal Data Selection Theory

Oaksford and Chater (1994) proposed to analyse the Wason selection task as an inductive instead of a deductive task. Applying Bayesian statistics, they concluded that the cards that participants tend to select are those with the highest expected information gain. Therefore, their choices seem rational from the perspective of optimal data selection. We tested a central prediction from the theory in three experiments: card selection frequencies should be sensitive to the subjective probability of occurrence for individual cards. In Experiment 1, expected frequencies of the p- and the q-card were manipulated independently by concepts referring to large vs. small sets. Although the manipulation had an effect on card selection frequencies, there was only a weak correlation between the predicted and the observed patterns. In the second experiment, relative frequencies of individual cards were manipulated more directly by explicit frequency information. In addition, participants estimated probabilities for the four logical cases and of the conditional statement itself. The experimental manipulations strongly affected the probability estimates, but were completely unrelated to card selections. This result was replicated in a third experiment. We conclude that our data provide little support for optimal data selection theory.     

Contingency learning and stereotype formation: Illusory and spurious correlations revisited

The ability of implicit measures to predict behaviour varies greatly across studies, emphasising the need for accounts of this variability. In order to organise and review the literature on moderators that influence individuals' information processing, we suggest a classification system of moderators with two dimensions. One dimension distinguishes moderators according to their influence on the opportunity to control, the motivation to control, or the reliance on either automatic or controlled processes without changes in opportunity or motivation. The second dimension classifies moderators according to whether they pertain to a disposition of the acting person, the situation in which the behaviour occurs, or the behaviour itself. Increased predictive validity of implicit measures is associated with conditions that foster the impact of automatic processes on behaviour determination. In the discussion we derive several additional moderators from the classification system, delineate emerging research questions, and discuss implications of the reviewed studies for research on self-regulation.