Ambulant oder stationär?

A central issue in psychosomatic-psychotherapeutic consultations is whether to recommend outpatient or inpatient psychotherapy. In a prospective field study at a psychosomatic outpatient unit sociodemographic and clinical variables were compared for patients for whom outpatient treatment (N = 129) or inpatient treatment (N = 112) had been recommended. The assessments of the therapeutic alliance were made by the referring therapist and the therapist who conducted the therapy. The main findings were: The decision about what type of treatment to recommend was based mainly on the type and severity of the disorder, including the patient's functional level and personality structure. There was no difference between the patient groups in how the referring therapists assessed the initial therapeutic alliance, but there was a difference in how the treating therapists did, the relationship to the inpatients being rated significantly less favorably. The importance of the different treatment settings in interaction with the severity of the disorder is discussed. The initial therapeutic alliance in the consultation did not enable a prognosis about the therapeutic alliance during therapy.     

Alcohol as social lubricant.

This study examines how consuming alcohol differentially affects the communicative behavior and perceptions of high and low social self‐esteem (SSE) women as they engage in a brief interaction with a flirtatious male. Alcohol myopia theory proposes that alcohol affects behavior when it blocks a person's normal inhibitions about enacting a behavior. It was predicted that low SSE women would be more inhibited when talking to a flirtatious male than would high SSE women and, therefore administration of a social self‐esteem measure and random assignment to an alcoholic or nonalcoholic beverage condition, participants (N=50) talked with an attractive, flirtatious male confederate. Low SSE women were less anxious and self‐disclosed more when drinking than when sober, whereas high SSE women were not significantly affected by alcohol consumption. The discussion highlights the complex and often contradictory effects of alcohol consumption on social interaction.     

Belastungen von Bachelor- und Diplom-Studierenden

Background

The restructuring of the European educational system in line with the Bologna process forms a source of complaints in German universities because of the rigid structure of the curricula and higher pressure to perform. By comparison of students in the former diploma system with students in the bachelor master system during the period of restructuring it was analyzed if the changes in the educational system affect psychological distress in a negative way.

Methods

The analysis of 535 datasets from the psychotherapeutic outpatient department for students of the university Göttingen in the years between 2006 and 2010 was carried out to clarify if students in the bachelor master system suffered more from severe psychological distress than students of the former German diploma system. Dependent variables are a questionnaire comprising current problems and the global severity index (GSI) from the symptom checklist (SCL)-90-R. The confounding factors resulting from course of study and stud -time in the period of the restructuring have been controlled.

Results

The bachelor master students who sought help were not generally suffering from more psychological distress than diploma students. However, in comparison to students from the former diploma system they suffered more from psychological distress and problems resulting from the study situation and organization in the first semesters.

Conclusions

Psychotherapeutic university outpatient departments have to be aware of the changing demand. The study organization has to be changed to be more student friendly, especially in the beginning. An adequate infrastructure for psychotherapeutic university outpatients has to be provided.     

Die Therapeutenvariable

Background

The objective of this study was to investigate the therapeutic attitude as a self-contained dimension of the therapeutic process.

Patients and methods

The psychotherapists’ beliefs and attitudes in therapeutic matters are measured according to the Therapeutic Attitude Scales (TASC) of the Therapeutic Attitude Questionnaire (ThAt) and were applied to investigate the therapist variable. The investigation concentrated on the therapist’s belief in the curative value of a number of ingredients of psychotherapy, on the therapist’s individual style of conducting psychotherapy and on basic assumptions about the nature of psychotherapy and the nature of the human mind. A total of 451 psychotherapists (81 psychodynamic psychotherapists, 208 psychoanalytic psychotherapists and 162 behaviour therapists) were investigated.

Results

There were highly significant differences between the three groups of therapists, a finding which is in line with the basic theory. Adaptation and insight of the assumed curative factors as well as supportiveness and neutrality of the technique factors, differentiate the groups highly significantly. The multivariate analysis underlines the importance of adaptation and insight to differentiate between all groups.

Conclusion

The results by and large confirm the general assumptions held on the differences between the groups. Thus the ThAt appears to be a valid instrument to grasp more subtle features of the therapist variable that may influence the outcome of psychotherapy.     

Linking Goal Progress and Subjective Well-Being: A Meta-analysis

This article provides a quantitative review of the link between successful goal pursuit and subjective well-being (SWB). The meta-analysis integrates the findings of 108 independent samples derived from 85 studies. Results revealed a significant association between successful goal striving and SWB (ρ = .43). Moderator analyses showed that the association was larger when (a) successful goal pursuit was defined as goal progress, instead of goal attainment, when (b) SWB was measured as SWB (positive indicators), instead of ill-being (negative indicators), when (c) the SWB measure matched the goal content, instead of lacked conceptual correspondence, and when (d) the data collection took place in an individualistic culture, instead of a collectivistic culture. Discussion centers on the interpretation of moderators, theoretical implications, and directions for future research.     

The effects of violent video games on aggression.

Violent content video games such as Mortal Kombat and Doom have become very popular among children and adolescents, causing great concern for parents, teachers, and policy makers. This study cumulates findings across existing empirical research on the effects of violent video games to estimate overall effect size and discern important trends and moderating variables. Results suggest there is a smaller effect of violent video games on aggression than has been found with television violence on aggression. This effect is positively associated with type of game violence and negatively related to time spent playing the games. Directions for future programmatic research on video games are outlined.