Psychoanalytische Therapie

A statement of the professional umbrella society DGPT is presented that was formulated in cooperation with the various professional societies and with the German Society of Psychosomatic Medicine and Psychotherapy and the Society of Child and Adolescent Therapy. The statement is a reaction to the public claim for effective evidence of psychotherapy and takes the opportunity for a comprehensive presentation of this field. In the introduction Alf Gerlach, as chairman of the umbrella society at the time of the formulation of this statement and now executive chairman responsible for coordinating research, describes the history of the development of the statement.There were two particular moments prompting this statement. On the one hand the Scientific Advisory Board for Psychotherapy as an advisory committee based on the law of psychotherapy, has presented demands for effective evidence that are incompatible with psychoanalysis. Thus, the recognition of psychoanalysis as a treatment method for illnesses was put in doubt. On the other hand, a suggestion was put forward to the Board to recognize psychodynamic psychotherapy as an independent entity. This questioned the unity of the psychotherapeutic field.The statement was passed onto the Scientific Advisory Board last autumn. It is intended for a professional audience and includes answers to important issues of this field. It will have an important role to play in future discussions about professional politics. For this reason, we have decided to begin the present issue of our journal with this statement and thus to open a wide discussion forum.

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Deutsche Gesellschaft für Psychoanalyse, Psychotherapie, Psychosomatik und Tiefenpsychologie e.V. (DGPT)In Verbindung mit:Deutsche Gesellschaft für Analytische Psychologie (DGAP)Deutsche Gesellschaft für Individualpsychologie (DGIP)Deutsche Gesellschaft für Psychotherapeutische Medizin (DGPM)Deutsche Psychoanalytische Gesellschaft (DPG)Deutsche Psychoanalytische Vereinigung (DPV)Vereinigung Analytischer Kinder- und Jugendlichen-Psychotherapeuten (VAKJP)Redaktion: Stephan Hau und Marianne Leuzinger-Bohleber

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Comparison of treatment seeking compulsive buyers in Germany and the United States

OBJECTIVE: The aim of this pilot study was to compare a German (Bavaria) and an American (North Dakota) sample of women suffering from compulsive buying. METHOD: Thirty-eight German and 39 American female compulsive buyers were screened with the Compulsive Buying Scale (CBS), and the Yale-Brown Obsessive Compulsive Scale-Shopping Version (Y-BOCS-SV) prior to entering a group treatment study. Psychiatric co-morbidity was assessed with the Structured Clinical Interview for DSM-IV Axis I disorders (SCID). RESULTS: There were no statistically significant differences between the German sample and the American sample with regard to age (mean 43.7 and 45 years, respectively), and with regard to the scores on the CBS and the Y-BOCS-SV. A high lifetime co-morbidity rate with Axis I disorders, especially mood disorders, anxiety disorders, substance use disorders, OCD, and binge eating disorder was detected in both samples. Almost all participants met criteria for at least one lifetime Axis I disorder. However, German compulsive buyers showed significantly higher current prevalence rates of any affective disorder, and higher current and lifetime prevalence rates of any anxiety disorder and somatoform disorder. In addition, German compulsive buyers were significantly more likely to have more than one Axis I disorder. CONCLUSION: The groups did not differ with regard to age and with regard to the severity of compulsive buying and showed a high co-morbidity with Axis I disorders. However, the German compulsive buying sample presented with significantly more psychiatric co-morbidity compared to the American sample. Further research is needed to provide a better understanding of this disorder in general and cross-culturally.     

I Think We’re Alone Now: Solitary Social Behaviors in Adolescents with Autism Spectrum Disorder

Research into emotional responsiveness in Autism Spectrum Disorder (ASD) has yielded mixed findings. Some studies report uniform, flat and emotionless expressions in ASD; others describe highly variable expressions that are as or even more intense than those of typically developing (TD) individuals. Variability in findings is likely due to differences in study design: some studies have examined posed (i.e., not spontaneous expressions) and others have examined spontaneous expressions in social contexts, during which individuals with ASD—by nature of the disorder—are likely to behave differently than their TD peers. To determine whether (and how) spontaneous facial expressions and other emotional responses are different from TD individuals, we video-recorded the spontaneous responses of children and adolescents with and without ASD (between the ages of 10 and 17 years) as they watched emotionally evocative videos in a non-social context. Researchers coded facial expressions for intensity, and noted the presence of laughter and other responsive vocalizations. Adolescents with ASD displayed more intense, frequent and varied spontaneous facial expressions than their TD peers. They also produced significantly more emotional vocalizations, including laughter. Individuals with ASD may display their emotions more frequently and more intensely than TD individuals when they are unencumbered by social pressure. Differences in the interpretation of the social setting and/or understanding of emotional display rules may also contribute to differences in emotional behaviors between groups.     

Towards end-to-end likelihood-free inference with convolutional neural networks

Complex simulator-based models with non-standard sampling distributions require sophisticated design choices for reliable approximate parameter inference. We introduce a fast, end-to-end approach for approximate Bayesian computation (ABC) based on fully convolutional neural networks. The method enables users of ABC to derive simultaneously the posterior mean and variance of multidimensional posterior distributions directly from raw simulated data. Once trained on simulated data, the convolutional neural network is able to map real data samples of variable size to the first two posterior moments of the relevant parameter's distributions. Thus, in contrast to other machine learning approaches to ABC, our approach allows us to generate reusable models that can be applied by different researchers employing the same model. We verify the utility of our method on two common statistical models (i.e., a multivariate normal distribution and a multiple regression scenario), for which the posterior parameter distributions can be derived analytically. We then apply our method to recover the parameters of the leaky competing accumulator (LCA) model and we reference our results to the current state-of-the-art technique, which is the probability density estimation (PDA). Results show that our method exhibits a lower approximation error compared with other machine learning approaches to ABC. It also performs similarly to PDA in recovering the parameters of the LCA model.     

"This Still Remarkable Book": Franz Joseph Molitor's Judaeo-Christian Synthesis

This essay explores a variety of elements of Russian literature and culture that permeate all of the ideational and formal aspects of Gnessin's Sideways. Subject matter, narrative techniques, imagery and intertextual references, as well as the linguistic make‐up, all reverberate with significant influences of Russian literature that are contemporaneous with the Hebrew era of Revival. This essay is an analysis of the diverse Russian literary scene and an examination of the blending of the broader European literary and intellectual trends with Russian‐Jewish sensibilities. The essay inquires into the precarious mentality of the acculturated Russian Jewry at the turn of the century and examines the small‐town Russian‐Jewish intelligentsia, embodied in the character of Nachum Hagzar. Understanding of the methods of Gnessin's incorporation of Russian linguistic and literary models, as well as of his desire to make modem Hebrew literature comparable to contemporary European “high” culture, allows a new reading of Sideways. When viewed in the context of Russian literature, Nachum Hagzar acquires a new richness and vitality. He is a person with a complex inner world who possesses an intricate combination of qualities informed not only by his socio‐historical circumstances, but also by the tension between the Russian and Jewish components of his psychological identity. Gnessin problematizes and negotiates this tension, highlighting the protagonist's existential dilemma and making Hagzar an archetype for the whole generation of provincial Jewish intellectuals.     

Bi-hemispheric engagement in the retrieval of autobiographical episodes

Functional magnetic resonance imaging (fMRI) was used to study the neural correlates of neutral, stressful, negative and positive autobiographical memories. The brain activity produced by these different kinds of episodic memory did not differ significantly, but a common pattern of activation for different kinds of autobiographical memory was revealed that included (1) largely bilateral portions of the medial and superior temporal lobes, hippocampus and parahippocampus, (2) portions of the ventral, medial, superior and dorsolateral prefrontal cortex, (3) the anterior and posterior cingulate, including the retrosplenial, cortex, (4) the parietal cortex, and (5) portions of the cerebellum. The brain regions that were mainly activated constituted an interactive network of temporal and prefrontal areas associated with structures of the extended limbic system. The main bilateral activations with left-sided preponderance probably reflected reactivation of complex semantic and episodic self-related information representations that included previously experienced contexts. In conclusion, the earlier view of a strict left versus right prefrontal laterality in the retrieval of semantic as opposed to episodic autobiographical memory, may have to be modified by considering contextual variables such as task demands and subject variables. Consequently, autobiographical memory integration should be viewed as based on distributed bi-hemispheric neural networks supporting multi-modal, emotionally coloured components of personal episodes.     

Decision making under risk condition in patients with Parkinson's disease: a behavioural and fMRI study

We aimed to study whether previously described impairment in decision making under risky conditions in patients with Parkinson's disease (PD) is affected by deficits in using information about potential incentives or by processing feedback (in terms of fictitious gains and losses following each decision). Additionally, we studied whether the neural correlates of using explicit information in decision making under risk differ between PD patients and healthy subjects. We investigated ten cognitively intact PD patients and twelve healthy subjects with the Game of Dice Task (GDT) to assess risky decision making, and with an fMRI paradigm to analyse the neural correlates of information integration in the deliberative decision phase. Behaviourally, PD patients showed selective impairment in the GDT but not on the fMRI task that did not include a feedback component. Healthy subjects exhibited lateral prefrontal, anterior cingulate and parietal activations when integrating decision-relevant information. Despite similar behavioural patterns on the fMRI task, patients exhibited reduced parietal activation. Behavioural results suggest that PD patients' deficits in risky decision making are dominated by impaired feedback utilization not compensable by intact cognitive functions. Our fMRI results suggest similarities but also differences in neural correlates when using explicit information for the decision process, potentially indicating different strategy application even if the interfering feedback component is excluded.     

Psychoanalytischer Raum und alltägliche Welt

The differentiation of an inner analytical space with its immanent fictionality from the real world with its communications and interactions poses the following questions: What have the two worlds in common and how is the transfer from the as-if of the psychoanalytical situation to the real world going on? The apparently exclusive verbal treatment, which at first glance differs explicitly from body therapies but also from behavior therapies leads many nonanalytical people to the incorrect assessment of psychoanalysis as a therapy method being just a verbal exercise, which has nothing to do with real conflicts. In the following paper it will be demonstrated, that language, which in fact transports beside the syntactic, semantic and pragmatic contents intentions, has always a crucial emotive function in a psychoanalytical sense. According to the model of the Polish linguist Roman Jakobson and the ideas of the Argentine/American psychoanalyst Ana-Maria Rizzuto the importance of the emotive function—beside the five other functions—or the mutative actions in the analytic situation will be demonstrated from an interdisciplinary perspective. The question of the transformations and transfers from psychoanalytical situation to the real world allows and requires therefore a greater differentiation.