The development of walking: new findings and old assumptions

I have argued that a behavioral-cognitive perspective may shed light on some aspects of motor development generally, and unaided walking, specifically. Individual components of walking-stepping, standing, and placing, for example-are present at birth and can be maintained with practice. Moreover, consistent use can produce an earlier onset of unaided walking. Nonetheless, independent erect locomotion rarely occurs before about 9 months in most societies, implying that there is a maturational constraint. Independent research on changes in the quality of object use imply that the maturational limitation may be cognitive, in part. Changes in motor development-both the onset of unaided walking and the emergence of functional use-may be dictated by an underlying change in information processing ability. It is hypothesized that the infant's capacity to generate ideas or access different associations from memory rapidly may define the nature of this change. Improved access to memory may permit the necessary integrative capacity for balance and coordination to occur, thereby permitting unaided walking to develop. Weiss and Zelazo found that the capacity to perform two distinct actions in rapid succession in an independent environment-water-also appears to emerge from about 9 through 12 months. Not only may a cognitive change influence motor development, but mental and motor ability may develop asynchronously in some instances-a particularly important implication for developmental assessment. Procedures to distinguish information processing ability independent of gross and fine motor measures and productive language can lead to treatment that will reduce delays on conventional tests and contribute to the validity of this argument.     

The relevance of Rawls' principle of justice for research on cognitively impaired patients

An ethical conflict arises when we must performresearch in the interest of future patients,but that this may occasionally injure theinterests of today's patients.In the case of cognitively impaired persons, thequestion arises whether it is compatible withhumane healthcare not only to treat, but alsoto use these patients for research purposes.Some bioethicists and theologians haveformulated a general duty of solidarity, alsopertaining to cognitively impaired persons, as ajustification for research on these persons. Ifone examines this thesis from the theory ofjustice according to John Rawls, it is revealedthat such a duty of solidarity cannotnecessarily be extrapolated from Rawls'conception of justice. This is at least true ofRawls' difference principle, because accordingto the difference principle only those measuresare justifiable which serve the interest of therespective least well off. Those measures whichwould engender additional injury for the leastwell off could not be balanced by any utilityaccording to Rawls.However, John Rawls' difference principleis subordinate to the first principle,which is that each person has an equalright to the most extensive basic libertycompatible with the same liberty for others.These primary goods are determined by thefreedom and integrity of the person.This integrity of decisionally impaired personswould be in danger if one would abstain fromresearch and thus forego the increase inknowledge related to their disease. Thus onecould conclude, at least from Rawls' firstprinciple, that society must take on a duty toguarantee the degrees of freedom forcognitively impaired persons and thus alsosupport the efforts for their healing.     

Beziehungsmuster und Beziehungskonflikte

Zusammenfassung  Die Veränderung pathogenetisch bedeutsamer Beziehungsmuster gilt als wesentliches psychotherapeutisches Behandlungsziel. Um zielgerichtete Veränderungen von Beziehungsstrukturen zu erreichen, bedarf es sowohl einer Diagnostik und Beschreibung solcher Beziehungsmuster, einer darauf zielenden Behandlungstechnik als auch einer Verlaufskontrolle und Evaluation der angestrebten Veränderungen. Nach einem Überblick über verschiedene Methoden zur Erfassung von Beziehungsmustern wird die Methode des Zentralen-Beziehungskonflikt-Themas (ZBKT) von Luborsky näher beschrieben; ausgewählte Ergebnisse der ZBKT-Forschung werden dargestellt und die Methode kritisch bewertet.

Age-related changes in children's use of external representations.

This study explored children's use of external representations. Experiment 1 focused on representations of self: Self-recognition was assessed by a mark test as a function of age (3 vs. 4 years), delay (5 s vs. 3 min), and media (photographs vs. drawings). Four-year-olds outperformed 3-year-olds; children performed better with photographs than drawings; and there was no effect of delay. In Experiment 2, 3- and 4-year-olds used a delayed video image to locate a sticker on themselves (self task) or a stuffed animal (other task). The 2 tasks were positively correlated with age and vocabulary partialed out. Experiment 3 used a search task to assess whether children have particular difficulty using external representations that conflict with their expectations: 3- and 4-year-olds were informed of an object's location verbally or through video: on half of the trials, this information conflicted with children's initial belief. Three-year-olds performed worse than 4-year-olds on conflict trials, indicating that assessments of self and other understanding may reflect children's ability to reason about conflicting external representations.     

Sexualit?t und Internet

On the discussion about sexual internet activities, the professional and public discourses have been strongly polarized for a long time. Currently the trend is that online sexuality is to be seen in a differentiated and empirical manner. Next to undesired (e.g. assault by internet platform) or indirect (e.g. due to excessive pornography use by partners) confrontations with online sexuality, there is a broad spectrum of self-initiated sexual use of the internet. These are, for example reception of information sites, exchange of experiences, utilization of online sexual consultation and romantic relationships. On the other hand clinically relevant problems could accompany sexual internet use, such as cybersex addiction. Because of the mediatization in society ambulant patients in the psychotherapeutic practice are more informed about sexual internet use. For psychotherapists it is important to know the internet-specific details and the potential risks and chances for sexual behavior in order to know how to deal with the situation and if necessary to integrate the internet into the spectrum of web-based sexual therapeutic options.     

Direktausbildung Psychotherapie an der medizinischen Fakultät

Background

There is ongoing political discussion at the Federal Ministry of Health that a university entrance diploma should allow psychotherapy to be studied directly: Graduation leads to a licensure that qualifies for further specialization, e.g. in cognitive behavioral therapy (CBT) or psychodynamic psychotherapy analog to medical specialization. As psychotherapy has its roots in both psychology and in medicine, the question is raised which faculty should be the future home of direct psychotherapy schools.

Material and methods

A theoretical model curriculum of psychosomatic psychotherapy is proposed. Its structure which is oriented to the established structure of medical training and its contents are described. It is argued that the proposed model in the tradition of psychosomatic medicine is suitable to meet ongoing changes in the structure of psychotherapeutic care due to new challenges in the field of public health.

Conclusion

The study of psychotherapy should be associated with chairs in clinical psychology and psychosomatic medicine in order to maintain and further develop the variety and quality which psychotherapy has gained in Germany.     

Effects of emotion regulation on concurrent attentional performance

We explored the attentional demands of unpleasant picture viewing and emotion regulation strategies. Participants received instructions to view, reappraise, or suppress their emotional experience to unpleasant and neutral pictures, while performing a concurrent auditory discrimination task, both during and after the picture presentation period. Reaction times (RTs) were slower during unpleasant than neutral pictures, which persisted into the post-picture period. RTs were also slower during reappraisal and suppression than viewing and for earlier than later tones following picture onset. An enduring effect of negative emotion was found in the picture and post picture period for suppression but not reappraisal. Findings suggest that both viewing emotional stimuli and regulating one’s emotions using either reappraisal or suppression draw upon common attentional resources, but with suppression resulting in the distinct cost of maintaining the effects of negative emotion.     

Posttraumatische Belastungsstörung

There are some problems concerning the concepts of trauma-related disorders and especially the category of posttraumatic stress disorder (PTSD) with respect to classification, diagnosis and epidemiological findings, which can only be understood within the historical framework of the development. Even current diagnostic systems, such as the diagnostic and statistical manual of mental disorders version 4 (DSM-IV) and the international classification of diseases version 10 (ICD-10) differ in the classification of these disorders which led to higher prevalence rates being achieved with ICD-10. The diagnostic algorithms have been opened to included subsyndromal PTSD as well as complex PTSD including more severe psychiatric disorders.