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Background
Despite the prevalence of obsessive-compulsive disorder (OCD), its precise identification remains challenging. With the Zohar-Fineberg Obsessive-Compulsive Screen (ZF-OCS; 5 or 6 items), a brief instrument is widely available mainly in English. As there is a lack of empirical studies on the ZF-OCS, the aim of the present study was to translate the items into German and investigate the instrument in a nonclinical sample.
Methods
In two consecutive online surveys, n = 304 and n = 51 students participated. Besides the ZF-OCS, they answered established measures on OCD, depression, health anxiety, general anxiety and health-related well-being.
Results
Whereas internal consistency was low (α = .53–.72; ω = .55–.69), retest reliability (rt1,t2 = .89) at two weeks was high. As expected, we found high correlations with other OCD instruments (r > .61; convergent validity), and significantly weaker correlations with measures of depression (r = .39), health anxiety (r = .29), and health-related well-being (r = −.28, divergent validity). Nonetheless, the correlations with general anxiety were somewhere in between (r = .52).
Conclusions
Due to heterogeneous OCD subtypes, the ZF-OCS asks diverse questions which probably resulted in the present internal consistency. Nevertheless, the results on retest reliability and validity were promising. As for other OCD instruments, divergent validity regarding general anxiety seems problematic to establish. Even so, the ZF-OCS seems valuable for screening purposes, as it is short and easy to administer, and may facilitate initiating subsequent clinical assessment. Further studies should determine the instrument’s diagnostic accuracy.
Recent research provides evidence that aggressive sexual fantasies predict aggressive sexual behavior in the general population. However, sexual fantasies including fantasies about the infliction of pain and humiliation, should be frequent and often consensually acted upon among individuals with sadomasochistic likings. The question arises whether sexual fantasies with aggressive content still predict presumably non-consensual aggressive sexual behavior in individuals with sadomasochistic likings, given that BDSM encounters are generally considered consensual. To investigate this question, we conducted a questionnaire survey of sexual fantasies, as sessing the frequency of seventy sexual fantasies involving non-aggressive, masochistic, and aggressive acts. Our sample (N = 182) contained 99 respondents who self-identified as sadist, masochist, or switcher; 44 reported no such identification. For respondents reporting BDSM identification, we replicated a factor structure for sexual fantasies similar to that previously found in the general population, including three factors reflecting fantasies about increasingly severe aggressive sexual acts. Fantasies about injuring a partner and/or using weapons and fantasies about sexual coercion predicted presumably non-consensual sexual behavior independently of other risk factors for aggressive sexual behavior and irrespective of BDSM identification. Hence, severely aggressive sexual fantasies may predispose to presumably non-consensual sexual behavior in both individuals with and without BDSM identification.
Zur Abschaffung des Gutachterverfahrens in der Vertragspsychotherapie – ein Qualitätsverlust?
(2021)
Zielsetzung: Der vorliegende Artikel befasst sich mit der Fragestellung, inwiefern das Gutachterverfahren in der Vertragspsychotherapie ein zuverlässiges Qualitätsinstrument darstellt und ob sich aus der geplanten Abschaffung des Gutachterverfahrens das Risiko einer Qualitätsminderung in der ambulanten Psychotherapie ergibt.
Methodik: Es wurde eine Literaturrecherche durchgeführt. Arbeiten von den Jahren 2000 bis 2020 wurden berücksichtigt, welche sich mit dem Gutachterverfahren als Qualitätsmerkmal der ambulanten Psychotherapie befassen. Um die unterschiedlichen Standpunkte der zitierten Autor_innen zu diskutieren, wurde auch Bezug auf weiterführende Literatur genommen.
Ergebnisse: Das Gutachterverfahren scheint empirisch nicht sicher als zuverlässiges Qualitätsmerkmal der ambulanten Psychotherapie herangezogen werden zu können. Die Annahme, dass sich durch eine gutachterbefreite Vertragspsychotherapie eine Qualitätsminderung der Psychotherapie ergibt, wird durch die hier zusammengefassten Arbeiten insgesamt nicht gestützt.
Hintergrund: Im Rahmen des reformierten Psychotherapeutengesetzes wird eine starkere Praxisorientierung in der klinisch-psychologischen Lehre und in der Prufung psychotherapeutischer Kompetenzen verankert. Hierbei sollen Studierende durch die Interaktion mit standardisierten Patient*innen (SP) therapeutische Kompetenzen erwerben und demonstrieren. Fragestellung: Das Ziel des vorliegenden Beitrags ist es, eine evidenzbasierte Umsetzung dieser neuen Lehr- und Prufungsformate zu unterstutzen, indem bisherige Forschungsbefunde zum Einsatz von SP dargestellt und Bereiche, in denen weitere Forschung notwendig ist, aufgezeigt werden. Ergebnisse: Empirische Befunde zeigen, dass SP psychische Storungen authentisch darstellen konnen. Voraussetzung dafur sind beispielsweise die Auswahl geeigneter SP, detaillierte Rollenanleitungen, spezifisches Training, Feedback und Nachschulungen. Auch wenn einige Forschungsfragen, wie zur vergleichenden Wirksamkeit des Einsatzes von SP, noch unbeantwortet sind, lassen sich praktische Implikationen fur SP-Programme in Lehre, Prufung und Forschung ableiten, die in einem Ablaufschema dargestellt werden. Schlussfolgerungen: Der Einsatz von SP bietet gro ss es Potenzial fur die klinisch-psychologische Lehre und Ausbildungsforschung. Um den Einsatz von SP an anderen Standorten zu unterstutzen, werden Beispielmaterialien (z.B. Rollenanleitung) in den elektronischen Supplementen (siehe www.karger.com/doi/10.1159/000509249 fur alle Supplemente) zum Artikel zur Verfugung gestellt.
Example of best practice
(2021)
The Refugee Teachers Program, established at the University of Potsdam, Brandenburg, in 2016, represents a successful model for training and integrating individuals with foreign teaching qualifications through an 18-month teaching and language course. Initially created to help meet the demand for teachers in Germany, the Refugee Teachers Program has been further refined over the course of the last three years in the light of expert meetings, theoretical considerations, and negotiations with the Brandenburg Ministry of Education. This was the first program of its kind in Germany, following an influx of people being forced to migrate from countries such as Syria, Afghanistan, and Iraq in 2015. The program responded to these international events by providing training, work, and refuge for migrants who already had teaching experience in their home countries. More than 85 participants successfully completed the program and many have taken up newly created positions as teachers and pedagogical assistants in German schools. However, a number of hurdles still remain before most of the program's graduates can be granted full employment as teachers in Germany.
In two studies, the aim of this research was to develop and validate a Polish version of the reduced Discounting Inventory. In Study 1 (N = 623) items extraction from the 48-item DI was based upon item-total correlation and items with highest coefficients were considered. The reduced Discounting Inventory resulted in sixteen items. Cronbach's a coefficient was .78, and the item-total correlations ranged between .59 and .77. The correlation between Polish versions of reduced Discounting Inventory and longer 48-item Discounting Inventory was .85. Next, the reduced Discounting Inventory was evaluated in terms of factorial and construct validity. The structure of the instrument was analysed by Confirmatory Factor Analyses procedure. It indicated that the four-factor structure had the best fit to the data. Additionally, we show that this reduced Discounting Inventory closely parallels the longer 48-item inventory its relation to traditional discounting measures using pairs of hypothetical choices (expect for the delay discounting subscale). Finally, in study 2, the test-retest reliability of the reduced Discounting Inventory over a 3-month interval was assessed (247 subjects of the 623 individuals who participated in Study 1). Results indicated good stability of the reduced measure (>= .88). It is concluded that the reduced Discounting Inventory has notable psychometric properties and that it can serve as an alternative measure of discounting when situations do not allow the use of longer inventories.
Implementing innovation laboratories to leverage intrapreneurship are an increasingly popular organizational practice. A typical feature in these creative environments are semi-autonomous teams in which multiple members collectively exert leadership influence, thereby challenging traditional command-and-control conceptions of leadership. An extensive body of research on the team-centric concept of shared leadership has recognized the potential for pluralized leadership structures in enhancing team effectiveness; however, little empirical work has been conducted in organizational contexts in which creativity is key. This study set out to explore antecedents of shared leadership and its influence on team creativity in an innovation lab. Building on extant shared leadership and innovation research, we propose antecedents customary to creative teamwork, that is, experimental culture, task reflexivity, and voice. Multisource data were collected from 104 team members and 49 evaluations of 29 coaches nested in 21 teams working in a prototypical innovation lab. We identify factors specific to creative teamwork that facilitate the emergence of shared leadership by providing room for experimentation, encouraging team members to speak up in the creative process, and cultivating a reflective application of entrepreneurial thinking. We provide specific exemplary activities for innovation lab teams to increase levels of shared leadership.
Background: Aggression-related sexual fantasies (ASF) are considered an important risk factor for sexual aggression, but empirical knowledge is limited, in part because previous research has been based on predominantly male, North-American college samples, and limited numbers of questions. <br /> Aim: The present study aimed to foster the knowledge about the frequency and correlates of ASF, while including a large sample of women and a broad range of ASF. <br /> Method: A convenience sample of N = 664 participants from Germany including 508 (77%) women and 156 (23%) men with a median age of 25 (21-27) years answered an online questionnaire. Participants were mainly recruited via social networks (online and in person) and were mainly students. We examined the frequencies of (aggression-related) sexual fantasies and their expected factor structure (factors reflecting affective, experimental, masochistic, and aggression-related contents) via exploratory factor analysis. We investigated potential correlates (eg, psychopathic traits, attitudes towards sexual fantasies) as predictors of ASF using multiple regression analyses. Finally, we examined whether ASF would positively predict sexual aggression beyond other pertinent risk factors using multiple regression analysis. <br /> Outcomes: The participants rated the frequency of a broad set of 56 aggression-related and other sexual fantasies, attitudes towards sexual fantasies, the Big Five (ie, broad personality dimensions including neuroticism and extraversion), sexual aggression, and other risk factors for sexual aggression. <br /> Results: All participants reported non-aggression-related sexual fantasies and 77% reported at least one ASF in their lives. Being male, frequent sexual fantasies, psychopathic traits, and negative attitudes towards sexual fantasies predicted more frequent ASF. ASF were the strongest predictor of sexual aggression beyond other risk factors, including general aggression, psychopathic traits, rape myth acceptance, and violent pornography consumption. <br /> Clinical Translation: ASF may be an important risk factor for sexual aggression and should be more strongly considered in prevention and intervention efforts. <br /> Strengths and Limitations: The strengths of the present study include using a large item pool and a large sample with a large proportion of women in order to examine ASF as a predictor of sexual aggression beyond important control variables. Its weaknesses include the reliance on cross-sectional data, that preclude causal inferences, and not continuously distinguishing between consensual and non-consensual acts. <br /> Conclusion: ASF are a frequent phenomenon even in in the general population and among women and show strong associations with sexual aggression. Thus, they require more attention by research on sexual aggression and its prevention.
In modern times of evolving globalization and continuous technological developments, organizations are required to respond to ever-changing demands. Therefore, to be successful in today’s highly uncertain environments, organizations need employees to actively search for opportunities, anticipate challenges, and act ahead. In other words, employee proactivity in the workplace represents a highly valuable resource in nowadays organizations. Empirical studies conducted as part of this thesis advance the research on the outcomes of proactivity from the individual perspective. The main contribution of this thesis pertains to revealing several important individual and contextual conditions under which engaging in proactivity will have negative and positive effects on employees’ well-being and their consequent behaviours, as well as shedding light on the unique psychological mechanisms through which these effects unfold. From a practical standpoint, this research underscores the importance of creating work environments that support employees’ autonomous motivation for proactivity and urge organizations and managers to be mindful about the pressures they place on employees to be proactive at work. Besides, this thesis stimulates research efforts aimed at further extending our knowledge of when and how individual proactive behaviours at work will do more good than harm for those who enact them.
Interoception is an often neglected but crucial aspect of the human minimal self. In this perspective, we extend the embodiment account of interoceptive inference to explain the development of the minimal self in humans. To do so, we first provide a comparative overview of the central accounts addressing the link between interoception and the minimal self. Grounding our arguments on the embodiment framework, we propose a bidirectional relationship between motor and interoceptive states, which jointly contribute to the development of the minimal self. We present empirical findings on interoception in development and discuss the role of interoception in the development of the minimal self. Moreover, we make theoretical predictions that can be tested in future experiments. Our goal is to provide a comprehensive view on the mechanisms underlying the minimal self by explaining the role of interoception in the development of the minimal self.
"BreaThink"
(2021)
Cognition is shaped by signals from outside and within the body. Following recent evidence of interoceptive signals modulating higher-level cognition, we examined whether breathing changes the production and perception of quantities. In Experiment 1, 22 adults verbally produced on average larger random numbers after inhaling than after exhaling. In Experiment 2, 24 further adults estimated the numerosity of dot patterns that were briefly shown after either inhaling or exhaling. Again, we obtained on average larger responses following inhalation than exhalation. These converging results extend models of situated cognition according to which higher-level cognition is sensitive to transient interoceptive states.
The functional significance of the N400 evoked-response component is still actively debated. An increasing amount of theoretical and computational modelling work is built on the interpretation of the N400 as a prediction error. In neural network modelling work, it was proposed that the N400 component can be interpreted as the change in a probabilistic representation of meaning that drives the continuous adaptation of an internal model of the statistics of the environment. These results imply that increased N400 amplitudes should correspond to greater adaptation, which can be measured via implicit memory. To investigate this model derived hypothesis, the current study manipulated expectancy in a sentence reading task to influence N400 amplitudes and subsequently presented the previously expected vs. unexpected words in a perceptual identification task to measure implicit memory. As predicted, reaction times in the perceptual identification task were significantly faster for previously unexpected words that induced larger N400 amplitudes in the previous sentence reading task. Additionally, it could be demonstrated that this adaptation seems to specifically depend on the process underlying N400 amplitudes, as participants with larger N400 differences during sentence reading also exhibited a larger implicit memory benefit in the perceptual identification task. These findings support the interpretation of the N400 as an implicit learning signal driving adaptation in language processing.
Background and Aims: Ostarek et al. (2019) claimed a conclusive
demonstration that language comprehension relies profoundly on
visual simulations. They presented participants with visual noise during sentence-picture verification (SPV) and measured lateralized button response speed. The authors selectively eliminated the classical congruency effect (faster yes decisions when pictures match the objects implied by the sentences) with ‘‘high level’’ noise made from images of other objects. However, that visual noise included tool pictures, known to activate lateralized motor affordances. Moreover, some of their sentences described motor actions. This raises the question whether motor simulation may have contaminated their results.
Methods: Replicating Ostarek et al. (2019), 33 right-handed
participants performed SPV but either without visual noise or while viewing (a) only left-handled or (b) only right-handled or (c) alternatingly left- and right-handled tools. Accuracy and reaction times of manual yes responses were analyzed. Additionally, hand-relatedness of sentences was rated.
Results: Replicating Ostarek et al. (2019), the classical SPV congruency effect appeared without noise and vanished when alternatingly handled tools were presented. Crucially, it reappeared when noise objects were consistently either left- or righthandled. Higher hand-relatedness of sentence content reduced SPV performance and accuracy was lower with right-handled noise.
Conclusion: First, we demonstrated an interaction between motor-
related language, visual affordances and motor responses in SPV.
This result supports the embodied view of language processing.
Second, we identified a motor process not previously known in SPV. This extends our understanding of mental simulation and calls for methodological controls in future studies.
Seit dem 01. 04. 2017 erfolgte eine umfangreiche Reform der Psychotherapie-Richtlinie. Neben der Einführung neuer Leistungen (z. B. Akutbehandlung, psychotherapeutische Sprechstunde) wurden auch Änderungen im Ablauf und der Beantragung von Psychotherapie beschlossen. Beispielsweise ist der Bericht an den Gutachter bzw. die Gutachterin seltener eine notwendige Voraussetzung zur Durchführung einer psychotherapeutischen Behandlung, als dass zuvor der Fall war. Im Zuge der Reform wurde auch der Leitfaden für die Gestaltung des Berichts an den Gutachter bzw. die Gutachterin überarbeitet.
Vor dem Hintergrund der Psychotherapie-Richtlinien-Reform ist das Werk „Leitfaden für den VT-Bericht an den Gutachter“ von Daniel Surall und Oliver Kunz sehr willkommen. Das Buch gliedert sich insgesamt in zehn Kapitel, in denen die Autoren ausführlich auf den reformierten Bericht an den Gutachter bzw. an die Gutachterin eingehen. In den ersten beiden Kapiteln fassen die Autoren die Änderungen zur Psychotherapie-Richtlinie und im Bericht an den Gutachter / die Gutachterin zusammen. In den folgenden sechs Kapiteln wird auf die einzelnen Abschnitte des neuen Berichts an den Gutachter/die Gutachterin eingegangen. Sehr hilfreich ist hierbei, dass die Autoren zahlreiche Fallbeispiele nutzen, um die einzelnen Abschnitte des Berichts an den Gutachter/die Gutachterin zu erläutern. Auch die übersichtliche Darstellungsform in Form von Tabellen (z. B. zur Darstellung der Verhaltensanalyse) erleichtert den Leser_innen die Nachvollziehbarkeit der Inhalte. Erfreulich ist auch, dass die Autoren hinsichtlich der Antragstellung auch immer auf Unterschiede zwischen erwachsenen Patient_innen und Kindern und Jugendlichen eingehen. Im neunten Kapitel des Leitfadens wird ausführlicher das Thema Umwandlungs- und Fortführungsanträge aufgegriffen. Dies ist insbesondere sinnvoll, da nach der neuen Psychotherapie-Richtlinie für Kurzzeitanträge in der Regel keine Berichtspflicht besteht und Umwandlungs- und Fortführungsanträge in der Praxis häufiger als zuvor von Relevanz sein dürften. Im zehnten Kapitel wird in knapper Weise darauf eingegangen, wie bei Ablehnung oder Kürzung von beantragten Leistungen vorgegangen werden kann.
Das Buch umfasst einen umfangreichen Anhang (67 Seiten), in dem Beispiele für Berichte an den Gutachter / die Gutachterin und Behandlungspläne für verschiedene psychische Störungen zu finden sind. Auch hierbei werden sowohl Berichte für Erwachsene als auch für Kinder und Jugendliche präsentiert. Zudem beinhaltet der Anhang des Buches das Berner Inventar für Therapieziele, Auszüge aus dem AMDP-Befundbogen (Arbeitsgemeinschaft Methodik und Dokumentation in der Psychiatrie, 2018)<\litr>, den Leitfaden zum Erstellen des Berichts an die Gutachter_innen (PTV 3) sowie einer Gegenüberstellung des alten und des neuen Leitfadens für den Bericht an die Gutachter_innen.
Bei dem von Surall und Kunz vorgelegten Buch handelt es sich um einen äußerst hilfreichen Leitfaden, der Therapeut:innen bei der Abfassung des Berichts an den Gutachter / die Gutachterin im Rahmen der Verhaltenstherapie unterstützen kann. Hierbei kann der Leitfaden Psychotherapeut_innen in Ausbildung bei der Abfassung ihrer ersten Anträge unterstützen. Aber auch erfahrenen Kolleg_innen können bei dem Übergang in die neuen Antragsformalitäten, die mit der Reform der Psychotherapie-Richtlinie einhergingen, unterstützen werden. Hierbei ist insbesondere die Im Anhang befindliche Gegenüberstellung des alten und des neuen Leitfadens für den Bericht an den Gutachter / die Gutachterin hilfreich, um sich einen schnellen Überblick über die Änderungen zu verschaffen. Insgesamt werden die einzelnen Abschnitte des Berichts an den Gutachter / die Gutachterin sehr gut strukturiert und verständlich erläutert. Die vielen Beispiele und die ausführlichen Materialien im Anhang ergänzen zudem die Erläuterungen und erleichtern das Verständnis. Zu Beginn des Buches wäre zudem noch eine Abbildung hilfreich gewesen, die den Ablauf der Beantragung von Psychotherapie schematisch darstellt, um einen genaueren Überblick über die Beantragung von Psychotherapie nach der neuen Psychotherapie-Richtlinie zu erhalten. Auch ein Stichwortverzeichnis würde die Suche nach bestimmten Inhalten erleichtern.
Zusammenfassend kann festgehalten werden, dass es sich bei dem Werk von Surall und Kunz um einen sehr empfehlenswerten Leitfaden handelt, der im Rahmen der Antragstellung von Verhaltenstherapie genutzt werden kann. Aufgrund der klaren Struktur und Anschaulichkeit durch viele Beispielanträge bringt das Buch alle Voraussetzungen mit, um sich als Standartwerk zu etablieren, dass Therapeut_innen bei der Beantragung von Verhaltenstherapie in äußerst hilfreicher Weise unterstützt.
This study investigated how touching and being touched by a humanoid robot affects human physiology, impressions of the interaction, and attitudes towards humanoid robots. 21 healthy adult participants completed a 3 (touch style: touching, being touched, pointing) x 2 (body part: hand vs buttock) within-subject design using a Pepper robot. Skin conductance response (SCR) was measured during each interaction. Perceived impressions of the interaction (i.e., friendliness, comfort, arousal) were measured per questionnaire after each interaction. Participants' demographics and their attitude towards robots were also considered. We found shorter SCR rise times in the being touched compared to the touching condition, possibly reflecting psychological alertness to the unpredictability of robot-initiated contacts. The hand condition had shorter rise times than the buttock condition. Most participants evaluated the hand condition as most friendly and comfortable and the robot-initiated interactions as most arousing. Interacting with Pepper improved attitudes towards robots. Our findings require future studies with larger samples and improved procedures. They have implications for robot design in all domains involving tactile interactions, such as caring and intimacy.
Hintergrund
Essstörungen sind prävalent, chronifizieren häufig und gehen trotz wirksamer Behandlungsansätze oft mit Rückfällen einher. Prävention ist daher entscheidend, jedoch sind viele aktuelle Präventionsprogramme ressourcenintensiv. Internetbasierte Interventionen können eine kostengünstige und niedrigschwellige Alternative darstellen, sind jedoch bislang nur wenig untersucht.
Fragestellung
Wie wirksam ist ein internetbasiertes, unbegleitetes Präventionsangebot?
Material und Methode
Die Intervention wurde auf Basis verhaltenstherapeutischer Techniken neu entwickelt und im Rahmen eines randomisierten Wartekontrollgruppendesigns an 200 Studierenden pilotiert. Vor und nach der Intervention bzw. Wartezeit wurden Daten zu essstörungsspezifischer Pathologie (Eating Disorder Examination-Questionnaire, EDE‑Q), Wohlbefinden (WHO-Five Well-Being Index, WHO-5) sowie Selbstwert (Rosenberg Self-Esteem Scale, RSES) erhoben und varianzanalytisch untersucht.
Ergebnisse
Die Intervention wurde von 43 % der Teilnehmenden vollständig durchlaufen. Der Selbstwert nahm in der Interventionsgruppe im Vergleich zur Wartekontrollgruppe stärker zu (η2p= 0,33). Auf den anderen Variablen ergaben sich keine signifikanten Unterschiede zwischen den Gruppen.
Schlussfolgerung
Unbegleitete Online-Selbsthilfe erscheint vielversprechend, um den Selbstwert zu verbessern und damit einen Beitrag zur Prävention von Essstörungen zu leisten. Untersuchungen in größeren, heterogenen Gruppen sind künftig nötig, um ggf. vorhandene, kleinere Präventionseffekte zu entdecken.