[Control of results of psychotherapy].
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Biomedical subjects
Publications and source records attributed to D Beckmann.
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The subjects of the inquiry were 13 psychosomatic patients who had all undergone psychotherapy in the special research unit of the University Clinic for Psychosomatics in Giessen (FRG) in 1971. Data collection took place at the beginning (time a) and end (time b) of in-patient treatment, and then again 4 years later (time c). The same test battery was administered each time. The results indicate that a significant change in the patients' self-image came about during in-patient treatment and the catamnesis carried out 4 years later attests to the stability of this development. The question of whether this change reflects the patient's adjustment to the ideals of his therapist--conformity with the 'norm'--or can be interpreted as a criterium for true ego development in the sense of an expansion of his psychic possibilities, is discussed.
The aim of the present study is the validation of a German questionnaire that was designed to assess "infant temperament" by parental judgement. The questionnaire represents an adaptation of Rothbart's "Infant Behavior Questionnaire" (IBQ). It was studied whether the parental judgements concerning positive emotionality, negative emotionality/irritability, motor activity and soothability of the infant are correlated to corresponding observed child behavior. Furthermore we tried to determine influences of parental characteristics on their judgements. 31 First-born healthy 4 months old infants were observed in their home environment as well as in the video laboratory of our institute. The Bayley Scales of Infant Development (Mental Scale) were applied. The mothers filled in the Temperament Questionnaire and scales to assess maternal depression and anxiety. We yielded the expected significant correlations for the scales measuring positive and negative emotionality, and motor activity with the observed behavioral characteristics of the infants. Independent of these results the mothers' judgements of their infant's positive and negative emotionality was associated with maternal depression. We can therefore conclude that the two scales contain subjective and objective elements that are independent of each other.
In a 13-years-catamnesis a sample of 50 children with severe perinatal risks was assessed with regard to their physical, cognitive and behavioral development; selective drop-outs were analysed. In accordance with the results of other prospective studies there are deficits in visual-motor functioning, higher rates of somatic complaints, social withdrawal and attention deficits; a large number of these children attend special schools. The study presents predicative relations between risk factors of birth-time and the developmental status at youth. In comparison with typical single risks (e.g. gestational age or respiratory distress syndrome) a complex index for the perinatal risk, the so-called birth-optimality offers no substantial advantage. A significant influence of social factors is shown for school achievement. Children of fathers with higher educational level are attending schools of a higher grade. The combination of biological and social factors improves the reliability of developmental prognosis; the Mental Developmental Index of the Bayley Scales of Infant Development provides additional prognostic accuracy. For compensating developmental disadvantages especially parents with lower educational level should be informed about beneficial care. Even children of these families, who scored low in early cognitive assessments should receive early intervention or therapeutic support.
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A series of random samples was carried out to validate a new model for diagnosing couple relationships using the Giessen test. The model delineates all theoretically possible types of couple relationships in the course of which individual scores can be compared simultaneously with standard scores. The interpretation is based on a two-dimensional diagram, which is to be understood as a reduction of a more complex structure.
The hypothesis that neurotic bodily complaints are dependent on social class, sex, and age, was tested using a representative sample of size N=1549. It is shown that bodily complaints are dependent on age and sex, but independent of social class. Correlations of -.41 between age and education and of -.22 between education and sex were obtained, suggesting that the correlation found in earlier investigations between social class and neurotic bodily complaints were in fact due to the common dependence on sex. It is shown, however, that psychosomatic conceptions of bodily complaints are dependent on social class. People from higher social classes interpret their complaints significantly more frequently as being due to psychological factors. The consequences for the doctor-patient-relationship, which may be drawn from these results, are discussed.