TY - CHAP A1 - Vollmer, Heinz C. A1 - Ferstl, Roman A1 - Ellgring, Johann Heinrich T1 - Individualized behavior therapy for drug addicts N2 - No abstract available Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-33817 ER - TY - CHAP A1 - Vollmer, H. C. A1 - Ellgring, Johann Heinrich A1 - Ferstl, R. T1 - Prediction of premature termination of therapy in the treatment of drug addicts N2 - No abstract available KW - Psychologie Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-50274 ER - TY - CHAP A1 - Ellgring, Johann Heinrich A1 - Wallbott, HG T1 - The German case: personality correlates of emotional reactivity N2 - No abstract available KW - Psychologie Y1 - 1986 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-50266 ER - TY - CHAP A1 - Ellgring, Johann Heinrich A1 - Wagner, H. A1 - Clarke, AH T1 - Psychopathological states and their effects on speech and gaze behaviour N2 - Internal characteristics such as depressed mood, anxiety and general negative emotions are accompanied, particularly during depressive illness, by changes in observable behaviour. Accordingly, the following questions may be examined: are intra-individual changes in speech and gaze behaviour related to changes in the internal psychopathological state? Further, do these changes occur synchronously to changes in the state of subjective well-being? A longitudinal study was made on depressed patients. Their behaviour was observed during standardised interviews and diagnostic-therapeutic discussions held at regu~ lar intervals. Various speech and gaze parameters were examined with respect to their coordination and their relationship to the subjective state of well-being. Considerable variation was found in the temporal relationship amongst these variables. The results are discussed with respect to the relevance of speech parameters and the coordination of verbal and nonverbal behaviour as indicators of the psychopathological condition. KW - Psychologie KW - Social interaction KW - depression KW - verbal and nonverbal behaviour KW - speech KW - looking behaviour KW - dyadic interaction KW - single case study Y1 - 1980 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-50323 ER - TY - CHAP A1 - Ellgring, Johann Heinrich A1 - Vollmer, Heinz C. T1 - Changes of personality and depression during treatment of drug addicts N2 - In accordance with various other studies. the present longitudinal study gave no clues for specific personality variables or traits 01' drug addicts. Personality factors did not allow a valid prediction of the kind 01' th~apy termination. nor were there clear deviations from the norm. Analyzed as a group. the addicts showed only minor changes that appeared over the course of treatment. These results correspond to data reported on alcohol dependency (cf. Wanke 1987). A more differentiated picture is gained when stable and changeable components of personality and analyzed separately. Changeable components are of special relevance for treatment. From the current study these were characteristics of action regulation, that is, activation and impulse control, social interaction, and somatic reactions (sleep disorders, bodily reactions to drug deprivation). For relapse prevention, attention should be given to stable, persistent, problematic components. Persistent suicidal ideas turned out to be one such aspect. Like the differentiation between state and trait anxiety, stable and variable components could also be separated for other domains of personality when they are used to describe the course of treatment. How can personality concepts and instruments for assessment be utilized for treatment? The claim of therapists to predict the outcome of a treatment may be realized for only a delimited period of time. Especially at such critical points as shortly before relapse, a firm prediction might be possible only rarely (Wanke 1987). Lack of predictability could be a warning which, however, can be verified only afterward. According to the current results, one benefit of personality concepts could be to specify targets of change on an individual basis and thus clarify effects of therapeutic interventions. Personality concepts can help patients to better understand their problems and to recognize changes as weil as persistent areas of vulnerability. KW - Psychologie Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-50287 ER - TY - JOUR A1 - Ellgring, Johann Heinrich A1 - Seiler, S. A1 - Perleth, B. A1 - Gasser, T. A1 - Oertel, W. T1 - An integrated approach for the neurological and psychological support of Parkinson patients N2 - Introduction Although symptomatic therapy is available for Parkinson's disease, patients and relatives are faced with continuous severe psychological problems. These psychological problems include: 1. lack of emotional expression, 2. bradephrenia, 3. depression, 4. lack of motivation,S. social anxiety, 6. stress induced increase of symptoms. The first four of these may be at least in part due to the dopamine deficiency. However, even as part of the primary symptoms they have social and communicative impact for patients and relatives. Social anxiety and stress induced increase of symptoms on the other hand clearly result from an interaction of somatic and psychological factors. Social anxiety mainly develops in Parkinson I s disease as an indirect consequence of the motor symptoms. Patients are afraid of being negatively evaluated in the public, of receiving negative comments etc. Thus r social withdrawal increases and the improvement of neurological symptoms following drug treatment may not be fully exploited on the psychosocial level. Stress induced increase of motor symptoms is a commonly observed phenomenon in Parkinson's disease. Even minor stressors, mainly social in nature, can have extreme effects and may elicit or increase tremor or rigidity. A patient can be well in one moment, but unable to move in the next when being aware that he has to leave the house in an hour. Given this situation, patients and relatives have to develop strategies fo~ an emotional balance in the presence of a continuous confrontation with the direct and indirect consequences of the disease. A precondition for developing new psychologically based strategies is an optimwn medical treatment. The integrated approach for neurological and psychological support has the following goals: 1. improving medical treatment for the individual patient, 2. improving psychological coping and psychosocial adaptation for patients and relatives, and 3. evaluating and improving medical and psychological therapy. CONCLUSION Psychological intervention can provide considerable help for a substantial part of Parkinson patients. The main target is coping with stressful social situations. Relaxation and cognitive restructuring together with situational behavioral analysis and training of social skills specifically adapted to the disease are" the main strategies. Various problems remain open at the moment, like the maintenance of motivation which is especially critical for Parkinson patients. Parkins on 's disease is a neurological disease with a known pathological substrate and a therapy which is effective at least for several years on a symptomatic level. The symptoms are tightly connected with psychological emotional and cognitive processes. Moreover, patients and relatives have to cope with symptoms which strongly influence social interaction. And they have to cope together with this situation over a period of ten or twenty years. Thus not only for the patient but also for the health of the relatives, psychological aid is urgently needed. We suggest to integrate psychological approach into the neurological diagnosis and treatment. Y1 - 1990 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-42456 ER - TY - JOUR A1 - Ellgring, Johann Heinrich A1 - Schneider, F. A1 - Friedrich, J. A1 - Fus, I. A1 - Beyer, T. A1 - Heimann, H. A1 - Himer, W. T1 - The effects of neuroleptics on facial action in schizophrenic patients N2 - This paper describes the influence of neuroleptic therapy on facial action in drug-naive schizophrenics. In a comparative study of medicated and unmedicated schizophrenic patients, the coordinates of 12 small light-reflecting points, attached to subjects' faces, were computer-recorded and analyzed automatically during a semistandardized clinical interview. In addition, facial activity in videotaped interviews was coded using the Facial Action Coding System (FACS). Each sample group comprised of eight patients with the DSMIII- R diagnostic criteria "schizophrenia" or "schizophreniform disorder". Subjects were studied on two occasions, one shortly after admission to the hospital, the other three weeks later. Group I was unmedicated during the first session, whereas group2 was medicated throughout the study. Three weeks after the start of medication, at the second interview, both recording methods showed a reduction in facial activity and facial expression across all subjects in group 1. The facial action of patients in group2, however, remained unchanged. N2 - Ziel der vorliegenden Arbeit war die Untersuchung des Einflusses von Neuroleptika auf die Mimik von unmedizierten schizophrenen Patienten. Wiihrend eines halbstandardisierten klinischen Interviews worde die Beweglichkeit von zwolf kleinen, licht-reflektierenden Punkten, die in das Gesicht von medizierten und unmedizierten schizophrenen Patienten geklebt worden, automatisch im Zeitverlauf gemessen. Erganzend wurde der mirnische Ausdruck mit dem Facial Action Coding System (FACS) kodiert, wofiir die Patienten gleichzeitig mit Video aufgenommen worden. Jede der beiden Gruppen bestand aus acht Patienten mit den DSM-IIIR- Diagnosen "Schizophrenie" oder "Schizophrenieforme Storung". Die Patienten worden einmal direkt nach der stationaren Aufnahme und ein zweites Mal nach drei Wochen untersucht. Die Patienten der ersten Gruppe waren zum ersten Zeitpunkt nicht mit Neuroleptika mediziert, wiihrend die der zweiten Gruppe schon zu diesem Zeitpunkt entsprechende Medikamente einnahmen. Es konnte eine Reduktion der mimischen Beweglichkeit des gesamten Gesichtes im Sinne einer neuroleptisch bedingten Hypornimie der primiir Neuroleptika-unbehandelten Patienten bei der zweiten Untersuchung beobachtet werden. Die andere Gruppe Schizophrener, die zu beiden Zeitpunkten mit Neuroleptika behandelt waren, zeigte keine Veriinderung in ihrer mimischen Beweglichkeit. Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-43269 ER - TY - CHAP A1 - Ellgring, Johann Heinrich A1 - Rimé, Bernard T1 - Individual differences in emotional reactions N2 - No abstract available KW - Psychologie Y1 - 1986 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-50252 ER - TY - JOUR A1 - Ellgring, Johann Heinrich A1 - Oertel, W. H. A1 - Ulm, G. A1 - Gasser, T. A1 - Perleth, B. A1 - Seiler, S. T1 - Partnership and depression in Parkinson's Disease N2 - In this study, the influence of partnership on depression and coping with Parkinson's disease has been investigated. Twentythree single female patients, 46 married patients (23 female, 23 male) with unimpaired partnership and 42 patients (21 female, 21 male) whose partnership had worsened since the onset of disease, were compared with regard to depression and self reported extent of psychosocial distress. Single female patients tended to have higher depression scores than patients in a stable partnership, especially in items concerning personal worthlessness and senselessness of life. Patients differed in the extent of distress concerning social behavior, psychological problems/anxiety and efficiency. Within the group of single female patients two subgroups emerged: (1) patients with low extent of distress in all aspects; (2) patients who were highly distressed by psychological problems and physical disability but weakly distressed from social interaction. Male and female patients living in a stable partnership reported only a generally low to moderate extent of distress. More than half of the male and female patients who reported an impairment of their relationship also had scores of moderate to severe depression. These patients also had the h~ghest extent of distress in each ofthe aspects assessed. The results are dicussed with regard to possible interactive effects ofthe disease, quality of the partnership and availability of coping strategies. KW - Depression KW - Parkinson's disease KW - Partnership KW - Psychological distress Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-42516 ER - TY - JOUR A1 - Ellgring, Johann Heinrich A1 - Gaebel, W. T1 - Experimental psychopathology in biological psychiatry and pharmacology N2 - No abstract available Y1 - 1992 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-43246 ER -