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The effects of 19 meals of different caloric content on slides on palatability and hypothetical duration of consumption were investigated in 7 patients with anorexia nervosa, 17 patients with bulimia nervosa at the beginning and after 8 weeks of hospital treatment. Nine healthy females served as controls. At the beginning of treatment, palatability of low caloric food was significantly higher and hypothetical duration of consumption of high caloric food was significantly longer in patients when compared to controls. After 8 weeks, in the patients palatability of low caloric food had decreased. Dislike for high caloric food remained stable in anorexics.
This article gives an overview of possibilities for the assessment offacial behavior. With regard to validity, results from a longitudinal study of 36 depressed patients and nine controls as weil as often schizophrenic patients and their relatives will be referred to. These results are used to illustrate the following principles which have to be taken into account when studying facial behavior: a) communication strongly facilitates facial expression, b) activation of facial behavior follows the "principle of least effort", and c) the principle of individual specificity applies to the association of nonverbal behavior and mood states. Making allowance for these principles has, among others, consequences a) for situations or conditions under which to asses behavior (specifically conditions of communication), b) for data analysis (e.g., dealing with frequent and rare events), and c) for empirical or experimental strategies (e.g., aggregation of single-case longitudinal comparisons). From the results on facial behavior during depression it can be concluded that the nonverbal reaction tendencies of endogenous and neurotic depressed patients differ. Moreover, the differential behavioral pattems observed cast doubt on the assumption of a homogeneity of affects in depression. Taking into account the conditions which govern it, facial behavior has proved to be a valid and, especially, a differential indicator for pathoIogic affective states and their changes. Given the fact that a psychiatric illness generally incorporates emotional problems it is more than surprising that little attention has been paid to the systematic study of emotional behavior. Some of the reasons for this will be clarified in the following.
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Nonverbal behavior, especially facial expression, appears as one of the most important means for communicating affective states. Studies on groups of psychiatric patients and control subjects are reported in which nonverbal behavior is analyzed from videotaped dialogues. Using a quantitative approach, results on facial behavior, speech, and gaze are described, which shed light on the expressive and communicative functions of nonverbal behavior. From longitudinal observations on depressed patients it emerged that individualspecific associations have to be taken into account for the relationship between expressive behavior and mood changes. The predominance of facial behavior in the speaker role of an individual found in patients and control groups points to the integrated communicative function of the verbal and nonverbal elements. However, recovered schizophrenic patients exhibited a dissociation of these elements. Implications for our understanding of nonverbal communications are discussed.
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Fünf Jahre nach der programmatischen Aufforderung von ISRAEL & TAJFEL (1972), mit dem Datensammeln aufzuhören und die theoretische Konfrontation zu suchen, stellt sich die Frage, ob der "Wind der Veränderung" (GRAUMANN, 1975) in der "Europäischen Sozialpsychologie" inzwischen kräftig geblasen hat. Uns interessierte speziell, wie sich heute das Verhältnis von Theorie zu Empirie und von Grundlagen zu Anwendungen einem wohl an Sozialpsychologie interessierten, nicht aber auf Sozialpsychologie spezialisierten deutschen Psychologen darstellt: Ändert sich dieses Verhältnis von "Ost nach West", d.h. von deutschsprachigen über nicht deutschsprachige "europäische" zu "amerikanischen" Veröffentlichungen? Ausserdem fragten wir, ob sich unterschiedliche thematische Sch werpunkte ausfindig machen lassen.
A video protocolling and retrieval system for the analysis of behaviour. Rec~nt developments in the data processing and video technologies have enabled the desIgn of automatic systems for the handling of video software. The system for the protocoIling and retrieval of audiovisual data (PRA VDA) described here has been developed for applications in behavioural observation and analysis. The facilities available, including time coding, search routines and automatic editing are explained and the advantages of computer aided operation are dealt with. Current applications of the system are briefly discussed.
Die Wirksamkeit des Modellernens im Klassenzimmer zur Veränderung der Prüfungsangst wurde bei 152 Knaben und 164 Mädchen der Klassen 5-8 einer Hauptschule untersucht. Den Schülern wurden die Angst-Skalen (TASe und GASC) von Sarason vorgelegt. Anhand der Fragebogenergebnisse wurden die Kinder den Kategorien "hochängstlich" (HA), "mittelängstlich" (MA) und "niedrigängstlich" (NA) zugeordnet. Für 3,5 Monate wurden die folgenden Paarbildungen (Banknachbarn) beibehalten: HA neben HA, MA und NA, NA neben NA und MA, sowie MA neben MA. Signifikante Verringerungen der Prüfungsangst ergaben sich bei hochängstlichen Schülern, die neben niedrig- bzw. mittelängstlichen Schülern saßen. Modellernen scheint ein praktikabler Weg zu sein, in der Schulsituation gezielt Prüfungsangst zu verringern.
Es wird gezeigt, daß die digitale Sprachanalyse bei der Messung von Sprechpausen unter bestimmten Umständen Fehler aufweist. Am Beispiel von 16 standardisierten Interviews mit depressiven Patienten wurden Sprechpausen von Patienten und Interviewern nach zwei Methoden gemessen: mit einer einfachen manuellen Methode deren Interraterreliabilität bei .88 und höher lag und nach Methoden der digitalen Sprachverarbeitung. Die Ergebnisse beider Analysen wurden verglichen. Dabei zeigte sich, daß die manuelle Methode für Sprechpausen oberhalb 390 ms reliabel ist und gleiche oder bessere Ergebnisse bringt. Bei qualitativ schlechten Tonaufnahmen ist diese manuelle Methode vorteilhaft.
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.
Parkinson und Demenz
(1993)
Auf der Delegierten-Konferenz der dPV in Hannover waren eine Reihe von Fragen wr Demenz im Zusammenhang mit dem Morbus Parkinson gestellt worden, zu denen hier Stellung genommen werden soll. Die Fragen und Antworten sind jeweil mit einem ? für die Fragen und einem ! für die Antworten gekennzeichnet.
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.
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.
In einem Lemexperiment beurteilten 10 Vpn als Empfiinger die Blicksignale einer Person, die als Sender fungierte. Die Diskriminierungsleistung der Empfanger verbesserte sich als Folge von feedback-Informationen. Die verbesserte Leistung war unabhangig von der Sehscharfe und korrelierte nicht mit Extraversion und Neurotizismus. Fur Zielpunkte des Blicks, die weiter vom Gesicht entfemt waren, war die Leistung am Anfang schlechter und die Leistungsverbesserung ausgepragter. Die Ergebnisse werden im Hinblick auf eine gro6ere Genauigkeit bei der Beobachtung der Variablen 'Blick-Verhalten' diskutiert, was fUr Untersuchungen liber non-verbales Verhalten wichtig ist. FUr Beobachter werden Trainings-Programme vorgeschlagen, bei denen RUckmeldungen liber die tatsachliche Blickrichtung des Senders vermittelt werden konnen. Resume Au cours d'une experience sur l'apprentissage, 10 sujets se comportant comme des recepteurs ont juge les signaux du regard d'un envoyeur. En fournissant de la retroaction quant a la vraie direction du regard on a obtenu un apprentissage dans le sens d'une amelioration de la performance discriminatoire: l'amelioration etait independante de l'acuite visuelle des recepteurs et n'6tait pas correlative a l'extraversion ou au caractere nevrose des sujets. Au debut la performance etait plus mediocre et le progres dans l'apprentissage meilleur dans le cas des points de fixation qui etaient les plus eloignes du visage. On discute des resultats en vue d'ameliorer la precision des observateurs sur la variable 'comportement du regard' important dans les etudes sur la communication nonverbale. On propose un entralnement prealable des observateurs, entrainement qui permet une retroaction explicite quant a la vraie direction du regard.
Validität und Reliabilität der Sprechkodierung einer Beobachtergruppe wurden in Abhängigkeit von der zeitlichen Auflösung untersucht. Die Validität wurde anhand der Übereinstimmung der Beobachter mit einem automatischen Sprachdetektor berechnet. Die Reliabilitätswerte für die Kodierung von Sprechen und Blikken ergaben sich aus der Übereinstimmung der Beobachter untereinander. Im wesentlichen zeigten sich folgende Ergebnisse: 1. Die Validität/Reliabilität der Sprechkodierung ist eine monotone, nichtlineare Funktion der gewählten Auflösung. Die systematischen Fehler, die auf Latenz und Trägheit der menschlichen Beobachter zurückgehen, werden bei einer Auflösung von 400 msec nahezu vollständig unterdrückt. 2. Weder bei der Erfassung des Sprech- noch des Blickverhaltens lassen sich Anzeichen für Observer-Drift feststellen. Trainierte und untrainierte Beobachter unterscheiden sich nicht signifikant. 3. Die Kodierung des Sprechverhaltens ist geringfügig reliabler als die des Blickverhaltens. Dieser Unterschied kann in der Praxis vernachlässigt werden.