13 resultados para Psychologist

em BORIS: Bern Open Repository and Information System - Berna - Suiça


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Introduction: Nocturnal dreams can be considered as a kind of simulation of the real world on a higher cognitive level (Erlacher & Schredl, 2008). Within lucid dreams, the dreamer is aware of the dream state and thus able to control the ongoing dream content. Previous studies could demonstrate that it is possible to practice motor tasks during lucid dreams and doing so improved performance while awake (Erlacher & Schredl, 2010). Even though lucid dream practice might be a promising kind of cognitive rehearsal in sports, little is known about the characteristics of actions in lucid dreams. The purpose of the present study was to explore the relationship between time in dreams and wakefulness because in an earlier study (Erlacher & Schredl, 2004) we found that performing squads took lucid dreamers 44.5 % more time than in the waking state while for counting the same participants showed no differences between dreaming and wakefulness. To find out if the task modality, the task length or the task complexity require longer times in lucid dreams than in wakefulness three experiments were conducted. Methods: In the first experiment five proficient lucid dreamers spent two to three non-consecutive nights in the sleep laboratory with polysomnographic recording to control for REM sleep and determine eye signals. Participants counted from 1-10, 1-20 and 1-30 in wakefulness and in their lucid dreams. While dreaming they marked onset of lucidity as well as beginning and end of the counting task with a Left-Right-Left-Right eye movement and reported their dreams after being awakened. The same procedure was used for the second experiment with seven lucid dreamers except that they had to walk 10, 20 or 30 steps. In the third experiment nine participants performed an exercise involving gymnastics elements such as various jumps and a roll. To control for length of the task the gymnastic exercise in the waking state lasted about the same time as walking 10 steps. Results: As a general result we found – as in the study before – that performing a task in the lucid dream requires more time than in wakefulness. This tendency was found for all three tasks. However, there was no difference for the task modality (counting vs. motor task). Also the relative time for the different lengths of the tasks showed no difference. And finally, the more complex motor task (gymnastic routine) did not require more time in lucid dreams than the simple motor task. Discussion/Conclusion: The results showed that there is a robust effect of time in lucid dreams compared to wakefulness. The three experiments could not explain that those differences are caused by task modality, task length or task complexity. Therefore further possible candidates needs to be investigated e.g. experience in lucid dreaming or psychological variables. References: Erlacher, D. & Schredl, M. (2010). Practicing a motor task in a lucid dream enhances subsequent performance: A pilot study. The Sport Psychologist, 24(2), 157-167. Erlacher, D. & Schredl, M. (2008). Do REM (lucid) dreamed and executed actions share the same neural substrate? International Journal of Dream Research, 1(1), 7-13. Erlacher, D. & Schredl, M. (2004). Time required for motor activity in lucid dreams. Perceptual and Motor Skills, 99, 1239-1242.

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Sport psychology services have become to be an important brick stone when building athletic success. The strive for better performance is not only a characteristic of athletes, but of the whole support system in top level sport including sport psychology. Sport psychology consultants are permanently challenged to deliver highest quality services to their clients if they do not want to lose their contracts. Sport psychologists are continuously improving their consulting skills, learn new intervention techniques, read scientific papers and, last but not least, gain experience by accumulating hours of deliberate practice (Ericsson) in sport psychology. Even with increasing experience, the consultant has a certain number of degrees of freedom and has to make a series of decisions about how he or she wants to work. Quality, however, depends on a number of issues, and not all of them are under direct control of the consultant. It is argued that, in order for these choices being good, the following factors - among others - must be considered: Who is seeking assistance? What are the "issues and problems" (Gardner & Moore, 2006) the athlete is confronted with? What kind of approaches do fit with the client's need? Who is the 'client' the sport psychologist is supposed to work with? If it is a team, is the sport psychologist supposed to work with a number of individuals, with the coach, or with the whole system? Where are the boundaries of the system? What is the role of the sport psychologist in the sport system? All these issues directly affect the process and outcome quality of the sport psychology consultant. A sound theoretical basis, in connection with a distinct philosophy of the intervention, is an important cornerstone for the quality of sport psychology consultation.

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BACKGROUND Psoriatic arthritis (PsA) and co-morbidities of psoriasis represent a significant clinical and economic burden for patients with moderate-to-severe psoriasis. Often these co-morbidities may go unrecognized or undertreated. While published data are available on the incidence and impact of some of them, practical guidance for dermatologists on detection and management of these co-morbidities is lacking. OBJECTIVE To prepare expert recommendations to improve the detection and management of common co-morbidities in patients with moderate-to-severe psoriasis. METHODS A systematic literature review was conducted on some common co-morbidities of psoriasis-cardiovascular (CV) diseases (including obesity, hypertension, hyperglycaemia and dyslipidaemia), psychological co-morbidities (including depression, alcohol abuse and smoking) and PsA-to establish the incidence and impact of each. Data gaps were identified and a Delphi survey was carried out to obtain consensus on the detection and management of each co-morbidity. The expert panel members for the Delphi survey comprised 10 dermatologists with substantial clinical expertise in managing moderate-to-severe psoriasis patients, as well as a cardiologist and a psychologist (see appendix) with an interest in dermatology. Agreement was defined using a Likert scale of 1-7. Consensus regarding agreement for each statement was defined as ≥75% of respondents scoring either 1 (strongly agree) or 2 (agree). RESULTS The expert panel members addressed several topics including screening, intervention, monitoring frequency, and the effects of anti-psoriatic treatment on each co-morbidity. Consensus was achieved on 12 statements out of 22 (3 relating to PsA, 4 relating to psychological factors, 5 relating to CV factors). The panel members felt that dermatologists have an important role in screening their psoriasis patients for PsA and in assessing them for psychological and CV co-morbidities. In most cases, however, patients should be referred for specialist management if other co-morbidities are detected. CONCLUSION This article provides useful and practical guidance for the detection and management of common co-morbidities in patients with moderate-to-severe psoriasis.

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BACKGROUND: Social anxiety disorder (SAD) is one of the most common mental disorders and causes subjective suffering and economic burden worldwide. Although effective treatments are available, a lot of cases go untreated. Internet-based self-help is a low-threshold and flexible treatment alternative for SAD. Various studies have already shown that internet-based self-help can be effective to reduce social phobic symptoms significantly. Most of the interventions tested include therapist support, whereas the role of peer support within internet-based self-help has not yet been fully understood. There is evidence suggesting that patients' mutual exchange via integrated discussion forums can increase the efficacy of internet-based treatments. This study aims at investigating the added value of therapist-guided group support on the treatment outcome of internet-based self-help for SAD. METHODS/DESIGN: The study is conducted as a randomized controlled trial. A total of 150 adults with a diagnosis of SAD are randomly assigned to either a waiting-list control group or one of the active conditions. The participants in the two active conditions use the same internet-based self-help program, either with individual support by a psychologist or therapist-guided group support. In the group guided condition, participants can communicate with each other via an integrated, protected discussion forum. Subjects are recruited via topic related websites and links; diagnostic status will be assessed with a telephone interview. The primary outcome variables are symptoms of SAD and diagnostic status after the intervention. Secondary endpoints are general symptomology, depression, quality of life, as well as the primary outcome variables 6 months later. Furthermore, process variables such as group processes, the change in symptoms and working alliance will be studied. DISCUSSION: The results of this study should indicate whether group-guided support could enhance the efficacy of an internet-based self-help treatment for SAD. This novel treatment format, if shown effective, could represent a cost-effective option and could further be modified to treat other conditions, as well.

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Objectives Despite many reports on best practises regarding onsite psychological services, little research has attempted to systematically explore the frequency, issues, nature and client groups of onsite sport psychology consultancy at the Olympic Games. The present paper will fill this gap through a systematic analysis of the sport psychology consultancy of the Swiss team for the Olympic Games of 2006 in Turin, 2008 in Beijing and 2010 in Vancouver. Design Descriptive research design. Methods The day reports of the official sport psychologist were analysed. Intervention issues were labelled using categories derived from previous research and divided into the following four intervention-issue dimensions: “general performance”, “specific Olympic performance”, “organisational” and “personal” issues. Data were analysed using descriptive statistics, chi square statistics and odds ratios. Results Across the Olympic Games, between 11% and 25% of the Swiss delegation used the sport psychology services. On average, the sport psychologist provided between 2.1 and 4.6 interventions per day. Around 50% of the interventions were informal interventions. Around 30% of the clients were coaches. The most commonly addressed issues were performance related. An association was observed between previous collaboration, intervention likelihood and intervention theme. Conclusions Sport psychologists working at the Olympic Games are fully engaged with daily interventions and should have developed ideally long-term relationships with clients to truly help athletes with general performance issues. Critical incidents, working with coaches, brief contact interventions and team conflicts are specific features of the onsite consultancy. Practitioners should be trained to deal with these sorts of challenges.

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Einleitung Ein Klartraum ist definiert als ein Traum, in dem der Träumende weiß, dass er träumt. In der Fachliteratur finden sich verschiedene Induktionstechniken, um die Klartraum-häufigkeit zu steigern (z.B. Stumbrys, Erlacher, Schädlich & Schredl, 2012). Zudem wurde in einer Pilotstudie gezeigt, dass ein Training im Klartraum zu Verbesserungen in einer Zielwurfaufgabe am nächsten Morgen führt (Erlacher & Schredl, 2010). Um ein regelmäßiges Training im Traum zu ermöglichen, besteht für die Sportpraxis das Problem, Klarträume gezielt zu induzieren. In dieser Studie wurde im Schlaflabor die so genannte Memnotische Induktion von luziden Träumen (MILT) – eine Autosugges-tionstechnik in der die Intention, einen Klartraum zu erleben, an Traumhinweise ge-koppelt wird – im Morgenschlaf überprüft. Methoden Insgesamt wurden 52 Versuchsteilnehmer (32 männlich und 20 weiblich) im Alter von 24 Jahren (± 2.2) im Schlaflabor untersucht. Die Personen waren in 4 Gruppen aufge-teilt. Alle Personen schliefen zunächst für ca. 6 Stunden, wurden dann aus einer REM-Phase geweckt und sollten einen Traum berichten. Im Anschluss blieben die Teilnehmer 30 bzw. 60 Minuten wach und praktizierten entweder MILT oder beschäf-tigten sich mit einer kognitiven oder motorischen Kontrollaufgabe. Im Anschluss durf-ten alle Teilnehmer für max. 4 weitere Stunden schlafen. Das Auftreten eines Klartraums in der morgendlichen Schlafphase diente als abhängige Variable. Ergebnisse und Diskussion Die Ergebnisse zeigen, dass MILT zu einer gesteigerten Klartraumhäufigkeit (33-70%) im Vergleich zur Kontrollbedingung (9-14%) führt. Ein Unterschied zwischen 30 Minuten (50%) zu 60 Minuten MILT (70%) ist marginal. Das Auftreten von Klarträumen kann durch MILT im Morgenschlaf signifikant gestei-gert werden. Die Erfolgsquote schwankt jedoch mit Blick auf die genaue Definition ei-nes Klartraums. Es konnten bei nicht klartraumerfahrenen Versuchsteilnehmerinnen mehr Klarträume induziert werden. Für die Sportpraxis könnten solche Induktions-techniken dem Sportler ermöglichen, im Traum zu trainieren. In weiteren Studien wäre zu untersuchen, ob Athleten ebenfalls Klarträume induziert werden können. Ebenso sollte die Auswirkung eines regelmäßigen Klartraumtrainings in der Sportpraxis wei-ter untersucht werden. Literatur Stumbrys, T., Erlacher, D., Schädlich, M. & Schredl, M. (2012). Induction of lucid dreams: a systematic review of evidence. Consciousness and Cognition, 21(3), 1456-1475. Erlacher, D. & Schredl, M. (2010). Practicing a motor task in a lucid dream enhances subsequent performance: A pilot study. The Sport Psychologist, 24(2), 157-167.

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Einleitung Eine eher unbekannte Art des Mentalen Trainings ist das Training im Klartraum (Erla-cher, Stumbrys & Schredl, 2011-12). Im Klartraum ist sich der Träumende bewusst, dass er träumt, und kann dadurch den fortlaufenden Trauminhalt kontrollieren. Frühere Stu-dien zeigten, dass es möglich ist, motorische Aufgaben im Klartraum zu üben, um dadurch eine verbesserte Leistung im Wachzustand zu erreichen (Erlacher & Schredl, 2010). Jedoch ist wenig über die Prävalenz von Klarträumern im Sport bekannt. Methode Die Stichprobe umfasste 840 deutsche (D: 483 m, 357 w) und 1323 japanische (J: 1000 m, 323 w) Athleten. Das Durchschnittsalter betrug 20,4 Jahre (D: 21,6 J: 19,7). Die Teil-nehmer wurden in verschiedenen Sportarten – von Mannschaftssportarten (z.B. Basket-ball) bis Einzelsportarten (z.B. Leichtathletik) – rekrutiert und füllten einen Fragebogen zum Thema Sport, Schlaf und Traum aus. Die Athleten waren durchschnittlich 9,1 Jahre (D: 11.1, J: 7,9) aktiv und trainierten etwa 14,4 Stunden (D: 11.1, J: 16,7) pro Woche. Der Fragebogen erfasste auf einer 8-stufigen Skala die Klartraumhäufigkeit (Plus Definition: Für ein klares Verständnis von Klarträumen); die Anwendung (z.B. Training) für den Sport und, wenn dies bestätigt wurde, ob sportliche Verbesserungen erlebten wurden. Ergebnisse 47% (D: 57%, J: 41%) der Athleten gaben an, mindesten einen Klartraum erlebt zu ha-ben, 20% (D: 24% J: 18%) sind häufige Klarträumer (mit einem oder mehrere Klarträume pro Monat) und 9% (D 9% , J: 9%) nutzen Klarträume für ihren Sport, davon berichtet die Mehrheit, dass das Klartraumtraining die sportliche Leistung im Wachzustand verbessert. Diskussion Etwa die Hälfte der Athleten kennt das Klarträumen aus eigener Erfahrung, ein Fünftel sind häufige Klarträumer und etwa jeder zehnte Athlet nutzt Klarträume für seinen Sport. Für die deutsche Stichprobe ist die Prävalenzrate der Athleten ähnlich wie in der Bevöl-kerung. Für die japanische Stichprobe liegen keine repräsentativen Bevölkerungsdaten vor, auf der Grundlage der hier vorgestellten Fragebogendaten scheint es jedoch, dass kulturellen Unterschiede eine untergeordnete Rolle spielen. Literatur Erlacher, D. & Schredl, M. (2010). Practicing a motor task in a lucid dream enhances subsequent perfor-mance: A pilot study. The Sport Psychologist, 24(2), 157-167. Erlacher, D., Stumbrys, T. & Schredl, M. (2011-2012). Frequency of lucid dreams and lucid dream practice in German athletes. Imagination, Cognition and Personality, 31(3), 237-246.

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Psychological assessment is a central component of applied sport psychology. Despite obvious and well-documented advantages of diagnostic online tools, there is a lack of a system for such tools for sport psychologists so far in Switzerland. Having the most frequently used questionnaires available online in one single tool for all listed Swiss sport psychologists would make the work of practitioners a lot easier and less time consuming. Therefore, the main goal of this project is to develop a diagnostic online tool system with the possibility to make available different questionnaires often used in sport psychology. Furthermore, we intend to survey status and use of this diagnostic online tool system and the questionnaires by Swiss sport psychologists. A specific challenge is to limit the access to qualified sport psychologists and to secure the confidentiality for the client. In particular, approved sport psychologists get an individual code for each of their athletes for the required questionnaire. With the help of this code, athletes can access the test via a secure website at any place of the world. As soon as they complete and submit the online questionnaire, analysed and interpreted data reach the sport psychologist via E-Mail, which is timesaving and easy applicable for the sport psychologist. Furthermore, data are available for interpretation with athletes and documentation of individual development over time is possible. Later on, completed and anonymised questionnaires will be collected and analysed. Bigger number of collected data give more insight in the psychometric properties, thus helping to improve and further develop the questionnaires. In this presentation, we demonstrate the tool and its feasibility using the German version of the Test of Performance Strategies (TOPS, Schmid et al., 2010). To conclude, this diagnostic online tool system offers new possibilities for sport psychologists working as practitioner.

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Paul Ricœur describes selfhood as the product of a communal narrative. Communal narratives structured as symbolic myths provide a narrative identity and an ethic of selfhood. The psychologist Jerome Bruner, for instance, places the source of such a narrative identity in the family, where ‘canonical stories’ are formed. ‘Home’ becomes a mode of discourse, a way of recognizing ourselves in the narratives given to us by others. This paper will draw on these concepts of narrative identity in order to investigate the problems to selfhood which face the character of The Doctor in the BBC series Doctor Who. I will identify The Doctor as a character who acts within a self-constructed narrative vacuum, reading the character by contrasting two types of personal myth-making, one ‘real’, as in a lived narrative, and one ‘counterfeit’; a conjured myth to replace and obscure the lived self. The paper will pay particular attention to the twenty-first century reincarnations of Doctor Who. I will argue that the writing of Russell T. Davis and later Steven Moffat in particular directly address this tension of myth and selfhood, as The Doctor struggles between his self-imposed role as a modern Prometheus and the insistent haunting and return of his own story. In these incarnations, his companions become mirrors to The Doctor, bringing with them their own narrative and ethical identities. In turn, it is through his companions that The Doctor is able to build his own lived narrative of sorts, which challenges his self-created ‘mythology’. In contrast to the weeping angels, whose horrific agency manifests only when not apprehended, the Doctor’s story continues to become more real the more he is ‘perceived’, both by the human race and by the viewer.

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Einleitung: Die Nachwuchsarbeit im Schweizer Fussball ist seit 1995 stark professionalisiert worden, was sich in den letzten 15 Jahren in mehrere internationale Erfolge niedergeschlagen hat. Im Hinblick auf den sportlichen Erfolg hat sich dabei gezeigt, dass sich die Karrieren der erfolgreichsten Schweizer Spieler, deren Förderung in die ersten Jahre dieser Professionalisierung fällt, bereits in der Sampling Phase (Coté, 1999) durch eine frühe Spezialisierung beschreiben lässt (Zibung & Conzelmann, 2013). Die Trainingsumfänge beinhalten v.a. Clubtraining und viel freies Spiel ausserhalb des Clubs oder fussballnahe andere sportliche Aktivitäten. In diesem Beitrag wird der Frage nachgegangen, inwiefern sich die in den folgenden Jahren nochmals akzentuierte Professionalisierung auf die sportlichen Karrieren der aktuellen Generation von talentierten Fussballspielern ausgewirkt hat. Methode: N = 32 Juniorennationalspieler mit mind. 1 Aufgebot in die U15 oder U16 Nationalmannschaft (Jg. 99; Stichprobe A) werden mit n = 151 ehemaligen Juniorennationalspielern (Jg. 81-87; Stichprobe B aus Zibung & Conzelmann, 2013) in Bezug auf relevante Indikatoren zur Frühspezialisierung verglichen. Dafür wurden die beiden Stichproben in Anlehnung an Zibung und Conzelmann (2013) mittels t-Tests (p < .05) bezüglich folgender Indikatoren für Frühspezialisierung verglichen: Alter beim Beginn freies Fussballspiel und beim ersten Clubeintritt, Trainingsstunden im Club, freies Fussballspiel sowie sportliche Aktivitäten neben dem Fussball (jeweils bis 12-jährig). Die Variablen wurden in beiden Studien retrospektiv per Fragebogen erfasst. Resultate: Die Spieler der jüngeren Generation haben bis 12 Jahre weniger Stunden frei Fussball gespielt (MA = 2016.6, SDA = 1107.1) als die Spieler der älteren Generation (MB = 2535.5, SDB = 1277.3) (t(50.1) = 2.34, p = .02, d = .66). Gleichzeitig haben sie neben dem Fussball weniger andere sportliche Aktivitäten aufzuweisen (t(68.0) = 2.53, p = .01, d = .61). In den Variablen Trainingsstunden im Club (MA = 923.0, SDA = 166.6; MB = 967.0, SDB = 287.1), Alter beim Beginn des freien Fussballspiels (MA = 4.08, SDA = 1.5; MB = 4.36, SDB = 1.2) und beim ersten Clubeintritt (MA = 5.75, SDA = 1.0; MB = 6.07, SDB = 1.3) unterscheiden sich die beiden Stichproben nicht. Diskussion: Der Vergleich der beiden Stichproben zeigt, dass es in den letzten 15 Jahren zu einer Veränderung der Trainingsumfänge von Juniorennationalspielern gekommen ist. Die aktuelle Generation von Juniorennationalspielern spielt neben dem Clubtraining weniger frei Fussball und betreibt aber auch weniger andere Sportarten als die Juniorennationalspieler vor 10-15 Jahren. Ob vermehrte schulische Anforderungen diesen Rückgang in der generellen sportlichen Aktivität verschulden, müsste in der Folge weiter untersucht werden. Ebenso bleibt offen, ob die Einschätzung der Stichprobe B, aufgrund des relativ langen Zeitraums, der zwischen der Erhebung und dem zu erfassenden Zeitraum liegt, zu einer Antwortverzerrung und damit einer Erhöhung der geschätzten Trainingsstunden geführt hat. Literatur: Côté, J. (1999). The influence of the family in the development of talent in sport. The Sport Psychologist, 13 (4), 395–417. Zibung, M. & Conzelmann, A. (2013). The role of specialisation in the promotion of young football talents: A person-oriented study. European Journal of Sport Science, 13 (5), 452–460.