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Biomedical subjects

U H Rohmann

Publications and source records attributed to U H Rohmann.

6 recordsLinked to original sources

[Effects of an intensive therapy program for behaviorally disordered mentally handicapped patients on staff personnel in residential care].

This study evaluates the effects of an intensive therapy program designed for mentally handicapped persons with severely disturbed or autistic behavior on their staff personal which had an active role in the program. The staff members rated their professional competence, quality of interaction with the client, team culture and work satisfaction before and after being engaged in the program, with additional ratings of their personal aims at the beginning of the program. Three sets of data were obtained with the program being conducted three times in a row. The testings of the related as well as the independent samples show differentiated program effects. The main effect is an increase of the professional competence and quality of interaction, especially by the qualified staff members. Trainees put emphasis on the development of their personal relationship with the client. The results are discussed in terms of the impact of learning processes specific to the roles of the staff members and motivational factors on learning and therapy outcome, along with institutional conditions influencing successful learning. Thus the program facilitates the professional and interpersonal learning process of staff members in a specific way with success as well as with limitations.

Autistic Disorder↗

[Evaluation of an intensive therapy program for treatment of severe behavioral disorders in mentally handicapped patients with autistic or psychotic behavior].

The development of severely disturbed and socially accepted behavior in mentally handicapped persons with autistic or psychotic symptoms is documented before, during and after an intensive therapy program conducted in a residential institution for mentally handicapped persons. Seven single case studies were made as long term observation with a duration between 18 and 33 weeks, mostly with a multiple baseline design. One or two follow ups with at least four weeks length were conducted in six out of seven cases up to four years after the end of the intensive therapy. The main results show (1) the decrease of disturbed behavior and the increase of socially accepted behavior during the therapy program, and (2) the significant reduction of the disturbed behavior patterns taking place during the baseline phase before the beginning of the therapy in all cases but one. The results are discussed under the aspects of a possible explanation for the findings and their impact on the discussion about psychotherapy research.

Adolescent↗

[Autoaggression and pulse rate--a longitudinal study].

This article presents a model of autoaggressive behavior in which a distinction is made between determining and maintaining factors. Specific environmental, in particular social, and organismic variables are linked to them. The two types of variables interact, thus causing or maintaining autoaggressive behavior. A theory of autoaggression must therefore rely on multicausal/multimodal explanations. A connection between autoaggression and a high level of arousal suggests itself. In this single-case longitudinal study a comparison was made between heart rate and frequency of autoaggressive behavior. High heart rates were found to be correlated with low frequencies of autoaggressive behavior and vice versa. Decreasing autoaggressive behavior was coupled with increasing muscle relaxation and increasing motor activity. However, abnormally high heart rates were associated with both low and high levels of motor activity.

Adult↗

[Modified holding therapy. A basic therapy in the treatment of autistic children].

Seven autistic children were selected at random from a group of 14 and treated with modified holding therapy (MHT) for 4 weeks. The remaining 7 children (control group) were not treated during a 4-week waiting period. Four of these children were then treated with MHT. The children's parents assessed positive behavior changes (increases in desirable behavior and decreases in undesirable behavior) and negative changes on a behavior rating scale. Significantly more positive changes in behavior problems were reported for the experimental group than for the control group (untreated group) in each of the four symptom categories assessed (disturbances in perception, in speech and in social interaction and obsessive-compulsive or ritualistic behavior). The 4 children in the control group who were later treated with MHT showed behavior changes that correlated highly with those reported for the experimental group. The results are discussed and interpreted from the viewpoint of the two-system theory of information processing and its meaning for psychoses.

Adaptation, Psychological↗