Cognitive-Behavioral Therapy for Adolescent Body Dysmorphic Disorder

The onset of appearance-related concerns associated with body dysmorphic disorder (BDD) typically occurs in adolescence, and these concerns are often severe enough to interfere with normal development and psychosocial functioning. Cognitive behavioral therapy (CBT) is an effective treatment for adults with BDD. However, no treatment studies focusing on adolescents with BDD have been conducted. The need for an effective treatment in this population led to the development of a brief CBT protocol with family involvement. The treatment focuses on enhancing an adolescent's quality of life through the reduction of maladaptive thoughts and behaviors, and incorporates skills training and parent training. Similar treatment packages have already been shown to be efficacious for children and adolescents with similar disorders, such as obsessive-compulsive disorder and social phobia. The following case illustrates the application of this brief CBT protocol for BDD in an adolescent, and highlights clinical considerations needed when adapting CBT for a pediatric population. Treatment was associated with clinically significant improvement in symptoms of BDD, self-esteem, depression, and quality of life. This report extends extant literature by suggesting that CBT may be a helpful treatment for adolescents with BDD.     

Inclusion of Religious Behaviors and Attitudes in Counseling: Expectations of Conservative Christians

In this study of 118 religiously conservative Christians' expectations of counseling, participants were randomly assigned to 1 of 2 treatment conditions: a Christian counselor or a counselor whose religious beliefs were unknown. Participants rated their expectations for the counselor's attitude toward their religious beliefs and use of religious behaviors in counseling using the Behavior and Attitude Expectancies scale (C. Belaire & J. S. Young, 2002). Participants also rated their general expectations for counseling using the Expectations About Counseling: Brief Form (H. E. A. Tinsley, 1985). Results showed that participants expected both a Christian counselor and a counselor whose religious beliefs were unknown to be respectful and accepting of conservative Christian religious beliefs and values and to include multiple religious behaviors in counseling sessions. Participants had overall positive expectations of the counseling process.     

Sex-specific clinical correlates of hoarding in obsessive-compulsive disorder

Little is known about whether the clinical correlates of hoarding behavior are different in men and women with obsessive-compulsive disorder (OCD). In the current study, we evaluated the association of hoarding with categories of obsessions and compulsions, psychiatric disorders, personality dimensions, and other clinical characteristics separately in 151 men and 358 women with OCD who were examined during the OCD Collaborative Genetics Study. We found that, among men but not women, hoarding was associated with aggressive, sexual, and religious obsessions and checking compulsions. In men, hoarding was associated with generalized anxiety disorder and tics whereas, among women, hoarding was associated with social phobia, post-traumatic stress disorder, body dysmorphic disorder, nail biting, and skin picking. In women but not men, hoarding was associated with schizotypal and dependent personality disorder dimensions, and with low conscientiousness. These findings indicate that specific clinical correlates of hoarding in OCD are different in men and women and may reflect sex-specific differences in the course, expression, and/or etiology of hoarding behavior in OCD.     

Maternal and child contributions to cortisol response to emotional arousal in young children from low-income, rural communities

Relations of maternal and child characteristics to child cortisol reactivity to and recovery from emotional arousal were examined prospectively at approximately 7 months of age (infancy) and then again at approximately 15 months of age (toddlerhood). The sample was diverse and population based (N = 1,292 mother-infant dyads) and included families from predominantly low-income, rural communities. Maternal behavior, family income-to-need ratio and social advantage, and child temperament, attention, and mental development were assessed, and children's saliva was sampled before and after standardized procedures designed to elicit emotional arousal. Maternal engagement in infancy was associated with greater cortisol reactivity at the infancy assessment and with reduced overall cortisol level at the toddler assessment. Also at the toddler assessment, child attention, mental development, and temperamental distress to novelty were associated with increased cortisol reactivity and regulation, whereas temperamental distress to limitations and African American ethnicity were associated with reduced cortisol reactivity. Findings are consistent with prior work linking early caregiving to the development of the hypothalamic-pituitary-adrenal axis stress response system and with a conceptual model in which developing temperament is characterized by the interplay of emotional reactivity and the emergence of the ability to effortfully regulate this reactivity using attention.     

Religious Discourse and Cyberspace

This article explores the evolution and development of a typology of cyberspatial religious discourse over the course of a few years. The vast quantity of information published on the Net requires the creation of a typology in order to identify and classify the different approaches, attitudes, applications and functions of religion on and in cyberspace. The three different typologies indicate, on the one hand, the versatile character of cyberspace, and on the other hand, the ever-expanding nature of its perimeters. They show that cyberspatial discourse, religious or not, cannot be confined within restricted boundaries but must be perceived as a changeable and unforeseen structure, having the capacity to adapt itself according to the visions, fantasies, ingenuities and inventiveness of the users. They also suggest that despite the rhizomatic construction of cyberspace, the information published on the innumerable religious sites can be systematised in a ‘logical’ formation.     

Remembrance of Eyewitness Testimony: Effects of Emotional Content,Self‐Relevance,and Emotional Tone1

This experiment concerned the effects of emotional content, self‐relevance, and emotional tone of testimony on memory. Eyewitness accounts of 4 events were constructed that systematically differed in emotionality and self‐relevance. The testimony, captured on videotape, was expressed with or without negative emotion. After viewing one of the videotaped accounts, participants were administered cued‐recall and recognition memory tests. Significant main effects indicated that participants best remembered testimony that was emotional in content, self‐relevant, and negatively expressed. Although emotional content and self‐relevance interacted to affect state anxiety, the latter did not mediate memory effects. Overall, significant gender differences in state anxiety but not memory emerged. Implications for understanding the influence of emotion on juror memory are discussed.     

Nonstandard Work Arrangements among Women and Men Scientists and Engineers

This paper draws on a sample of 48,444 scientists and engineers in the United States to analyze nonstandard work arrangements among women and men, 8,773 of whom worked in such arrangements. With few exceptions, women were overrepresented in these arrangements and particularly in those characterized by lower wages and benefits, but their overrepresentation in the worst arrangements failed to explain the gender pay gap. Unlike in the general labor force where “equality at the bottom” tends to prevail, the gender pay gap in science and engineering is greater in the worst nonstandard work arrangements than in the best, and gender equality is greater in the best arrangements than in the worst, possibly because of a selection effect.     

Personality traits of Russians from the observer's perspective

Data were collected by the members of the Russian character and personality survey from 39 samples in 33 administrative areas of the Russian Federation. Respondents (N = 7065) identified an ethnically Russian adult or college‐aged man or woman whom they knew well and rated the target using the Russian observer rating version of the Revised NEO Personality Inventory, which measures neuroticism, extraversion, openness to experience, agreeableness and conscientiousness. Factor analyses within samples showed that the factor structure of an international sample combining data from 50 different cultures was well replicated in all 39 Russian samples. Sex differences replicated the known pattern in all samples, demonstrating that women scored higher than men on most of the neuroticism, openness, agreeableness and conscientiousness facet scales. Cross‐sectional analyses demonstrated consistent age differences for four factors: Older individuals compared to younger ones were less extraverted and open but more agreeable and conscientious. The mean levels of traits were similar in all 39 samples. Although in general personality traits in Russians closely followed the universal pattern, some reliable culture‐specific effects were also found that future studies can help interpret. Copyright © 2009 John Wiley & Sons, Ltd.     

A prognostic utility bias in judgments of similarity between past and present instances: How available information is deemed useful for prediction

A variety of theorists have proposed that individuals desire to be confident in their inferences and predictions. One way this can be accomplished is by overestimating the extent to which available information provides a logic basis for such conclusions. Thus, when one's goal is to make an accurate prediction, if information about a prior known instance has potential implications for the prediction, one may overestimate the similarity of the prior known instance to the current instance. In this way, the perceived utility of the information as a basis for prediction can be inflated. To test this idea, three studies were conducted. In each study, subjects were asked to judge the similarity of past instances to an upcoming instance for which an outcome prediction was required. Judging a past instance as similar to the upcoming instance should only provide a firm basis for outcome prediction if outcome information regarding the past instance is known. Therefore, it was expected that when subjects are asked to make an outcome prediction, they would judge a past instance more similar to the upcoming instance if outcome information about the past instance is known than if it is not. Support for this hypothesis was obtained along with evidence concerning the conditions under which the eflect does and does not occur.     

Southeast Asian Refugee Adolescents: Implications for Counseling

Historically, unaccompanied Southeast Asian refugee adolescents have been inadequately served by mental health professionals. The authors of this article report research findings on self-perceived depression and isolation and implications for psychotherapy. Results indicate significant differences regarding sex, English language skills, work involvement, and self-disclosure.