Engagement and outcome in the treatment of bulimia nervosa: first phase of a sequential design comparing motivation enhancement therapy and cognitive behavioural therapy

Despite the major advances in the development of treatments for bulimia nervosa, drop-outs and a lack of engagement in treatment, continue to be problems. Recent studies suggest that the transtheoretical model of change may be applicable to bulimia nervosa. The aim of this study was to examine the roles of readiness to change and therapeutic alliance in determining engagement and outcome in the first phase of treatment. One hundred and twenty five consecutive female patients meeting DSM-IV criteria for bulimia nervosa took part in a randomised controlled treatment trial. The first phase of the sequential treatment compared four sessions of either cognitive behavioural therapy (CBT) or motivational enhancement therapy (MET) in engaging patients in treatment and reducing symptoms. Patients in the action stage showed greater improvement in symptoms of binge eating than did patients in the contemplation stage. Higher pretreatment scores on action were also related to the development of a better therapeutic alliance (as perceived by patients) after four weeks. However, pretreatment stage of change did not predict who dropped out of treatment. There were no differences between MET and CBT in terms of reducing bulimic symptoms or in terms of developing a therapeutic alliance or increasing readiness to change. The results suggest that the transtheoretical model of change may have some validity in the treatment of bulimia nervosa although current measures of readiness to change may require modification. Overall, readiness to change is more strongly related to improvement and the development of a therapeutic alliance than the specific type of treatment.     

The assessment of obsessionality using the Padua inventory: its validity in a British non-clinical sample

The Padua Inventory (PI) is a measure of obsessive–compulsive phenomena, which permits measurement of both number and severity of symptoms. Data is available from Italy, the US, the Netherlands and Australia on non-clinical samples. The present study provides a psychometric evaluation of the PI on a British non-clinical sample (N=1855). Comparisons are made with other data and further suggestions for the use of the PI are made. Results from the present study indicate that the PI has similar, though not identical, factor structure to previous studies, adequate internal reliability and construct validity. Four factors emerged, containing clusters of items broadly relating to ‘impaired control over mental activities/doubting', ‘contamination', ‘checking' and ‘worries about losing control over motor behaviour' and these included most of the items loading on the same factors in earlier studies together with additional items.The relationships of age and gender with the PI scores are investigated. Differences were found from the Sanavio (1988) [Sanavio, E. (1988). Obsessions and compulsions: the Padua Inventory. Behaviour Research and Therapy, 26, 169–177.] Italian sample. These differences are in keeping with other available data from British samples and other data on the epidemiology of Obsessive Compulsive Disorder. The five factor structure found in the one study using clinical and non-clinical subjects is discussed in relation to the present analyses.     

Counseling in the Philippines: Past,Present, and Future

The history of colonization and persistent attempts at self‐governance in the Philippines parallel the beginnings of counseling in the country, which were largely influenced by the United States. Because of the Guidance and Counseling Act of 2004 and the Psychology Act of 2009, counseling is on its way to professionalization and regulation. Counseling is growing in depth and credibility, as evidenced by applications in practice that are not only indigenous but powerfully relevant.     

Presymptomatic Testing for Neurogenetic Diseases in Brazil: Assessing Who Seeks and Who Follows through with Testing

Diagnostic tests are available to detect several mutations related to adult-onset, autosomal dominant, neurodegenerative diseases. We aimed to describe our experience in a presymptomatic testing program run by the Brazilian Public Health System from 1999 to 2009. A total of 184 individuals were eligible for presymptomatic testing due to a risk for spinocerebellar ataxia (SCA) - SCA3 (80%), Huntington’s disease (11.9%), familial amyloidotic neuropathy (4.3%), SCA1, SCA2, SCA6, or SCA7. Most were women (70%), married (54%), and had children prior to presymptomatic testing (67%). Their mean age at entrance was 34 (SD = 11 years). Educational level was above the average Brazilian standard. After receipt of genetic counseling, 100 individuals (54%) decided to undergo testing; of these, 51 were carriers. Since no individual returned for post-test psychological evaluation, we conducted a subsequent survey, unrelated to test disclosures. We contacted 57 individuals of whom 31 agreed to participate (24 had been tested, 7 had not). Several ascertainment concerns relating to these numerous losses prevented us from generalizing our results from this second survey. We concluded that: decision-making regarding presymptomatic testing seems to be genuinely autonomous, since after genetic counseling half the individuals who asked for presymptomatic testing decided in favor and half decided against it; general characteristics of Brazilians who sought presymptomatic testing were similar to many European samples studied previously; and individuals at risk for SCA3 may be at greater risk of depression. Although no clear-cut reason emerged for rejection of follow-up psychological sessions after presymptomatic testing, this finding suggests adjustments to our presymptomatic testing program are necessary.     

Validating Regulatory Sensory Processing Disorders Using the Sensory Profile and Child Behavior Checklist (CBCL 1?–5)

The objective was to validate Regulatory Sensory Processing Disorders’ criteria (DC:0-3R, 2005) using empirical data on the presence and severity of sensory modulation deficits and specific psychiatric symptoms in clinical samples. Sixty toddlers who attended a child mental health unit were diagnosed by a clinical team. The following two groups were created: toddlers with RSPD (N?=?14) and those with “other diagnoses in Axis I/II of the DC:0-3R″(OD3R) (N?=?46). Independently of the clinical process, parents completed the Infant Toddler Sensory Profile (as a checklist for sensory symptoms) and the Achenbach Behavior Checklist for ages 1?–5 (CBCL 1?–5). The scores from the two groups were compared. The results showed the following for the RSPD group: a higher number of affected sensory areas and patterns than in the OD3R group; a higher percentage of sensory deficits in specific sensory categories; and a higher severity of behavioral symptoms such as withdrawal, inattention, other externalizing problems and pervasive developmental problems in CBCL 1?–5. The results confirmed our hypotheses by indicating a higher severity of sensory symptoms and identifying specific behavioral problems in children with RSPD. The results revealed convergent validity between the instruments and the diagnostic criteria for RSPD and supported the validity of RSPD as a unique diagnosis. The findings also suggested the importance of identifying sensory modulation deficits in order to develop an early intervention to enhance the sensory capacities of children who do not fully satisfy the criteria for some DSM-IV-TR disorders.     

Auditory contagious yawning in domestic dogs (Canis familiaris): first evidence for social modulation

Dogs' capacity to 'catch' human yawns has recently attracted the attention of researchers in the field of animal cognition. Following recent studies suggesting that contagion yawning in humans, and some other primates, is empathy-related, some authors have considered the possibility that the same mechanism may underlie contagious yawning in dogs. To date, however, no positive evidence has been found, and more parsimonious hypotheses have been put forward. The present study explored the 'contagion-only' hypothesis by testing whether the mere sound of a human yawn can be sufficient to elicit yawning in dogs, in a way that is unaffected by social-emotional factors. Unexpectedly, results showed an interesting interplay between contagion and social effects. Not only were dogs found to catch human yawns, but they were also found to yawn more at familiar than unfamiliar yawns. Although not allowing for conclusive inferences about the mechanisms underlying contagious yawning in dogs, this study provides first data that renders plausible empathy-based, emotionally connected, contagious yawning in these animals.     

Symmetry axiom of Haken–Kelso–Bunz coordination dynamics revisited in the context of cognitive activity

We present an axiomatic derivation of a model proposed by Haken, Kelso, and Bunz (1985) that describes dynamical aspects of the rhythmic coordination between two limbs. Elaboration of this model has included a symmetry parameter that captures the coordination consequences of an inherent or imposed frequency difference between the limbs. We modified one of the axioms involved in the model derivation, a symmetry axiom, in order to incorporate a new symmetry parameter. This new parameter defines a shift between (a) the laboratory coordinate system, in which the behavior is observed, and (b) a second, postulated coordinate system. It is this second coordinate system, in which the relevant state dynamics is assumed to take place and in which the state dynamics evolves under the impact of an attractor. The state dynamics as described in the attractor coordinate system is then mapped by means of the new symmetry parameter to the laboratory coordinate system. We discuss analytically the bifurcation diagram of the model and determine main effects and interaction effects of manipulations related to the symmetry parameters and related to the mode of coordination (in-phase and anti-phase). The theoretical results are brought to bear on the challenging experimental observation that concurrent cognitive activity (counting, encoding, retrieving, sentence analysis) changes the location of the bimanual coordination attractor but not its strength. The theoretical results suggest that cognitive activity may have the effect it has because it shifts the attractor coordinate system relative to the laboratory coordinate system.     

Indiscriminate behavior observed in the strange situation among institutionalized toddlers: Relations to caregiver report and to early family risk

Socially disinhibited or indiscriminate behavior (IB) has traditionally been investigated using caregiver reports. More recently, an observational measure based on the Strange Situation Procedure (M. Ainsworth, M. Blehar, E. Waters, & S. Wall, 1978), the Rating of Infant and Stranger Engagement (RISE; C. Riley, A. Atlas‐Corbett, & K. Lyons‐Ruth, 2005), was validated in home‐reared at‐risk children. The present study aimed to validate the RISE in an institutionally reared sample using the caregiver report, to assess whether IB assessed with the RISE was elevated among the institutionalized children, and to explore potential risk factors associated with IB. The study was conducted among 74 institutionalized toddlers aged 11 to 30 months. Sociodemographic questionnaires were used to assess pre‐admission experiences, and aspects of institutional placement were coded from the children's files in the institution and staff's report. Institutionalized children displayed high frequencies of IB as assessed on the RISE, and this instrument was validated against caregiver report. Pre‐admission experiences of the institutionalized children in their biological families—namely, prenatal risk and maternal emotional neglect risk—predicted IB. Results suggest that the RISE is adequate to use among institutionally reared toddlers and point to aspects of the early familial environment that may be implicated in IB.     

Influence of background on precision of 3D depth judgment tasks in a real environment

Presently, little is known about the effect of curved backgrounds against which the target stimulus is presented on precision in stereoacuity. The experiment analyzed the influence of stimulus orientation and 3D background configuration on stereoscopic vision. Participants were instructed to perform 3D visual alignment tasks on a modified version of the Howard-Dolman apparatus, whereupon precision in depth perception for different curved backgrounds (flat, black, concave, and convex) was evaluated. In addition, the influence of stimulus orientation (0 degrees, 45 degrees, and 90 degrees) on precision was examined. The findings revealed an underestimation in the perceived depth in all background configurations, indicating highest and lowest precision outcomes for convex and concave backgrounds, respectively. In addition, a significant interaction of background and orientation was found. It was concluded that, in a real environment, background local depth cues are integrated with target stimuli to contribute to depth perception.