Individual Multimodal Therapy for Weight Loss: A Case Example

Individual multimodal therapy provides a comprehensive approach to the treatment of overeating. The multimodal treatment plan helps to target social and emotional issues related to eating disorders as well as the eating behaviors themselves. The authors present a case study highlighting a treatment model based on a multimodal conceptualization.     

Counseling's Inescapable Moral Visions

In this article, philosophical hermeneutics is combined with interpretive social science perspectives to generate a framework for considering the influence of cultural values and assumptions on counseling theory and practice. The core of this framework is the claim that people necessarily live within moral visions that answer the questions: (a) what is a person? and (b) what should a person be or become? Culture provides answers to these questions not only through folk and indigenous psychologies but also by shaping psychological and counseling theories. Moral visions are generally unacknowledged because of the fact-value dualism and the ideals of neutrality that pervade Western culture. Consequently, moral visions, like individualism, operate as disguised ideology in counseling theory and practice.     

Employing Ethical Codes and Decision-Making Models: A Developmental Process

Counselors often encounter seemingly intractable ethical dilemmas. To assist counselors who face difficult situations, the helping professions have generated both ethical codes and decision-making models. Because the process of decision making seems to be related to cognitive-moral development, this article details ethical codes and decision models and speculates on how counselor level of development may influence use of such codes and models.     

Connections Between Childhood Abuse and HIV Infection

This study examined the incidence of childhood sexual and physical abuse in 52 human immuno-deficiency virus (HIV) infected adults. Behaviors and dynamics associated with unresolved childhood abuse (revictimization, sexual compulsivity, chronic depression, and alcohol and other drug abuse) are discussed in light of those behaviors and dynamics that increase a person's risk of exposure to the virus causing Acquired Immune Deficiency Syndrome (AIDS). lnterview results showed that 65% of those infected reported physical or sexual abuse in childhood. The prevalence of adult survivor characteristics was also examined, and responses were compared based on HIV transmission modes. Recommendations for counselors working with HIV-infected clients are also provided.     

Hearing Metaphor: An Approach to Working with Family-Generated Metaphor

This article presents a step-by-step approach to working with family-generated metaphor in family therapy. Although the use of therapist-generated “therapeutic metaphors” has been widely advocated and practiced for many years now, less attention has been paid to the metaphors used by family members. We argue that the family's metaphors are a neglected linguistic resource in family therapy. Highlighting and validating these metaphors produces a therapeutic conversation in which the voices of family members are heard more clearly by the therapist, and the families' own imaginative energies are engaged in defining and pursuing the goals of therapy. Several case examples illustrate the use of this approach with children of various ages.     

Gender,Marital Status,and Alcohol Behavior: The Neglected Role of Religion

Substantial previous research indicates that married persons enjoy better mental and physical health than others. One prominent explanation for these patterns is that married persons practice better health behaviors, including lower levels of alcohol consumption, particularly heavy drinking. However, studies of marital status differences in health behaviors have ignored the role of religious homo/heterogamy and attendance, important potential confounding and moderating factors. Focusing on alcohol behavior, we analyze 1977–1994 General Social Survey data, finding that lower levels of drinking are especially pronounced among homogamous conservative couples, and to a lesser extent among mixed-faith unions with one conservative partner. Controlling for other background characteristics, nonconservatives married to nonconservatives do not consistently consume less alcohol than unmarried persons, suggesting that much of the apparent marital status effect on drinking is actually due to religious factors. Contrary to some prior theory and research, these patterns are broadly consistent for both men and women.     

Practical Identities and Autonomy: Korsgaard's Reformation of Kan's Moral Philosophy

Kant has long been taxed with an inability to explain the detailed normative content of our lives by making universalizability the sole arbiter of our values. Korsgaard addresses one form of this critique by defending a Kantian theory amended by a seemingly attractive conception of practical identities. Identities are dependent on the contingent circumstances of each person's world. Hence, obligations issuing from them differ from Kantian moral obligations in not applying to all persons. Still, Korsgaard takes Kantian autonomy to mean the normativity of all obligations is rooted in universalizability. The wealth of values informing our lives is thus said to be accommodated within a Kantian framework.
After briefly explaining Korsgaard's understanding of practical identities and their role in her reformation of Kant's moral philosophy, I argue that she gives an inadequate explanation of how the obligations that arise from a person's practical identities derive their authority from the person's will. I then consider how her position might be developed to meet this objection in accordance with her allegiance to "constructivism" and I argue that the epistemic commitments of people's actual identities makes it unlikely that such a development could preserve Kantian autonomy as she interprets it.     

Self‐evaluative consequences of social support receipt: The role of context self‐relevance

Past research suggests that receiving social support can increase distress if it threatens self‐esteem, self‐efficacy, or competence. These costs may be more apparent in self‐relevant contexts, as such concerns should be more salient in these situations. This research tests whether context self‐relevance moderates affective responses to support receipt and whether this pattern is mediated by self‐evaluation. We report support for these hypotheses in both a daily diary study (N = 304 couples) of real‐world stress and a laboratory experiment (N = 77 students) in which support receipt and task self‐relevance are manipulated. We discuss connections between this work and the broader literature on social support receipt, including how other social processes (e.g., social comparison) may contribute to the costs associated with support receipt.     

Predicting nonmarital romantic relationship dissolution: A meta‐analytic synthesis

A meta‐analysis of predictors of nonmarital romantic relationship dissolution was conducted, including data collected from 37,761 participants and 137 studies over 33 years. Individual, relationship, and external variables were investigated, and results suggest that commitment, love, inclusion of other in the self, and dependence were among the strongest predictors of dissolution. Other relational variables such as satisfaction, perceptions of alternatives, and investments were modest predictors of breakup, and the external factor of social network support was also a robust predictor. Personality measures were found to have limited predictive utility, with small effects found for dimensions relational in nature (e.g., adult attachment orientations). Theoretical and methodological implications are discussed within the context of future research on nonmarital relationship dissolution.