Parenting after Weight Loss Surgery: A Conceptual Model and Two Case Reports

The ways families approach eating, shape, and weight can result in stress for individual family members and challenge the overall functioning of the family. This is further complicated among families with a parent who has history of obesity or undergone weight loss surgery (WLS). Although WLS can positively impact other family members, it can also exacerbate conflicts regarding feeding and weight. Such conflicts can involve uncertainty regarding the extent to which the entire family should make the dietary changes recommended for the post-WLS parent. Conflict might also center on the appropriate level of concern regarding the children’s risk of developing (or maintaining) obesity. This paper uses two case examples to describe the application of a specialized, time-limited intervention: Parent-Based Prevention following Bariatric Surgery (PBP-B). The program was developed to address the unique challenges and concerns that arise after, or are exacerbated by, WLS. Each detailed case example illustrates a common child-feeding challenge and the employment of key PBP-B strategies throughout the course of treatment. In the first case, the parent who had undergone WLS believed the family’s current eating behaviors were the same as those that had led to her own overeating, obesity, and co-occurring psychiatric symptoms, while her husband disagreed. In the second case, both parents were concerned about their son’s weight, yet due to their prior eating histories, they felt unable to construct boundaries around the feeding experience. Both cases follow families through the entire intervention and illustrate key points and challenges. These cases underscore the need for novel treatment modalities to support families following parental WLS.     

Functions of the vibrissae in the defensive and aggressive behavior of the rat

Removal of mystacial vibrissae for strange rats placed in an established rat colony produced reliable decrements in defensive boxing for these animals, and corresponding increases in freezing. In a subsequent experiment, removal of the vibrissae of the attacking colony males did not change the attack behavior of the vibrissectomized animals. These results indicate that the vibrissae are involved in defensive boxing behavior, but play no essential role in the elicitation or maintenance of conspecific attack in the rat.     

Reflexive fighting in the albino rat: Aggressive or defensive behavior?

Specific agonistic responses of albino rats were compared for dominant colony rats and intruders, and for rats in a “reflexive fighting” task. The “reflexive fighters” showed high levels of defensive responses such as boxing and freezing, and very low levels of aggressive behaviors such as piloerection, biting, and the lateral display. This pattern clearly suggests that the behaviors measured in the reflexive fighting task reflect conspecific defensive reactions, rather than “shockelicited aggression.” Moreover, striking responses seen in the reflexive fighting task also occur at a high rate when footshock is given to a solitary rat held in a boxing posture. Thus it appears that “reflexive fighting” primarily involves defensive rather than aggressive responses.     

Aggressive behaviors of the japanese brown bear

Film analysis and direct observation suggest that 2 very different types of intra-specific fights occur among Japanese brown bears maintained in large stable colonies. Disputes arising over food are short, and involve such activities as threatening, muzzling, chasing, and flight. Weapon use during feeding fights primarily involves slashing blows to the back or head areas of the opponent. In contrast, “spontaneous” fights are longer, and consist almost exclusively of wrestling, with bites and forepaw blows directed at the opponent's ruff area. These spontaneous fights occur primarily among the larger and higher-ranked male bears, especially among animals with closely adjacent rankings. It is suggested that such fights facilitate the establishment of dominance relationships by providing an opportunity for mutual assessment of strength and stamina without serious risk of injury.     

Social dominance and individual aggressiveness

Male rats exhibiting high, moderate, or low levels of offensive aggressive behavior in interactions with intruders in their home cage were grouped in mixed-sex colonies with 1 male of each aggression-level group in each colony. Agonistic interactions measured 1, 2, 3, 7, 14, 21, and 22 days after colony formation indicated that highly aggressive males on pretests continued to be more aggressive, becoming the dominant colony male in five of seven colonies and attacking intruders more often than less aggressive males. In the two remaining colonies the moderately aggressive male became dominant. This relationship, which was consistent over a number of indices, including offensive and defensive behaviors, and wound counts and wound sites, was seen even when a substantial weight differential favored the less aggressive animal. Dominance relationships were rapidly established and within-group fighting declined significantly over the 21-day test period. Pretest offensive levels also influenced the behavior of subordinates, with high or moderately aggressive subordinates showing more defense in interactions with dominants and receiving more wounds than did low-aggression subordinates. Dominant males also showed more defense in interacting with those subordinates which had been more aggressive during pretests. This pattern of results suggests that aggression level of the subordinate as well as the dominant may be an important factor determining the intensity of agonistic interactions in male rats.     

Recent evaluations of the peer-led approach in adolescent sexual health education: a systematic review

CONTEXT: Peer-led interventions have become a popular method of providing sexual health education to adolescents, but the efficacy of this approach and the methodological quality of recent trials have not been systematically reviewed. METHODS: Electronic and hand searches were conducted to identify quasi-randomized and randomized controlled trials of peer-led adolescent sexual health education published from 1998 to 2005. Studies were eligible if they had an appropriate comparison group, provided preintervention and postintervention data, and reported all outcomes. Study results were summarized and, where appropriate, pooled; in addition, 10 aspects of studies' methodological quality were assessed. RESULTS: Thirteen articles met the inclusion criteria. Pooled, adjusted results from seven trials that examined the effects of peer-led interventions on condom use at last sex found no overall benefit (odds ratio, 1.0). None of the three trials that assessed consistent condom use found a benefit. One study reported a reduced risk of chlamydia (0.2), but another found no impact on STI incidence. One study found that young women (but not young men) who received peer-led education were more likely than nonrecipients to have never had sex. Most interventions produced improvements in knowledge, attitudes and intentions. Only three studies fulfilled all 10 of the assessed quality criteria; two others met nine criteria. CONCLUSIONS: Despite promising results in some trials, overall findings do not provide convincing evidence that peer-led education improves sexual outcomes among adolescents. Future trials should build on the successful trials conducted to date and should strive to fulfill existing quality criteria.     

Cultural differences in the relationship between parenting and children's behavior

Parent and teacher data for 14,990 children from the National Longitudinal Survey of Children and Youth were used in multilevel analyses to examine the relationship between ethnicity, children's aggression and emotional problems, and parenting. Using parent and teacher report, relationships between ethnicity and child behavior were present but modest. The association between parental harshness and child aggression differed between ethnic groups and across informants. Using teacher report of outcomes, parental harshness was positively related to child aggression in European Canadian families but negatively related in South Asian Canadian families. For all ethnic groups, parental harshness was positively related to children's aggression when parent report of outcomes was used, but relationships varied in strength across ethnic groups. The relationship of parental harshness with child emotional problems did not differ across groups, irrespective of informant. The results are discussed within the context of an ecological model of parenting.     

Social Interactions at Work and Psychological Health: The Role of Leader–Member Exchange and Work Group Integration1

The objectives of this study are to test the effects that the quality of leader–member exchange (LMX) and work group integration (WGI) may have on psychological health, as well as their interaction effect. Psychological health is defined both in terms of subjective well‐being and psychological distress. Data were gathered from a sample of 249 employees working in a prison setting. Results indicated that LMX and WGI are positively related to subjective well‐being and are negatively related to psychological distress. In addition, LMX and WGI exert a synergistic interaction effect on both dimensions of psychological health. Overall, the results show that the quality of the social environment may greatly enhance psychological health in a high‐risk workplace.     

Is implicit learning perceptually inflexible? New evidence using a simple cued reaction-time task

Considerable research has been devoted to investigating learning without awareness. Burke and Roodenrys [Burke, D., & Roodenrys, S. (2000). Implicit learning in a simple cued reaction-time task. Learning and Motivation 31, 364–380] developed a simple learning task in which a cue shape predicts the arrival of a target shape (to which subjects respond) in a sequence of rapidly presented shapes, and found that all subjects responded faster to cued targets than to uncued targets, even those classified as unaware of the cue–target relationship. Two experiments were conducted to examine the perceptual flexibility of implicit (and explicit) learning using the paradigm developed by Burke and Roodenrys (2000). Perceptual flexibility was examined by altering the perceptual features of the cue shape. The results of the first experiment indicated the implicit, but not explicit, learning that occurs in this paradigm is perceptually inflexible. However, the second experiment indicated that perceptually flexible implicit learning can be encouraged by varying the nature of the experimental stimuli. These experiments therefore provide support for processing accounts of transfer.