Understanding and Assisting Couples Affected by an Eating Disorder

This article reviews the existing literature on heterosexual intimate relationships in which the female partner has an eating disorder. These couples often have trouble in a number of areas, including communication, sexual functioning, relational boundaries, and emotional health. Not only do these problems contribute to lower rates of relational satisfaction but they also affect a woman's chances for recovery. An understanding of this literature can inform family therapy practice. Recommendations are offered for those who provide counseling to these couples.     

Addictive states of mind

This paper explores the meaning of the pregnancy of the therapist as a challenge to the maintenance of the setting for therapy. The patient I shall describe was born ‘black’ in a ‘white’ family and was thus a challenge to her father's sense of paternity and her parents as a couple. She was the visual evidence of an infidelity. The problem had been denied in various ways, going as far as the attempt to deny her very existence. The therapist's pregnancy signified a betrayal of the ideal of a stable setting which was compounded by an earlier absence through illness. This ‘breaking of rules or promises' was then the setting for a re-working of the patient's story.

Setting, it is argued, can helpfully be seen as the mental space created by the partnership within the therapist between maternal and paternal relating to the ‘baby’ of the therapy. This enables a sense of negotiation and relationship in the creation of setting, which can include disruptions and other babies. At the same time the therapy had to work with a fundamental issue of illegitimacy or lack of belonging and the therapist's response to this. The ‘rules' of setting are a means to ensure a place to belong or attach to, but this work emphasized ‘setting’ and belonging as issues of relationship supported and enabled by our rules of engagement, but not reducible to them.     

Advances in Neuropsychoanalysis,Attachment Theory,and Trauma Research: Implications for Self Psychology

In 1971, Heinz Kohut, trained in neurology and then psychoanalysis, published The Analysis of the Self, a detailed exposition of the central role of the self in human existence. This classic volume of both twentieth century psychoanalysis and psychology was more than a collection of various clinical observations—rather it represented an overarching integrated theory of the development, structuralization, psychopathogenesis, and psychotherapy of disorders of the self. Although some of these ideas were elaborations of previous psychoanalytic principles, a large number of his concepts, including an emphasis on self rather than ego, signified an innovative departure from mainstream psychoanalysis and yet a truly creative addition to Freud's theory.     

Do Maximizers Predict Better than Satisficers?

We examine the relationship between maximizing (i.e., seeking the best) versus satisficing (i.e., seeking the good enough) tendencies and forecasting ability in a real‐world prediction task: forecasting the outcomes of the 2010 FIFA World Cup. In Studies 1 and 2, participants gave probabilistic forecasts for the outcomes of the tournament and completed a measure of maximizing tendencies. We found that although maximizers expected themselves to outperform others much more than satisficers, they actually forecasted more poorly. Hence, on net, they were more overconfident about their relative performance. Decompositional analyses of overall accuracy revealed that differences in forecasting abilities were primarily driven by maximizers' tendency to give more noisy estimates. In Study 3, participants played a betting task where they could choose between safe and uncertain gambles linked to World Cup outcomes. Again, maximizers did more poorly and earned less, because of greater noise in their choice‐based responses. Copyright © 2011 John Wiley & Sons, Ltd.     

Target Detection,Identification, and Marksmanship During Battlefield Noise in a Synthetic Environment

This study was conducted to determine the impact of noise on target detection, identification, and marksmanship (TDI&M) and to examine the effectiveness of a monetary reward to improve performance. Twenty active duty male soldiers participated in a non-reward and reward trial, each comprising three time blocks of two alternating 20-minute sessions, one with 87-dBA battlefield noise and the other relatively quiet. Each session involved 15 minutes of TDI&M testing followed by 5 minutes of rest. Neither noise, time on task, nor reward caused any noteworthy changes in TDI&M performance, except for foe target engagement time (ET). It appears that subjects purposely increased ET over the duration of the task to improve their hit accuracy but did not succeed in doing so. The monetary incentive to improve performance was also ineffective, because the subjects applied a similar “best” effort during the no-reward trial prior to this manipulation.     

Negative Emotions Moderate the Relationship Between Self-Efficacy and Achievement of Filipino Students

The study tested the hypothesis that negative academic emotions moderate the relationship between self-efficacy and achievement. The moderating effect of four negative academic emotions (anger, anxiety, shame, and hopelessness) was investigated in 1345 university students of trigonometry, who answered the Academic Emotions Questionnaire-Math (Pekrun et al. Educational Psychology Review 18:315–341, 2005) and a self-efficacy scale (Pintrich et al. Journal of Educational Psychology 82:33–40, 1991). Results of the moderation analysis indicated the higher self-efficacy was related to higher grades among students who reported lower levels of negative academic emotions. Self-efficacy had minimal or no effect on grades among students who reported higher levels of negative academic emotions. The results are discussed in terms of how negative emotions may indicate negative appraisals of the value of the task and/or task outcomes, and thus weaken the positive links between cognitive and motivational variables and learning.     

Negative Affect Shares Genetic and Environmental Influences with Symptoms of Childhood Internalizing and Externalizing Disorders

The co-occurrence of internalizing and externalizing disorders suggests that they may have common underlying vulnerability factors. Research has shown that negative affect is moderately positively correlated with both internalizing and externalizing disorders in children. The present study is the first to provide an examination of negative affect in relation to a wide spectrum of childhood internalizing and externalizing problems using a biometric model. This study extends prior findings of more narrowly focused associations by using a factor approach including multiple disorders. The sample for this study included families of 691 same-sex 7- to 13-year old twin pairs. A multifactorial independent pathway model was used to examine the genetic and environmental influences underlying the covariation of parent-reported negative affect, internalizing symptoms, and externalizing symptoms. Results of the current study suggest that negative affect shares genetic and environmental influences with both internalizing and externalizing disorders in childhood. These common influences may partially explain their comorbidity. Understanding that negative affect is at least one contributor to the covariation among these disorders may highlight avenues for early risk assessment, intervention, and perhaps prevention.     

The impact of assuming the primary caregiver role following traumatic spinal cord injury: An interpretative phenomenological analysis of the spouse's experience

This study aimed to explore the lived experience of assuming the primary caregiver role in a group of spouses of individuals living with a traumatic spinal cord injury (SCI) (injuries ranged from paraplegia to quadriplegia). Individual in-depth interviews were conducted with 11 participants who were both the spouse and primary caregiver of an individual with a SCI; of these, 10 were female and 1 was male. All interviews were transcribed verbatim and were subjected to interpretative phenomenological analysis (IPA). Here we present three inter-related master themes: ‘The emotional impact of SCI’; ‘Post-injury shift in relationship dynamics’ and ‘Impact of caregiving on identity’. Regarding the emotional impact of spinal injury, participants reported an almost instantaneous sense of loss, emptiness and grief during the injured person's rehabilitative period and feelings of anxiety were reported in anticipation of their return to the family home. A distinct change in role from spouse and lover to care provider was reported and this ultimately contributed to relationship change and a loss of former identity. The findings are discussed in relation to extant caregiver literature and recommendations for future caregiver support are highlighted.     

State Aid to Religiously Affiliated,Non-Public Schools: An Emerging Trend or Same Old Same Old?

This article reviews judicial attitudes with regard to the constitutionality of aid for children in religiously affiliated non-public schools. The first part highlights the extent to which the Supreme Court appears to have turned the corner in its willingness to examine the effective use of resources in regular education rather than just the acceptability of aid. The second section reviews how Congressional and regulatory activities have contributed to lower court decisions that continue to focus on the narrow issues of how much money can be spent and the appropriate locations for the delivery of services to children who attend religiously affiliated non-public schools rather than the quality of education that they may be eligible to receive. Given the distinctions between the ways in which children in religiously affiliated non-public schools are treated based on whether they have disabilities, this article examines recent legal trends in considering whether there will be a new era in providing children who attend religiously affiliated non-public schools with the state aid that they deserve.