Body image disturbance in patients with borderline personality disorder: Impact of eating disorders and perceived childhood sexual abuse

Body image disturbances occur in women with borderline personality disorder (BPD). Systematic research on these characteristics in well-defined BPD groups is lacking. It is unknown, if the disturbances are related to eating disorders and childhood sexual abuse (CSA), which frequently co-occur in patients with BPD. In the present study, cognitive-affective and behavioral components of body image for 89 female patients with BPD (49 with lifetime eating disorders) and 41 healthy participants were assessed via Body Image Avoidance Questionnaire (BIAQ) and Multidimensional Body-Self Relations Questionnaire (MBSRQ). Within the BPD group, 43 patients reported a history of CSA. Compared to healthy controls, BPD patients reported significantly more negative scores in the BIAQ and the MBSRQ. Both a history of CSA and a comorbid eating disorder were independently associated with an even more negative body image. Results suggest a disturbance of cognitive-affective and behavioral components of body image in female BPD patients.     

Civic learning and teaching as a resource for sexual justice: An undergraduate religious studies course module

Civic learning and teaching, a form of critical and democratically engaged pedagogy, is utilized in an upper‐level undergraduate sexual ethics course to leverage public problem solving around the sexual violence on a mid‐size Catholic collegiate campus. Through the course, students, faculty, staff, and community members work together to deepen understanding of the causes and consequences of sexual violence within society and the local community in order to evaluate and design programming for bystander intervention, education, and sexual violence prevention advocacy. After a discussion of the application of civic teaching and learning to sexual violence, the course module describes the learning outcomes and assignments used to assess them. See as well Donna Freitas's response to this essay, “The Risk and Reward of Teaching about Sexual Assault for the Theologian on a Catholic Campus,” published in this issue of the journal.     

From Resistance to Buy-In: Experiences of Clinicians in Training Using Feedback-Informed Treatment

In this qualitative research study, the authors use grounded theory analysis to examine the experiences of clinicians in training and use client feedback to inform treatment. Twenty-six marriage and family therapy graduate students in their first or second semester of clinical practicum participated in this study. Participants were trained in eliciting and responding to client feedback at the end of every therapy session. At the end of the semester, participants reflected on their learning experience. Participant experiences reflected a developmental learning process beginning with significant challenges followed by positive clinical changes and positive clinician changes, culminating in overall buy-in regarding the importance of client feedback for nearly all clinicians. The results support the literature that client feedback directly informs the therapeutic process while suggesting important recommendations for training new clinicians in learning to use client feedback.     

The influence of object similarity and orientation on object-based cueing

Responses to targets that appear at a noncued position within the same object (invalid–same) compared to a noncued position at an equidistant different object (invalid–different) tend to be faster and more accurate. These cueing effects have been taken as evidence that visual attention can be object based (Egly, Driver, & Rafal, Journal of Experimental Psychology: General, 123, 161–177, 1994). Recent findings, however, have shown that the object-based cueing effect is influenced by object orientation, suggesting that the cueing effect might be due to a more general facilitation of attentional shifts across the horizontal meridian (Al-Janabi & Greenberg, Attention, Perception, & Psychophysics, 1–17, 2016; Pilz, Roggeveen, Creighton, Bennet, & Sekuler, PLOS ONE, 7, e30693, 2012). The aim of this study was to investigate whether the object-based cueing effect is influenced by object similarity and orientation. According to the object-based attention account, objects that are less similar to each other should elicit stronger object-based cueing effects independent of object orientation, whereas the horizontal meridian theory would not predict any effect of object similarity. We manipulated object similarity by using a color (Exp. 1, Exp. 2A) or shape change (Exp. 2B) to distinguish two rectangles in a variation of the classic two-rectangle paradigm (Egly et al., 1994). We found that the object-based cueing effects were influenced by the orientation of the rectangles and strengthened by object dissimilarity. We suggest that object-based cueing effects are strongly affected by the facilitation of attention along the horizontal meridian, but that they also have an object-based attentional component, which is revealed when the dissimilarity between the presented objects is accentuated.     

Bullying as strategic behavior: relations with desired and acquired dominance in the peer group

To examine whether bullying is strategic behavior aimed at obtaining or maintaining social dominance, 1129 9- to 12-year-old Dutch children were classified in terms of their role in bullying and in terms of their use of dominance oriented coercive and prosocial social strategies. Multi-informant measures of participants’ acquired and desired social dominance were also included. Unlike non-bullying children, children contributing to bullying often were bistrategics in that they used both coercive and prosocial strategies and they also were socially dominant. Ringleader bullies also expressed a higher desire to be dominant. Among non-bullying children, those who tended to help victims were relatively socially dominant but victims and outsiders were not. Generally, the data supported the claim that bullying is dominance-oriented strategic behavior, which suggests that intervention strategies are more likely to be successful when they take the functional aspects of bullying behavior into account.     

Emotional triangles: a test of emotion-based attentional capture by simple geometric shapes

Previous work has proposed that simple geometric shapes, carrying the features present within negative or threatening faces are especially effective at capturing or guiding attention. Here we test this account and provide converging evidence for a threat-based attentional advantage. Experiment 1 found that downward-pointing triangles continue to be detected more efficiently than upward-pointing triangles when: (i) both overall RT and search slope measures are obtained; and (ii) when the set size is varied and the stimuli are presented in random configurations. Experiment 2 tested and ruled out an alternative account of the selection advantage, based on differences between triangle shape consistencies with scene perspective cues. Overall, the data provide converging evidence that simple geometric shapes, which might be particularly important in providing emotional signals in faces, can also attract attention preferentially even when presented outside of a face context.     

Dropped on the way to the top: Gender and managerial derailment

We attempt to make sense of ongoing gender disparities in the upper ranks of organizations by examining gender bias in leaders’ assessments of managers’ derailment potential. In a large managerial sample (Study 1: N ～ 12,500), we found that ineffective interpersonal behaviors were slightly less frequent among female managers but slightly more damaging to women than men when present. Evidence of bias was not found in performance evaluations but emerged when leaders were asked about derailment potential in the future. We replicated this pattern of effects in a second large managerial sample (Study 2: N ～ 35,500) and in two experimental studies (Studies 3 and 4) in which gender and interpersonal behaviors were manipulated. In Study 4, we also showed that when supervisors believe that a manager might derail in the future, they tend to withdraw mentoring support and sponsorship, which are especially critical for women's career advancement. Our research highlights the importance of leaders’ perceptions of derailment potential—which differ from evaluations of performance or promotability—both because they appear to be subject to stereotype‐based gender bias and because they have important implications for the mentoring and sponsorship that male and female managers receive.     

The Relation of Severity and Comorbidity to Treatment Outcome with Cognitive Behavioral Therapy for Childhood Anxiety Disorders

The present study investigated the impact of comorbidity over and above the impact of symptom severity on treatment outcome of Cognitive Behavioral Therapy for children with anxiety disorders. Children (aged 8–12, n = 124) diagnosed with an anxiety disorder were treated with a short-term CBT protocol. Severity was assessed with a composite measure of parent-reported behavior problems. Two approaches to comorbidity were examined; “total comorbidity” which differentiated anxiety disordered children with (n = 69) or without (n = 55) a co-occurring disorder and “non-anxiety comorbidity’ which differentiated anxious children with (n = 22) or without a non-anxiety comorbid disorder (n = 102). Treatment outcome was assessed in terms of Recovery, represented by post-treatment diagnostic status, and Reliable Change, a score reflecting changes in pre- to post-treatment symptom levels. Severity contributed to the prediction of (no) Recovery and (more) Reliable Change in parent-reported internalizing and externalizing symptoms and self-reported depressive symptoms. Total and non-anxiety comorbidity added to the prediction of diagnostic recovery. Non-anxiety comorbidity added to the prediction of Reliable Change in parent reported measures by acting as a suppressor variable. Non-anxiety comorbidity operated as a strong predictor that explained all of the variance associated with severity for self-reported depressive symptoms. The results support the need for further research on mechanisms by which treatment gains in children with higher symptom severity and non-anxiety comorbidity can be achieved.