Tailoring Cognitive Behavioral Treatment for Binge Eating in Adolescent Girls

Whereas effective treatments exist for adults with recurrent binge eating, developmental factors specific to adolescents point to the need for a modified treatment approach for youth. We adapted an existing cognitive behavioral therapy treatment manual for adults with bulimia nervosa and binge eating disorder (Fairburn, 2008) for use with adolescents. This paper presents a number of clinical case vignettes, drawn directly from interactions with teen participants, that illustrate some of the developmental factors common to adolescents—as well as the importance of our adaptations to address for these factors.     

Instructor touch enhanced college students’ evaluations

Touch between people is associated with several outcomes, including reduced stress, more positive mood, enhanced feelings of closeness, and positive behavioral change. However, the potential utility of touch rarely has been examined in a college sample, with teachers touching their students. In the present study, we used instrumental touch operationalized as teaching students to take their pulse on the wrist; a control group was not touched. We assessed motivation, attitudes toward the instructor and the lecture, and quiz grades based on the lecture. Results indicated that touch increased motivation and attitudes toward the teacher and lecture. We suggest that instructors can use touch as a way to develop rapport, increase student motivation, and improve attitudes toward the instructor and course. Future research should evaluate appropriate forms of touch, possible moderation by student or instructor gender, and potential long-term benefits of using touch in the classroom.     

Adolescents who need help the most are the least likely to seek it: the relationship between low emotional competence and low intention to seek help

It has been found that university students who were the least skilled at managing their emotions also had the lowest intention of seeking help from a variety of nonprofessional sources (e.g. family and friends). The present study sought to extend these findings by focusing on adolescents, examining a larger number of emotional competencies, and exploring the possibility that social support explains the relationship between emotional competence and help-seeking. A total of 137 adolescents (aged 16-18) completed an anonymous survey that assessed social support, emotional competencies, and intention to seek help from a variety of professional and nonprofessional sources. As expected, adolescents who were low in emotional awareness, and who were poor at identifying, describing, and managing their emotions, were the least likely to seek help from nonprofessional sources and had the highest intention of refusing help from everyone. However, low emotional competence was not related to intention to seek help from professional sources (e.g. mental health professionals). The significant results involving nonprofessional sources were only partially explained by social support, suggesting that even adolescents who had high quality support were less likely to make use of that support if they were low in emotional competence.     

A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

Boys' and girls' perceptions of parental discipline in transgression situations

Children's perceptions of parental discipline methods and their perceptions of child gender differences in their parents' choices of discipline methods were assessed. One hundred and seventy 8‐year‐old children (78 boys, 92 girls) in two‐parent families were asked about disciplinary behaviour in five transgression situations. The results pointed to gender differences when the children were talking about themselves. Boys believed that they would receive more physical punishment, milder requests and less induction than girls. Children also indicated that their parents would choose a different response if they (themselves) were of the other sex. Both boys and girls reported that their parents would treat boys more severely than they would girls. The results showed that the responses of those children with a sibling of the other sex did not reveal any gender‐differentiated experience of their parents' discipline strategies. Copyright © 2002 John Wiley & Sons, Ltd.