An Open Pilot Feasibility Study of a Brief Dialectical Behavior Therapy Skills–Based Intervention for Suicidal Individuals

This open trial sought to develop and evaluate the preliminary feasibility and effectiveness of a brief, one‐time, dialectical behavior therapy skills–based intervention with specific focus on ensuring acceptability to nontreatment‐seekers. Treatment‐seeking and nontreatment‐seeking suicidal individuals were recruited successfully from the community. Both groups found the intervention valuable. Suicide ideation was significantly lower at the 1‐month follow‐up, while use of the specific skills taught in the intervention increased significantly across time points. These results suggest that the intervention is both acceptable to the target population and that it has potential effectiveness as an intervention for individuals experiencing suicidal ideation.     

Typical-Atypical Interactions: One Patient’s Experience of Weight Bias in an Inpatient Eating Disorder Treatment Setting

Abstract

This article examines one patient’s experiences with weigh bias in an inpatient eating disorder treatment setting with a focus on interactions between the patient and her primary therapist. These therapeutic interactions had multiple unintended consequences, including bolstering feelings of denial, modeling of disordered behaviors, and disrupting the therapeutic alliance. Additional instances of weight bias with other treatment professionals, including an inpatient nutritionist and psychiatrist, are briefly discussed. The article ends with several brief recommendations for how clinicians can more skillfully approach issues of weight and size in the therapeutic alliance in order to resist size-related oppressions rather than reinforce them.     

Narrating Rape: An Ethnographic Case-Study of Non-Consensual Sexual Debut in Tanzania

ABSTRACT

This article explores the issue of (female) sexual consent in a non-western context by examining narratives of the non-consensual sexual debut in Tanzania within the institutional and cultural tolerance for intimate violence, and the role of the state and media in condoning “proper” gender roles. None of the young women interviewed during a year of ethnographic fieldwork on a college campus were willing to identify this activity as “rape,” though they frequently detailed the ways that aspirations for “respectability” created conditions of vulnerability to ongoing exploitative sexual relationships with older men in positions of authority whom they once trusted. In the socio-sexual premarital landscape of school girls, sex is never given away for free, but may be dispensed with reasonable expectation of return. In an effort to contextualize sexual intimacy and avoid careless use of labels like “prostitution,” feminist public health researchers began to frame sexual encounters in transactional terms. Although not entirely unproblematic, the less stigmatizing terminology reveals more nuanced intimate economies among men and women which include structurally and culturally-derived elements of deprivation, agency, and instrumentality. This article pays careful attention to the narrative of one young women who describes a socio-sexual premarital landscape which almost universally positions male partners as culturally-empowered to proceed with aggressive, even violent, advances toward young women they wish to have sex with, “date,” or marry. Within this context, this article then teases out emerging discourses about structural conditions that reinforce violence.     

A Measurement Model of Media Parenting: Differences Across Parent and Child Reports and Youth Age and Sex

For youth raised in the Digital Age, online risks such as cyberbullying and sexting have become increasingly problematic. Since digital media is primarily consumed at home, parents play an important role in mitigating these risks; parents can teach children about online dangers, regulate the amount of time spent online, and, to some extent, curate the online content children see. The present study evaluated the psychometric properties of a four-factor media parenting measurement model introduced by Livingstone et al. (2011) across self-reports of a U.S. sample of parents (M_age?=?38.5) and children (ages 10–14; M_age?=?11.8). To identify meaningful group differences, latent mean comparisons were evaluated across youth age and gender. Confirmatory Factor Analysis results provided good fit to the data for the four-factor media parenting model based on both parent [χ2(201, n?=?306)?=?384.407; RMSEA_{(.046—.063)}?=?.055; CFI?=?.958; TLI/NNFI?=?.951; SRMR?=?.050] and child report [χ2(203, n?=?306)?=?378.033; RMSEA_(.045-.061)?=?.053; CFI?=?.942; TLI/NNFI?=?.934; SRMR?=?.060]. The final latent parenting factors included: Active Mediation, Monitoring, Technology Control, and Restrictive Mediation. Latent mean comparisons revealed that parents of girls reported higher levels of Monitoring than parents of boys, whereas girls reported higher levels of parental Restriction than boys. Similarly, older children and their parents reported lower Restriction than younger children and their parents. Overall, latent mean differences identified between media parenting domains may be important for youth outcomes and provide support for their inclusion as distinct factors in predictive models.