A Systematic Review and Quality Assessment of Therapeutic Group Process Questionnaires

ABSTRACT

The aims of this study were to systematically review the literature on questionnaire-based group process measures and assess the psychometric scale development properties of these measures. A systematic search of questionnaire-based measures of group process was conducted from four databases: PsycINFO, Medline, EMBASE and AMED. A quality assessment was undertaken using established criteria. Only studies that described the development of questionnaire-based scales were included. Seventeen studies which described thirteen measures were included in the analysis. The developed list highlights a range of questionnaires that can be used by clinicians and researchers seeking to measure either “specific therapeutic group mechanisms” or “overall group experiences.” Further research should focus on developing the content validity of these scales by involving the target population during item selection and reduction.     

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.     

An Examination of the Interpersonal Psychological Theory of Suicidal Behavior in Physicians

Physicians are commonly reported to die by suicide more frequently than individuals in the general population. Thus far, few reasons for this elevated suicide risk have been empirically investigated. Although the interpersonal psychological theory of suicidal behavior (IPTS) has been suggested as a fruitful means of explaining physician suicidality, it has yet to be examined quantitatively. Four hundred nineteen Pennsylvania physicians were assessed on a number of demographics, as well as all components of the IPTS. Findings indicated that physician scores on IPTS components are comparable to other groups displaying increased suicidality (e.g., military populations, prior attempters). Perceived burdensomeness was a significant predictor of suicidal ideation, while thwarted belongingness predicted prior suicide attempts. Acquired capability did not distinguish between prior attempters and nonattempters. Preliminary findings indicate the IPTS may be a useful framework for understanding and predicting physician suicidality.     

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.