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Changes to definitions and theories of psychopathology result less from scientific advances and more from changes in social and cultural values. Herein, the historical and contemporary diversity in definitions and theories of anorexia nervosa is used to illustrate this point. First, we offer a discussion of diachronic diversity (diversity over time) and synchronic diversity (diversity at a given point in time) in conceptions and theories of psychopathology in general. Second, we elaborate a social constructionist perspective on psychopathology in general. Third, to illustrate this perspective, we provide a diachronic and synchronic analysis of definitions and theories of anorexia nervosa. Fourth, we discuss the implications of this analysis for clinical practice. We conclude that whatever view eventually prevails will depend not on which one is better at rooting out some hidden truth about anorexia nervosa but, rather, on which one is viewed as more compatible with evolving social and cultural standards, views, and norms regarding health and illness in general and self-starvation in particular.  相似文献   
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The ability of therapists to adequately address the presenting problems of couples impacts the process and outcome of therapy. Although research has examined the types of problems that couples commonly experience, little is known about problems among midlife couples. Midlife marital problems were examined using data from a national random sample of 632 married people between the ages of 40 and 50. The results indicated that the most common problems were financial matters, ways of dealing with children, and sexual issues. Values, commitment, spiritual matters, and violence were the least common problem areas. There were few differences when gender, remarriage, and length of marriage were considered.  相似文献   
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abstract   Because we are more comfortable with judgements of conceptual conceivability than with judgements of practical possibility, we content ourselves with imaginary cases, which are useless for making many decisions that practical people most need to make, notably all-things-considered decisions about when to follow an admitted general principle and when to make an exception. The diverse cases of climate change, preventive attack, and torture all illustrate how the avoidance of the difficult task of integrating empirical judgements with conceptual judgements through the flight into the sanitized abstraction of imaginary cases undermines attempts at practical ethics. All three cases involve allegedly exceptional, or emergency, situations, although climate change seems to require more than the usual compliance with general principle while preventive attack and torture supposedly require less than the usual compliance. By my lights the proposed exceptions are, respectively, fully, sometimes, and never justified. But the fundamental point is that one unfortunately cannot decide any of the cases without assessing what is in fact likely as well as what is conceptually possible .  相似文献   
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Does being more religious make one less susceptible to depression? We consider the association between subjective religiosity (religious self‐perception and coping) and depression in the context of social support (from family and friends) and stress exposure (recent negative life events, chronic stress, lifetime trauma, and discrimination). Data come from a sample of 1,803 Miami‐Dade County young adults interviewed between 1997 and 2000. We find higher levels of depression among the moderately religious than among either very religious or nonreligious respondents. Interestingly, when observations are made within gender, this relationship applies only to females. Controlling for socioeconomic status and social support largely accounts for the link between religiosity and depression. However, controlling for stress exposure reveals a suppressor effect wherein religiosity once again emerges as significant. Our interpretation is that, while established patterns of religious coping can routinely mitigate distress, heightened stress exposure may elicit increased prayer among the less religious.  相似文献   
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The psychoanalytically oriented Brody longitudinal study has followed the psychological development of 76 individuals from birth to age 30. Ten suffered severe maltreatment in childhood in the form of rejection and/or physical abuse at the hands of one or both parents. This report describes the effects of child abuse on the emerging personalities of the children, as well as on their adult personalities and mental health. Specifi cally, as adults the maltreated children had signifi cantly more psychiatric illness (typically depressions and anxiety disorders), less mature psychological defense mechanisms, more insecure mental representations of attachment to their parents as indicated by the adult attachment interview, and a lower Global Assessment of Functioning than their well-treated counterparts. Additionally, their prevailing moods were joyless. Case examples show the emergence of symptoms, personality disorders, and defenses over time, as well as the workings of ameliorating infl uences. Several of the maltreated children made relatively successful adaptations as adults, indicating children's potential for resilience. Resilience, however, may be a superfi cial concept, for, in this series of cases, seemingly adequate coping in formerly mistreated children always came at the price of emotional vulnerability and compromised potential.  相似文献   
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