Delivering Acceptance and Commitment Therapy for Weight Self-Stigma Through Guided Self-Help: Results From an Open Pilot Trial

Weight self-stigma is a promising target for innovative interventions seeking to improve outcomes among overweight/obese individuals. Preliminary research suggests acceptance and commitment therapy (ACT) may be an effective approach for reducing weight self-stigma, but a guided self-help version of this intervention may improve broad dissemination. This pilot open trial sought to evaluate the potential acceptability and efficacy of a guided self-help ACT intervention, included coaching and a self-help book, with a sample of 13 overweight/obese individuals high in weight self-stigma. Results indicated a high degree of program engagement (77% completed the intervention) and satisfaction. Participants improved on outcomes over time including weight self-stigma, emotional eating, weight management behaviors, health-related quality of life, and depression. Although not a directly targeted outcome, participants improved on objectively measured weight, with an average of 4.18 pounds lost over 7 weeks, but did not improve on self-reported weight at 3-month follow-up. Processes of change improved over time, including psychological inflexibility, valued action and reasons to lose weight. Coaching effects indicated greater retention and improvements over time with one coach vs. the other, suggesting characteristics of coaching can affect outcomes. Overall, these results provide preliminary support for the acceptability and efficacy of a guided self-help ACT program for weight self-stigma. Implications of these results and how to address clinical challenges with guided self-help are discussed.     

Activating Veterans Toward Sources of Reward: A Pilot Report on Development,Feasibility, and Clinical Outcomes of a 12-Week Behavioral Activation Group Treatment

This pilot study evaluates a 12-week group Behavioral Activation protocol adapted to meet the needs of a Veteran population seeking treatment in an outpatient mental health clinic at a Veteran Affairs Medical Center. In a detailed Method we describe the treatment structure. Acceptability and feasibility are addressed by providing data on referral sources, treatment retention, attendance, and patient satisfaction. Initial clinical outcomes are presented, focusing on symptom reduction, improved quality of life, and changes in the hypothesized mechanism of treatment: improving motivated behavior to pursue rewards (decisional anhedonia). Finally, feedback from individual exit interviews is presented. We conclude with implementation tips and challenges in the service of continuing to improve our evidence-based interventions in Veteran Affairs facilities.     

The Ugly Truth About Ourselves and Our Robot Creations: The Problem of Bias and Social Inequity

Recently, there has been an upsurge of attention focused on bias and its impact on specialized artificial intelligence (AI) applications. Allegations of racism and sexism have permeated the conversation as stories surface about search engines delivering job postings for well-paying technical jobs to men and not women, or providing arrest mugshots when keywords such as “black teenagers” are entered. Learning algorithms are evolving; they are often created from parsing through large datasets of online information while having truth labels bestowed on them by crowd-sourced masses. These specialized AI algorithms have been liberated from the minds of researchers and startups, and released onto the public. Yet intelligent though they may be, these algorithms maintain some of the same biases that permeate society. They find patterns within datasets that reflect implicit biases and, in so doing, emphasize and reinforce these biases as global truth. This paper describes specific examples of how bias has infused itself into current AI and robotic systems, and how it may affect the future design of such systems. More specifically, we draw attention to how bias may affect the functioning of (1) a robot peacekeeper, (2) a self-driving car, and (3) a medical robot. We conclude with an overview of measures that could be taken to mitigate or halt bias from permeating robotic technology.     

Subverting patriarchal Buddhism in Spring,Summer, Fall,Winter…and Spring

A number of Kim Ki-duk’s films, particularly Bad Guy (2001), are infamous for the violence towards women characters. While feminist critics deplore Kim as a misogynist, alternative readings – some based on interviews with the director – suggest violence is the only way his silent characters, existing on the margins of society, can communicate. In this way, his body of work is not read as an endorsement of misogyny, but rather as a social critique of patriarchy. One film, however, that is considered unique and eludes these discussions is Spring, Sumer, Fall, Winter…and Spring (2003), a contemplative Buddhist story. I argue, in fact, the film is in dialogue with patriarchal Buddhist portrayals of women as temptresses and samsaric mothers. Further, since it appears the monks in the narrative are incapable of enlightenment, we should question if this is a result of their treatment of women.     

Peers influence adolescent reward processing,but not response inhibition

Most adolescent risk taking occurs in the presence of peers. Prior research suggests that peers alter adolescents’ decision making by increasing reward sensitivity and the engagement of regions involved in the processing of rewards, primarily the striatum. However, the potential influence of peers on the capacity for impulse control, and the associated recruitment of the brain’s control circuitry, has not yet been adequately examined. In the current study, adolescents underwent functional neuroimaging while they completed interleaved rounds of risk-taking and response-inhibition tasks. Social context was manipulated such that the participants believed they were either playing alone and unobserved, or watched by an anonymous peer. Compared to those who completed the tasks alone, adolescents in the peer condition took more risks during the risk-taking task and exhibited relatively heightened activation of the striatum. Activity within this striatal region also predicted individual differences in overall risk taking. In contrast, the presence of peers had no effect on behavioral response inhibition and had minimal impact on the engagement of typical cognitive control regions. In a subregion of the anterior insula engaged mutually by both tasks, activity was again found to be sensitive to social context during the risk-taking task, but not during the response-inhibition task. These findings extend the evidence that the presence of peers biases adolescents towards risk taking by increasing reward sensitivity rather than disrupting cognitive control.     

Perspectives on Increasing Positive Attitudes Toward Larger Members in Fitness Centers

Physical activity (PA) attenuates weight-associated morbidity and mortality but PA-based weight bias dissuades many people from engaging in and enjoying physical activity. Guided by self-determination theory, we implemented concept mapping with current and past members and employees of fitness centers. One hundred ideas were generated, representing the concepts of programming, fitness culture, code of conduct, professional development, and physical environment/amenities. The ideas can help design interventions that increase positive attitudes that are autonomous, shared throughout a fitness center, and promote inclusivity.     

Stereotype validation and intellectual performance: Negative implications for future achievement

Previous research has found that activating negative stereotypes after completion of a task can lead people to feel more certain that they performed poorly (i.e., stereotype validation). The current research examined the implications that stereotype validation may hold for future performance. In two studies, the accessibility of gender stereotypes was manipulated after participants completed an initial test on a topic. After reporting perceptions of their performance, participants completed a follow-up test on the same subject. Consistent with hypotheses, activating negative stereotypes after the initial test was found to increase certainty in negative performance evaluations among stigmatized participants. Importantly, this higher certainty – triggered by stereotypes – predicted decreased performance on the later, follow-up test.