A New Stigmatized Identity? Comparisons of a “Food Addict” Label With Other Stigmatized Health Conditions

This research assessed public perceptions of a “food addict” label in comparison to stigmatized conditions including obesity, addiction, and disability. Study 1 found this label was perceived similarly to obesity, but more favorably than other addictions, and had an exacerbating effect on weight stigma. Study 2 experimentally replicated the latter effect but demonstrated no weight-related effects for the food addict label. This evidence suggests that food addiction may be less vulnerable to public stigma than other addictions but may increase the stigma associated with obesity. Food addiction as a stigmatized identity is discussed.     

Understanding,respecting and integrating difference in therapeutic practice

The purpose of this paper is to promote thought and discussion around how and why we treat patients in chosen ways. In the present climate practitioners are required to treat patients following NICE guidelines in which cognitive behavioural therapy (CBT) is the treatment of choice in the majority of diagnoses. This paper raises concerns that this may lead to an homogenization of treatment, loss of invaluable skills and understanding from other treatment approaches, and loss to the patient who may be best cared for by a combination of treatments and approaches, most notably patients presenting with complex pathology. This paper aims to present this as a general principle, and by way of example, will focus on coupling two specific treatment orientations, cognitive behavioural therapy with psychodynamic psychotherapy, with the specific diagnosis of obsessive compulsive disorder (OCD).

Methods: Clinical material is drawn from case studies from practice in secondary adult mental health care services within the NHS. All patients were referred to the psychological services for treatment for OCD and provided with 1:1 therapy with UKCP‐registered therapists. Details have been anonymized by describing fictitious cases re‐constructed from clinical material. A theoretical understanding is included which provides both an overview for integrating treatment for the specific example of OCD and is intended by extension to other diagnoses.

Results: Working with the commonalities of therapeutic approaches, and integrating specific skills of CBT and psychodynamic psychotherapy, appears to offer a viable mode of treatment for cases resistant to single‐orientation therapies.

Conclusions: Coupling the skills of different therapies can be effective in treating complex patients that are referred to the secondary mental health services. Conversely, restricting practice to single orientation therapies can lead to an impoverished care for patients and diminution of invaluable therapeutic skills which may become underused, undervalued and lost in the practice of mental health care within the NHS. Acknowledgement of the skills of others, valuing these and learning from each other can help to avoid the defensive reactions of practitioners, where each may defensively retreat to their corners of specialism. Respecting and sharing skills from different orientations, and acknowledging this in the NICE guidelines, is good for both mental health services and patient care and addresses the concerns raised by practitioners exemplified by Bateman (2000 Bateman, A. 2000. Integration in psychotherapy: An evolving reality in personality disorder.. British Journal of Psychotherapy, 17(2): 147–156.  [Google Scholar], p. 147) that ‘psychotherapy continues to be bedeviled by ideological schisms with practitioners apparently ignoring alternative conceptualizations and potentially superior interventions’.     

Loneliness and social behaviours in a virtual social environment

Feeling lonely motivates people to reconnect with others, but it can also trigger a vicious cycle of cognitions and behaviours that reinforces their loneliness. In this study, we examined the behavioural consequences of loneliness in a virtual social environment. A total of 176 participants navigated a character (protagonist) through a two-dimensional browser game and rated the character's loneliness multiple times during the game. In the first part of the game, another character is introduced as the protagonist's spouse. At one point, the spouse leaves for an undetermined period of time but later returns. Immediately before this separation, higher ascribed loneliness of the protagonist was associated with more frequent interactions with the spouse. After the reunion, however, higher ascribed loneliness was associated with less frequent interactions with the spouse. Ascribed loneliness was not significantly related to the frequency of interactions with others nor to the frequency of solitary activities. These patterns held after controlling for ascribed positive affect. Participants' levels of loneliness were related to the level of ascribed loneliness only when the spouse was present but not when the spouse was absent. In sum, these findings suggest that the conditions that trigger the vicious cycle of loneliness are person- and situation-specific.     

The Evaluation of Psychoanalytical Practice in Stockholm

The authors discuss several surveys that cover the practices of psychoanalysts and psychotherapists in the Stockholm region. They compare these practices with other psychiatrists in both the private and the public sector. In addition, they discuss the results from an attempt towards continuous evaluation of psychoanalytical practices and their treatment standards including an evaluation of the development of individual psychoanalytical processes.     

The hypnotic use of language — a Heideggerian interpretation

Abstract

This paper shows that Heidegger's theory of language has implications for our understanding of hypnosis. A Heideggerian interpretation of samples of trance inductions brings to light the fact that the hypnotic use of language differs from the everyday language in two major dimensions: in hypnosis, language “call” things into being, thus becoming “something more than a simple, practical means of communicating with others and a means of controlling nature” and in hypnosis, humans enter into a reversed relationship with language, a relationship in which it is language, rather than the hypnotist, that “speaks.”     

Pre-Entry Expectations,Attitudes, and Intentions to Join Predict Military Tenure

The objective of this study was to examine pre-entry expectations, attitudes, and intentions as predictors of tenure among military members. Data from nationally representative (U.S.) samples of youth on attitudes toward military service, expectations about the effect of joining the military on quality of life, and intentions to join the military were linked to tenure among those who later joined the military as adults. Results from survival analyses indicate that those who initially had no desire to join the military and did not expect military service to have positive effects on their quality of life, but ultimately joined the military nonetheless, tended to have shorter military careers. Explanations for these findings are offered along with implications for military staffing.     

Cognitive Defusion Versus Thought Distraction in the Mitigation of Learned Helplessness

The Psychological Record - Recent research suggests that attempting to avoid unwanted psychological events is maladaptive. Contrastingly, cognitive defusion, which is an acceptance-based method for...     

The devil and the deep blue sea: dyadic narcissism and the problem of individuation 1

This paper addresses issues of infantile gender identity as they are demonstrated through group processes amongst the carers of disturbed adolescents. It uses this and other clinical material to explore gender narcissism – both male and female. It examines how such narcissism is linked to sado-masochism, and how it can impede a healthy development towards bisexual and triadic functioning.     

Sex Roles and the Desirability of Job Rewards,Expectations and Aspirations of Male versus Female Salespeople

Abstract

There have been numerous studies of the impact of sex-role stereotyping upon the preferences for job rewards and the difference between men and women. This study tests for such differences in a career field where men and women compete equally—commissioned residential real estate sales. Several new hypotheses were tested to include not only differences in desirability for job rewards, but also the expectancy of success in achieving them. There was little evidence of any differences between men and women in this career field resulting from a sex-role impact.     

Predicting short and long-term exercise intentions and behaviour in patients with coronary artery disease: A test of protection motivation theory

The purpose of this study was to examine the utility of protection motivation theory (PMT) in the prediction of exercise intentions and behaviour in the year following hospitalisation for coronary artery disease (CAD). Patients with documented CAD (n?=?787), recruited at hospital discharge, completed questionnaires measuring PMT's threat (i.e. perceived severity and vulnerability) and coping (i.e. self-efficacy, response efficacy) appraisal constructs at baseline, 2 and 6 months, and exercise behaviour at baseline, 6 and 12 months post-hospitalisation. Structural equation modelling showed that the PMT model of exercise at 6 months had a good fit with the empirical data. Self-efficacy, response efficacy, and perceived severity predicted exercise intentions, which, in turn predicted exercise behaviour. Overall, the PMT variables accounted for a moderate amount of variance in exercise intentions (23%) and behaviour (20%). In contrast, the PMT model was not reliable for predicting exercise behaviour at 12 months post-hospitalisation. The data provided support for PMT applied to short-term, but not long-term, exercise behaviour among patients with CAD. Health education should concentrate on providing positive coping messages to enhance patients’ confidence regarding exercise and their belief that exercise provides health benefits, as well as realistic information about disease severity.