Injury characteristics across functional classes of self-injurious behavior

Self-injurious behavior (SIB) is inherently problematic because it can lead to injuries, including those that are quite severe and may result in loss of function or permanent disfigurement. The current study replicated and extended Rooker et al. (2018) by classifying the physical characteristics of injuries across groups of individuals with automatically maintained SIB (ASIB Subtypes 2 and 3) and socially maintained SIB. Individuals with Subtype 2 ASIB had the most frequent and severe injuries. Further, an inverse relation was found between the level of differentiation in the functional analysis and the number of injuries across groups. Studying the response products of SIB (the injuries) documents the risks associated with SIB, justifies the need for research and the intensive intervention, and advances knowledge of SIB. Additional research is needed to replicate these findings, and determine the variables that produce different characteristics of injury secondary to SIB.     

Multidimensional body image comparisons among patients with eating disorders,body dysmorphic disorder,and clinical controls: A multisite study

Body image disturbance is considered a core characteristic of eating disorders and body dysmorphic disorder (BDD), however its definition has been unclear within the literature. This study examined the multidimensional nature of body image functioning among individuals with either anorexia nervosa (AN; n = 35), bulimia nervosa (BN; n = 26), or BDD (n = 56), relative to female (n = 34) and male (n = 36) psychiatric controls. Participants were recruited from 10 treatment centers in the United States and England and completed psychometrically validated and standardized self-report measures of body image. Overall, the AN, BN, and BDD groups were characterized by significantly elevated disturbances in most body image dimensions relative to their gender-matched clinical controls. There was variability, however, in the comparisons among the three groups of interest, including foci of body dissatisfaction and body image coping patterns. On omnibus indices of body image disturbance and body image quality of life, patients with BDD reported more body image impairment than those with eating disorders. Although AN, BN, and BDD are characterized by body image disturbances, similar and partially distinctive cognitive, behavioral, and emotional elements of body image functioning exist among these groups. The study's empirical and clinical implications are considered.     

The relationship of body dysmorphic disorder and eating disorders to obsessive-compulsive disorder

Body dysmorphic disorder (BDD) and eating disorders are body image disorders that have long been hypothesized to be related to obsessive-compulsive disorder (OCD). Available data suggest that BDD and eating disorders are often comorbid with OCD. Data from a variety of domains suggest that both BDD and eating disorders have many similarities with OCD and seem related to OCD. However, these disorders also differ from OCD in some ways. Additional research is needed on the relationship of BDD and eating disorders to OCD, including studies that directly compare them to OCD in a variety of domains, including phenomenology, family history, neurobiology, and etiology.     

Noncontingent reinforcement and competing stimuli in the treatment of pseudoseizures and destructive behaviors

Individuals diagnosed with epilepsy have sometimes also been observed to display ‘pseudoseizures’, or clinical events that mimic those observed during epileptic seizures, but are not associated with abnormal cortical electrical discharges. Several investigators have hypothesized that pseudoseizures, in some proportion of those individuals that display them, may be maintained through operant contingencies. In the present study, this sort of hypothesis was tested in a 10‐year‐old boy with severe mental retardation and a seizure disorder. Informal observations, and later, response‐reinforcer contingencies, revealed that the pseudoseizures, as well as other destructive behaviors, occurred at high rates when they resulted in attention from caregivers. Subsequently, a treatment package consisting of noncontingent reinforcement (NCR) and competing stimuli was used to decrease levels of seizure‐like activity and other problem behaviors. This study adds to the literature that suggests that seizure‐like activity may come under operant control and extends the use of NCR and competing stimuli to a novel target behavior. Copyright © 2005 John Wiley & Sons, Ltd.     

Procedural injustice,police legitimacy,and officer gender: A vignette‐based test of the invariance thesis

Role congruity theory suggests that gender‐based stereotypes can result in female police officers paying a higher price (i.e., viewed as less legitimate) relative to male officers for mistreating people. The invariance thesis posits that the effect of (un)fair treatment by legal authorities on legal attitudes and beliefs is stable across situations, time, and space. This study tested the invariance thesis by assessing whether the effect of procedural injustice on police legitimacy differed across officer gender. A factorial vignette survey that consisted of two types of citizen‐initiated police encounters was administered to a university‐based sample (N = 525). The results showed that the effect of procedural injustice had a powerful and significant influence on participants' legitimacy perceptions. These effects were consistent regardless of whether the treatment was doled out by a male or a female police officer. The findings provide support for the invariance thesis.     

Emerging Christianity and Religious Identity

The issue of religious identity is important for understanding the Emerging Church movement (ECM), which is in our view a religious orientation adopted by individuals and groups with a variety of religious identities. ECM participants are often resistant to religious identity labels, even to the point of being reluctant to identify as part of the ECM itself. Coupling this resistance with the growing millennial embrace of the category “religious none,” we use identity theory to argue that the kind of religious change we see with millennials and the Emerging Church is the product of identity change. Using the results of focus groups with millennials in the southern United States, we argue that the potential for religious change around Emerging Church identities lies in a process of shifting. We also identify the potential for religious change among different Emerging Christian identities, taking Peter Rollins as an example of someone who proposes a concept of Christian identity more radical than those espoused by other Emerging Church figures.     

Recognition of facial affect in Borderline Personality Disorder

Patients with Borderline Personality Disorder (BPD) have been described as emotionally hyperresponsive, especially to anger and fear in social contexts. The aim was to investigate whether BPD patients are more sensitive but less accurate in terms of basic emotion recognition, and show a bias towards perceiving anger and fear when evaluating ambiguous facial expressions. Twenty-five women with BPD were compared with healthy controls on two different facial emotion recognition tasks. The first task allowed the assessment of the subjective detection threshold as well as the number of evaluation errors on six basic emotions. The second task assessed a response bias to blends of basic emotions. BPD patients showed no general deficit on the affect recognition task, but did show enhanced learning over the course of the experiment. For ambiguous emotional stimuli, we found a bias towards the perception of anger in the BPD patients but not towards fear. BPD patients are accurate in perceiving facial emotions, and are probably more sensitive to familiar facial expressions. They show a bias towards perceiving anger, when socio-affective cues are ambiguous. Interpersonal training should focus on the differentiation of ambiguous emotion in order to reduce a biased appraisal of others.     

Different storage and retrieval deficits in normal aging and mild cognitive impairment: a multinomial modeling analysis

The authors compared patients with mild cognitive impairment with healthy older adults and young control participants in a free recall test in order to locate potential qualitative differences in normal and pathological memory decline. Analysis with an extended multitrial version of W. H. Batchelder and D. M. Riefer's (1980) pair-clustering model revealed globally decelerated learning and an additional retrieval deficit in patients with mild cognitive impairment but not in healthy older adults. Results thus suggest differences in memory decline between normal and pathological aging that may be useful for the detection of risk groups for dementia, and they illustrate the value of model-based disentangling of processes and of multitrial tests for early detection of dementia.     

False memories of emotional and neutral words

This study used the Deese-Roediger-McDermott paradigm to investigate the direction and the extent to which emotional valence in semantic word lists influences the formation of false memories (FM). The experimental paradigm consisted of 1) a study phase (learning of neutral and negative lists of words semantically associated to a non-presented critical lure (CL), 2) a free recall phase, and 3) a recognition phase. Participants had to indicate whether the displayed item was "new" (new item or non-studied CL) or "old" (studied list item). CL associated with negative word lists elicited significantly more FM than CL associated with neutral word lists. This finding is in contrast to previous work showing that emotional words elicit fewer FM than neutral words. The results of our study also suggest that valence is capable of influencing emotional memory in terms of encoding and retrieval processes.     

Case Conceptualization and Treatment of Comorbid Body Dysmorphic Disorder and Bulimia Nervosa

Body dysmorphic disorder (BDD) and eating disorders often co-occur and share some clinical features. In addition, the co-occurrence of BDD and an eating disorder may be associated with greater impairment in functioning. Furthermore, clinical impressions suggest that this comorbidity may be more treatment resistant than either disorder alone. The current article discusses the treatment of a 48-year-old female diagnosed with BDD and comorbid bulimia. We attempted to address these co-occurring disorders in a strategic, formulation-based manner using a variety of cognitive-behavioral strategies such as cognitive restructuring, rational disputation, exposure with response prevention, and mirror retraining. Despite the complexity of this case, results suggest that comorbid BDD and bulimia nervosa can be effectively managed with cognitive behavioral therapy.