Bulimia—Its dynamics and treatment: The case of an adolescent male

Male bulimics are rare. Through the analysis of a case of an adolescent man, the causation of this eating disorder from the viewpoint of both nature and nurture is explored. How the pathology develops from defects in early object relationships is explained in detail. Treatment strategies and practical use of the information gleaned are fully elaborated. This is a pragmatic and helpful paper for clinicians on all levels.     

The cognitive profile of Sotos syndrome

Sotos syndrome is a congenital overgrowth disorder, associated with intellectual disability. Previous research suggests that Sotos syndrome may be associated with relative strength in verbal ability and relative weakness in non-verbal reasoning ability but this has not been explicitly assessed. To date, the cognitive profile of Sotos syndrome is unknown. Cognitive abilities of a large and representative sample of individuals with Sotos syndrome (N = 52) were assessed using the British Ability Scales (BAS3). The majority of participants had intellectual disability or borderline intellectual functioning. The cluster score profile analysis revealed a consistent verbal ability > non-verbal reasoning ability profile. Four specific criteria were proposed as the Sotos syndrome cognitive profile (SSCP): verbal ability > non-verbal reasoning ability; quantitative reasoning T-score or matrices T-score <20th percentile; quantitative reasoning T-score < mean T-score; recognition of designs T-score or recognition of pictures T-score > mean T-score. Of the 35 participants included in the profile analysis, 28 met all four SSCP criteria, yielding a sensitivity of 0.8. The sensitivity of each of the SSCP criteria was >0.9. Individuals with Sotos syndrome display a clear and consistent cognitive profile, characterized by relative strength in verbal ability and visuospatial memory but relative weakness in non-verbal reasoning ability and quantitative reasoning. This has important implications for the education of individuals with Sotos syndrome.     

Special Considerations in the Adaptation of Cognitive Behavioral Therapy for Insomnia With Active-Duty U.S. Army Personnel

Insomnia is highly prevalent among active-duty military service members. Cognitive Behavioral Therapy for Insomnia (CBT-I) is a well-established and effective treatment; however, research and treatment recommendations have primarily focused on civilian or veteran populations. A multitude of military-specific factors directly impact service members’ sleep and the subsequent treatment recommendations. This article provides treatment considerations for the use of CBT-I with active-duty U.S. Army personnel. First, an overview of the theoretical model of insomnia, including military-specific predisposing, precipitating, and perpetuating factors, is presented, followed by a review of common comorbid conditions among service members with insomnia. Finally, discussion focuses on considerations and strategies for implementing components of CBT-I with service members, managing sleep during deployments, and adjusting sleep to accommodate overnight duties. Additional training resources and supplemental video examples (with actors) are provided.     

Social effects on reference frame selection

Psychonomic Bulletin & Review - The presence of another person in a spatial scene has been shown to induce spontaneous perspective taking. This investigation presents two experiments exploring...     

Teachers’ reactions to experiences of violence: an attributional analysis

Violence perpetrated against teachers is prevalent and has the potential to adversely affect teachers’ well-being, efficacy, and longevity in the profession. In this study, we examined teachers’ reactions after having experienced violence, specifically examining the roles of attributional processes. In collaboration with the American Psychological Association, National Education Association, and American Federation of Teachers, data were collected via a survey instrument from teachers across the United States. We examined responses from 2505 participants who described the most upsetting incident of violence that had been perpetrated against them in their roles as teachers. We examined predictors of (1) communicating with others after the incident and (2) implementing intervention strategies with the perpetrators of violence. Emotions were tested as mediators of the relations between attributions and outcomes. Results indicated that characterological and behavioral self-blame were predictive of negative affect, which in turn predicted the majority of outcomes. Study limitations and implications for research and practice are discussed.     

Providers’ Perceptions and Practices Regarding <Emphasis Type="BoldItalic">BRCA1/2</Emphasis> Genetic Counseling and Testing in African American Women

We examined healthcare providers’ perceptions of genetic counseling and testing in African American women at moderate to high-risk of carrying a BRCA1/2 mutation. We conducted 20 in-depth interviews with genetic counselors (n = 5), medical oncologists (n = 8), obstetrician/gynecologists (n = 2) and surgeons (n = 5). Interviews were audiotaped, transcribed and independently coded by two individuals using a content analysis approach. Seven themes emerged relevant to providers’ perceptions of African American women’s use of BRCA1/2 genetic services: access factors, cultural beliefs and preferences, effects of testing, patient motivators for genetic counseling and testing, patient-provider communication, reasons for provider referral, and reasons for patient refusal. Providers identified individual- and system-level barriers to African American women’s use of genetic services, including lack of follow-up after referrals to genetic specialists and challenges to obtaining financial coverage for under- and uninsured high-risk women. Results have implications for physician and patient education regarding appropriate referrals to and uptake of genetic services in at-risk African American women.     

Social Baseline Theory: The Role of Social Proximity in Emotion and Economy of Action

Social proximity and interaction attenuate cardiovascular arousal, facilitate the development of nonanxious temperament, inhibit the release of stress hormones, reduce threat‐related neural activation, and generally promote health and longevity. Conversely, social subordination, rejection and isolation are powerful sources of stress and compromised health. Drawing on the biological principle of economy of action, perception/action links, and the brain’s propensity to act as a Bayesian predictor, Social Baseline Theory (SBT) proposes that the primary ecology to which human beings are adapted is one that is rich with other humans. Moreover, SBT suggests that the presence of other people helps individuals to conserve important and often metabolically costly somatic and neural resources through the social regulation of emotion.     

Higher‐Order Thought and the Problem of Radical Confabulation

Currently, one of the most influential theories of consciousness is Rosenthal's version of higher‐order‐thought (HOT). We argue that the HOT theory allows for two distinct interpretations: a one‐component and a two‐component view. We further argue that the two‐component view is more consistent with his effort to promote HOT as an explanatory theory suitable for application to the empirical sciences. Unfortunately, the two‐component view seems incapable of handling a group of counterexamples that we refer to as cases of radical confabulation. We begin by introducing the HOT theory and by indicating why we believe it is open to distinct interpretations. We then proceed to show that it is incapable of handling cases of radical confabulation. Finally, in the course of considering various possible responses to our position, we show that adoption of a disjunctive strategy, one that would countenance both one‐component and two‐component versions, would fail to provide any empirical or explanatory advantage.     

Cognitive Load and the Equality Heuristic: A Two-Stage Model of Resource Overconsumption in Small Groups

Two studies were conducted to test a two-stage model of the psychological mechanisms underlying the overconsumption of scarce resources in small groups. The model proposes that members of groups sharing resources first anchor their consumption choices on an “equal-division” heuristic and then, given sufficient cognitive capacity, adjust their choices in a self-serving direction. The results from both studies support the model. The first study found that when faced with a common resource pool almost all group members expressed thoughts regarding equality; however, individuals with sufficient cognitive capacity requested more from the pool and expressed more task-relevant thoughts than individuals lacking the necessary cognitive resources. The second study provided additional support for the two-stage model by demonstrating that group members' cognitions occur in the order predicted by the model and by demonstrating that an individual difference, social value orientation, affects thought processes only when individuals are not experiencing high cognitive loads. Implications are discussed.     

A comparison of behavioral and emotional functioning in children and adolescents with Autistic Disorder and PDD-NOS.

Behavioral symptomatology was compared in 26 children and adolescents with Autistic Disorder ("autism") and 25 children and adolescents with Pervasive Developmental Disorder, Not Otherwise Specified ("PDD-NOS"). Relative to individuals with PDD-NOS, those with autism had more symptoms of depression, social withdrawal, atypical behavior, and immature social skills--and fewer family problems. These differences remained even when group differences in intellectual ability were statistically controlled. No group differences emerged in somatization, anxiety, or hyperactivity. Findings suggest that although both groups demonstrate considerable evidence of behavioral and emotional problems, those with autism are at particularly high risk for comorbid behavioral and emotional disabilities.