Theoretical underpinnings of a need-supportive intervention to address sustained healthy lifestyle changes in overweight and obese adolescents

ObjectivesRecent figures indicate that nearly a quarter of Australian adolescents are overweight or obese. Despite the well-established role of physical activity and healthy eating in reducing prevalence of obesity, there remains a lack of effective interventions that promote sustained behavior engagement. This paper aims to describe the theory-based integration and implementation of self-determination theory and goal setting theory in a family-based lifestyle intervention. Although these theories have been shown to independently predict motivation for behavior, a limited number of studies have described behavior-change techniques at a level to allow for effective evaluation and replication, and no studies have combined the theories in a healthy lifestyle behavior intervention.MethodsBehavior change techniques and the associated change mediators are described in relation to need-supportive environments provided by instructors and extended to parents in the home environment. Methods for motivating and promoting sustained engagement in adolescent physical activity and healthy eating and parent behaviors to support these lifestyle changes are discussed within the context of need-satisfaction and goal setting.ConclusionsThis study will contribute to understanding processes for developing and implementing behavior-change techniques based on the integration of two theories of motivation. Future interventions aimed at promoting maintenance of physical activity and healthy eating behaviors in overweight and obese adolescents will benefit by being informed of which techniques are effective at enhancing motivation within the intervention context and home environment.     

Rapid Changes in Overt Behavior Reflected in the Draw-a-Person: A Case Report

This case report presents two Draw-A-Person protocols obtained from the same patient with a five-day period intervening between the two testing sessions. During this brief period of time the patient's overt behavior changed from that of an angry paranoid to that of a meek and submissive individual. The two DAP protocols very clearly reflect this behavioral modification and testify to the sensitivity of the DAP to such personality changes.     

The development of an evidence-based treatment: Regulation-Focused Psychotherapy for Children with externalising behaviours (RFP-C)

There is a critical need for the development, evaluation and implementation of evidence-based psychodynamic treatments for children and adolescents. Currently, there are no empirically supported, manualised psychodynamic treatments for children and adolescents with disruptive behaviour problems. The field of manualised psychodynamic treatments with measurable equivalence or superiority to other established forms of psychotherapy is in its nascent stage. This paper details a novel, manualised, time-limited psychodynamic treatment approach for children who manifest disruptive behaviours and emotional dysregulation. Regulation-Focused Psychotherapy for Children (RFP-C) conceptualises children’s disruptive and acting out behaviours as expressions of maladaptive emotion regulation. Externalising symptoms are conceptualised as attempts to defend against painful emotions and thus protect the child from disturbing feelings such as sadness, shame and guilt. This paper provides the theoretical basis for the treatment approach and through the use of a clinical example demonstrates the systematic application of RFP-C in a single case.     

Ego transcendence in postmodern perspective

Based on the author's previous specification of the conventional ego mind as the primary barrier to “realization of the ground of consciousness,” postmodern perspectives on the ego mind barrier are compared with premodern and modern approaches. Postmodernists view the ego as a socio‐linguistic construct. Modern assumptions of consistent subjectivity and a unitary self or identity are rejected, and reduction of the ego mind barrier to transcendence is seen to follow from exploration of alternative self‐concepts. This perspective is manifest in theories of “possible selves” and in the contrast between formulations such as the “saturated self vs. the “empty self.” Though forms of ego transcendence likely in postmodern cultures will differ from those in premodern cultures, many of the same functions will be served, as may be observed in such phenomena as “ecomysticism.”     

Speaker knowledge influences the comprehension of pragmatic inferences

Inferring what speakers mean from what they say requires consideration of what they know. For instance, depending on the speaker's level of expertise, uttering Some squirrels hibernate can imply that not all squirrels hibernate, or it might imply the weaker proposition that the speaker does not know whether all squirrels hibernate. The present study examines the extent to which speaker knowledge influences implied meanings as well as the timing of any such influence. Using a self-paced presentation, participants read sentences containing some in contexts where a speaker should know whether all was true, or where the speaker merely might know whether all was true. This knowledge manipulation was found to have immediate and reliable effects on the type of inference that was drawn. In contrast, knowledge played no role when the same meanings were conveyed literally. This work thus demonstrates that perceivers consider the speaker's knowledge state incrementally to establish the speaker's communicative goals. (PsycINFO Database Record (c) 2012 APA, all rights reserved).