Tailoring Cognitive Behavioral Treatment for Binge Eating in Adolescent Girls

Whereas effective treatments exist for adults with recurrent binge eating, developmental factors specific to adolescents point to the need for a modified treatment approach for youth. We adapted an existing cognitive behavioral therapy treatment manual for adults with bulimia nervosa and binge eating disorder (Fairburn, 2008) for use with adolescents. This paper presents a number of clinical case vignettes, drawn directly from interactions with teen participants, that illustrate some of the developmental factors common to adolescents—as well as the importance of our adaptations to address for these factors.     

Vicarious Trauma in Social Workers: The Role of Trauma History,Social Support,and Years of Experience

Vicarious trauma, a disruption in schemas and worldview often accompanied by symptoms similar to those of posttraumatic stress disorder, occurs as a result of chronic secondary exposure to traumatic material. The aim of this study was to examine the role of personal trauma history, social support, and experience level in the development of vicarious trauma among licensed social workers in Maryland (N = 160). Results indicated an increase in social support and in experience level of social workers predicted less severe vicarious trauma. In addition, an interaction effect between trauma history and social support trending on significance indicated higher levels of social support might help protect those without a trauma history but not those with a trauma history against vicarious trauma. Research and clinical implications are discussed.     

Case-Based Knowledge and Ethics Education: Improving Learning and Transfer Through Emotionally Rich Cases

Case-based instruction is a stable feature of ethics education, however, little is known about the attributes of the cases that make them effective. Emotions are an inherent part of ethical decision-making and one source of information actively stored in case-based knowledge, making them an attribute of cases that likely facilitates case-based learning. Emotions also make cases more realistic, an essential component for effective case-based instruction. The purpose of this study was to investigate the influence of emotional case content, and complementary socio-relational case content, on case-based knowledge acquisition and transfer on future ethical decision-making tasks. Study findings suggest that emotional case content stimulates retention of cases and facilitates transfer of ethical decision-making principles demonstrated in cases.     

Neuroethics,confidentiality, and a cultural imperative in early onset Alzheimer disease: a case study with a First Nation population

The meaningful consideration of cultural practices, values and beliefs is a necessary component in the effective translation of advancements in neuroscience to clinical practice and public discourse. Society’s immense investment in biomedical science and technology, in conjunction with an increasingly diverse socio-cultural landscape, necessitates the study of how potential discoveries in neurodegenerative diseases such as Alzheimer disease are perceived and utilized across cultures. Building on the work of neuroscientists, ethicists and philosophers, we argue that the growing field of neuroethics provides a pragmatic and constructive pathway to guide advancements in neuroscience in a manner that is culturally nuanced and relevant. Here we review a case study of one issue in culturally oriented neuroscience research where it is evident that traditional research ethics must be broadened and the values and needs of diverse populations considered for meaningful and relevant research practices. A global approach to neuroethics has the potential to furnish critical engagement with cultural considerations of advancements in neuroscience.     

Sweetening the Till: The Use of Candy to Increase Restaurant Tipping1

A common practice among servers in restaurants is to give their dining parties an unexpected gift in the form of candy when delivering the check. Two experiments were conducted to evaluate the impact of this gesture on the tip percentages received by servers. Experiment 1 found that customers who received a small piece of chocolate along with the check tipped more than did customers who received no candy. Experiment 2 found that tips varied with the amount of the candy given to the customers as well as with the manner in which it was offered. It is argued that reciprocity is a stronger explanation for these findings than either impression management or the good mood effect.     

Relationships between ability and personality:does intelligence contribute positively to personal and social adjustment?

Intelligence/personality associations were studied in four large datasets. Correlations between general ability (g) and major personality traits were generally consistent with previous findings. For other traits, an interpretation of the correlation patterning is that traits classifiable as adaptive in terms of personal and social adjustment have positive correlations with g, whilst maladaptive traits have negative correlations. Regression modelling confirmed these associations and structural equation modelling of selected traits showed that Neuroticism acts as a mediator of g on the outcome. Non-linear relationships between intelligence and personality were not found. In two of the datasets the correlation between Neuroticism and Psychoticism decreased with ability level, and the correlation between fluid and crystallised ability increased with level of Neuroticism.     

Family, Community, and Motherhood: Caring for Fatherless Children in the Jewish Community of Thirteenth-Century Perpignan

This article investigates the guardianship of fatherless children (orphans) in one of the most important Jewish communities of the thirteenth-century realms of Aragon, the aljama of the town of Perpignan. After reviewing some ideals of Solomon ben Abraham ibn Adret of Barcelona, as expressed in his responsa, the article focuses on documents of practice. This documentary basis includes royal charters, Latin wills of Jewish testators, and 148 unedited transactions generated by eighteen panels of guardians between 1266 and 1286, described in an analytical table at the end of the article. The practical evidence reveals that guardians usually served as a group, panels comprised close relatives of the wards and men who were distinguished in their community through official service. Case studies expose the dynamics within these panels and establish that the orphans' widowed mother usually acted as the group's leader. A comparison with her Christian counterpart places the rights and responsibilities of the Jewish widowed mother guardian into relief. Although not autonomous, Jewish widowed guardians were highly effective caretakers of their fatherless children. The idealized view of the Jewish widow held by her medieval contemporaries as helpless and in need of special care from the men of her community enabled already capable widows to benefit from the financial aid of community leaders who otherwise might not have been so keen to foster these women's legal and financial agency.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.