Weight suppression as a predictor of weight gain and response to intensive behavioral treatment in patients with anorexia nervosa

Previous studies have documented that weight suppression (a person's highest adult weight minus current weight) predicts weight gain and disordered eating symptoms during treatment of bulimia spectrum disorders, but no research has examined weight suppression in individuals with anorexia nervosa (AN). Thus, this study sought to characterize weight suppression in a large sample of patients with AN (N = 185), and to evaluate whether weight suppression at admission for intensive behavioral treatment predicts weight gain and clinical outcomes at discharge. Weight suppression varied from 0 kg to 78 kg (M [SD] = 17.1 [10.8] kg) in AN patients. Higher levels of weight suppression predicted greater total weight gain, a faster rate of weight gain, and bulimic symptoms during intensive treatment even after controlling for body mass index on admission, length and type of intensive treatment received, restricting versus binge-eating/purging AN subtype, and other predictors of study outcomes. These findings converge with previous research documenting the clinical significance of weight suppression in the treatment of eating disorders. Future work is needed to replicate the current findings, and examine whether weight suppression predicts the course of AN following discharge from intensive treatment.     

Psychological Adjustment Among Adult Children of Alcoholics: A Cross-Cultural Study

In this study, we compared Hispanic and Caucasian college students identified as adult children of alcoholics in terms of psychological adjustment using the Diagnostic Inventory of Personality and Symptoms (DIPS; Vincent, 1985). Results of the study suggested that, among college students, Caucasian men seem to be at a greater risk for using alcohol and drugs than Caucasian women or Hispanic men and women.     

Relation of Family Size to Intelligence of Offspring and Socio-Economic Status of Family

Abstract

Barbara S. Burks, D. W. Jensen, &; Lewis M. Terman. Genetic studies of Genius: Vol. 3. The promise of youth; follow-up studies of a thousand gifted children. Stanford University, Calif.: Stanford Univ. Press, 1930. Pp. xiv+508. $6.00.     

On the Ethics of Facial Transplantation Research

Transplantation continues to push the frontiers of medicine into domains that summon forth troublesome ethical questions. Looming on the frontier today is human facial transplantation. We develop criteria that, we maintain, must be satisfied in order to ethically undertake this as-yet-untried transplant procedure. We draw on the criteria advanced by Dr. Francis Moore in the late 1980s for introducing innovative procedures in transplant surgery. In addition to these we also insist that human face transplantation must meet all the ethical requirements usually applied to health care research. We summarize the achievements of transplant surgery to date, focusing in particular on the safety and efficacy of immunosuppressive medications. We also emphasize the importance of risk/benefit assessments that take into account the physical, aesthetic, psychological, and social dimensions of facial disfiguration, reconstruction, and transplantation. Finally, we maintain that the time has come to move facial transplantation research into the clinical phase.     

Probabilistic models of expectation violation predict psychophysiological emotional responses to live concert music

We present the results of a study testing the often-theorized role of musical expectations in inducing listeners’ emotions in a live flute concert experiment with 50 participants. Using an audience response system developed for this purpose, we measured subjective experience and peripheral psychophysiological changes continuously. To confirm the existence of the link between expectation and emotion, we used a threefold approach. (1) On the basis of an information-theoretic cognitive model, melodic pitch expectations were predicted by analyzing the musical stimuli used (six pieces of solo flute music). (2) A continuous rating scale was used by half of the audience to measure their experience of unexpectedness toward the music heard. (3) Emotional reactions were measured using a multicomponent approach: subjective feeling (valence and arousal rated continuously by the other half of the audience members), expressive behavior (facial EMG), and peripheral arousal (the latter two being measured in all 50 participants). Results confirmed the predicted relationship between high-information-content musical events, the violation of musical expectations (in corresponding ratings), and emotional reactions (psychologically and physiologically). Musical structures leading to expectation reactions were manifested in emotional reactions at different emotion component levels (increases in subjective arousal and autonomic nervous system activations). These results emphasize the role of musical structure in emotion induction, leading to a further understanding of the frequently experienced emotional effects of music.     

Collected Stories: Play in Four Acts

This article evolved from a group process where members of a psychoanalytic institute were faced with planning workshops for a professional weekend around the theme of “play.” The workshop that evolved consisted of four vignettes of play taking place in the therapeutic sessions of a child, an adolescent, an adult, and an elderly woman. The discussion of these vignettes that began at the conference and then was developed for this article focuses on tracing the development of play from childhood into adulthood (Mayes & Cohen, 1996; Russ, 2004) and on the relationship between play and the development of reflective functioning (Fonagy & Target, 1996). One area of particular interest that was focused upon was the use of play with adults who are described as “concrete,” people who function, at times, at a level of differentiation more typical of a young child. Play is described as being particularly helpful in facilitating a more differentiated and, thus, more reflective mode of psychic functioning for this group of individuals as well as for people at all levels of development.     

Logit Model to Predict Outcomes of Litigated Employee Obesity Cases

Purpose  

Given that there are no specific legal protections for obese employees, the purpose of this study was to investigate the relationship between the litigated case characteristics and case outcomes when an employee is subjected to negative consequences in the workplace and subsequently sues the employer.     

Communal and exchange relationship perceptions as separate constructs and their role in motivations to donate

Researchers have operationalized communal and exchange relationship perceptions as either mutually exclusive categories or opposite ends of a continuum. This research conceptualizes these relationships as distinct constructs that should be measured separately. We develop multi-item measures of communal and exchange relationship perceptions and find that they are actually positively correlated. We also examine the way communal and exchange relationship perceptions combine to influence intrinsic, extrinsic, and social motivations to donate, a category stipulated in economics, but not in psychology. We find that both relationship perceptions influence consumer attitudes toward donating through a mix of intrinsic, extrinsic, and social motivations.     

OBJECTIVITY IN ETHICS; TWO DIFFICULTIES, TWO RESPONSES

The paper, based on the H.L.A. Hart Memorial Lecture in Jurisprudence and Moral Philosophy, delivered in Oxford on 11^th May 2004, sets out to answer two difficulties which the late J. L. Mackie proposed (in his book Ethics: Inventing Right & Wrong) against the idea of objectivity in ethics. These were (1) the metaphysical peculiarity (‘queerness’) of values and obligations and (2) the ‘well known variation in moral codes from one society to another’ (‘relativity’). It is argued that the true import of Mackie's two difficulties is that they are a challenge to us to study with closer attention the dialectical and conceptual resources of ethical thinking. In the answer to the second difficulty, the ethic of globalism is revealed as a gross misunderstanding of true internationalism.¹