Perfectionistic self-presentation, body image, and eating disorder symptoms

A specific model for eating disorder symptoms involving perfectionistic self-presentation and two different moderators (i.e., body image evaluation and body image investment) was tested. Participants completed measures of perfectionistic self-presentation, body image dysfunction, and eating disorder symptoms. Findings indicated that all three dimensions of perfectionistic self-presentation were associated with eating disorder symptoms. Results also showed that perfectionistic self-presentation predicted eating disorder symptoms in women who were dissatisfied with their bodies, but that it did not predict eating problems in women who liked their bodies and felt there was little or no discrepancy between their actual and ideal appearances. Body image investment did not moderate the relationship between perfectionistic self-presentation and eating disorder symptoms, suggesting that ego-involvement alone is insufficient to promote eating disturbance in the context of perfectionism. The importance of self-presentation components of perfectionism and specific body image difficulties in predicting eating disorder symptoms are discussed.     

Integrating Multiple Intersecting Identities: A Multicultural Conceptualization of the Power and Control Wheel

For the past three decades intimate partner abuse has received growing attention as a major social problem with its roots in socially structured systemic inequalities. However, much of the intimate partner abuse literature lacks adequate attention to issues of diversity, and more specifically fails to address how structural underpinnings beyond gender shape women's experiences of intimate partner abuse. The primary purpose of this paper is to highlight the importance of considering how various systems of oppression (e.g., heterosexism, agism, ableism, racism, spirituality/religion, classism, and sexism) shape the experiences of victims of intimate partner abuse. In particular, we address how these personal, cultural, and structural identities may individually or in combination influence women's experiences of intimate partner abuse. The literature on diverse identities and intimate partner abuse is reviewed, and a revised version of the commonly used Power and Control Wheel is presented, called the Multicultural Power and Control Wheel. Directions for future research and implications for practice are proposed with the hopes of initiating a dialogue among researchers and clinicians as to the most effective ways to serve victims of IPA.     

Global dot integration in typically developing children and in Williams Syndrome

Williams Syndrome (WS) is a neurodevelopmental disorder that results in deficits in visuospatial perception and cognition. The dorsal stream vulnerability hypothesis in WS predicts that visual motion processes are more susceptible to damage than visual form processes. We asked WS participants and typically developing children to detect the global structure Glass patterns, under “static” and “dynamic” conditions in order to evaluate this hypothesis. Sequentially presented Glass patterns are coined as dynamic because they induce illusory motion, which is modeled after the interaction between orientation (form) and direction (motion) mechanisms. If the dorsal stream vulnerability holds in WS participants, then they should process real and illusory motion atypically. However, results are consistent with the idea that form and motion integration mechanisms are functionally delayed or attenuated in WS. Form coherence thresholds for both static and dynamic Glass patterns in WS were similar to those of 4–5 year old children, younger than what is predicted by mental age. Dynamic presentation of Glass patterns improved thresholds to the same degree as typical participants. Motion coherence thresholds in WS were similar to those of mental age matches. These data pose constraints on the dorsal vulnerability hypothesis, and refine our understanding of the relationship between form and motion processing in development.     

Treatment Outcome for Low Socioeconomic Status African American Families in Parent-Child Interaction Therapy: A Pilot Study

The course and efficacy of parent-child interaction therapy (PCIT) were examined in 18 socioeconomically disadvantaged African American families of preschoolers with disruptive behavior disorders. Mothers reported significant improvements in child disruptive behavior but not in maternal depressive symptoms or parenting stress. Attrition was 56%, most often occurring after pre-treatment assessment but before treatment began. Results suggest that PCIT may lead to positive behavior changes for disadvantaged young African American children when families complete treatment. Recruitment, engagement, and retention remain significant problems requiring further study. Reduction of parenting stress also requires study in this population.     

Face to Face

In “Face to Face,” I explore my work as a Jewish analyst with a Lebanese woman, Ara, who is strongly identified with the Palestinian cause. As the work unfolded I find myself thrust into a psychic and social space I had not wanted to inhabit, into the Israeli–Palestinian conflict and the turmoil of Jewish identity. Ara and I were in the midst of ghosts of historical traumas, intersecting and interweaving history and identity between us. It was her history and my history and the history of nations, of broken bonds and damaged victims suddenly all present in the room. I will hold together, in tension, the micro and the macro, the intrapsychic and social, the drama of the encounter between Ara and me and between Palestinians and Jews. I ask what it takes to find one's way into an understanding of the other, a recognition of the other and the legitimacy of their suffering when one's own history is suffused with the trauma of centuries of victimhood. “Face to Face” is an exploration of how to inhabit the Other, how to negotiate difference, moving beyond the dynamics of victim and victimizer, beyond that of oppressor and oppressed to what Emmanuel Levinas refers to as a welcoming of the stranger, a transcendent experience.     

Test-retest reliability of the state-trait personality inventory and the anger expression scale

Abstract

The State-Trait Personality Inventory and the Anger Expression Scale have been attracting increasing attention in research involving personality assessment, but no data regarding the test-retest reliability of these instruments have been published. The 14-day test-retest correlation coefficients for the subscales of these instruments reflect appropriately low stability for the state scales of the STPI and moderate stability for the STPI trait scales as well as the AX subscales.     

Factors Associated with Non-Reimbursable Activity on an Inpatient Pediatric Consultation–Liaison Service

The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation–liaison (C–L) service. A retrospective study was conducted using inpatient C–L service data on 1,246 consecutive referrals. For this patient population, the strongest predictor of level of non-reimbursable clinical activity was illness chronicity and the number of contacts with C–L service clinicians during their hospital stay. Patients with acute life-threatening illnesses required the highest mean amount of non-reimbursable service activity. On average, 28 % of total clinician time in completing a hospital consultation was spent in non-reimbursable activity. Effective C–L services require a proportion of time spent in non-reimbursable clinical activity, such as liaison and coordinating care with other providers. Identifying referral and systemic factors contributing to non-reimbursable activity can provide insight into budgeting/negotiating for institutional support for essential clinical and non-clinical functions in providing competent quality patient care.     

LIQUID TO BABY FOOD FADING IN THE TREATMENT OF FOOD REFUSAL

In the current investigation, we identified two young children who consistently consumed liquids, but not baby food, after treatment with positive reinforcement for mouth clean (an indirect measure of swallowing) and physical guidance with re‐presentation of food. We examined the effects of an 11‐step stimulus fading procedure that involved gradually altering the concentration of liquid by adding baby food to the liquid. High levels of mouth clean were maintained in both children throughout fading, and increased mouth clean during probes of 100% baby food was obtained after conducting all 11 fading steps with one child and 6 of 11 fading steps with the second child. Negative vocalizations decreased during probes of 100% baby food after conducting the remaining fading steps with the second child. Gram intake of 100% baby food increased with both children after we completed all fading steps. Copyright © 2013 John Wiley & Sons, Ltd.     

Simulation as a Method for Theological and Philosophical Inquiry

Abstract

In this paper we make the case that simulation provides an important and relatively novel tool for confronting and possibly even surmounting various epistemological hurdles. To support the claim that simulation has particular merit for approaching certain theological and philosophical problems, we suggest a number of advantages, evaluate possible objections, and make the case in a specific domain by illustrating how an actual simulation system can be used to this end.     

Obstructing the cascade: motivational system coactivation dampening defensive reactions to threat and disgust

ABSTRACT

This study uses the limited capacity model of motivated mediated message processing (LC4MP; Lang, 2006) as a framework to study coactivation of fundamental motivational systems elicited by common message features in antismoking public service announcements (PSAs): the appetitive system (elicited by smoking cues) and aversive system (elicited by perceived threat and disgust). Specific predictions were made for smoking cues’ ability to provide cognitive resources for message encoding when simultaneous message elements are so highly aversive they begin to deplete resources (i.e., during a defensive cascade). The results showed that greater resources were expended on encoding headlines as indicated by increased attention (i.e., gaze duration and frequency of fixation) and better free recall, but not noncue pictorial elements when smoking cues were present in PSAs high in perceived disgust. Although the inclusion of smoking cues was effective in highly aversive PSAs, results indicated that the inclusion of smoking cues reduced attention and free recall for moderately and low-aversive PSAs. Theoretical advances include the use of motivational coactivation to reduce defensive reactions and the differential allocation impact on text versus visual message elements. Applied implications highlight the importance of formative production research to ensure aversive activation is high enough to offset urges associated with smoking cues.