Screening for eating disorders in primary care: EDE-Q versus SCOFF

OBJECTIVE AND METHODS: The comparative validity of the Eating Disorder Examination Questionnaire (EDE-Q) (22 items) and SCOFF (five items) in screening for cases of the more commonly occurring eating disorders was examined in a primary care sample of young adult women (n=257). Diagnoses were confirmed in a sub-group of interviewed participants (n=147). RESULTS: Twenty-five cases, primarily variants of bulimia nervosa (BN) not meeting formal diagnostic criteria, were identified in the interviewed sample. An EDE-Q global score of >or= 2.80 yielded the optimal trade-off between sensitivity (Se) (0.80) and specificity (Sp) (0.80) (positive predictive value (PPV)=0.44), whereas a score of two or more positive responses on the SCOFF was optimal (Se=0.72, Sp=0.73, PPV=0.35). Validity coefficients for both measures varied as a function of participants' age and body weight, although these effects were more pronounced for the SCOFF. CONCLUSIONS: Both measures performed well in terms of their ability to detect cases and to exclude non-cases of the more commonly occurring eating disorders in a primary care setting. The EDE-Q performed somewhat better than the SCOFF and was more robust to effects on validity of age and weight. These findings need to be weighed against the advantage of the SCOFF in terms of its brevity.     

Rapid acquisition of phonological alternations by infants

We explore whether infants can learn novel phonological alternations on the basis of distributional information. In Experiment 1, two groups of 12-month-old infants were familiarized with artificial languages whose distributional properties exhibited either stop or fricative voicing alternations. At test, infants in the two exposure groups had different preferences for novel sequences involving voiced and voiceless stops and fricatives, suggesting that each group had internalized a different familiarization alternation. In Experiment 2, 8.5-month-olds exhibited the same patterns of preference. In Experiments 3 and 4, we investigated whether infants' preferences were driven solely by preferences for sequences of high transitional probability. Although 8.5-month-olds in Experiment 3 were sensitive to the relative probabilities of sequences in the familiarization stimuli, only 12-month-olds in Experiment 4 showed evidence of having grouped alternating segments into a single functional category. Taken together, these results suggest a developmental trajectory for the acquisition of phonological alternations using distributional cues in the input.     

Fostering Client Creativity in Family Therapy: A Process Research Study

Creativity has been shown to enhance problem solving, and to increase flexibility and adaptability—qualities associated with positive therapeutic outcomes. Literature related to therapist and/or client creativity is primarily anecdotal. Empirical literature addressing how therapists can facilitate the creativity of their clients in family therapy is scarce. In this study, the researchers used process methodology to code the behavior of therapists and clients in 31 videotaped family therapy sessions. Results show a significant positive correlation between interventions that induce positive affect and the creative client behaviors of optimism and playfulness.     

Short review and book note

John McManners, Death and the enlightenment. Changing attitudes to death among Christians and unbelievers in eighteenth-century France, Oxford University Press 1981, vii + 619 pp. £17.50

Richard Swinburne, Faith and reason, Oxford, The Clarendon Press 1981, 206 pp. £16.00

John Coulson, Religion and imagination, Oxford, The Clarendon Press 1981, 193 pp. £12.50

Irving Hexham, The irony of apartheid, the struggle for national independence of Afrikaner calvinism against British imperialism, New York, Edwin Mellen Press 1981, 239 pp

David Tracy, The analogical imagination, London, SCM Press 1981, xii + 467 pp. £12.50

K. D. Sethna Rutherford, The spirituality of the future, a search apropos of R. C. Zaehner's study in Sri Aurobindo and Teilhard de Chardin, Madison, Teaneck: Fairleigh Dickinson University Press; London and Toronto: Associated University Presses 1981. 314 pp. $28.50     

CAN YOU THINK MY 'I'-THOUGHTS?

If tokens of 'I' have a sense as well as a reference the question immediately arises of what account to give of their sense. One influential kind of account, of which Gareth Evans provides the best developed instance, attempts to elucidate the sense of 'I' partly in terms of the distinctive functional role possessed by thoughts containing this sense ('I'-thoughts). Accounts of this kind seem to entail that my 'I'-thoughts cannot be entertained by anyone other than me, a consequence generally thought unacceptable. I defend it. I also justify a functional role account of the sense of 'I'. The result should be to make plausible an account of the sense of 'I' in terms of the functional role of 'I'-thoughts.     

Coherent plaids are preattentively more than the sum of their parts

We investigated whether plaids activate preattentive mechanisms that are distinct from those activated by their component gratings. Observers searched for a target plaid, the sum of two perpendicular components in a circular window (radius = 0.65°). The target was present on half the trials. On all trials, half of the distractors had the same frequency and orientation as one component of the plaid, and the rest were the same as the other component. The target and the distractors were arrayed evenly on a circle (radius = 2.36°) around fixation. Target and distractor contrasts were randomly perturbed up to ±30%. The following results held for each of the 6 participants tested. (1) When F1 = 2 c/deg and F2 = 5.25 c/deg, response times (RTs) increased significantly when set size (number of distractors plus target, if present) was increased from four to eight. (2) When the spatial frequencies of both plaid components were the same (i.e., both 2 c/deg or both 5.25 c/deg), RTs increased very slightly, if at all, when set size was increased from four to eight. These results suggest the existence of a preattentive, plaid-sensitive mechanism with band-limited input that does not respond to individual grating components.     

Women in a Man's World: Gender Differences in Leadership at the Military Academy

This study responds to a deficiency of research on military leadership gender differences in spite of widespread interest in women in the military in policymaking and academic circles of various fields. Although scholarship in the field of women's leadership in recent years has asserted that there are stylistic differences between male and female leaders, there were few major differences in this study of 12 specific areas of leadership rated by 3 types of raters. Of the 36 possible occurrences of a statistically significant gender difference, only 6 manifested themselves in the cadet leader ratings. As a whole, evidence supports minimal gender differences in leadership performance or style in the West Point Class of 1998.     

The expulsion from Disneyland: the social psychological impact of 9/11

People expressed many different reactions to the events of September 11th, 2001. Some of these reactions were clearly negative, such as political intolerance, discrimination, and hate crimes directed toward targets that some, if not many, people associated with the attackers. Other reactions were more positive. For example, people responded by donating blood, increasing contributions of time and money to charity, and flying the American flag. The goal of this article is to review some of Americans' negative and positive reactions to 9/11. We also describe two frameworks, value protection and terror management theory, that provide insights into Americans' various reactions to the tragedy of 9/11.