Bulimia: A case study with mediating cognitions and notes on a cognitive-behavioral analysis of eating disorders

A case study of a young woman who was following a complex bulimic chain is described. Her emotional-behavioral sequence involved (1) feeling upset, (2) feeling more upset and taking a high dose of laxatives, (3) hinging, (4) taking additional laxatives, (5) feeling depressed, guilty, and angry, and then (6) starving herself for days on end. This paper lists the selfdefeating cognitions mediating the above sequence of emotions and behaviors and reports on a successful disputation of them through a Rational-Emotive Therapy approach. She resumed a normal eating pattern; her menstrual cycle returned in 2 months after having been absent for 13 months; and at followup, 15 months after termination of therapy, disclosed normal weight with no regression to any bulimic behavior. The case study concludes with preliminary notes on a cognitive-behavioral analysis of eating disorders. A model for eating disorders is proposed based upon the study and treatment of other selfindulgent disorders.Paul J. Woods, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, a Professor Emeritus of Psychology at Hollins College, and a Licensed Psychologist in independent practice in Roanoke, Virginia.Russell M. Grieger, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, and a Licensed Clinical Psychologist in independent practice in Charlottesville, Virginia.     

Social support and immune function among spouses of cancer patients

This study investigated whether social support was related to immune function among spouses of cancer patients. Effects of depression and negative life events were examined as potential mediators. Results showed evidence of greater immunocompetence on 2 of 3 dynamic measures: natural killer cytotoxicity and proliferation response to phytohemagglutinin among spouses who reported high levels of social support. All six components of social support assessed by the Social Provisions Scale (Cutrona & Russell, 1987) were strongly related to these indices of immune function. No evidence was found for mediation by either life events or depression.     

Are hyperactive children deficient in attentional capacity?

A dual task was used to study attentional capcity in three groups: in 6- to 12- year- old boys with attention deficit disorder plus hyperactivity (ADDH) or with ADDH and conduct disorder, and in normal children. Subjects performed a primary-choice reaction-time task first without and then with a secondary task that also required a response. Our prediction that the reaction time of ADDH subjects to the secondary task would increase more with increasing temporal overlap of the primary and secondary stimuli, if they were deficient in capacity, was not supported. However, the performance of ADDH subjects on the primary task deteriorated more than that of control subjects with the introduction of the secondary task, indicating a greater concurrence cost or a different allocation policy. Moreover, ADDH subjects had longer reaction times to the secondary task, indicating greater refractory effects or difficulty shifting capacity from primary- to secondary-task processes.The authors would like to acknowledge the support of the Ontario Mental Health Foundation and the assistance of Diane Chajczyk. This paper was prepared with the assistance of Medical Publications, The Hospital for Sick Children, Toronto, Ontario.     

The Case(s) of Gordon Allport

ABSTRACT Gordon Allport has frequently been criticized for advocating the use of idiographic studies but undertaking only one such study himself. This article describes Allport's work on the case of Marion Taylor, an unpublished study that clearly contributed to his later work on the case method. The unfinished Taylor case materials suggest that Ada Allport was an important collaborator in Allport's work with individual cases. The case of Taylor is compared with the later case of Jenny Masterson using Allport's rules for the preparation of case studies in order to shed light on Allport's ambivalence regarding case studies.     

Supervisor-Subordinate Work Value Congruence and Subordinate Performance: A Pilot Study

The relationship of superior-subordinate work value congruence to subordinate performance was examined in a retail setting. Additionally, because of on-going interest in the role of justice or fairness in the performance appraisal process, the relationship between the supervisor's value of fairness and subordinate performance was examined. Superior-subordinate value congruence was not related to subordinate performance. The supervisor's level of the value of fairness was related to supervisor-rated dimensions of performance, but not to sales and profits. Implications for future research are presented.     

The value of possessions in compulsive hoarding: Patterns of use and attachment

Hoarding behavior, patterns of use of possessions, and emotional attachment to possessions were examined among a sample of female undergraduates and a sample of community volunteers. Hoarding behavior was associated with a decreased frequency of use of possessions and excessive concern about maintaining control over possessions. Furthermore, high scores on the hoarding scale were associated with higher levels of perceived responsibility for: (1) being prepared; and (2) the well-being of the possession. Hoarding was also associated with greater emotional attachment to possessions and to the reliance on possessions for emotional comfort. The implications of these findings for the definition of hoarding are discussed.     

Assessment of Supervisee Developmental Level and Supervision Environment Across Supervisor Experience

Supervisors representing different levels of experience viewed videotape vignettes of counselors demonstrating the first three developmental levels of Stoltenberg's (1981) Counselor Complexity Model. Supervisors assessed each counselor on his or her developmental level and on the supervision environment he or she would provide for the trainee. Results indicated that supervisor experience did not influence the assessment of developmental level or the ability to make accurate environmental matches. Nevertheless, supervisors had the most difficulty accurately assessing counselors representing Level 2 in Stoltenberg's model and tended to make relative judgments about counselor developmental level. Implications for training and further research are discussed.     

Human Resource Management Group,University of Nottingham,UK

In a new series of regular reports, research groups active in personnel psychology from a number of countries will present a briefing on work-in-progress. In the first in this series, the HRM Group at the Department of Psychology, University of Nottingham, describe their ongoing work into organization change and training validation, employee socialization, computer-based testing, and personality test construction and assessment centre validation.     

Evaluating pediatric psychology consultation services in a medical setting: An example

We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.     

Indirect modes of aggression among women of Buenos Aires,Argentina

This study utilizes the construct indirect aggression to investigate aggressive behavior among middle class Argentine women and men by administering an attitude and self-report survey to 95 inhabitants of Buenos Aires and by analyzing ethnographic interviews and observations conducted over a nine month period in 1992. An examination of sex roles in Argentina, including machismo and marianismo, provide a cultural context for interpreting aggression. Factor analyses revealed the presence of indirect aggression (e.g., social manipulation, gossip, exclusion) in addition to verbal and physical aggression. Survey and ethnographic findings converge in suggesting that women employ more indirect aggression than men, while men utilize more physical aggression. While competition and aggression are salient elements of social life for both sexes, women and men tend to favor different approaches. The findings are compared with the literature on female aggression from other cultural settings. We conclude that cultural and evolutionary perspectives elucidate aspects of female aggression.We would like to thank the Ford Foundation for providing the financial support to make this research possible. We would also like to thank Patricia de Gyldenfeldt and Debbie Bandura for their endless contributions with translations, ideas, and help in general. Finally, we would like to thank Eckerd College, la Universidad del Salvador, and Michael Hobson for their base of support, all those in Argentina, especially Agueda, Andrea, Carmen, Cecilia, Claudio, Daniela, Heidi, Ingrid, Javier, Julio, María, Mariela, Roberto, and Victor, who offered their enthusiastic assistance and ideas, and Victoria Burbank, Ayala Gabriel, and the anonymous reviewer for their helpful suggestions.