Psychosocial Functioning in Children and Adolescents with Extreme Obesity

The aim of this study was to investigate the psychosocial differences among obese pediatric patients, particularly those who are "extremely obese" as compared to "obese." Information was collected for 249 subjects at a multidisciplinary treatment clinic for obese youth. A battery of measures was administered and demographic data and height/weight was obtained. The results showed positive correlations between degree of obesity, psychosocial functioning, and quality of life. Specifically, the "extremely obese" were significantly more depressed, more socially anxious, and had poorer quality of life than the "obese" group. Girls and Caucasians were more socially anxious than boys and African Americans, respectively. There is mounting evidence that children and adolescents who are extremely obese are most at risk for psychiatric and medical disorders. Thus, targeting this group for assessment and/or designing treatment options specific for "extremely obese" youth is critical for the successful management of this population.     

Policy impact on information technology programming in the social services

Policy is the product of a group struggle between contending factions who constantly strive to weight policy creation and decision making in their favor. Within social service settings, resource policies promoted by management compete with service policies of social workers. Management familiarity with information technology (IT) rewards operational advantage in resource application at the expense of social work personnel. Within the Israeli Ministry of Labour and Social Affairs this has enhanced the position of the manager. Social workers failed to incorporate IT within the natural systems approach resulting in a state of disempowerment vis à vis IT itself. The social worker will be able to avail himself of IT only consequent to redefinition of social services organization policy based on social work concepts such as social change, involvement, informal organization and empowerment. His current interest is the knowledge base of social work. He has written widely on social work and the personal social services, with particular reference to dependency, empowerment and new technology.     

Case Conceptualization and Treatment of Comorbid Body Dysmorphic Disorder and Bulimia Nervosa

Body dysmorphic disorder (BDD) and eating disorders often co-occur and share some clinical features. In addition, the co-occurrence of BDD and an eating disorder may be associated with greater impairment in functioning. Furthermore, clinical impressions suggest that this comorbidity may be more treatment resistant than either disorder alone. The current article discusses the treatment of a 48-year-old female diagnosed with BDD and comorbid bulimia. We attempted to address these co-occurring disorders in a strategic, formulation-based manner using a variety of cognitive-behavioral strategies such as cognitive restructuring, rational disputation, exposure with response prevention, and mirror retraining. Despite the complexity of this case, results suggest that comorbid BDD and bulimia nervosa can be effectively managed with cognitive behavioral therapy.     

Parental Incarceration Among Adolescents Receiving Mental Health Services

The Bureau of Justice Statistics estimates that approximately 1 in every 50 youth in the U.S. had a parent in State or Federal prison in 1999. Studies of children of incarcerated parents suggest that these youth are at risk for experiencing emotional and behavioral problems. Using a sample of 258 adolescents receiving routine mental health services, this study explored: (1) differences in demographic characteristics, lifetime exposure to risk factors, recent stressful life experiences, and clinical profiles of adolescents with and without a history of parental incarceration; and (2) the effect of parental incarceration relative to other risk factors on levels of emotional and behavioral problems and treatment outcomes. Nearly half (43%) of the youth studied had experienced the incarceration of one or both parents. Youth who experienced parental incarceration had been exposed to significantly more risk factors during their lifetimes including parental substance abuse, extreme poverty, and abuse or neglect. They were more likely than other treated youth to present with attention-deficit/hyperactivity and conduct disorders and less likely to have major depression. Findings provide preliminary evidence that parental incarceration may have a discrete negative effect on certain outcomes of treatment.     

Comparing detailed and less detailed pre-lineup instructions

It is generally agreed that proper pre-lineup instructions can reduce the rate of mistaken identifications of innocent suspects. However, the exact nature of these instructions has not been empirically established. We compared the effects of the detailed pre-lineup instructions recommended by the US Department of Justice to a simple instruction that the perpetrator may or may not be present. Both forms of unbiased instructions significantly reduced mistaken identifications when compared with biased instructions. Comparison of performance using the utility-based analysis deviation from perfect performance demonstrated that unbiased instructions are to be preferred under assumptions of low base rates or high costs of mistaken identifications and do as well as biased instructions under assumptions of high base rates or low cost of misidentification.     

The Relationship Between Perceptions of Neighborhood Characteristics and Substance Use Among Urban African American Adolescents

Although the neighborhood microsystem is recognized as an important domain for adolescent development, relative to the family and peer contexts, neighborhood factors have been understudied in relation to adolescent substance abuse. In addition, recent research suggests that risk factors for adolescent substance use may differ for African Americans when compared to Caucasian youth. This study investigated the association between perceived neighborhood disorganization and later substance use, as well as possible mediators of that association, among a community sample of urban African American adolescents. Perceptions of neighborhood disorganization (i.e., violence/safety and drug activity) in grade 7 were associated with increased tobacco, alcohol, and marijuana use in grade 9. For females, this association was mediated by attitudes about drug use and perceptions of drug harmfulness. Findings highlight the importance of neighborhood contextual variables for African American substance use. Implications and directions for future research are presented.     

Illusory Control and Motives for Control: The Role of Connection and Intentionality

An experiment was done to examine the control heuristic perspective on illusory control and the effects of motives on control judgments, using a computer task similar to the light onset task used in previous research. Desire for the outcome and reinforcement were manipulated. As predicted from a control heuristic perspective, the effect of level of reinforcement on judgments of personal control was mediated by the measure of perceived connection: the perception of the number of positive confirming cases. Motives increased illusions of control, but only in the high reinforcement condition. A mediational analysis that examined how motives affect control judgments found that when the motive to get the outcomes was high, participants had higher estimates of having acted intentionally and these estimates partially mediated the relationship between the motivation manipulation and judgments of control. It appears that perceptions of connection mediate the relationship between reinforcement and illusory control, while judgments of intentionality partially mediate the effect of motives for control and illusory control.     

Use of visual, acoustic, and olfactory information during embedded invertebrate foraging in brown capuchins (Cebus apella)

Experiments were conducted to investigate which sensory cues are used by brown capuchins (Cebus apella) in embedded invertebrate foraging. The importance of visual, olfactory, and acoustic cues in such foraging was determined by presenting subjects with a stimulus log modified to block out given sensory cues. Experiment 1 was designed to investigate whether subjects could locate an invertebrate embedded in wood when only visual, acoustic, or olfactory information was available. Experiments 2 and 3 were designed to investigate extractive foraging behavior when two sensory cues were provided. It was hypothesized that the combination of visual and acoustic information would be necessary for subjects to successfully locate embedded invertebrates. Results indicated that subjects' performance was most successful when both visual and acoustic information was available.     

Patterns of neural response to emotive stimuli distinguish the different symptom dimensions of obsessive-compulsive disorder

Despite its heterogeneous symptomatology, obsessive-compulsive disorder (OCD) is currently conceptualized as a unitary diagnostic entity. Recent factor-analytic studies have identified several OCD symptom dimensions that are associated with different demographic variables, comorbidity, patterns of genetic transmission, and treatment response. Functional abnormalities in neural systems important for emotion perception, including the orbitofrontal cortex, lateral prefrontal cortex, anterior cingulate gyrus, and limbic regions, have been reported in OCD. In this review, we discuss the extent to which neurobiological markers may distinguish these different symptom dimensions and whether specific symptom dimensions, such as contamination/washing, are associated with abnormalities in emotion and, in particular, disgust, perception in OCD. Also discussed are findings that indicate that anxiety can be induced in healthy volunteers in response to OCD symptom-related material, and that associated increases in activity within neural systems important for emotion perception occur to washing- and hoarding-related material in particular in these subjects. Further examination of neural responses during provocation of different symptom dimensions in OCD patients will help determine the extent to which specific abnormalities in neural systems underlying emotion perception are associated with different symptom dimensions and predict treatment response in OCD.