Scham und Familienbeziehungen bei Bulimie

Background

Empirical studies show a relationship between family factors and disturbed eating behavior. Feelings of shame are associated with a higher level of eating disorder symptoms and with family relations perceived as being dysfunctional. Thus shame can be understood as a mediator of the relationship between dysfunctional family relations and eating disorder symptoms.

Material and methods

For 69 female patients, including 55 with bulimia nervosa and 14 with eating disorder not otherwise specified (EDNOS) between 14 and 22 years of age, who participated in a comparative study of psychotherapy outcome, eating disorder symptoms (EDI, EDE-Q), general psychiatric symptoms severity (SCL-90R), level of shame (TESE-KJ) and perceived family relations (FB-A) were measured at the beginning of psychotherapy.

Results

The higher the feeling of shame the more dysfunctional the perceived family relationships were and the more the eating disorders and general symptoms severity were reported. Shame was a partial mediator of the relationship between family functionality and symptoms.

Discussion

Feelings of shame could originate in dysfunctional family relationships but could also evoke more negative perceptions of interpersonal relationships. The direction of causality could not be proven in the correlative design; nevertheless, shame contributes to an understanding of the mechanisms between dysfunctional family relationships and eating disorder symptoms.     

Progress with Science and Religion Issues: Critical Questions and Suggestions

Progress with the marriage of science and religion is slowed by “sterile” controversies. Ways toward overcoming them are suggested here. These concern the metaphysical foundations of science and religion (science and spirituality, science and theology) with a specific emphasis on epistemology, ontology, anthropology, aims, methodological procedures, limitations of binary logic, and the use of other types of logic (in particular relational and contextual reasoning). Dialogues between science and religion can have positive practical societal relevance, and therefore need to progress faster. An enlargement of humanity's mental horizons and development—especially of epistemic cognition—seems to be called for in order to secure the future of a global intellectual culture. Suggestions for achieving this are included.     

RECONNECTING SCIENCE AND SPIRITUALITY: TOWARD OVERCOMING A TABOO

Abstract. We argue that reconnecting science and spirituality yields the best rational understanding of the world. Spirituality is seen as the core of many religions. Distinctions are drawn between science and scientism and between spirituality and religion. A historical analysis provides a partial explanation of scientists' aversion to religion. A thought experiment illustrates that spirituality could not only be a legitimate research topic of science but also inform science by offering certain insights. Specifically, science could and should more freely study spirituality in its beneficial impact on individuals' attempts to attain personal wholeness, overcome substance abuse, achieve a more communal society, and safeguard the environment.     

Attachment, ego–identity development and exploratory interest in university students

We investigated the relationships between attachment security, ego–identity development and exploratory interest in 161 university students who completed categorical and dimensional scales of attachment style, an ego–identity development scale based on Erikson's theory, and an exploratory interest scale. Factor analysis yielded three interpretable dimensions of exploratory interest: intellect, escape and activity. High ego development was associated with attachment security. Exploratory interest was weakly associated with attachment security, but more strongly associated with high ego–identity development. Further analyses revealed that ego–identity development predicts escape only for those with a negative model of self (i.e. preoccupied and fearful attachment styles), an ego–identity development predicts activity only for those with a positive model of self (i.e. secure and dismissing attachment styles).     

Gender moderates the effects of independence and dependence desires during the social support process

This investigation examined the roles of gender and desires for independence and dependence in the support process. We assessed 118 older adults who reported needing help with at least 1 activity of daily living as a result of illness or health problems. Men with a high desire to be independent responded negatively to receiving support from their social network. Women's outcomes were generally unaffected by their independence and dependence desires. These results indicate that gender and desires for independence and dependence should be taken into account when examining the social support process, especially in men with health problems.     

The role of stressful events in the relationship between positive and negative affects: evidence from field and experimental studies

Three studies are presented that examine the effects of stress on the relationship between positive and negative affective states. In the first study, recently bereaved and disabled older adults were compared to matched control groups without these recent stressors. Negative affect was inversely correlated with positive affect to a significantly greater extent for the highly stressed groups compared with controls. In a second study, older adults were exposed to a laboratory stressor, and their positive and negative affective reactions recorded. Immediately following a speech stressor task, the inverse correlation between positive and negative affect was significantly greater than in pre- and postassessments of affects. The third study was an attempt to replicate and extend the findings from Study 2 with a mid-aged sample of women. The speech stressor had the same effects as in Study 2. A second stressor, which induced pain through immersion of an arm into cold water, had no effects on the correlation between affective states. Alternative explanations for these effects and the implications for cognitive interventions are discussed.     

Identity structure, narrative accounts, and commitment to a volunteer role

Degree of commitment was explored in relation to core self and role-identity. Thirty-one American emergency medical technicians (EMTs) described themselves in the EMT role (EMT now) and the way they anticipated they would be in the future (EMT future) by selecting items from an adjective checklist. Participants also described "real me," "ideal me," and "ought me." Ratings of commitment and extranormative activity were also obtained. Finally, participants described a positive and a negative episode they had experienced as an EMT in an open-ended question that was coded for task and relational content. Each participant's checklist data set was individually analyzed using HICLAS, a clustering algorithm for binary data (P. DeBoeck, S. Rosenberg, & I. Van Mechelen, 1993). Results indicate that the similarity between EMT now and real me best predicted activity and the similarity between EMT future and real me best predicted commitment (positive correlations in both cases). Older, more experienced EMTs tended to describe positive episodes in relational terms, whereas younger, less experienced EMTs described positive experiences in task-oriented terms.     

Identifying learning patterns of children at risk for Specific Reading Disability

Differences in learning patterns of vocabulary acquisition in children at risk (+SRD) and not at risk (?SRD) for Specific Reading Disability (SRD) were examined using a microdevelopmental paradigm applied to the multi‐trial Foreign Language Learning Task (FLLT; Baddeley et al., 1995). The FLLT was administered to 905 children from rural Chitonga‐speaking Zambia. A multi‐group Latent Growth Curve Model (LGCM) was implemented to study interindividual differences in intraindividual change across trials. Results showed that the +SRD group recalled fewer words correctly in the first trial, learned at a slower rate during the subsequent trials, and demonstrated a more linear learning pattern compared to the ?SRD group. This study illustrates the promise of LGCM applied to multi‐trial learning tasks, by isolating three components of the learning process (initial recall, rate of learning, and functional pattern of learning). Implications of this microdevelopmental approach to SRD research in low‐to‐middle income countries are discussed.     

Predicting the decision to pursue mediation in civil disputes: a hierarchical classes analysis

Clients (N = 185) involved in civil court cases completed the CPR Institute's Mediation Screen, which is designed to assist in making a decision about pursuing mediation. The authors modeled data using hierarchical classes analysis (HICLAS), a clustering algorithm that places clients into 1 set of classes and CPRMS items into another set of classes. HICLAS then links the sets of classes so that any class of clients can be identified in terms of the classes of items they endorsed. HICLAS-derived item classes reflected 2 underlying themes: (a) suitability of the dispute for a problem-solving process and (b) potential benefits of mediation. All clients who perceived that mediation would be beneficial also believed that the context of their conflict was favorable to mediation; however, not all clients who saw a favorable context believed they would benefit from mediation. The majority of clients who agreed to pursue mediation endorsed items reflecting both contextual suitability and perceived benefits of mediation.