Dialectical Behavior Therapy Modified for Adolescent Binge Eating Disorder: A Case Report

Given the lack of empirically supported treatments available for adolescents with eating disorders, it is important to investigate the clinical utility of extending treatments for adults with eating disorders to younger populations. Dialectical behavior therapy for binge eating disorder, based on the affect-regulation model, conceptualizes binge eating as a behavioral attempt to influence, change, or control painful emotional states. With promising research findings in adult women, it is of clinical interest whether the dialectical behavior therapy for binge eating disorder treatment manual could be usefully adapted for an adolescent population. This report describes adolescent-specific modifications (including the use of family sessions) to standard dialectical behavior therapy for binge eating disorder, with an illustrative case study. While more rigorous case studies are needed prior to establishing justification for a randomized trial, this pilot case provides preliminary support for a modified version of dialectical behavior therapy for binge eating disorder as a therapeutic option for adolescents with binge eating disorder.     

Hemisphere differences in the mood state-dependent effect for recognition of emotional faces

Forty subjects viewed 10 pictures of facial expressions of emotion while they experienced a happy mood and 10 pictures while they experienced a sad mood. Later, while re-experiencing either a happy or sad mood, they were tested for recognition of these 20 target pictures intermixed with 20 distractors. Recognition of the 10 pictures seen earlier in a disparate mood was impaired significantly when they were presented at testing to the right hemisphere, but not when presented to the left. The right hemisphere appears to store the subject's mood as an integral part of a memory representation for an emotionally expressive face. When that face is presented at testing to the right hemisphere, recognition depends on whether the subject's test mood matches the mood stored in the representation. In contrast, the left hemisphere appears to store the subject's mood separately from encoded visual information about a face, and so recognition of a face presented at testing to the left hemisphere is unaffected by changes in mood.     

What US judges know and believe about eyewitness testimony

In a survey, 160 US judges indicated their knowledge and beliefs about eyewitness testimony. Although correct on some issues, judges were often wrong on important issues such as whether at trial eyewitness confidence is a good indicator of eyewitness accuracy, and if jurors can distinguish accurate from inaccurate witnesses. Increased knowledge was associated with: a willingness to permit legal safeguards, including expert testimony at trial; a belief that jurors have limited knowledge of eyewitness factors; a reluctance to convict defendants solely from eyewitness testimony; a more accurate estimate of the extent to which wrongful convictions result from eyewitness error; and a belief that judges need more eyewitness training. Additional training about factors and procedures that affect eyewitness accuracy may help judges reduce the number of wrongful convictions. Copyright © 2004 John Wiley & Sons, Ltd.