Self-Construction,Cognitive Conflicts,and Disordered Eating Attitudes in Young Women

The aim of this study is to identify cognitive variables that predict disordered eating attitudes in a nonclinical sample composed of 50 female university students. Repertory grid technique was used to assess cognitive features of self-construing and cognitive conflicts. Drive for Thinness and Body Dissatisfaction scales from the Eating Disorder Inventory–2 were used as dependent variables, as previous studies suggested that high scores on these scales are associated with the risk of developing or aggravating eating syndromes. Results suggest that drive for thinness can be associated with cognitive conflicts, whereas body dissatisfaction may be higher for those who construct themselves as inadequate and similar to others. In addition, both dependent variables were predicted by being younger and having a higher body mass index.     

Testing Case Formulation Hypotheses in Psychotherapy: Two Case Examples

We describe two cases that illustrate and demonstrate the effectiveness of a case formulation–driven approach to psychotherapy in which the therapist, in collaboration with the patient, develops a hypothesis (formulation) about the psychological mechanisms that cause and maintain the patient’s difficulties, uses the formulation to guide intervention, and collects data to test the formulation and evaluate the effectiveness of the intervention plan. As shown by the cases reported here, a key strength of this collaborative empirical process is that it enables the patient and therapist to quickly determine when a treatment is failing and take action to rescue it.     

An Investigation of the Sample Performance of Two Nonnormality Corrections for RMSEA

The root mean square error of approximation (RMSEA) is a popular fit index in structural equation modeling (SEM). Typically, RMSEA is computed using the normal theory maximum likelihood (ML) fit function. Under nonnormality, the uncorrected sample estimate of the ML RMSEA tends to be inflated. Two robust corrections to the sample ML RMSEA have been proposed, but the theoretical and empirical differences between the 2 have not been explored. In this article, we investigate the behavior of these 2 corrections. We show that the virtually unknown correction due to Li and Bentler (2006) Li, L. and Bentler, P. M. 2006. “Robust statistical tests for evaluating the hypothesis of close fit of misspecified mean and covariance structural models.”. In UCLA Statistics Preprint #506. Los Angeles: University of California..  [Google Scholar], which we label the sample-corrected robust RMSEA, is a consistent estimate of the population ML RMSEA yet drastically reduces bias due to nonnormality in small samples. On the other hand, the popular correction implemented in several SEM programs, which we label the population-corrected robust RMSEA, has poor properties because it estimates a quantity that decreases with increasing nonnormality. We recommend the use of the sample-corrected RMSEA with nonnormal data and its wide implementation.     

Exploring the Spiritual/Religious Dimension of Patients: A Timely Opportunity for Personal and Professional Reflection for Graduating Medical Students

Teaching about spirituality in medical school training is lacking. Spirituality is a dimension of humanity that can put experiences of health and illness into a meaningful context. Medical students might benefit from understanding how spirituality is an important element in learning to care for patients. Spirituality also provides a context for medical students to explore their own motivations for doctoring. This article describes a longitudinal senior elective course at the end of their medical school training to delve into matters of religion/spirituality surrounding patient care. The authors pose their own perspectives on what both students and faculty gained from the experience.     

A qualitative exploration of the health promotion effects of varying body size in photographs analyzed using Interpretative Phenomenological Analysis

As levels of obesity continue to rise worldwide so do the number of public health campaigns designed to help address this problem with advice and information on how to stabilize or decrease weight. However, few studies have explored the influence of visual images, and specifically photographs, in weight-related health materials despite their widespread use in publications and online. We carried out qualitative individual telephone interviews with eight women who were actively engaged in managing their weight. They viewed a series of photographs of slim and overweight women demonstrating healthy behaviors such as engaging in physical activity or reading a food label. Responses were analyzed using Interpretative Phenomenological Analysis. The two core themes that emerged were the motivating/de-motivating effect of body size representation on health behavior intentions, and the social implications of being overweight. Participants liked and appeared motivated by the images of larger women, actively seeking out social comparisons. Implications of these findings in the development of health promotion messages are discussed.     

Vicarious Resilience: An Exploration of Teachers and Children’s Resilience in Highly Challenging Social Contexts

This study explores the formulation of vicarious resilience as a useful concept in the middle school age school educational arena. It addresses the question of how teachers who work with learners who experienced dislocation and adversity are affected by the children’s stories of resilience. It focuses on the teachers’ interpretations of their learners’ stories, and how they make sense of the impact these stories have had on their lives. Twenty-one teachers who work in accelerated learning programs in Cali, Colombia, were interviewed about their perceptions of their learners’ overcoming of adversity. Data were analyzed through the Consensual Qualitative Research (CQR) methodology to describe the themes that speak about the effects of witnessing how learners coped constructively with adversity. These themes are discussed to advance the concept of vicarious resilience and how it can contribute to sustaining and empowering teachers dealing with challenging children and trauma.     

Hesitation in communication: Does minority status delay responses?

Past studies indicated that people in a minority (vs. majority) position are slower to express their public/political opinion, and the larger the difference between the size of the two positions, the slower the response. Bassili termed this the minority‐slowness effect (MSE). In the current study, two experiments were conducted to demonstrate that MSE extends to people's understanding of utterances and explored the cognitive basis for this. Participants were asked to judge if an utterance is a ‘direct’ or an ‘indirect’ expression. The results show that participants in the minority (vs. majority) took longer to respond, and the larger the difference between the size of majority and minority, the longer the response latency (Study 1a). Furthermore, participants were aware of their own minority position (Study 1b). In Study 2, when participants were deprived of cognitive resources, MSE disappeared, presumably because participants lack the cognitive resources required to conform to utterance interpretation as favoured by the majority.     

Religion and spirituality in the context of bipolar disorder: a literature review

Religion and spirituality (R/S) may play an important role for individuals with bipolar disorder (BD) by providing a means of coping with, and an explanatory model for, their disorder. We conducted a systematic review of empirical studies that have explored R/S in individuals with BD or samples that explicitly delineate individuals with BD. Only six studies met our inclusion criteria. Findings from these studies suggest that R/S strategies may be important for some people in the management of BD. Religion and spirituality thus become relevant concerns for a therapeutic regime that seeks to develop wellness within a bio-psycho-social model. However, the limited body of research and methodological shortcomings of existing research make it difficult to draw relevant conclusions about how this might be accomplished. The authors propose a need for longitudinal, prospective, mixed methods research in order to inform evidence-based practice.     

Developing Trust

Abstract

This paper examines developing trust in two related senses: (1) rationally overcoming distrust, and (2) developing a mature capacity for trusting/distrusting. In focussing exclusively on the first problem, traditional philosophical discussions fail to address how an evidence- based paradigm of rationality is easily co-opted by (immature) agents in support of irrational distrust (or trust) — a manifestation of the second problem. Well-regulated trust requires developing a capacity to tolerate the uncertainties that chracterise relationships among fully autonomous self-directed agents. Early relationships lack this uncertainty since care-givers take primary responsibility for determining a child's interests, reducing the scope (if not the intensity) of potential conflict between self and other. Once agents recognize that adulthood demands foregoing the security embedded in such relationships of dependency, they are free to embrace a more appropriate paradigm of rationality for guiding their thought and action in interactions with others.