Development of the Weight- and Body-Related Shame and Guilt Scale (WEB–SG) in a Nonclinical Sample of Obese Individuals

In this article, we present the evaluation of the psychometric properties of a new self-report measure of Weight- and Body-Related Shame and Guilt (WEB–SG). The main purpose of the study was to measure shame and guilt feelings separately in obese individuals and investigate differing behavioral and emotional correlates of these emotions. Altogether, 331 obese participants completed the WEB–SG and other established self-report measures. A subset of the participants completed a 6-month follow-up. The WEB–SG proved to be internally consistent and temporally stable over a 6-month period. Regarding the factorial structure, a two-factor conceptualization was supported. The construct validity of the WEB–SG subscales was evidenced by a substantial overlap of common variance with related measures. The subscales Shame and Guilt showed differential correlation patterns to other scales. The WEB–SG is a brief, psychometrically sound measure for assessing body shame and guilt concerning weight control in obese individuals.     

Implications of Transnational Adoption Status for Adult Korean Adoptees

This study used a consensual qualitative research method to explore the implications of transnational adoption in the lives of 12 adult Korean adoptees. From the analysis, 6 domains emerged: (a) adoption history and preadoptive memories, (b) meaning of adoption, (c) adoptive family dynamics, (d) racism, (e) identity formation, and (f) counseling experiences. Results highlight the need for more awareness surrounding transnational adoption throughout the life span. Additional suggestions concerning research and practice are discussed. Este estudio usó un método de investigación cualitativa consensual para explorar las implicaciones de la adopción transnacional en las vidas de 12 adultos coreanos adoptados. A partir del análisis, surgieron 6 parámetros: (a) la historia de adopción y las memorias preadoptivas, (b) el significado de la adopción, (c) la dinámica de la familia adoptiva, (d) racismo, (e) formación de la identidad, y (f) experiencias en consejería. Los resultados destacan la necesidad de prestar mayor atención a la adopción transnacional a lo largo de toda la vida. Se discuten sugerencias adicionales relacionadas con la investigación y la práctica.     

What Is Wrong Indeed?

This is a critical response to Dr. Tamara Dobler's paper “What Is Wrong with Hacker's Wittgenstein? On Grammar, Context and Sense‐Determination.” It demonstrates that Dr. Dobler has no idea of what Wittgenstein meant by “grammar” or “rule of grammar.” She does not know what Wittgenstein meant by “grammatical proposition,” nor does she know what a compositional account of meaning or a category mistake is. She labours under the illusion that to say, as Wittgenstein did, that a rule of grammar excludes a form of words from use is incompatible with the claim that whether an utterance makes sense may be a context‐dependent issue. Unlike Dr. Dobler, Wittgenstein did not.     

The Power of Expectation – Understanding the Placebo and Nocebo Phenomenon

Although placebo pills are supposed to have no pharmacological activity, people taking placebo pills describe a variety of positive (i.e., placebo phenomenon) and negative (i.e., nocebo phenomenon) reactions. This has major clinical implications. Placebo reactions account for a substantial part of improvement when treating patients with hypertension, mental disorders, and even after surgical procedures. The nocebo phenomenon on the other hand is responsible for non‐compliance and discontinuation of many pharmaceutical interventions. Mechanisms that underlie the placebo and nocebo effects may be related to expectation and/or classical conditioning, but some methodological issues should also be considered. Most experimental studies investigating the placebo effect have used paradigms to induce ‘placebo analgesia’, the reduction of pain perception after receiving an inert substance and an instruction that this medication would relieve pain. This paradigm allows investigators to examine the neurobiological circuitry of the placebo response using neuroimaging techniques.     

Zur Inanspruchnahme medizinischer Leistungen bei Patienten mit somatoformen Störungen

Zusammenfassung Somatoforme Störungen sind für das Gesundheitssystem sowohl wegen ihrer hohen Prävalenz und auch wegen der intensiven Inanspruchnahme medizinischer Leistungen von großer Bedeutung. Auch bei psychotherapeutischen Interventionen muss dies berücksichtigt werden, da eine Normalisierung des Inanspruchnahmeverhaltens ein zentrales Behandlungsziel sein sollte. In der vorliegenden Studie wurden Häufigkeit ambulanter Arztbesuche und Variablen des Inanspruchnahmeverhaltens untersucht. Insgesamt wurden 295 Allgemeinarztpatienten mit mindestens zwei organisch nicht hinreichend begründbaren Beschwerden in die Studie aufgenommen. Psychische Störungen und die Inanspruchnahme des Versorgungssystems wurden mit einem strukturierten Interview erhoben; daneben wurden zahlreiche Fragebögen eingesetzt. Die Mehrheit (82%) der untersuchten Patienten erfüllte die Kriterien von mindestens einer somatoformen Störung. Die Anzahl der Arztbesuche in den letzten 6 Monaten belief sich im Mittel auf 15 Kontakte. Sie korrelierten mit der Anzahl somatoformer Symptome, dem Alter, Gesundheitsängsten, genereller Angst und Depressivität. Die Regressionsanalyse bestätigt nur die Symptomanzahl und das Alter als signifikante Prädiktoren des Inanspruchnahmeverhaltens. Implikationen für die Therapie dieser Patientengruppe unter besonderer Berücksichtigung des Hausarztes werden diskutiert.     

Understanding causation

Synthese - In Part I of ‘Causality and Determination” (CD), Anscombe writes that (1) we understand causality through understanding specific causal expressions, (2) efficient causation...     

Reactions of African American Students to the George Zimmerman Trial: Co-Rumination and Thought Intrusions as Mediators

We document how prior experiences with racism, sequentially mediated by co-rumination about racial problems with a friend and thought intrusions, are associated with negative reactions to a racially charged event—the fatal shooting of Trayvon Martin by George Zimmerman and the subsequent trial and acquittal of Mr. Zimmerman. African Americans’ prior experiences with racial discrimination predicted more co-rumination about racial problems with a friend. In turn, co-rumination was associated with more thought intrusions about the trial, leading to more negative affect and less forgiveness for Zimmerman. Co-rumination about racism and worrisome thinking about high-profile race-related events may amplify concern about racism for a frequent target of racial discrimination, lowering the threshold for negative psychological reactions to racist acts (including acts of violence) that may happen to other African Americans or to oneself.     

Loss of control eating and psychological maintenance in children: An ecological momentary assessment study

Objective

Recent research suggests that binge eating is a common experience in youth. However, it remains largely unknown how children's binge eating presents in everyday life and which psychological factors serve to maintain this binge eating.

Methods

Children aged 8-13 years with binge eating (n = 59), defined as at least one episode of loss of control (LOC) over eating within the past three months, and 59 matched children without LOC history were recruited from the community. Following a combined random- and event-sampling protocol, children were interviewed about their day-to-day eating behavior, mood, and eating disorder-specific cognitions using child-specific cell phones during a 4-day assessment period in their natural environment.

Results

LOC episodes led to a significantly greater intake of energy, particularly from carbohydrates, than regular meals of children with and without LOC eating. While LOC episodes were preceded and followed by cognitions about food/eating and body image, there was minimal evidence that negative mood states were antecedents of LOC eating.

Conclusions

The results provide support for the construct validity of LOC eating in children. Maintenance theories of binge eating for adults apply to children regarding eating disorder-specific cognitions, but the association with affect regulation difficulties requires further investigation.