Mindfulness and Acceptance in the Treatment of Disordered Eating

Mindfulness and acceptance-based approaches to the treatment of clinical problems are accruing substantial empirical support. This article examines the application of these approaches to disordered eating. Theoretical bases for the importance of mindfulness and acceptance in the treatment of eating problems are reviewed, and interventions for eating problems that incorporate mindfulness and acceptance skills are briefly described. Empirical data are presented from a pilot study of mindfulness-based cognitive therapy adapted for treatment of binge eating.     

Teaching Young Children Responses to Inappropriate Approaches by Strangers in Public Places

The application of behavioral principles to a wide array of social problems is not noly appropriate; in many areas, it is critical. The popular press has recently focused a great deal of attention on the sexual abuse, molestation, kidnapping, and abduction of children. The goals of the present study were as follows: (1) to train children to respond to approaches by stangers in public places, (2) to assess short-term maintenance of the responses, and (3) to socially validate the procedures and situations. Social validation efforts included the contracting teachers, parents, local law enforcement officers, welfare workers, a special council for child protective services, the local Campfire offic and faculty persons in related disciplines. Popular literature was examined to obtain general lists of potential situations and recommended behaviors on the part of the child. The professionals consulted assisted the experimenter in narrowing the situations and responses to those most applicable locally. A multiple baseline across subjects design was used, with six subjects assessed and trained in pairs. Each subject showed little or no ability to actually respond appropriately to strangers during baseline assessment. Only with the introduction of the intervention phase did the subjects behaviors change to learn correct responses for the two selected situations. A three-week follow-up revealed correct responses maintained at acceptable levels.     

Immigrant Children in Austria

ABSTRACT

As a consequence of worldwide waves of immigration there is a permanent increase of ethnically mixed school classes in countries all over the world. However, there is a lack of empirical studies on interethnic relationships which differentiate immigrant children based on their countries of origin. The present paper focuses on these topics and provides data of both negative and positive aspects of interethnic interactions. Direct and indirect forms of bullying, friendship patterns, and peer acceptance in 326 native and 242 immigrant children aged 11 to 14 (57% native Austrian, 22% former Yugoslavian, 14% Turkish/Kurdish, 7% rest group) in 29 ethnically mixed school classes (6th and 7th grades) were examined. Bullying was measured via the Olweus Bully/Victim Questionnaire and via peer nomination techniques, friendship patterns via self-ratings. Peer acceptance was defined by social preference scores on positive and negative sociometric items. According to peer ratings Austrian children were found to be more often victims (9%) and bullies (12%) of direct bullying than immigrant children. Prevalence rates in immigrant children varied depending on their country of origin between 2% and 8% for victims and 3% to 7% for bullies. Results suggested that Turkish/Kurdish children are at risk concerning their social integration in class (e.g., they had the fewest number of friends in class, reported higher levels of loneliness at school, and were less accepted by their peers compared to Austrians and former Yugoslavian children). Friendship patterns differed considerably between native children and children of the three immigrant groups. Findings are discussed concerning differences in integration strategies of immigrant children depending on their country of origin.     

Finding happiness in negative emotions: An experimental test of a novel expressive writing paradigm

Positive emotions are evoked on seeing one's favorite person. To investigate the psychological and physiological responses accompanying these positive emotions, we simultaneously recorded various parameters such as the mood state, heart rate, skin conductance level (SCL), serum levels of catecholamines, and proportions of T cells and natural killer (NK) cells among the lymphocytes while participants viewed films featuring their favorite persons. The participants reported that they felt better and invigorated; in addition, SCL and proportion of NK cells in peripheral blood increased significantly, and these physiological changes were positively correlated. These results suggest that positive emotions elicited on seeing a favorite person may lead to psychological and physiological activation and, more importantly, may promote health.

A cheerful heart is good medicine, but a crushed spirit dries up the bone (Proverbs 17 : 22; New International Version)     

Juror Perceptions in a Rape Trial: Examining the Complainant's Ingestion of Chemical Substances Prior to Sexual Assault

This study examined the impact of a rape complainant's willingness to ingest a chemical substance and the type of ingested substance on the decisions of 229 mock jurors. Jurors were influenced by the type of substance used by the complainant, the complainant's willingness to use a substance, and rape myths. The complainant's ingestion of alcohol (compared to gamma-hydroxybutrate [GHB] and marijuana) led to the highest guilt ratings for the defendant. The complainant who willingly ingested a substance was viewed as less credible and more to blame for the rape compared to one who unwillingly used a substance. The complainant was perceived as the most credible when she unwillingly ingested GHB or marijuana. Jurors high in rape myth acceptance gave lower ratings of guilt to the defendant compared to jurors with lower rape myth acceptance. Overall, the results highlight several juror and case factors that might bias jurors in actual rape trials.     

The Importance of Theory in Cognitive Behavior Therapy: A Perspective of Contextual Behavioral Science

For the past 30 years, generations of scholars of cognitive behavior therapy (CBT) have expressed concern that clinical practice has abandoned the close links with theory that characterized the earliest days of the field. There is also a widespread assumption that a greater working knowledge of theory will lead to better clinical outcomes, although there is currently very little hard evidence to support this claim. We suggest that the rise of so-called “third generation” models of CBT over the past decade, along with the dissemination of statistical innovations among psychotherapy researchers, have given new life to this old issue. We argue that theory likely does matter to clinical outcomes, and we outline the future research that would be needed to address this conjecture.     

Development and Evaluation of the Belief Acceptance Scale

The Belief Acceptance Scale (BAS) is a nine question scale that was developed to evaluate how open and accepting an individual is to other people’s beliefs across interdependent life domains. The purposes of this article are to demonstrate the internal consistency of the BAS and examine the instrument’s substructure and to correlate the BAS with validated measures of religiosity and demographic data gathered from a web-based Survey of Spiritual Experiences. The BAS focuses on cultural beliefs instead of religious motivations and was designed to be administered to religious and non-religious individuals. Three domains of belief acceptance were tested: the internal or subjective openness to other beliefs (Psychological Domain), willingness to participate in other ideologies and rituals (Reciprocal Domain), and the willingness to date or marry outside one’s belief system or cultural background (Social Domain). Responses from 350 individuals were correlated and analysed to estimate the scale’s internal consistency and subscale structure. Analyses support the validity of the BAS scores in that they demonstrate expected correlations with demographic data and standardised measures of religiosity. The results show that the BAS is an internally consistent scale with a coherent substructure that adequately measures openness to other beliefs, ideologies and belief systems.     

Diagnostic efficiency of several methods of identifying socially rejected children and effect of participation rate on classification accuracy

Social rejection is associated with a wide variety of negative outcomes. Early identification of social rejection and intervention to minimize its negative impact is thus important. However, sociometric methods, which are considered high in validity for identifying socially rejected children, are frequently not used because of (a) procedural challenges, (b) community apprehension, and (c) sensitivity to missing data. In a sample of 316 students in grades K through 8, we used receiver operating characteristics (ROC) analyses to compare the diagnostic efficiency of several methods for identifying socially rejected children. When not using least-liked nominations, (a) most-liked nominations yielded the greatest diagnostic efficiency (AUC = .96), (b) peer ratings were more efficient (AUC = .84 to .99) than teacher ratings (AUC = .74 to .81), and (c) teacher report of social status was more efficient (AUC = .81) than scores from teacher behavior rating scales (AUC = .74 to .75). We also examined the effects of nominator non-participation on diagnostic efficiency. At participation as low as 50%, classification of sociometric rejection (i.e., being rejected or not rejected) was quite accurate (κ = .63 to .77). In contrast, at participation as high as 70%, classification of sociometric status (i.e., popular, average, unclassified, neglected, controversial, or rejected) was significantly less accurate (κ = .50 to .59).     

Effect of regulating anger and sadness on decision-making

The aim of the current study was to investigate the effects of reappraisal, acceptance, and rumination for regulating anger and sadness on decision-making. Participants (N = 165) were asked to recall two autobiographical events in which they felt intense anger and sadness, respectively. Participants were then instructed to reappraise, accept, ruminate, or not use any strategies to regulate their feelings of anger and sadness. Following this manipulation, risk aversion, and decision-making strategies were measured using a computer-based measure of risk-taking and a simulated real-life decision-making task. Participants who were instructed to reappraise their emotions showed the least anger and sadness, the most adaptive decision-making strategies, but the least risk aversion as compared to the participants in the other conditions. These findings suggest that emotion regulation strategies of negative affective states have an immediate effect on decision-making and risk-taking behaviors.     

Referees, editors, and publication practices: Improving the reliability and usefulness of the peer review system

The documented low levels of reliability of the peer review process present a serious challenge to editors who must often base their publication decisions on conflicting referee recommendations. The purpose of this article is to discuss this process and examine ways to produce a more reliable and useful peer review system. The author is a Senior Research Scientist & Biostatistician, Child Study Center and Department of Psychiatry in the Yale University School of Medicine. Note: The main points of this report were presented at the Annual Meeting of the American Association for the Advancement of Science (AAAS) in Baltimore, Maryland, on February 9, 1996.