Defining recovery from an eating disorder: Conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity

Conceptually, eating disorder recovery should include physical, behavioral, and psychological components, but such a comprehensive approach has not been consistently employed. Guided by theory and recent recovery research, we identified a “fully recovered” group (n = 20) based on physical (body mass index), behavioral (absence of eating disorder behaviors), and psychological (Eating Disorder Examination-Questionnaire) indices, and compared them with groups of partially recovered (n = 15), active eating disorder (n = 53), and healthy controls (n = 67). The fully recovered group was indistinguishable from controls on all eating disorder-related measures used, while the partially recovered group was less disordered than the active eating disorder group on some measures, but not on body image. Regarding psychosocial functioning, both the fully and partially recovered groups had psychosocial functioning similar to the controls, but there was a pattern of more of the partially recovered group reporting eating disorder aspects interfering with functioning. Regarding other psychopathology, the fully recovered group was no more likely than the controls to experience current Axis I pathology, but they did have elevated rates of current anxiety disorder. Results suggest that a stringent definition of recovery from an eating disorder is meaningful. Clinical implications and future directions regarding defining eating disorder recovery are discussed.     

Right–left approach and reaching arm movements of 4-month infants in free and constrained conditions

Recent theories on the evolution of language (e.g. Corballis, 2009) emphazise the interest of early manifestations of manual laterality and manual specialization in human infants. In the present study, left- and right-hand movements towards a midline object were observed in 24 infants aged 4 months in a constrained condition, in which the hands were maintained closed, and in a free condition. A left-hand dominance for approach movements without contact with the object, and a right-hand dominance for reaching movements with object contact was observed in the free condition. In the constrained condition reaching movements of the right hand decreased dramatically. These results are interpreted as strong evidence of manual specialization in 4-month olds, with approach movements having a localization role and reaching movements announcing future right-hand dominance for prehension and object manipulation.     

Integrating Behavioral Aspects into Community Preparedness and Response Systems

Summary

This article examines the role of psychosocial and behavioral dimensions of terrorism that influence community preparedness and homeland defense efforts. Public health interventions will fail if people do not follow the recommendations. A broader public health model is applied to help identify the interactions between risk and safety appraisals, social factors, and behavioral response to uncertain and stressful situations. Community preparedness would benefit by linking disparate programmatic and advocacy initiatives that already exist. It stands to reason that improving the cohesiveness of existing systems of social organization would strengthen community resilience and serve as effective countermeasures for terrorism.     

Adolescent predictors and associates of psychosocial functioning in young men and women: 11 year follow‐up findings from the Nord‐Trøndelag Health Study

The aim of this paper was to investigate whether psychosocial functioning in adulthood (e.g., friends support, cohabitation, community connectedness and work satisfaction) could be predicted by mental health, subjective well‐being, social relations and behavior problems in adolescence, and whether gender was a moderator in these associations. Data were obtained from a major population‐based Norwegian study, the Nord‐Trøndelag Health Study (HUNT), in which 517 men and 819 women completed an extensive self‐report questionnaires at baseline (mean age 14.4 years) and at follow‐up (mean age 26.9 years). Community connectedness as well as work satisfaction were predicted by subjective well‐being. Cohabitation was predicted by male gender and frequency of meeting friends in adolescence, and friends support was predicted by frequency of meeting friends. Gender had a minor effect as a moderator. Frequency of meeting friends and subjective well‐being seemed to be the strongest adolescent predictors of psychosocial functioning in young adulthood. These findings may have implications both for prevention and intervention in adolescence, as well as for future research.     

Influences of lateral preference and personality on behaviour towards a manual sorting task

Differences in task behaviour between left- and right-handers and left- and right-eared individuals have been reported (e.g.  and ) with left-handers taking longer to begin a task and right-eared individuals having a more disinhibited approach. Personality measurements are also important when examining approach behaviour. Jackson (2008) reported that those with higher neuroticism levels and a right-ear preference react faster to tasks. The current study investigated the effects of lateral preference and personality on behaviour towards a manual sorting task. Eighty-five participants completed laterality and personality scales and a card-sorting task. Degree of hand preference was found to influence behaviour towards the task with strong left-handers taking longer to begin. Those with a left congruent lateral preference (left-hand, left-ear) took significantly longer to begin the task than those with a right congruent preference. Neither neuroticism nor extraversion influenced task approach. We concluded that hand preference, and more specifically a strong left-hand preference is a good predictor of a longer initiation time on a manual task. Ear preference on its own does not predict initiation time.     

Mellow Monday and furious Friday: The approach-related link between anger and time representation

Time can be represented spatially in two prevalent metaphors; ego-moving has the self moving “forward” towards the future while time-moving has the future moving “forward” towards the self. Anger also is represented spatially by an approach-related motivation. Because time and anger share an approach-related spatial representation, we hypothesised a link between anger and the ego-moving time perspective. In Study 1, participants naturally adopting an ego-moving representation of time had higher trait anger than those adopting a time-moving representation. Study 2 showed that processing an angry event (vs. an emotionally neutral event) predicted more ego-moving spatial interpretations of time. In Study 3, a scheduling task priming ego-moving (vs. time-moving) time representation prompted higher state anger. Our results reveal a novel bi-directional link between the seemingly unrelated but similarly embodied abstract domains of anger and time.     

Mentalizing Family Violence Part 1: Conceptual Framework

This is the first of two companion papers describing concepts and techniques of a mentalization‐based approach to understanding and managing family violence. We review evidence that attachment difficulties, sudden high levels of arousal, and poor affect control contribute to a loss of mentalizing capacity, which, in turn, undermines social learning and can favor the transgenerational transmission of violent interaction patterns. It is suggested that physically violent acts are only possible if mentalizing is temporarily inhibited or decoupled. However, being mentalized in the context of attachment relationships in the family generates epistemic trust within the family unit and reduces the likelihood of family violence. The implications of this framework for therapeutic work with families are discussed.     

Motivational goals,group identifications,and psychosocial adjustment of returning migrants: The case of Jews returning to Russia

The present study investigated the motivational goals, group identifications, and psychosocial adjustment of Jews who returned to Russia after emigrating from the republics of the Former Soviet Union to different countries (n = 151). To gain a deeper understanding of these returning migrants, their traits were compared with those of Jews living in Russia who did not emigrate (n = 935). Compared to locals, returnees reported a higher preference for the openness to change and self‐enhancement values and a lower preference for the conservation values; there was no difference in the self‐transcendence values. Returning migrants had a relatively weak affiliation with the home country: they had a weaker identification with the home country than with the country of emigration, their identification with Russians was weaker than that among Jews who did not emigrate from Russia, and their intention to emigrate (again) from Russia was greater than that among locals. However, the Jewish identification of returning migrants was similar to that of locals. The adjustment of returning migrants varied across different dimensions: their economic adjustment was better than that of locals; however, the interpersonal adjustment of returnees was less successful than among locals.