Eating Disorder Recovery

Abstract

Qualitative studies addressing the eating disorder recovery process from the client's point of view are notably absent in the literature. For this case study, we conducted a retrospective examination of the recovery process, as recounted by a 37-year-old female who was diagnosed with anorexia nervosa, binge eating/purging subtype at the age of 30. Two in-person interview sessions provided insight into coping skills, multidisciplinary intervention strategies, and long-term treatment challenges. In sum, the client's perspective can add new information to the understanding of eating disorder recovery from feminist and other theoretical frameworks.     

Deformation twinning and plastic recovery in Cu/Ag nanolayers under uniaxial tensile straining

Molecular dynamics simulations of nanoscale multilayered Cu/Ag metals have been conducted under uniaxial tensile straining to elucidate the out-of-plane deformation behaviour relevant to tensile spallation experiments. In nanolayers with pristine architectures, plastic dissipation prior to crack nucleation is suppressed owing to the high hydrostatic tensile stress state. The presence of sources for micro-twinning partials, such as micro-cracks or columnar grain boundaries, result in abundant deformation twin lamellae across multiple Cu/Ag interlayers. Plastic recovery is observed during unloading of the nanolayers.     

Crystallization behaviour of Al-based amorphous alloy and nanocomposites by rapid quenching

The microstructure and crystallization behaviour of melt-spun Al₈₈Ni₉Ce₂Fe₁ amorphous alloy and nanophase composites have been studied by means of X-ray diffraction, transmission electron microscopy and scanning and isothermal calorimetry. The diffraction patterns from Al₈₈Ni₉Ce₂Fe₁ amorphous alloys are diffuse, indicating a basically amorphous structure but contain two rings presumed to be associated with quenched-in nuclei. In the cases of Al₈₈Ni₉Ce₂Fe₁ nanophase composites, nanoscale precipitated particles are homogeneously dispersed in an amorphous matrix, and the crystallite diameter and volume fraction are sensitive to quenching conditions. During thermal crystallization, a two-step phase transformation occurs in the amorphous alloy and nanocomposites, which is characterized by a diffusion-controlled precipitation of nanoscale Al particles and the growth of a Al₃(Ni, Fe) nanophase prior to a Al₁₁Ce₃ nanophase. This study gives insight into structure-control for obtaining nanophases dispersed in an amorphous matrix by rapid quenching.     

Therapeutic Implications of Religious-Related Emotional Abuse

Religion can play a positive role in preventing all types of abuse. Consequently, it is often difficult to believe that religion or a particular manner of religious awareness can also be conducive to the degradation and humiliation of individuals, and that it can be maneuvered to justify abusive behavior. In this article we discuss the emotional repercussions of religious-related abuse in the family, an aspect that is rarely documented in the field of psychotherapy, but has many negative consequences. Religious-oriented emotional abuse is traceable to several levels of human functioning: the individual's internal level of experiencing themselves, the interpersonal and systemic levels, where the individual enters relationships, as well as within the framework of the individual's relationship with God.     

Current Treatment Strategies for Dissociative Identity Disorders in Adult Sexual Abuse Survivors

SUMMARY

During the past decade, increasing numbers of clinicians and researchers have suggested that the dissociative disorders, including dissociative identity disorder (DID), may be more prevalent than previously hypothesized. The “rediscovery” of DID is due, in part, to the recognition that early childhood trauma in conjunction with the propensity to dissociate, are etiologic factors for the development of DID. The purpose of this article is to raise clinical consciousness regarding DID, discuss the definition and etiology of the dissociative disorders, their assessment, and an approach to treatment of the sexual abuse survivor who has DID. This treatment program, while integrating some of the techniques recommended by others, is unique in its step-by-step flexible organization as well as its multifaceted format. The author's experience to date suggests that the sooner that a dissociative disorder can be identified in the adult sexual abuse survivor client, the more rapid the therapeutic progress.     

Exploration of Recovery Trajectories in Sexually Abused Adolescents

Abstract

This study documents recovery status and symptom changes in a one-year follow-up of sexually abused adolescent girls in child protection services in the province of Québec, Canada. Sixteen French-speaking participants completed questionnaires assessing symptoms, types of maltreatment endured, and services received and were interviewed using the Multidimensional Trauma Recovery and Resiliency Interview (MTRR-I), which was in turn rated by interviewers using the companion rating scale, the MTRR. Analyses of one-year follow-up data revealed statistically significant changes towards better functioning on multiple domains and less symptomatology for a majority of the girls interviewed. The recovery status of a minority of research participants seems to have worsened in the interval. The discussion considers these findings and addresses relevancy of the MTRR measures in cases of sexually abused adolescents.     

Assessing Trauma Impact,Recovery, and Resiliency in Refugees of War

Abstract

This paper describes the psychometric properties and process of using the Multidimensional Trauma Recovery and Resiliency Scale (MTRR) with 83 untreated war-affected adolescent and adult refugees of diverse cultures, family of origin, age, gender, and time since the war. The MTRR met reliability, validity, and utility criteria with this convenience sample. This paper discusses modifications made to the MTRR-I format, questions, and prompts to enable work with the wide range of ages and cultures represented in the sample. The results support the MTRR as a tool that may have the ability to capture the complexity of culture as well as measure a variety of trauma responses and work with other measurements. Limitations of the study and avenues of future research are discussed.     

Associations between rating content and self-other agreement in multi-source feedback

In a study of the ratings of managers' behaviour made by themselves, their supervisors, subordinates, and peers, it was found that degree of similarity between self-ratings and ratings by colleagues was significantly associated with three aspects of rating content: the observability of a behaviour, its desirability, and the degree to which it concerned technical rather than interpersonal activities. However, these associations with rating content depended on which of two indices of between-rater similarity was studied, in terms of either the correlation or the difference between ratings. The desirability of behaviour more influenced correlation measures of similarity, and the type of behaviour had more influence on difference scores: managers over-rated their interpersonal activities but not their technical effectiveness.     

Parental object representations,attachment to God,and recovery among individuals with psychosis

This study explored the relationships between object representations of mother and father and recovery among outpatients with psychotic disorders, and examined the role of attachment to God in moderating those relationships. A total of 46 outpatients diagnosed with schizophrenia or schizoaffective disorder participated. Benevolent representations of mother and father were associated with recovery whereas punitive representations were negatively associated with recovery. Secure attachment to God amplified the association between benevolent representations of father and recovery. Secure attachment to God was found to buffer the relationship between mild-to-moderate punitive parental representations and recovery; however, this relationship was not evident for those with the most punitive parental representations. Directions for future research and clinical implications are discussed.     

What members of Alcoholics Anonymous really believe

Many mental health professionals work with people who are members of Alcoholics Anonymous (AA) or may benefit from AA attendance. This article provides practical information about AA that professionals can use to understand and work with people in AA. It is a summary of a survey of 187 members of AA as well as synthesising the literature on AA. Specifically, it describes what AA is, the twelve steps and principles that underlie them, common AA expressions and how they can be used in therapy, common concerns about AA, and how to get more information about AA. Implications of how AA's steps and language can be incorporated into therapy, how therapy can facilitate working the steps of AA, and how to address consumers’ (or professionals’) concerns about AA are addressed.