Guided self-help for disordered eating: A randomised control trial

Treatment guidelines recommend evidence-based guided self-help (GSH) as the first stage of treatment for bulimia nervosa and binge eating disorder. The current randomised control trial evaluated a cognitive behavioural therapy-based GSH pack, ‘Working to Overcome Eating Difficulties,’ delivered by trained mental health professionals in 6 sessions over 3 months. It was congruent with the transdiagnostic approach and so was intended as suitable for all disordered eating, except severe anorexia nervosa. Eighty one clients were randomly allocated to either a GSH or waiting list condition. Eating disorder psychopathology (EDE-Q), key behavioural features and global distress (CORE) were measured at pre- and post-intervention, and 3- and 6-month follow-up. Results showed significant improvements in eating disorder psychopathology, laxative abuse, exercise behaviours, and global distress, with the GSH condition being superior to the waiting list on all outcomes. Treatment gains were maintained at 3 and 6 months. This study adds to the evidence supporting GSH for disordered eating, including EDNOS. However, further work is needed to establish the factors that contribute to observed therapeutic improvements and determine for whom GSH is most suitable.     

Close Associations and Memory in Brainwriting Groups

The present experiment examined whether or not the type of associations (close (e.g. apple‐pear) and distant (e.g. apple‐fish) word associations) and memory instruction (paying attention to the ideas of others) had effects on the idea generation performances in the brainwriting paradigm in which all participants shared their ideas by using paper slips (Paulus & Yang, 2000). All participants were randomly subjected to exercising on either close or distant word associations ten minutes before the brainstorming session started. The findings showed that exercising on the close associations prior to the brainstorming session led to the generation of more unique ideas, category scanning, and depth of ideas than exercising on the distant ones in a subsequent brainstorming task. Memory instruction led to the generation of fewer ideas than no memory instruction. These findings were discussed from the aspect of the associative memory approach and cognitive stimulation approaches.     

A thematic dialogue: towards a conclusion and a follow-up

Following the themed debate that took place after the panel, we reconsidered and explored further our hypotheses in light of the comments made by our colleagues. Clearly, it is the structural approach that underlies both the Freudian primal phantasies and the Jungian archetypes, while taking account at the same time that their approaches are informed by contemporary emergentist theories. Our discussion centred on the divergences in the cases of psychosis and neurosis, on the roles, in turn, of a return to childhood and the play of archaic representations, on the transference and countertransference functions and finally on the need to pay attention to what are deemed synchronous moments in the event.     

关节周围骨折手术入路探索的哲学思考

关节周围骨折多属于高能量损伤,临床处理相当困难,术后疗效差,现运用科学认识的规律,以康复理念为指导探索新的手术入路,并阐述新的手术入路与功能康复的辩证关系。     

Psycholexical Value Factors in Spain and Their Relation with Personality Traits

The aim of the present study is to determine the structure of values in the Spanish population and its relation to the Big Five personality traits. Using a psycholexical approach, 566 words were identified as values and administered to a sample of participants who were instructed to rate the extent to which they were guided by each value. Principal components analysis revealed seven factors: Social Recognition, Competence, Love and Happiness, Benevolence, Idealism, Equilibrium and Family. The results show that there is no complete equivalence between these factors and those obtained in previous studies. However, the results are congruent with those obtained in other studies as far as the relation between values and personality traits is concerned. Copyright © 2011 John Wiley & Sons, Ltd.     

Matching the graphical display of data to avoidance versus approach motivation increases outcome expectancies

This study is the first demonstration of the effect of motivational focus (approach vs. avoidance) on the interpretation of graphical view of personal data, specifically, weight loss progress. In two experiments, participants were randomly assigned to see the bogus weight loss data charted against either a goal or a baseline reference line. In the first experiment, we accessed participants' chronic motivational focus. In the second study, we primed motivation by exposing the participants to either a gain- or loss-focused health message. The results demonstrate that participants with either chronic or manipulated approach motivation predicted higher future weight loss in the goal reference line condition than in the baseline reference line condition. The opposite pattern was observed for participants with either chronic or manipulated avoidance motivation. The potential of matching graphical data display to personality characteristics to promote effective health management is discussed.     

Does initial behavior predict our physical fitness and health 18 years later?

ObjectivesThe aim of the present paper was, first, to analyze a four level biopsychosocial model to examine the interaction of various initial health behaviors and, second, their consequences with respect to the course of physical fitness (PF) and health of adults over the course of 18 years.DesignLongitudinal study based on medical examinations and self-ratings.MethodPath analysis along with latent growth curve analysis was based on the German study about the relationship of physical activity, fitness and health (1992–2010). Data were collected from 495 adults (243 women) with an average age of 45.03 years in 1992 (SD = 7.45). Participants were randomly selected from the official registers of local residents' registration offices in the community of Bad Schönborn.ResultsFor the mean PF and health levels in 1992, direct and indirect influences were shown on four levels including socioeconomic status and immigration on the first level, outcome expectations and stress coping strategies on the second level as well as eating patterns and physical activity on the third level; furthermore, the course of PF and the course of health (from 1992 until 2010) were affected by the initial behaviors (physical activity and eating patterns in 1992); finally PF and health were not related.ConclusionsInfluences on four levels provided evidence for the complexity of PF and health (outcome level). Initial behaviors predicted current PF and health status, as well as their course. Thus, preventive measures should ensure that healthy behaviors are adopted early in adulthood.     

Thinking about the history of road safety research: Past achievements and future challenges

This paper surveys the developments in road safety thinking and road safety research over the last century. It details the general evolution of safety thinking as it applied to road user behaviour, vehicle and road design. More recently, emphasis has shifted towards a system’s approach, both in road safety activities and in road safety research. In terms of the future, more likely scenarios for the near future, a few decades from now, are explored and the implications for future road safety research are discussed. In particular, increasing urban density forces changes in travel modes, with a shift to public transport, more cycling and walking, and, thus, imposes new challenges for road safety research. In terms of vehicle technology, more automation and driver assistance systems are envisaged with an accompanying emphasis on evaluation and research, including the issue of behaviour adaptation. Speeding and population ageing will remain major research areas. Increased interest in techniques for exploring large databases, behaviour indicators and randomised experimentation is expected.     

Development of a Multi-Disciplinary Intervention for the Treatment of Childhood Obesity Based on Cognitive Behavioral Therapy

Along the lines of the evidence-based recommendations, we developed a multi-disciplinary intervention for overweight children 7- to 12-years-old, primarily aiming at helping children to adopt healthier eating habits and a physically active lifestyle. The program combined nutrition intervention, based on a non-dieting approach, with physical activity intervention, implemented through the basic principles of Cognitive Behavioral Therapy (CBT), along with parental support. The program was conducted by dieticians with the collaboration of child psychiatrists and pediatricians. Training and regular supervision upon CBT priniciples application was intended to enhance dieticians' efficiency. The intervention is currently being evaluated to determine its effectiveness in treating childhood obesity.     

Setting the bar for cognitive agency: Or,how minimally autonomous can an autonomous agent be?

Embodied cognition comes in many variants. Yet, in most if not all of these variants the notion of agency, or more precisely autonomous agency, occupies center stage. However, whereas in its original context of application autonomy applies strictly to the human sphere, cognitive theory must needs generalize this concept so as to render it applicable to a much wider range of entities and processes. Theorists of embodied cognition must therefore strive to articulate a valid sense of minimal autonomy applicable to animals and, arguably, to artificial agents as well. In this paper I discuss two major attempts to articulate a conception of minimal autonomy which I describe, respectively, as the adaptive-behavior approach (ABA) and the systemic-constructivist approach (SCA). The differences between these two leading views on minimal autonomy reveal fundamental disagreements not only with respect to the nature of autonomous agency but also with respect to embodiment and the relevance of biological life to the making of mental life.