Presenting concerns of emerging adults seeking treatment at an early intervention outpatient mood and anxiety program

This study examined presenting concerns and characteristics of emerging adults (EAs) seeking treatment at an early intervention program for mood and anxiety disorders to better understand presenting concerns when treatment is needed. During an intake assessment conducted by a social worker or clinical psychologist, participants (N = 548; 62% female, 38% male) reported their top three current life concerns, which were analyzed qualitatively using thematic analysis. Participants completed a battery of questionnaires assessing demographic information, symptomatology, and daily functioning. Females presented with significantly higher levels of anxiety, and both females and younger individuals (age 16–18) presented with significantly higher levels of depression compared to males and older individuals (age 19–26), respectively. The two most commonly reported presenting concerns were problems in interpersonal relationships and academics, and females were more likely to report academic concerns than males. The majority of participants reported seeking help for a wide range of problems commonly faced by EAs (83.7%), and participants rarely expressed concerns about particular symptoms of mood and/or anxiety disorders (16.3%). EAs and those supporting EAs may benefit from learning when psychosocial concerns are indicative of mental health challenges warranting professional attention.     

Perfectionism and achievement goals revisited: The 3 × 2 achievement goal framework

ObjectivesPerfectionistic strivings (PS) and perfectionistic concerns (PC) have shown different profiles with the 2 × 2 achievement goals in sport. Whether PS and PC also show comparable profiles with the achievement goals of the expanded 3 × 2 framework, however, is unclear.DesignCross-sectional.MethodWe examined self-reported perfectionistic strivings, perfectionistic concerns, and the 3 × 2 achievement goals in 136 junior athletes (mean age 17.0 years).ResultsThe results of structural equation modeling showed that PS were positively associated with task-, self-, and other-approach goals and negatively with task- and self-avoidance goals. In contrast, PC were positively associated with task-, self-, and other-avoidance goals and negatively with task- and self-approach goals.ConclusionsThe findings suggest that PS and PC show different profiles also with the 3 × 2 achievement goals which may help explain why the two perfectionism dimensions show differential relations with achievement-related outcomes in sport.     

Love and melancholia in the analysis of women by women

This paper suggests that in the analysis of women by women a melancholic core may be encountered at the centre of the transference/countertransference situation that is an expression of the loss of the primary maternal object that has never been mourned. The attachment to the primary, lost object may be preserved in a melancholic, invisible way, and the longing that it is connected to might only reach representation in the après coup of the analytic process. The links between this primary love, melancholia and the unrepresentable in the analysis of women will be explored. These analyses powerfully evoke the relationship to the somatic. The internalization of the body of the mother, which is a requirement in the development of a woman, can take on frightening, fragmented, part‐object qualities. An example of a five times a week analysis is discussed.     

‘I think a little bit of a kick is sometimes what you need’: Women’s accounts of whole-body scanning and likely impact on health-related behaviours

Objective: This study was designed to investigate whether whole-body scanning might promote healthy eating and physical activity in women, and to explore the effects of scanning on body image.

Design: Fourteen women aged 22–45 years without histories of eating disorders or whole-body scanning took part in semi-structured interviews before and after scanning. Data were analysed using inductive thematic analysis.

Results: Scans did not look as expected, and participants expressed ‘surprise’ and ‘shock’. Participants focused on perceived negative aspects of their bodies as revealed in scan images, and agreed that women with body concerns would find scans too ‘real’ and ‘raw’. Eleven women who met UK Government physical activity and healthy eating guidelines reported that the scan provided additional motivation to maintain, and in nine cases to increase, those behaviours. Two women who neither exercised nor ate healthily would not increase physical activity or change their diets significantly following scanning.

Conclusion: Whole-body scanning may enable maintenance or even acceleration of physical activity and healthy eating, but is unlikely to be useful in promoting initiation of these behaviours. Participants engaged in unhelpful body critique when viewing scans; scanning needs to be confined to contexts where support is provided, to avoid increasing body-related concerns.     

Unprejudiced and self-focused: When intergroup contact is experienced as being about the ingroup rather than the outgroup

Many problematic responses that occur in intergroup interaction, such as inhibited behavior, restricted disclosure of valuable information, and miscommunication, do not arise from negative attitudes and sometimes are more frequently exhibited by lower-prejudice individuals. Thus it is important to consider how lower-prejudice individuals respond to methods for improving intergroup relations that have been investigated with the prejudiced person in mind. Two studies tested the hypothesis that for lower-prejudice individuals intergroup contact is experienced as being about the ingroup rather than the outgroup, and thus fails to exert its usual effect of paving the way for more positive subsequent intergroup exchanges. As predicted, for individuals seeking to be unbiased an initial exchange with one outgroup member affected feelings about ingroup worthiness, but not reactions to a subsequently encountered outgroup member. The opposite pattern was evident for higher-prejudice individuals, who readily generalized from their experience with one outgroup member to the next.     

The paradox of the disrespected: Disrespected group members’ engagement in group-serving efforts

Previous research has demonstrated that intra-group respect can strengthen people’s group identification, and encourage them to exert themselves on behalf of their group. In the present contribution, we focus on the possibility that those who are not respected by other group members (i.e., the disrespected) can also display group beneficial behavior. Experiment 1 (N = 159) confirms this paradoxical premise and reveals that systematically disrespected group members indeed exert themselves on group-serving tasks. These findings were replicated in Experiment 2 (N = 110). Additional indicators in Experiment 2 demonstrate that the effort by systematically disrespected group members cannot be attributed to a desire to improve their acceptance in the group, but should be interpreted as attempts to assert the worth of the self separately from the group. Results are discussed in relation to the group-value model and insights on marginal group membership and social exclusion.     

Recurrent binge eating with and without the "undue influence of weight or shape on self-evaluation": implications for the diagnosis of binge eating disorder

Levels of eating disorder psychopathology, impairment in psycho-social functioning and use of health services were compared among probable cases of binge eating disorder (BED) with and without extreme weight or shape concerns ("undue influence of weight or shape on self-evaluation") recruited from a large community sample of women. Data for obese non-binge eaters (n=457), also recruited from the community sample, and for a clinical sample of eating disorder patients (n=128), recruited separately, were included for comparative purposes. BED cases who reported extreme weight or shape concerns (n=51, 46.4%) had significantly higher levels of eating disorder psychopathology and functional impairment than those who did not report such concerns (n=59), after controlling for between-group differences in age and body weight. In addition, BED cases who reported extreme weight or shape concerns were more likely to have sought treatment for an eating or weight problem than those who did not. Whereas levels of eating disorder psychopathology and functional impairment were markedly elevated among BED cases with extreme weight or shape concerns, BED cases who did not report extreme weight or shape concerns resembled obese non-binge eaters in most respects. The findings support the inclusion of an undue influence of weight or shape on self-evaluation as a diagnostic criterion for BED. In the absence of this influence, eating disorders that otherwise resemble BED do not appear to be "clinically significant".     

New Digital Technologies: A Kairos for Catholic Education in Rwanda

ABSTRACT

While the Catholic Church in Rwanda endeavors to revitalize Catholic Education, the Government of Rwanda is trying to leverage the use of digital technologies to raise access, improve the quality, and strengthen the relevance of education and training to the labor market. The purpose of this article is therefore to explore and assess the value and potentially constructive educational benefits offered by digital technologies in Catholic schools. The Catholic Church is one of the key educational development partners of the Government of Rwanda. Approximately 41% of students attend Catholic schools in Rwanda. The article scrutinizes some ethical concerns associated with the emergence of digital technologies in schools. Then it critically analyzes the position of the Catholic Church vis-à-vis digital technologies and sheds some light on their ethical and responsible use in Catholic schools. Consequently, the article suggests some actions that may be undertaken by the Catholic Church in order to assist the youth to make an informed choice among a diverse range of options offered by digital technologies in a way that aligns with the Catholic social teaching and tradition.     

Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis

During the last two decades, Internet-delivered cognitive behavior therapy (ICBT) has been tested in hundreds of randomized controlled trials, often with promising results. However, the control groups were often waitlisted, care-as-usual or attention control. Hence, little is known about the relative efficacy of ICBT as compared to face-to-face cognitive behavior therapy (CBT). In the present systematic review and meta-analysis, which included 1418 participants, guided ICBT for psychiatric and somatic conditions were directly compared to face-to-face CBT within the same trial. Out of the 2078 articles screened, a total of 20 studies met all inclusion criteria. Results showed a pooled effect size at post-treatment of Hedges g = .05 (95% CI, ?.09 to .20), indicating that ICBT and face-to-face treatment produced equivalent overall effects. Study quality did not affect outcomes. While the overall results indicate equivalence, there have been few studies of the individual psychiatric and somatic conditions so far, and for the majority, guided ICBT has not been compared against face-to-face treatment. Thus, more research, preferably with larger sample sizes, is needed to establish the general equivalence of the two treatment formats.