Mental health consequences of weight cycling in the first-year post-treatment for breast cancer

Objectives: Weight cycling is linked with advanced breast cancer diagnosis, increased risk of cancer reoccurrence and cancer-related mortality. While women treated for breast cancer report challenges with navigating their post-treatment body shape and weight, the effects of weight cycling on body image and mental health have not been elucidated. This study examined associations between weight changes and weight cycling on psychological health (i.e. weight-related guilt, shame and depressive symptoms) among women in the first-year post-treatment.

Design and Outcome Measures: Self-reported assessments of pre-cancer weight cycling, post-treatment weight-related guilt, shame and depressive symptoms, and objective assessments of weight were assessed in a longitudinal sample of 173 women treated for breast cancer (M_age = 55.01 ± 10.96 years).

Results: Based on findings from multilevel models, women experienced the most weight-related shame when their weight was heavier than their personal average. Additionally, heavier weight was associated with worse psychological health, particularly for women with a history of stable (vs. cycling) weight pre-cancer.

Conclusions: Weight cycling pre-cancer and post-treatment weight change have important implications for psychological well-being. Due to the potential psychological consequences associated with a history of weight cycling, targeted strategies are needed to improve overall health outcomes for women’s survivorship after breast cancer.     

Righteous or self‐righteous anger? Justice sensitivity moderates defensive outrage at a third‐party harm‐doer

While bystanders' outrage over moral transgressions may represent a genuine desire to restore justice, such expressions can also be self‐serving—alleviating guilt and bolstering one's moral status. Four studies examined whether individual differences in observer justice sensitivity (JS_O) moderate the degree to which outrage at third‐party harm‐doing reflects concerns about one's own moral identity rather than justice per se. Among participants low (vs. high) in JS_O, feelings of guilt predicted greater outrage and desire to punish a corporation's sweatshop labor practices (Studies 1 & 2). Furthermore, affirming one's personal moral identity reduced outrage and support for punishing a corporate harm‐doer among those low, but not high in JS_O (Studies 3 & 4). Similar moderation was absent for other forms of justice sensitivity and just world beliefs. Effects were not explained by negative affect, empathy, personal harm, or political orientation. Results suggest that JS_O uniquely differentiates defensive and justice‐driven moral outrage (150/150).     

How Different Guilt Feelings Can Affect Social Competence Development in Childhood

The authors examined how the two different dimensions of guilt feelings, needed for reparation and fear of punishment, could influence social conduct, such as prosocial and aggressive behaviors, and how they are linked to popularity in childhood. The authors hypothesized a theoretical model that they tested, fitting it with empirical data obtained from a sample of 242 Italian children 9–11 years old. Both dimensions of guilt predict prosocial and aggressive behaviors. Specifically, the feeling of guilt linked to the need for reparation tends to negatively predict aggressive behaviors, and positively predict prosocial behaviors. The feeling of guilt linked to the fear of punishment, on the contrary, tends to positively affect aggressive and negatively affect prosocial conducts in children. These results highlight that the different feelings of guilt can represent a relevant risk or protective factor for the development of social competence in childhood. Limitations, strengths, and further development of the present study are discussed.     

Individual Differences in Children's Understanding of Guilt: Links with Theory of Mind

The author examined the relation between individual differences in children's understanding of guilt and theory of mind (ToM) ability. Two hundred and eighteen 8- to 10-year-old children were asked to define what guilt is and report a personal experience in which they felt this emotion. ToM was assessed with the Reading the Mind in the Eyes Test (Children's version; Baron-Cohen et al., 2001) and with the Strange Stories test (Happè, 1994). There were marked differences in children's understanding of guilt even after controlling for age. Moreover, high levels of understanding of guilt were associated with high levels of performance on both ToM tests. The theoretical and practical implications of these results are discussed.     

The Unbearable Lightness of Being White

In this article I explore the relationship between feelings of superiority, White privilege, White guilt, and a denied White racial identity and how these dynamics are enacted in therapy between White therapist and client. I discuss the concepts of White privilege, White guilt, color-blind racial ideology, and the invisibility of Whiteness and their importance in understanding problems in White identity development. Throughout this discussion I draw implications for clinical practice and training. I conclude by suggesting a process for identifying the dynamics of privilege and power in cross-cultural interactions through the use of self-reflection.     

Exposure,Agency, Perceived Threat,and Guilt as Predictors of Posttraumatic Stress Disorder in Veterans

Using a sample of 289 Iraq/Afghanistan veterans, this study examined the contributions of combat exposure, agency, perceived threat, and guilt to posttraumatic stress disorder (PTSD) symptoms. Regression analyses indicated the four variables (together with demographic variables) accounted for 79% of the variance in PTSD symptoms. Guilt was the most important predictor. In addition, guilt mediated between exposure and PTSD symptoms, perceived threat and PTSD symptoms, and agency and PTSD symptoms. Implications of these findings are discussed.     

Examining legalism,scrupulosity, family perfectionism,and psychological adjustment among LDS individuals

This study examined the relationships and interactions between legalism, scrupulosity, family perfectionism, guilt, and shame among 421 Latter-Day Saints (LDS or Mormons). The results showed that scrupulosity fully mediated the links between legalism and guilt, as well as legalism and shame. A moderated-mediation effect was found, in which family discrepancy (maladaptive perfectionism) intensified the scrupulosity–shame association in the mediation model of legalism and shame by scrupulosity. Family discrepancy was not a significant moderator for the mediation model of legalism and guilt by scrupulosity. Additional results are provided and implications of these findings are outlined.     

Why Me? Why Not Me?

The decision to undergo BRCA testing is very complex and emotionally laden. This decision can be further complicated by the loss of a mother at an early age. The following personal account by a genetic counselor discusses the testing process and the struggle to accept the results and reframe one’s self-identity. The sensitive nature of this testing and the implications for other family members is explored.     

Save It for God: Confession and the Irrelevance of the Judicial System with Special Attention to Dostoevsky's The Brothers Karamazov

Confession is essential for spiritual growth, but the judicial system provides little room for it. The judiciary is particularly unequipped to help convicts grapple with their guilt. Dostoevsky was the first to raise this critique in The Brothers Karamazov.     

Suicide and masochism: The evolving relationship between guilt,suffering, self-attack and suicide

Masochism is a complex and intriguing phenomenon. Self-attack may serve many purposes. Some patients suffer through harsh self-criticism, bodily harm, or even tormenting thoughts of death, without actually killing themselves. Some of these patients ultimately may go on to die by suicide, but for many, the self-torturing aspect may exist independently in acute or chronic forms. This paper addresses the complex relationship between masochism and suicide as two separate yet interconnected phenomena.