Comparison of bulimics, obese binge eaters, social phobics, and individuals with panic disorder on comorbidity across DSM-III-R anxiety disorders.

Eighty-two women, presenting as normal-weight bulimics, obese binge eaters, social phobics, and individuals with panic disorder, were compared on anxiety, depression, and substance abuse. All were administered the Anxiety Disorder Interview Schedule-Revised and completed the Michigan Alcohol Screening Test, Drug Abuse Screening Test, and Self-Consciousness Scale. A striking proportion of eating disorder subjects were comorbid for one or more anxiety disorders, the most frequent diagnoses being generalized anxiety disorder and social phobia. The results suggest that the place of anxiety in bulimia nervosa goes beyond that discussed within the context of the anxiety reduction model. Conflicting comorbidity findings among this and prior investigations are noted, however, and discussed in terms of the issue of differential diagnosis between eating and anxiety disorders.     

Media reviews

Abstract

Dr. H. James Lurie, reviewer of the videotape “Sybil's Plight” is Clinical Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine, in Seattle. His expertise in the development of training and educational audio-visual materials, as well as his long teaching experience with both primary care physicians and family therapists, makes his assessment especially valuable. The importance of family concepts in the treatment and management of patients and families who must cope with chronically disabling medical illnesses has reached a new level of concern, and has resulted in renewed interest in the fields of consultation-liaison and family medicine.

—I.A.

Sibyl's Plight, black and white videotape, Library, Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213.     

Changes in older Dutch adults’ role networks after moving

Using the convoy model (R. L. Kahn & T. C. Antonucci, 1980), this study examined the differential impact of relocation, depending on the distance moved, on the size of 3 types of role networks. A total of 890 Dutch nonmovers and 445 movers (aged 55–86 years) were selected from the Longitudinal Aging Study Amsterdam. Results of analyses of variance showed that the neighbor networks changed most after relocation. Long‐distance movers discontinued the largest number of relationships with fellow club members. As expected, moving did not affect coworker networks. The findings show that, consistent with the convoy model, role networks proved to be unstable. Older adults, however, restored their partial networks at the second observation by starting new relationships.     

Slow wave sleep during a daytime nap is necessary for protection from subsequent interference and long-term retention

While it is now generally accepted that sleep facilitates the processing of newly acquired declarative information, questions still remain as to the type and length of sleep necessary to best benefit declarative memories. A better understanding could lend support in one direction or another as to the much-debated role of sleep, be it passive, permissive, or active, in memory processing. The present study employed a napping paradigm and compared performance on a bimodal paired-associates task of those who obtained a 10-min nap, containing only Stages 1 and 2 sleep, to those whose nap contained slow-wave sleep (SWS) and rapid eye movement (REM) sleep (60-min nap), as well as to subjects who remained awake. Measurements were obtained for baseline performance at training, after a sleep/no sleep interval for short-term retention, after a subsequent stimulus-related interference task, and again after a weeklong retention period. While all groups learned the information similarly, both nap groups performed better than the Wake group when examining short-term retention, approximately 1.5h after training (10-min p=.052, 60-min p=.002). However, performance benefits seen in the 10-min nap group proved to be temporary. Performance after a stimulus-related interference task revealed significantly better memory retention in the 60-min nap group, with interference disrupting the memory trace far less than both the Wake and 10-min nap groups (p<.001, p=.006, respectively). After a weeklong retention period, sleep's benefit to memory persisted in the 60-min nap group, with performance significantly greater than both the Wake and 10-min nap groups (p<.001, p=.004, respectively). It is our conclusion that SWS, obtained only by those in the 60-min nap group, served to actively facilitate the consolidation of learned bimodal paired-associates, supported by theories such as the Standard Theory of Consolidation as well as the Synaptic Homeostasis Hypothesis.     

Language: The “Ultimate Artifact” to Build,Develop, and Update Worldviews

Topoi - What role does language play in the process of building worldviews? To address this question, in the first section of this paper we will clarify what we mean by worldviews and how they...     

Continuing education and training

Abstract

The conference on Innovations in Family Life Styles presented in March of this year by the Long Island Chapter of the American Association of Marriage and Family Therapy highlights the importance of a sociological and nonpathological perspective toward the family which is of critical importance for therapists. Only with such a perspective can one reasonably approach the tasks of marriage and family therapy, and the new awareness which is then possible for both therapists and families often leads to unexpected growth in unpredictable directions.

Dr. George Meyer, who chaired the conference, and who is Associate Professor of Psychology at Suffolk County Community College provides us with a rich review of the keynote address by Dr. Graham Spanier, and with cogent summaries of the other three presentations on the program.

—I.A.     

Media review

Abstract

The AIDS Movie. Produced by Durrin Films, Washington, DC. Film or videocassette, 26 minutes, color, 1986. Purchase: $455 for 16mm film, $390 for VHS. Rental: $57. All prices include shipping. A teaching guide and a copy of the U.S. Surgeon General's report are included. Contact New Day Films, 22 Riverview Drive, Wayne, NJ 07407: telephone, Barb Giniger, (202) 387-6700     

Continuing education & training

Abstract

Two important continuing education conferences are highlighted in this section. The first was held in New York in November, and was organized and is being reported by Anita Menfi, Director of the Family Studies Section, Bronx Psychiatric Center, New York. Since 1964 this center has trained therapists, supervisors and administrators who function within the mental health system, with a focus on a systems approach towards patients, their families, the service agencies that assist them, and the community in which they live. The conference keynote speaker, noted anthropologist Ray Birdwhistell headed a faculty of experienced family therapists who led multiple workshops on the theme, The Clinical Challenge of Working with Families in Today's Community.

The second conference held in December in Phoenix, Arizona was organized by Jeffrey Zeig, a Director of the Milton H. Erickson Foundation, and is reported by Miriam Cohen, a resident psychiatrist at Good Samaritan Hospital, who participated in the conference. Keynote speakers Jay Haley and Carl Whitaker led a large faculty presenting over 50 papers in a tribute to the life and work of Milton H. Erickson. Of special interest to our readers is the application of Erickson's ideas to family treatment. Haley has written widely on this, and Leveton and Lustig among others presented their understanding and application of Ericksonian principles.