Reflections on group psychotherapy with eating-disordered patients

This paper addresses some of the dynamics, resistances, and transference and countertransference considerations in group psychotherapy with eating disordered patients. Several resistances are delineated, including guilt over being helped, the recreation of early problems around control and forced feeding, and withdrawal as a defensive operation. A brief vignette is presented which highlights the demand on the part of the therapist as well as the patient to contain and manage feelings rather than acting on them. Lastly, the author argues that group participation helps the patient to identify, articulate, and accept feelings and to promote assertiveness.This paper is based on a presentation given at the Training Institute for Mental Health on May 11, 1991.     

Race,Religion, and Global Solidarities: W. E. B. Du Bois and “The Black Church” as a Contested Category

W.E.B. Du Bois was thoroughly ambivalent about the political significance of American Black churches regarding their role in challenging racial inequality. He saw them as integral to Black social life, but also as failing to live up to their potential as drivers of liberation. And, while he focused primarily on Black churches within the United States, Du Bois was also committed to Black liberation on a global level. This suggests great potential for applying DuBois’ analyses of Black religion to the question of transnational religious and racial solidarities and the global political salience of “the Black Church” as a category. In this context, this article explores the significance of DuBois’ work for analyzing the category of “the Black Church.” It does so through a comparative case study of African American Christian engagement with the issue of Israel and Palestine, with four case studies ranging from African American Christian Zionists to Palestinian solidarity activists. Across these cases, the analysis highlights the ways that the history, identity, and mission of “the Black Church” are invoked in the context of Palestine and Israel. It argues that “the Black Church” is best understood as a contested category of collective religious and racial identity.     

Book notes

Mana: Revue de Sociologie et d'Anthropologie Caen: Department of Sociology, University of Caen, Esplanade de la Paix, 1400 Caen, France. 242 pp, 81 FF (in France, inch postage)

Desh Pardesh: The South Asian Presence in Britain Roger Ballard, ed., 1994 London: Hurst & Co. 296 pp., £9.95 (pb) ISBN 1–85065–092–6

Religions et sécurité international Jean‐François Mayer, 1995 Bern: Office Central de la Défense Series: Études relatives à la politique de sécurité, No. 2/1995 143 pp.

Essential Teachings His Holiness the Dalai Lama London: Souvenir Press, 1995 152 pp., £9.99 (hb) ISBN 0–285–63273–6

Voices of Islam John Bowker, 1995 Oxford: Oneworld Publications 188 pp., £8.95 ISBN 1–85168–095–0

A Short History of the Bahá'i Faith Peter Smith, 1996 Oxford: Oneworld Publications 168 pp., £5.95 (pb) ISBN 1–85168–070–5

A Short History of Islam William Montgomery Watt, 1996 Oxford: Oneworld Publications 156 pp., £5.95 (pb) ISBN 1–85168–109–4

Dictionary of the Middle East Dilip Hiro, 1996 Basingstoke: Macmillan 367 pp., £14.99 (pb) ISBN 0–333–65926–0

The Hebrew Bible Dan Cohn‐Sherbok, 1996 London: Cassell 257 pp., £55.00 (hb), £13.99 (pb) ISBN 0–304–33702–1 (hb), 0–304–33703‐X (pb)

The Puzzle of God Peter Vardy, 1995 London: Fount/Harper Collins 240 pp., £7.99 ISBN 0–00–627965–1     

Dialectical Behavior Therapy and Motivational Interviewing: Conceptual Convergence,Compatibility, and Strategies for Integration

Dialectical behavior therapy (DBT) and motivational interviewing (MI) are two widely used and efficacious psychosocial interventions. An immense and growing number of studies examine DBT, MI, or adaptations of these approaches across diverse treatment contexts and across various clinical populations. Because DBT and MI are in high demand, it is probable that trainees and established practitioners will encounter one or both treatments over the course of their careers. Although MI and DBT initially evolved in distinct contexts for different populations, these approaches share a number of common fundamental principles. Each provides distinct and complementary strategies for enhancing clients’ motivation and ability to change. For some, an integrative or sequenced application of MI and DBT may enhance client care. The present article highlights areas of divergence, convergence, and opportunities for integration, and offers practical tips for applying DBT and MI in conjunction.     

If you want to be one of us,then become like us: The evaluation of naturalization applicants by host nationals

Immigrant naturalization is a rite of passage, making assimilationist attitudes particularly pronounced among host nationals. Three experimental studies investigate whether heritage culture maintenance violates expectations that citizenship should be deserved by proving strong attachment to the host nation (i.e., neoliberal communitarianism). Study 1 (N = 293) demonstrates that naturalization applicants’ high degree of heritage culture maintenance impairs application evaluations. Perceived attachment to the host nation and citizenship deservingness mediated this effect. Study 2 (N = 220) replicates results across two national contexts and reveals that heritage culture maintenance impairs evaluations only among naturalization applicants from devalued countries. Study 3 (N = 117) manipulates attachment to the host nation and shows that perceived citizenship deservingness mediates the negative effects of naturalization applicants' low attachment to the host nation on application evaluations. Overall, assimilationist attitudes among host nationals are best explained by the combination of neoliberal and communitarian criteria of evaluation.     

Striving for unwanted goals: stress-dependent discrepancies between explicit and implicit achievement motives reduce subjective well-being and increase psychosomatic symptoms

Three studies investigated the relevance of affect regulation, stressful life events, and congruence between explicit achievement orientation and implicit achievement motive for subjective well-being and symptom formation. According to personality systems interactions (PSI) theory, stressful life events were expected to reduce motive congruence when the ability to self-regulate affect was impaired (i.e., state orientation). Consistent with expectations, the State Orientation x Stress interaction predicted incongruence in healthy participants (Studies 1 and 3) and in patients (Study 2). Furthermore, incongruence partially mediated the direct State Orientation x Stress effect on subjective well-being (Studies 1 and 3) and the course of psychosomatic complaints over 3 months (Study 2). In Study 3, the experimental induction of threat reduced motive congruence in state-oriented participants compared with an acceptance condition. Findings underscore the importance of assessing motive congruence as a "hidden stressor" and validate a new operant multi-motive test.     

Using cognitive models to map relations between neuropsychological disorders and human decision-making deficits

Findings from a complex decision-making task (the Iowa gambling task) show that individuals with neuropsychological disorders are characterized by decision-making deficits that lead to maladaptive risk-taking behavior. This article describes a cognitive model that distills performance in this task into three different underlying psychological components: the relative impact of rewards and punishments on evaluations of options, the rate that the contingent payoffs are learned, and the consistency between learning and responding. Findings from 10 studies are organized by distilling the observed decision deficits into the three basic components and locating the neuropsychological disorders in this component space. The results reveal a cluster of populations characterized by making risky choices despite high attention to losses, perhaps because of difficulties in creating emotive representations. These findings demonstrate the potential contribution of cognitive models in building bridges between neuroscience and behavior.     

Decision making in children and adolescents: impaired Iowa Gambling Task performance in early adolescence

Disadvantageous decision making is cited as one of the premier problems in childhood development, underlying risky behavior and causing adolescents to make poor choices that could prove detrimental later in life. However, there are relatively few studies looking at the development of decision making in children and adolescents, and fewer still comparing it with the performance trajectories of more typically developing cognitive functions. In the current study, we measured the affective decision-making abilities of children and adolescents 8- to 17-years-old using the Iowa Gambling Task (IGT; Bechara, 2007) in conjunction with a battery of established cognitive neuropsychological assessments. In contrast to the typical linear development of executive functions, affective decision-making abilities progressed in a J-shaped curve. Younger, more developmentally naive children performed better on the IGT than older, early-adolescent individuals, with performance becoming advantageous again toward the end of the teenage years. This trajectory is thought to coincide with asymmetric neural development in early adolescents, with relatively overactive striatal regions creating impulsive reward-driven responses that may go unchecked by the slower developing inhibitive frontal cortex. This trajectory is in stark contrast with the linear development of memory, speed of processing, and other cognitive abilities over the ages.     

Associations between symptoms of maternal postpartum depression,gestational age and infant social withdrawal: A longitudinal study in a community cohort

Infant social withdrawal is a risk factor for non-optimal child development; thus, it is important to identify risk factors associated with withdrawal. In a large community sample (N = 19,017), we investigate whether symptoms of maternal and partner postpartum depression (PPD; measured with the Edinburgh Postnatal Depression Scale) and prematurity are predictors of infant social withdrawal (measured with the Alarm Distress Baby Scale). Withdrawal was assessed at 2–3, 4–7 and 8–12 months postpartum. Linear regressions showed that prematurity predicted higher infant social withdrawal at all time points, and maternal symptoms of PPD were positively associated with withdrawal at 2–3 months. Logistic regressions showed that odds for elevated social withdrawal were increased with elevated levels of maternal symptoms of PPD at 2–3 and 8–12 months. Partner's symptoms of PPD were not associated with withdrawal. Future studies should investigate how PPD symptoms and prematurity may impact the individual development of social withdrawal.