SOCIOCULTURAL, FEMINIST, AND PSYCHOLOGICAL INFLUENCES ON WOMEN'S BODY SATISFACTION: A STRUCTURAL MODELING ANALYSIS

We explored sociocultural, feminist, and psychological influences on women's body dissatisfaction by examining the manner in which awareness and internalization of appearance standards, feminist ideology, and self-esteem affect body dissatisfaction. A main goal of the study was to test a model of potential protective mechanisms against internalization of appearance standards. The LISREL 8.5 program was used to perform structural modeling analyses on the proposed theoretical models. The results supported previous findings regarding the influential role of sociocultural variables on women's body dissatisfaction. In particular, internalization was found to mediate the relationship between awareness and body dissatisfaction. Feminist ideology and self-esteem were not found to serve as protective mechanisms against internalization. However, self-esteem appeared to directly affect body dissatisfaction.     

On the methodology of body image assessment: the use of figural rating scales to evaluate body dissatisfaction and the ideal body standards of women

We examined the use of figural rating scales to measure body dissatisfaction and the ideal body standards of women. We also attended to the potential influence of demand characteristics in body assessment research using these measures, a methodological concern largely ignored in this field. We used both within- and between-subjects designs to assess whether women hold different body standards for themselves compared to their same sex peers and whether their own ideal body size (IBS) is different from what they think men prefer. Regardless of the method of data collection (within or between design), we failed to find any differences on separate items of body image ideals. The findings do provide evidence of robust and large effects for the current–ideal discrepancy as measured by figural rating scales, but argue against including multiple questions about ideal body preferences on these types of scales. Concerns about the influence of demand characteristics were not supported by the data.     

The Epidemiology of Homicide followed by Suicide: A Systematic and Quantitative Review

This systematic review of population based studies of homicide followed by suicide was conducted to examine the associations between rates of homicide‐suicide, rates of other homicides and rates of suicide. The review analysed 64 samples, including the case of an outlier (Greenland) that were reported in 49 studies. There was a significant association between the rates of homicide‐suicide and those of other homicides in studies from the U.S.A. Outside the U.S.A. there was no clear association between homicide‐suicide and other homicide but there was modest but significant association between rates of suicide and homicide‐suicide. Homicide‐suicide appears to be closer in epidemiological terms to homicide than suicide in regions with high rates of homicide and measures to reduce homicide in these regions may also reduce homicide‐suicide.     

The reliability and validity of a group-administered version of the body image assessment

The Body Image Assessment (BIA) is a simple measure of body image disturbance. However, it has currently only been used with an individual administration format and only to assess ratings of current body size, ideal body size, and body dissatisfaction. It has also only been validated for use with women. In the current two studies, the reliability and validity of a group-administered version of the BIA procedure for both men and women that also assessed ratings of the ideal opposite sex and predictions about what the opposite sex would prefer as most attractive was examined. In the first study, results indicated good test-retest reliability for the group version for current and ideal body size and good concurrent validity with the individual administration format of the BIA. The results of the second study supported the construct and predictive validity of the group administered BIA, suggesting that it is a time-efficient alternative to the original, individually administered assessment.     

Evaluating the performance of departments of psychotherapy

Conceptual and practical issues which surround attempts at assessing the efficiency of psychotherapy departments are surveyed and the advantages and disadvantages associated with performance indicators reviewed. The issues of assessing efficiency in general and the selection of appropriate indicators at both national and local levels are discussed. It is concluded that it is possible to find indicators which reflect the value of a psychotherapeutic service to the community within which it is based, and that the identification of a generally agreed set of such parameters is a matter of priority.     

The association between body image and smoking cessation among individuals living with HIV/AIDS

Lower smoking cessation rates are associated with body image concerns in the general population. This relationship is particularly important to study in individuals living with HIV/AIDS due to alarmingly high smoking rates and considerable bodily changes experienced with HIV disease progression and treatment. The association between body image and smoking cessation rates was examined among individuals living with HIV/AIDS participating in a smoking cessation intervention. Body image concerns were significantly associated with depression, anxiety, stress, and social support, all variables known to affect cessation rates. However, reduced quit rates were found among individuals reporting elevated and low levels of body image concerns at the end of treatment. These findings suggest a unique relationship between smoking and body image among individuals living with HIV/AIDS. Further research is needed to examine these effects and whether moderate levels of body image concerns in this population reflect realistic body perceptions associated with positive mental health.     

An Institution for Change: Developing a Family Day Unit

This paper describes the theory and structure of a day unit designed to intervene in the systems of families who present with severe or multiple problems to agencies attempting to help them, but who are difficult to engage in a therapeutic pact and unresponsive to attempts at outpatient therapy. An analysis of these families is offered in terms of the relations between internal and external boundaries and difficulties in making transitions in the daily contexts of life. The principles of the unit are described in terms of the creation of an artificial extended family, the intensification of sequence and patterns of interaction, and the making and traversing of boundaries. Particular attention is paid to the function of agency interventions in family patterns and to redefining the relationship between family and agencies.