The listening heart and the chi square: clinical and empirical perceptions in the family therapy of anorexia nervosa

Clinical and empirical methods are commonly considered to be complementary activities. However, many people in the fields of mental health and social welfare espouse a strong adherence to experimental, scientific methods for the evolution of theory and practice and consider only that which has been experimentally tested as‘really true”. Others would propose the clinical method as the main source of useful knowledge and are suspicious of enumeration and quantification as sources of useful information. Formal, empirical methodology is well and extensively described whilst there is less systematic exposition of the clinical method. Family therapy evolved in a context in which activity was visible and the emerging discipline was propelled by a theoretical framework with strongly scientific origins that was critical of the exclusive clinical method of pre-existing psychotherapies. This paper describes some of the clinically based contributions to the family therapy of anorexia nervosa and compares this information with that which comes out of the Maudsley trials of psychotherapies in anorexia nervosa.     

Body dissatisfaction in married women: the role of spousal influence and marital communication patterns

Family factors and the media have been established as determinants of body satisfaction, yet little research has looked at the contribution of spousal influence in body dissatisfaction. Marital quality and satisfaction can be a protective factor in the health of women, while high rates of criticism have been associated with poorer health outcomes. The present study investigated the relationship between perceptions of family and spousal factors and body dissatisfaction in married women. Additionally, the impact of marital communication was investigated. Seventy-seven married women completed self-report questionnaires assessing familial body-focused comments, spousal evaluation of a wife’s body, marital communication patterns, and body dissatisfaction. After controlling for weight status, women’s perceptions of familial body-focused comments and spousal evaluation emerged as significant predictors of body dissatisfaction. It was also found that more destructive communication patterns moderated the effect of perceived spousal evaluation on body dissatisfaction. This study provides some context for understanding the impact of specific influences on women’s body dissatisfaction.     

States of grace: Eureka moments and the recognition of the unthought known

In this paper we consider states of grace in analysis. These encompass a range of phenomena which share an experience of something being received or revealed rather than produced by the ego. It feels that they are events that happen rather than events that are made to occur. They are marked by a profound sense of transformation of feeling tone. The quality of relatedness in the analytic dyad is also heightened. Some of these phenomena have been referred to as experiences of the self, synchronicities, moments of meeting, the unthought known and Eureka moments. The latter are experiences of sudden realization where a meaningful thought or image emerges which results in a dramatic shift in direction of the analysis and a transcendence of impasse. Although many authors describe these phenomena, we find that a Jungian approach provides a loom on which these threads can be woven together. Jung's concept of the transcendent function and his understanding of the gift of grace are particularly illuminating here. We also consider the conditions which allow grace to be experienced and how these inform our analytic practice.     

QUAL and the dynamics of evolution

The emergence of the first structures that are capable of “replication” is a mysterious problem of evolution. The majority of the scientists dealing with evolution agree on the point that this is the very property that differenciate animate and inanimate beings. The main purpose of the present paper is to prove that the phenomenon of replication cannot be forced into frames of the Bios, but is an inherent attribute of the material, and the biological replication is a more advanced and perfect manifestation of this attribute.

The cohesion and resistance, in a general sense, is the attribute of any material system, i.e. it is an attribute of coexistence that makes possible its life. This may be the property that was identified as Jacob Böhme's mystic concept “Qual”. The self‐preservation, the cohesion in a general sense is manifested against the different destructive effects by scattering the “attacked” system into successor systems. This process makes possible for the different successive systems to get among other, differing circumstances than they were before the destructive forces began to exercise their impact. These other circumstances however include the possibility of the emergence of other systems of interrelatedness, and the successive system may become different from the parent system. The multiplication and scattering, due to the impact of destruction, at the same time increase the system's surface of interaction, and this leads to an organization of higher level.     

Imagination, language, and the perceptual world: a post-analytic phenomenology

This paper seeks to integrate analytic philosophy and phenomenology. It does so through an approach generated, specifically, in relation to imagination and its cognitive significance. As an Introduction, some reservations about existing phenomenological approaches to imagination—in the work of Sartre and Edward S. Casey—are considered. It is argued that their introspective psychological approach needs to be qualified through a more analytic orientation that determines essence, initially, on the basis of public discourse concerning the term ‘imagination.’ Part One then articulates this orientation through an ‘analytic reduction’ that identifies imagination’s essence in public discourse as thought in its quasi-sensory mode. Part Two offers a sustained phenomenological investigation of this essence, and identifies four major intrinsic features. On the basis of this, Part Three shows how imagination is implicated, centrally, in the capacity to acquire language. In Conclusion the proceeding arguments are defended against possible objections, and a final key summarizing argument is formulated to show that imagination must be regarded, also, as necessary to perception and its capacity to articulate a world. The paper ends with a few thoughts on the further potential of post-analytic phenomenology.     

Thinking meta-theoretically about the role of internalization in the development of body dissatisfaction and body change behaviors

Internalization of societal standards of physical attractiveness (i.e., internalization of the thin ideal for women and internalization of the mesomorphic ideal for men) is a widely studied and robust risk factor for body dissatisfaction and maladaptive body change behaviors. Substantial empirical research supports internalization as both a mediator and a moderator of the relation between societal influences and body dissatisfaction. In this paper, a primer on mediation and moderation is followed by a review of literature and discussion of the extent to which internalization can theoretically fulfill the roles of both mediation and moderation. The literature review revealed a stark contrast in research design (experimental versus non-experimental design) when alternate conceptualizations of internalization are adopted. A meta-theoretical, moderated mediation model is presented. This model integrates previous research and can inform future empirical and clinical endeavors.     

Do Appearance Focused Cognitive Distortions Moderate the Relationship between Social Comparisons to Peers and Media Images and Body Image Disturbance?

The research questions addressed gender differences in the subjective appraisal of teens experiencing sexual harassment, and the psychosocial maturation of male and female teens appraising such events as threatening to their well-being. Using survey methodology, U.S. undergraduate women (n?=?316; 85% White Caucasian) and men (n?=?270; 85% White Caucasian) reported on their earliest formal work experiences (participants?? average age was M?=?19.03, SD?=?1.87). Results indicated that women, more than men, were more upset by, and were more likely to label an event as, sexual harassment. Results further demonstrated that men, particularly men who appraised harassment as bothersome and relied on behavioral coping, reported detriment to maturity outcomes of autonomy and social responsibility. Implications for a ??wimpy male?? hypothesis are discussed.     

Two Conceptions of Conceptualism and Nonconceptualism

Though it enjoys widespread support, the claim that perceptual experiences possess nonconceptual content has been vigorously disputed in the recent literature by those who argue that the content of perceptual experience must be conceptual content. Nonconceptualism and conceptualism are often assumed to be well-defined theoretical approaches that each constitute unitary claims about the contents of experience. In this paper I try to show that this implicit assumption is mistaken, and what consequences this has for the debate about perceptual experience. I distinguish between two different ways that nonconceptualist (and conceptualist) proposals about perceptual content can be understood: as claims about the constituents that compose perceptual contents or as claims about whether a subject’s undergoing experiences with those contents requires them to possess the concepts that characterize those contents. I maintain that these ways of understanding conceptualism and nonconceptualism are orthogonal to one another. This is revealed by the conceptual coherence of positions in which the contents of experiences have both conceptual and nonconceptual features; positions which possess their own distinctive sources of philosophical motivation. I argue that the fact that there is a place in conceptual space for such positions, and that there may be good reason for theorists to adopt them, creates difficulties for both the central argument for nonconceptualism and the central argument for conceptualism. I set out each of these arguments; the Argument from Possession-Independence and the Epistemically-Driven Argument. I then try to show how the existence of mixed positions about perceptual content derived from a clear distinction between compositional and possessional considerations constitutes a significant obstacle for those arguments as they stand. The takehome message of the paper is that unless one clearly acknowledges the distinction between issues about the composition of perceptual content and issues about how subject’s capacities to undergo certain experiences relates to their possession of concepts one runs the risk of embracing unsatisfying philosophical arguments in which conclusions relevant to one conception of nonconceptual and conceptual content are grounded on arguments that concern only the other; arguments that cannot, in themselves, sustain them.     

The frequency, nature, and effects of naturally occurring appearance-focused social comparisons

This research examined the effects of naturally occurring appearance-focused social comparisons on women's affect, body satisfaction, and weight-related cognitions. During their daily activities, women reporting body dissatisfaction (n=53) and women reporting body satisfaction (n=34) recorded their reactions to comparison information. Body-dissatisfied women engaged in more comparisons and a greater proportion of upward comparisons than body-satisfied women. Upward comparisons were associated with an increase in negative affect, body dissatisfaction, and thoughts of exercising for both groups; however, body-dissatisfied women experienced a greater increase in thoughts of dieting following upward comparisons. The daily effects of comparison information on body-dissatisfied women were examined; upward comparisons were associated with increases in daily negative affect, body dissatisfaction, and weight-related cognitions.     

Social body comparison and internalization: Mediators of social influences on men's muscularity-oriented body dissatisfaction

Research suggests that body dissatisfaction (BD) is prevalent among males and associated with unhealthy outcomes. Consistent with the well-validated Tripartite Influence Model, internalization of an ideal body figure and social body comparison have received support as predictors of men's dissatisfaction with their muscularity. However, empirical investigations with males that include both constructs are lacking. The current study examined the associations of both constructs with muscularity-oriented BD in a sample of college men (n = 204). Results from hierarchical regression analyses revealed that internalization and social body comparisons had unique relations with men's muscularity-oriented BD. A structural equation model indicated that both constructs mediated the relationship between social influences and muscularity BD. Preliminary data on targets of male body comparisons also were presented. These findings provide evidence for extension of the Tripartite Influence Model to males, particularly when constructs are assessed in ways that are reliable and valid for this population.