Predictors of short-term treatment outcome in bulimia nervosa inpatients.

Recent studies, mostly performed on bulimic outpatients, did not find consistent predictors of treatment outcome in bulimia nervosa. This is the first study to investigate anamnestic and clinical factors predictive of the short-term outcome of hospital treatment in 31 female bulimia nervosa patients with a mean age of 22.9 yr. Treatment outcome was assessed by several self-rating instruments measuring different features of the specific and unspecific psychopathology of bulimia nervosa. The most relevant predictors of the outcome of the 8-week hospital treatment were duration of previous inpatient treatments for bulimia, the intensity of anorexic tendency and the pretreatment level of depression. The majority of predictors tested did not show a strong relationship to treatment outcome. The findings are discussed in relation to results of other studies as well as to possible implications for treatment and research.     

The Concept of Collusion: A Combined Systemic-Psychodynamic Approach to Marital Therapy

The author presents some new theoretical aspects and therapeutic implications of the concept of Couples in Collusion, (22), first published in 1975. According to this concept, the emotional attraction in the selection of a mate is based on a fascinating, mutual, and alarming theme, shared by both partners in order to be mastered together. The partners unavowedly start colluding to compensate for former frustrations and to repress fears of intimacy. After some time of living together and in defense of repressed feelings, they may enter into an escalation of the dysfunctional interactional pattern. Experience shows that severely neurotic personalities don't necessarily start colluding, provided that their partners don't gratify regressive needs or reinforce their defenses but help to cope with the frustrations of these unfulfilled regressive wishes. Therapies based on the concept of collusion aim at the improvement of intradyadic and extradyadic boundaries and the depolarization of extreme progressive-regressive behavior. These goals can be reached by both systemic and psychodynamic techniques. The concept of collusion may serve as a guide for this therapeutic process.     

The Significance of Romantic Love for Marriage

In this study, 605 subjects were asked about romantic love and marriage. Married people differentiated themselves from single people with stable partners and divorced people with new partners by more frequently living together with their great love, more reciprocity in that love, and less disappointments in love relationships prior to the current relationship; but they also described themselves as less happy and satisfied than the single and divorced respondents, particularly with regard to tenderness, sex, and conversation with their partners. Independent of marital status, those who were greatly in love with their partners describe themselves as happier. Love at first sight, relative to a gradually developing love, nevertheless, did not have a worse prognosis for happiness in marriage. Being in love seems to be of greater importance for the prognosis of the marriage than marital happiness and satisfaction.     

Dimensional Latent Structure of Callous-Unemotional Traits in German Adolescents: Results from Taxometric Analyses

Research on Child and Adolescent Psychopathology - A large amount of research has addressed the issue of the latent status of psychiatric disorders and related phenomena. We used a new taxometric...     

Resting Heart Rate,Vagal Tone,and Reactive and Proactive Aggression in Chinese Children

Abundant research conducted in Western contexts has shown that biological risk factors such as low resting heart rate (HR) might be related to childhood aggression. However, it was unclear (1) how resting HR, as well as other markers of cardiac functions such as resting vagal tone, may be related to subtypes of aggression such as reactive and proactive aggression, and (2) whether the HR-aggression relation can be replicated in non-Western contexts. Therefore, this study examined the concurrent and prospective relations between resting HR, vagal tone, and Chinese children’s reactive and proactive aggression. Participants were 183 children (M age?=?7.64 years, 91 girls) recruited from an elementary school in Zhenjiang, PRC. Children’s resting HR and vagal tone were assessed in the second grade (T1). Teachers rated children’s reactive and proactive aggression in the second (T1) and fourth grade (T2). Results showed that lower resting HR at T1 was associated with higher reactive and proactive aggression at T1 and T2, and higher vagal tone was associated with lower HR, which in turn was related to higher reactive and proactive aggression at T1 and T2. Lower vagal tone was directly related to higher reactive but not proactive aggression at T1 and T2, whereas lower HR was related to higher reactive aggression at T2 for children with low or moderate vagal tone but was not for children with high vagal tone. These psychophysiological findings from a non-Western context add additional support for both similarities and differences between reactive and proactive aggression in childhood.     

Social Discrimination in a Personnel Selection Context: The Effects of an Authority's Instruction to Discriminate and Followers' Authoritarianism1

Social discrimination in a personnel‐selection context was studied using an in‐basket exercise. West German participants had to select personnel from an applicant pool that included West German applicants (in‐group members) and East German applicants (out‐group members). As predicted, we found a main effect for an authority's instruction to discriminate against out‐group members. This main effect was, as predicted, qualified by an Instruction Right‐Wing Authoritarianism (RWA) interaction effect. Only high scorers on RWA discriminated against out‐group members when instructed to do so.     

Race,Adolescent Binge Drinking,and the Context of Neighborhood Exposure

Drawing on theories of social structure and normative exposure, we examine how the neighborhood context of socioeconomic advantage and racial composition affects race/ethnic differences in youth binge drinking. Using data from Waves 1 and 2 of the National Longitudinal Study of Adolescent to Adult Health, logistic regressions reveal significant racial differences, with whites having higher odds of binge drinking than other groups. We also find that neighborhood advantage and racial composition have moderating effects on binge drinking; black youths’ odds of binge drinking are significantly lower than whites’ odds in highly advantaged neighborhoods, and Hispanics living in racially integrated neighborhoods have significantly lower odds of binge drinking than Hispanics living in white neighborhoods.     

Factor Structure of the Farsi Version of the Ways of Coping Questionnaire

Despite burgeoning research on coping with stress and its crucial role on people's psychological and physical well‐being, there is a dearth of psychometrically established instrument for use in Iran to measure coping. A Farsi translation of the Ways of Coping questionnaire (WOC) was administered to 739 participants from Tehran, Iran. The factor structure of the WOC was assessed with both explanatory and confirmatory factor analyses. A 7‐factor structure model with some important similarities and differences to the original version from the United States was confirmed. The Farsi version of WOC was found to have good construct reliability and model fit and has considerable potential to be used in future coping research among Iranian populations.