Editing disorders : management of obesity, bulimia and anorexia nervosa

vii, 136 p. : il.; 23 cm

EXPOSURE TO MEDIA-PORTRAYED THIN-IDEAL IMAGES EXPOSURE TO MEDIA-PORTRAYED THIN-IDEAL IMAGES ADVERSELY AFFECTS VULNERABLE GIRLS: A LONGITUDINAL EXPERIMENT

Although laboratory experiments indicate that brief exposure to thin models leads to acute body dissatisfaction and negative affect in women, research has not tested whether longer term exposure results in lasting effects. Accordingly, we randomly assigned 219 adolescent girls to a 15-month fashion magazine subscription or a no-subscription condition and followed them over time. Despite evidence that the experimental manipulation successfully increased exposure to the fashion magazine and the ample statistical power, there were no main effects of long-term exposure to thin images on thin-ideal internalization, body dissatisfaction, dieting, negative affect, or bulimic symptoms. However, there was evidence that vulnerable adolescents, characterized by initial elevations in perceived pressure to be thin and body dissatisfaction and deficits in social support, were adversely affected by exposure to these images. Results suggest that exposure to thin-ideal images has lasting negative effects for vulnerable youth. Researchers have suggested that media-portrayed images of the current beauty ideal, the hallmark of which is an ultra slender body, contribut

The emotional eating scale: The development of a measure to assess coping with negative affect by eating

The development of the Emotional Eating Scale (EES) is described. The factor solution replicated the scale's construction, revealing Anger/Frustration, Anxiety, and Depression subscales. All three subscales correlated highly with measures of binge eating, providing evidence of construct validity. None of the EES subscales correlated significantly with general measures of psychopathology. With few exceptions, changes in EES subscales correlated with treatment‐related changes in binge eating. In support of the measure's discriminant efficiency, when compared with obese binge eaters, subscale scores of a sample of anxiety‐disordered patients were significantly lower. Lack of correlation between a measure of cognitive restraint and EES subscales suggests that emotional eating may precipitate binge episodes among the obese independent of the level of restraint. The 25‐item scale is presented in an Appendix (Arnow, B., Kenardy, J., & Agras, W.S.: International Journal of Eating Disorders, 17, 00‐00, 1995). © 1995 by John Wiley & Sons, Inc

The effects of token reinforcement and feedback on the delusional verbal behavior of chronic paranoid schizophrenics

Prior research with token reinforcement in the psychiatric population has been directed at work adjustment, more than at major symptomatic behaviors. The purpose of the present research, on the other hand, was to investigate the effects of feedback and token reinforcement on the modification of delusional verbal behavior in chronic psychotics. Six male and four female paranoid schizophrenic patients participated in the study. The results indicated that the effects of feedback were effective about half the time in reducing percentage delusional talk, but in at least three cases produced adverse reactions. Token reinforcement, however, showed more consistency and reduced the percentage of delusional verbal behavior in seven of the nine subjects exposed to this procedure. The effects of both feedback and token reinforcement were quite specific to the environment in which they were applied and showed little generalization to other situations. It would appear that using token reinforcement can reduce the percentage delusional speech of chronic paranoid schizophrenics

The California drought: A quasi-experimental analysis of social policy

The effect of fines for failure to conserve water during the California drought of 1976 to 1978 was evaluated in a retrospectively arranged multiple-baseline design across three San Francisco Bay area cities. The data indicated that, on a community level, significant savings of water occurred regardless of whether fines were introduced or not. However, on an individual level, fines appeared to have an effect on private, as opposed to commercial or industrial, consumers who had received at least one fine. The limitations imposed on these conclusions by the quasi-experimental nature of the design were highlighted. Possible reasons for water conservation in the absence of fines were discussed within the framework of stimulus control. It was suggested that an area for future research should be the delineation of stimulus parameters involved in producing behavior change in entire communities

The clinical significance of binge eating disorder

Abstract: Objective: Current controversy exists regarding the status of binge eating disorder (BED) as a diagnostic entity. A critique of the literature is provided to address the question of whether BED represents a clinically significant syndrome. Method: The scientific evidence is considered through addressing five questions that are key in evaluating the clinical utility of any mental disorder. Results: Individuals with BED meaningfully differ from individuals without eating disorders, and share important similarities to, yet are distinct from, individuals with anorexia nervosa (AN) and bulimia nervosa (BN). BED is associated with co-occurring physical and mental illnesses, as well as impaired quality of life and social functioning. Questions about the course of the disorder and the optimal treatment regimen for the syndrome need to be explored further. Discussion: BED's distinctive combination of core eating disorder psychopathology, and other co-occurring physical and psychiatric conditions, impaired psychosocial functioning, and overweight constitute an eating disorder of clinical severity and a significant public health problem. # 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: S96-S106, 2003