The protocol for positive body experience (PBE); introducing a psychomotor therapy intervention based on positive body exposure targeting negative body image in eating disorders

Negative body experience is a core characteristic of eating disorders, and poses a serious risk factor for its development, maintenance and relapse. This underlines the importance of specific therapeutic attention to body experience. In the past ten years a body-oriented treatment protocol with the focus on positive body exposure, called 'Protocol Positive body experience' has been developed. The aim of this paper is to describe the scientific basis of the protocol and to give an impression of its content and structure, illustrated by clinical case vignettes. An important and innovative aspect of the protocol is to enhance not only aesthetic, but also functional and tactile body experience. The protocol enables body-oriented therapists and psychomotor therapists to treat negative body experience in an evidence-based way and facilitates further research to validate the effect of positive body exposure

Measuring body satisfaction in women with eating disorders and healthy women:appearance-related and functional components in the Body Cathexis Scale (Dutch version)

Purpose Differentiating the concept of body satisfaction, especially the functional component, is important in clinical and research context. The aim of the present study is to contribute to further refinement of the concept by evaluating the psychometric properties of the Dutch version of the Body Cathexis Scale (BCS). Differences in body satisfaction between clinical and non-clinical respondents are also explored. Method Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to investigate whether functional body satisfaction can be distinguished as a separate factor, using data from 238 adult female patients from a clinical sample and 1060 women from two non-clinical samples in the Netherlands. Univariate tests were used to identify differences between non-clinical and clinical samples. Results EFA identified functionality as one of three factors, which was confirmed by CFA. CFA showed the best fit for a three-factor model, where functionality, non-weight, and weight were identified as separate factors in both populations. Internal consistency was good and correlations between factors were low. Women in the non-clinical sample scored significantly higher on the BCS than women with eating disorders on all three subscales, with high effect sizes. Conclusions The three factors of the BCS may be used as subscales, enabling researchers and practitioners to use one scale to measure different aspects of body satisfaction, including body functionality. Use of the BCS may help to achieve a more complete understanding of how people evaluate body satisfaction and contribute to further research on the effectiveness of interventions focussing on body functionality

Shifting the Focus:A Pilot Study on the Effects of Positive Body Exposure on Body Satisfaction, Body Attitude, Eating Pathology and Depressive Symptoms in Female Patients with Eating Disorders

One of the most commonly used techniques for the treatment of body image problems in eating disorders (ED) is body exposure (BE). However, evidence of its effectiveness in clinical populations is scarce. In the Positive Body Experience (PBE) protocol, the focus of positive BE is on aesthetic, functional and tactile aspects of the body. The current study evaluates the outcomes of positive BE with regard to changes in attitudinal body image and eating pathology, as well as the factors that influence these changes, in a sample of 84 adult female patients with different EDs who did not receive any other treatment for their EDs during the period in which BE treatment occurred. The results show significant positive changes in attitudinal body image, ED behaviors and depressive symptoms, with depressive symptoms at baseline mediating the changes in attitudinal body image. This study indicates that the PBE protocol is a suitable intervention for reducing negative attitudinal body image in anorexia and bulimia nervosa patients, as well as those with binge eating disorder. Furthermore, the results suggest that positive non-weight-related and functional body satisfaction are strong catalysts for change and that depressive symptoms play an important role in the ability to change. Additional RCTs are needed to gain more insight into the effects of PBE

Организационная модель аудита доходов санаторно-курортных предприятий

Целью статьи является определение сущности с учетом взглядов ученых и обоснование особенностей организационной модели аудита доходов санаторно-курортных организаций.Метою статті є визначення суті з урахуванням поглядів учених і обґрунтування особливостей організаційної моделі аудиту доходів санаторно-курортних організацій

Григорій Епік

Епік Григорій Данилович (1901–1937) – український письменник, кіносценарист, перекладач і публіцист

Військовополонені Першої світової війни в Кременчуцькому гарнізоні

У статті досліджено правове становище та умови перебування військовополонених Першої світової війни на території Кременчуцького гарнізону в другій половині 1916 року. На основі архівних даних визначено кількісний склад полонених, його розподіл за національною, соціальною та конфесійною ознаками. Досліджено динаміку чисельності, побутові умови та використання праці військовополонених.В статье исследовано правовое положение и условия пребывания военнопленных Первой мировой войны на территории Кременчугского гарнизона во второй половине 1916 года. На основе архивных данных определен количественный состав пленных, его распределение по национальной, социальной и конфессиональной принадлежности. Исследована динамика численности, бытовые условия и использования труда военнопленных.In article the legal status and conditions of stay of prisoners of war of the First World War in territory of the Kremenchug garrison in second half of 1916 is investigated. On the basis of contemporary records the quantitative structure captured, its distribution on a national, social and confessional accessory is defi ned. Dynamics of number, conditions of life and uses of work of prisoners of war is investigated

Externalizing your eating disorder: a qualitative interview study

Background: Anorexia nervosa (AN) is a psychiatric disorder with an ego-syntonic nature, causing many patients to perceive their AN as part of their personal identity. Therefore, an important part of treatment is the externalization of the eating disorder, in order to help patients to perceive AN as an external influence. Studies on patient experiences of externalization in treatment for AN are sadly missing. The aims of this study were to investigate, first, patients’ perspectives on the relation between identity and anorexia nervosa (AN) and second, their experiences of an externalizing approach during treatment. Method: A qualitative interview study was conducted including fourteen patients with AN in either Family Based Treatment, the Maudsley Model for Anorexia Nervosa Treatment for Adults, Specialist Supportive Clinical Management-Severe Enduring or Cognitive Behavioural Therapy-Enhanced. Results: There are important differences in participants’ perceptions on how AN is related to identity. AN was perceived as part of identity, as alien or as a different side of the self. Patients’ experiences towards an externalizing approach were ambivalent. Externalization was considered helpful, whilst also evoking a negative response. Participants reported feeling as if all their behaviour was referred to as part of AN, which elicited feelings of not being taken seriously or being wrongfully accused of being dishonest. Conclusions: First, there is considerable variation in the perceived relation between AN and identity. Second, an externalizing approach within treatment may lead to so called epistemic injustice. Awareness of these two facts is of importance for clinicians and the therapeutic relationship because that will help them to refrain from actions that can be perceived as epistemic injustice

Проблемы специализированной помощи обожженным в России и пути их решения

На основании изучения динамики ожогового травматизма в России, тяжести травм и летальности среди больных с ожогами отмечено увеличение тяжести термической травмы, частоты раннего ожогового сепсиса и летальности среди взрослого населения, определены организационные и научные пути решения проблемы, повышения эффективности работы ожоговых центров.Basing on the study of the dynamics of burns in Russia, severity of the injury and death rate in the patients with burns the authors emphasize the increase in severity of thermal injury, incidence of early burn sepsis and death rate in adults. Organizational and scientific ways to solve the problem as well as to increase the efficacy of work of burn centers are defined

Ethical implications of defining longstanding anorexia nervosa

The label severe and enduring anorexia nervosa (SE-AN) is widely used in the literature on longstanding anorexia nervosa (AN). However, the process of constructing the criteria and the use of the label SE-AN has ethical implications that have not been taken into account. Through combining existing literature and lived experience perspective, this paper addresses to what extent the current criteria do and do not reflect the lived experience. Arguments are presented on why the process of constructing the criteria for SE-AN and the application of the label can be both identified as, and give rise to, epistemic injustice. Epistemic injustice is an injustice that is done to a person as an individual with the capacity of acquiring and sharing knowledge. This type of injustice can occur at any stage of an interaction between people in which knowledge is shared with one another. The paper concludes by giving suggestions on how to pursue epistemic justice in the process of defining longstanding AN