The aim was to investigate the contributions of intrapersonal and interpersonal processes to eating disorders symptomatology in anorexia nervosa. Thematic analysis was used to investigate the interpersonal experiences of adolescent girls during inpatient treatment of anorexia nervosa.
In a quantitative study, findings from the qualitative study informed hypotheses, development of items for a self-report questionnaire and selection of validated questionnaires to assess eating disorders symptomatology, perfectionism and aspects of interpersonal functioning in women with anorexia nervosa and non-clinical female comparisons.
Weight-shape-related interpersonal processes influenced how the adolescents experienced their bodies, treatment and relationships with each other. Weight was a focus of their daily life and of their intra-group competitiveness and it was an index of shape, which was external and visible. Self-evaluation dependent on striving, the subjective experience of effort and fear of negative appearance evaluation by others contributed differentially to dimensions of eating disorders symptomatology in the anorexia nervosa and comparison groups. In anorexia nervosa, physical appearance comparison exerted an influence on Weight Concern and Global eating disorders symptomatology only in a three-way interaction, with fear of negative appearance evaluation and self-evaluation dependent on striving.
Findings supported a multi-dimensional understanding of anorexia nervosa, in which intrapersonal and interpersonal processes are differentially important. In anorexia nervosa, self-evaluation may depend on weight-related striving in situations where the person fears having their appearance evaluated negatively in comparison to others.
As the benefits of positive parenting programs become more apparent, there is increasing calls for such programs to be more widely available in the community. Poor reach of existing programs, low father
The transition to the ‘third wave’ behaviour therapies will be explored mainly with respect to Acceptance and Commitment Therapy (ACT). A broad review and commentary on the current research
D-Cycloserine (DCS) is a cognitive enhancing medication believed to “consolidate” fear extinction learning into memory during exposure therapy. This paper examines whether DCS could augment extinction of a specific fear in children. We conducted a double-blind placebo-controlled Randomized Controlled Trial to investigate whether 50mg of DCS can enhance fear extinction of a dog or spider phobia. Thus far, we have recruited 17 children (M age = 9.4 years) who ingested DCS or a placebo prior to receiving a massed session of in vivo exposure. Avoidance was measured using a standardized ten-step Behaviour Approach Tests (BAT), where successive steps increased proximity to the feared stimulus. BATs were conducted at pretreatment, immediately post-treatment and on follow-up one week later to measure return of fear.
Providing psychotherapy can be extremely rewarding but can also make a range of different demands on the therapist. These demands may vary as a function of the stage of development as a therapist, the type of caseload, the context in which the therapist works, the volume of work, and the interactions with other situations or events that may be happening elsewhere in the therapist’s professional and personal life. Supervision can have a range of functions, but one important function is supporting the therapist. Effective supervision is thought to be a key contributor to ensuring not only safe and effective therapy but also to maintaining resourceful and resilient therapists. While other forms of psychotherapy have well established models and traditions of supervision, CBT is relatively lacking in these areas and there is relatively little literature to guide CBT supervision, especially in contrast to the vast literatures that exist for cognitive behaviour therapy.
The field of e-psychology is rapidly expanding, with new Internet and phone-based programs regularly becoming available for an increasing variety of mental health issues. There is a strong evidence base supporting Internet delivered psychological interventions, but less is known about particular program components or patterns of usage that are most impactful and thus associated with better outcomes.
The present study compared levels of body dissatisfaction, and disordered eating symptomatology among elite, recreational, and non-competitive female Australian athletes (N = 320) aged 17 to 30 years competing in leanness focused sports (e.g., Ballet, light weight rowing, long distance running) and non-leanness focused sports (e.g., netball, football, rugby).
Medically-unexplained fatigue states are prevalent and often disabling in the general population. These include chronic fatigue syndrome (CFS) and post-cancer fatigue (PCF). These syndromes are characterised by debilitating fatigue, neurocognitive difficulties, muscle pain as well as sleep -wake cycle and mood disturbance. A growing evidence base suggests that a multi-disciplinary intervention incorporating cognitive -behavioural therapy (CBT), activity pacing, and graded exercise therapy (GET) provides the most promising current treatment for reducing symptoms and improving functional status.