The Simulacra Effect: The Effect of Media Simulations on Eating Disorder Symptomology in Gay Men

ABSTRACT

Researchers have uncovered a disturbing trend in the gay community: Gay men are at an increased risk for disordered eating. Researchers in this area generally support the existence of a sociocultural component to this phenomenon; however, these assertions have not been experimentally tested. We attempted to demonstrate that media representations targeted toward gay men have the potential to affect disordered eating and self-perception. Results showed that contrary to the hypothesis, the experimental group did not show an increase in eating disorder symptomology; in some cases, the opposite occurred. Implications of the importance of identifying with media images are discussed.     

Relative effectiveness of mindfulness and cognitive behavioral interventions for anxiety disorders: Meta-analytic review

ABSTRACT

Increasingly popular mindfulness intervention innovations seem demonstrably effective in alleviating anxiety among people with anxiety disorders. However, the basis of such primary and synthetic evidence has, for the most part, been comparisons with non-active comparison conditions such as waiting lists. The longest-standing and strongest evidence-informed practices in this field have been cognitive behavioral interventions (CBI). This meta-analysis synthesized evidence from nine randomized trials of the relative effectiveness of mindfulness interventions compared to CBIs (i.e., active control groups) in treating anxiety disorders. The sample-weighted synthesis found no statistically or practically significant differences between the two groups on anxiety alleviation: Cohen’s d = - 0.02 (95% confidence interval = - 0.16, 0.12). Both groups enjoyed large clinical benefits. However, because mindfulness methods may require less professional training and take less time for both workers and clients to master, they are probably less expensive to provide. As they are probably less expensive, but equally effective, it seems that, in a cost-beneficial sense, mindfulness interventions may be more practically effective. These review-generated meta-analytic findings and inferences may be best thought of as developed hypotheses for future research testing. These and other future research needs are discussed.     

Variables related to psychiatric sick leave taken by Spanish secondary school teachers

This study analyses the relationships of certain sociodemographic, organizational, and personality variables with psychiatric sick leave taken by Spanish secondary school teachers. The sample comprised 200 teachers (84 men and 116 women) divided into two groups. The first group was composed of 100 teachers who had suffered from psychiatric disorders requiring sick leave. The second was a matched control group composed of 100 teachers with no history of psychiatric disorders. Both groups shared the same organizational variables (same centre, town, number of students, etc). Logistic regression analysis was conducted to determine any relationships and the risk and protection factors for psychiatric sick leave. It is concluded that the most significant variables related to psychiatric sick leave included competitiveness and hostility, as defined by Type A Behaviour Pattern, emotional exhaustion as a factor of burnout, and job dissatisfaction.     

Transference and countertransference in the treatment of adult survivors of abuse with a somatoform disorder

The understanding of transference and countertransference has changed a great deal since Freud introduced the terms. A case example indicates one way the patient’s and clinician’s past experiences and expectations interact to create a here and now relationship that is highly influenced by transference/countertransference. The understanding of both terms as aspects of a mutually constituted interaction has practice implications for the treatment of adult survivors of abuse who have a somatoform disorder.     

住院康复精神病人日常生活实践中的充权: 一个广州的个案研究

本文源于社会工作者在广州某精神病院介入一位强迫症患者的实务反思。首先,本文描述精神病院这一专家权力掌控的“全控机构”,凸显全控机构下日常生活实践的碎片化特点。而这既是住院康复精神病人主体性展现的空间,也是社会工作者同理与接纳个案的理想平台,为探讨日常生活实践充权的可能性创造了条件。其次,本文反思与个案建立专业关系的过程,重新理解个案日常生活与外界环境的互动行为的意涵,不仅认识到个案本身的主体性力量和其中存在的充权可能性,也认识到日常生活实践对实现社会工作者同理与接纳的重要意义。这提醒社会工作者在实务过程中要时刻反思如何激发个案主体性,帮助其实现自我认同与接纳。     

Building Trauma Informed Practice: Appreciating the Impact of Trauma in the Lives of Women with Substance Abuse and Mental Health Problems

ABSTRACT

This paper examines the lifetime interpersonal abuse experienced by a substance abuse treatment sample of 1,955 women with co-occurring disorders. Substantial rates of intimate and community-based interpersonal abuse and other life stressors are documented. Regression analysis shows that while trauma severity is significantly related to trauma distress, its impact on psychological symptom distress and drug severity is quite modest. The implementation of a trauma informed approach featuring trauma-specific treatment, service integration and consumer empowerment is described as a promising practice model for assisting women seeking help in substance abuse treatment programs.     

ATTACHMENT THEORY AND RESEARCH APPLIED TO THE CONCEPTUALIZATION AND TREATMENT OF PATHOLOGICAL NARCISSISM

This article focuses on the relevance of attachment theory and research in the conceptualization and treatment of pathological narcissism. It is proposed that the relational context of individual development and the interpersonal interpretative capacities that emerge as part of the attachment system may be salient factors in the etiology and treatment of narcissism. Included is an overview of research on attachment models and their correlation to adult psychopathology and to narcissistic personality disorders. It is suggested that internalization and maintenance of a “secure base” and improvement in self-reflective functioning informs and enriches the clinical treatment of adults with narcissistic features.     

Patients with Minor Mental Disorders Leading to Sickness Absence: A Feasibility Study for Social Workers' Participation in a Treatment Programme

Minor mental disorders are common among patients who visit theirgeneral practitioner. In the Netherlands, they are associatedwith high costs due to absenteeism, disability benefits andmedical consumption (consumption of drugs as well as expenditureof medical staff’s time). In the Netherlands, a protocolwas developed for the treatment of minor mental disorders, basedon the principles of brief cognitive behaviour therapy. Thecost-effectiveness of this protocol was tested in a group ofpatients whose minor mental disorders had lead to sickness absence.The protocol was completed by Dutch social workers, one of whosecore tasks normally is to provide psychosocial care. The mainaims of the protocol are for the patient to regain functionalityand to prevent long-term disability. The protocol emphasizespatients’ own responsibility and active role in the recoveryprocess, includes homework assignments and stresses the importanceof early work resumption. This article focuses on a discussionof the feasibility of this treatment for minor mental disorders.The evidence for or against the protocol’s cost-effectivenesswill be discussed in future papers. The results show that patients,social workers and general practitioners were motivated to participateand that the protocol was well received by all three groups.If the treatment also proves to be cost-effective, it wouldappear to be a promising intervention for a frequently encounteredproblem in primary care.     

Social Workers' Understanding of Autistic Spectrum Disorders: An Exploratory Investigation

How social workers perceive autistic spectrum disorders (ASD)will inevitably impact upon how they assess the needs of childrenwith ASD and their families, and upon the types of service orinterventions they seek to provide to meet those needs. However,little is known of social workers’ understanding of thecondition. Using a research instrument devised by Mavropoulou and Padeliadu (2000),a study was carried out of all social workers working with disabledchildren in an English local authority. The results showed thatthough many workers had a good understanding of some aspectsof the condition, there was also confusion about some key factsconcerning ASD, the characteristics of ASD and scientific terminology,an inaccurate understanding of intervention approaches, anda more positive attitude towards the ability of generic servicesto meet need than was supported by the literature. Implicationsare discussed in terms of the provision of services to familiesof children with ASD in the UK, and the limitations of thisstudy are recognized.     

An exploratory study of the impact of an adolescent's eating disorder on Chinese parents' well‐being,marital life and perceived family functioning in Shenzhen,China: implications for social work practice

In this paper, the author reports the results of an exploratory study conducted in Shenzhen, China on how an eating disorder in an adolescent or adult child in the family would affect the parents' well‐being, quality of marital life and the perceived family functioning. Out of 33 patients suffering from eating disorders and referred for family treatment, 18 mothers and 15 fathers participated in this study. The data were gathered using a standardized questionnaire comprising three measures, namely the Symptom Check‐List‐90‐R, the Dyadic Adjustment Scale and the Family Assessment Device. The results of the study have shown that the parents' well‐being was negatively affected, especially for the mothers, whose self‐reported depression and anxiety levels were higher than the fathers'. The parents also perceived family functioning to be less satisfactory since the onset of the disorder, with least satisfaction reported on Affective Involvement, Affective Responsiveness, Roles and Behaviour Control. However, the onset had no negative effect on the parents' marital life. Implications of the study for social work practice are discussed.