Recall of recent lunch and its effect on subsequent snack intake

Recall of food eaten at lunch decreases afternoon snack intake, suggesting that awareness of a recent eating episode may be an important factor influencing appetite. The aim of the present studies was to investigate whether the inhibitory effect of remembering a recent lunch meal on subsequent snack intake is dependent upon 1) the type and palatability of the snack offered; 2) participants' level of dietary restraint and tendency towards disinhibition; and 3) the delay between lunch and recall. Popcorn snacks differing in amount of added salt and rated palatability were offered to male participants in Experiment 1. Participants who recalled the lunch they had eaten that day consumed less of all types of popcorn than participants who recalled lunch eaten the previous day, suggesting that the effect of recent meal recall is not dependent upon the palatability of the snack food. In Experiment 2, a similar pattern of results was observed but only for women who scored low, and not high, on a measure of tendency toward dietary disinhibition, possibly because a tendency toward disinhibition is associated with impaired memory for the lunch. In Experiment 3, decreased cookie intake by women was observed after remembering today's lunch relative to a neutral control condition, but this effect was similarly only observed for participants scoring low in tendency toward disinhibition. In addition, the effect was dependent on the time elapsed between the lunch and recall, since intake was only reduced at a snack tasting session 3-hours post-lunch (when some forgetting of the meal occurred) and not 1-hour post-lunch. It is concluded that the inhibitory effect of recalling foods eaten at lunch on subsequent snack intake is a robust phenomenon that is related to memory of that lunch and is moderated by tendency toward dietary disinhibition.     

SELF‐PSYCHOLOGICAL TREATMENT OF A SEX ADDICT WITH SADOMASOCHISTIC BEHAVIOURS: A CASE REPORT

From a self‐psychological perspective, sex addiction can be viewed as repeated unsuccessful attempts at remedying central deficits in an uncohesive psychic structure. The sex addict uses sex in an attempt to compensate for the deficits in the self's capacities for tension regulation, self‐soothing and self‐esteem regulation, as well as, preventing regressive fragmentation. Until these psychic structures can be built for the sex addict, these deficits will continue to be disabling. A case formulation exemplifies some of the foundations upon which the self‐psychology is used in conceptualizing a client's narcissism, hypochondria and sadomasochistic behaviour.     

Emotions and attitudes related to being overweight.

A questionnaire was constructed to examine the relationship between eating habits and emotional attitudes toward food. This was administered to 60 individuals who varied widely in body weight relative to the statistically determined optimum for their age and sex. Correlations between item scores and weight discrepancy values from optimum revealed a number of significant correlations. The more the degree of overweight, the greater the tendency to have problems in three areas: depression, anxiety and impulsivity. In addition, the number of overweight relatives in one's immediate family also is related to an individual's degree of overweight. Some implications for the therapy of obesity were suggested.     

In vitro corrosion fatigue of 316L cold worked stainless steel.

The corrosion resistance of 316L cold worked stainless steel depends upon its thin protective oxide layer; and if this is partially broken down, corrosion resistance depends upon its tendency for repassivation. Since the intended function of stainless-steel implants is to sustain musculoskeletal forces, research toward the stability of the oxide film during dynamic loading in simulated bodylike fluids is warranted. A pilot corrosion fatigue study was, therefore, performed on uniaxial tension fatigue specimens cycled to various maximum stress levels near their yield point while immersed in 37 degrees C isotonic saline solution, and combined with the electrochemical insult of (a) imparting an 800 mV vs. SCE anodic potential for 20 s to stimulate local film breakdown, and then (b) returning to a constant 200 mV vs. SCE anodic potential and maintaining that potential during cyclic loading until the specimens broke in two. During the anodic polarization by continuously monitoring the current it was possible to (a) observe the repassivation and corrosion behavior following stimulation, and (b) detect crack initiation, crack propagation and failure onset. The combined effects of accelerated corrosion and mechanical fatiguing disturbed the repassivation tendency and reduced the crack initiation times and the fatigue lives as compared to air and saline controls. As the maximum cyclic load levels were increased, the fatigue lives were further foreshortened.     

Changes of mucosal endogenous prostacyclin level in human peptic ulcer disease. The role of smoking and sex difference.

It seems that in human gastroduodenal mucosal biopsy specimens from healthy persons there is a definite tendency toward a higher endogenous prostacyclin content in favour of women. This discrepancy is present in peptic ulcer disease, too. Smoking exerts an unfavourable effect on the gastric and duodenal mucosa. The target of this action is (among others) the endogenous prostacyclin content. In ventricular as well as duodenal ulceration there is a tendency toward decreased endogenous prostacyclin activity but (moderate) smoking,--as a continuous stimulus--seems to be capable of evoking higher endogenous prostacyclin levels. This phenomenon, most probably, constitutes a part of the reparative reactions against the noxa, i.e. smoking, itself. The results draw attention once again to a possible role of smoking in the development and healing of peptic ulcer disease.     

Exploring identity and personal meanings in psychosis using the repertory grid technique: A systematic review

Current research and clinical practice in person‐centred approaches highlight the importance of self, identity, and personal meanings in psychosis. Previous research has focused on dimensions of self, but less attention has been paid to the personal meanings involved in identity. The personal construct theory framework and the repertory grid technique (RGT) allow the study of identity and personal meanings within person‐centred approaches of psychopathology and treatment in psychosis, as suggested by studies that began more than 40 years ago. However, their contributions have not yet been reviewed. We aimed to systematically review the evidence for the role of identity and personal meanings in psychotic disorders. We performed a systematic search using personal construct and RGT terms in PsycINFO, Web of Science, PubMed, EBSCO, Scopus, and Google Scholar. After identifying 2,574 articles, 15 were included. Nine studies followed an idiographic assessment, and six were nomothetic. Patients reported their subjective experience of isolation in terms of high self‐ideal discrepancy and high perceived discrepancy with their significant others, which some studies associated with a lower degree of recovery or with the way in which positive symptoms were construed. Self‐fragmentation either decreased with interventions or was associated with recovery. Evidence regarding interpersonal construing was less consistent, but there was a tendency for patients to show a more rigid cognitive structure than controls. To conclude, we found some evidence that self‐discrepancies, fragmentation of self, and interpersonal construing are affected in psychosis and potentially modifiable through psychotherapy.     

An exploration of the journeying body and its intersecting experiences of dis/connection

ABSTRACT

This article offers an exploration of the experiences of the body as articulated in the literature. It centres on the shifts of the journeying body in its movements between, across, and through experiences of disconnection and connection, bringing to life the key constructs of disconnection and connection in the context of the lived body experience. Offering an expansive and empowering perspective of the body and its journeys, this inquiry shines light upon various perspectives of the body as located within the literature, and highlights integrated and nuanced understandings that may add curiosity, depth, and meaning to the intersecting and shifting experiences of body dis/connection. This is the first in a collection of articles to explore these constructs. Further articles will be grounded within personal research and will apply these broad understandings to the lived body realities of individuals navigating their own unique body journeys.     

Comparison of body perceptions between obese primary care patients and physicians: implications for practice

OBJECTIVE: To compare the body image and weight perceptions of primary care patients and their physicians as a first step toward identifying a potential tool to aid physician-patient communication. METHODS: Patients with a body mass index (BMI)>/=30 (n=456, 66% female) completed body image and weight status measures after office visits; physicians (n=29) rated the body figures and weight status of these same patients after office visits. RESULTS: Controlling for BMI, female patients and their physicians showed little or no difference in body figure selection or weight status classification, whereas male patients were significantly less likely than their physicians to self-identify with larger body figures (z=3.74, p<0.01) and to classify themselves as obese or very obese (z=4.83, p<0.0001). CONCLUSION: Findings reveal that physicians and female patients have generally concordant views of the patient's body size and weight status, whereas male patients perceive themselves to be smaller than do their physicians. The discrepancy between male patient and physician views is especially evident at increasingly larger body figure/weight status categories. PRACTICE IMPLICATIONS: When counseling male patients on weight loss, it could be helpful to assess body image and use this information to raise patient awareness of their size and to facilitate communication about weight.     

Body awareness and mental health: a body psychotherapy case study

Dohsa-hou is a Japanese form of body psychotherapy that utilises body movement as a means of enhancing the psychotherapy process. Body awareness has recently been proposed as a potential contributor to therapeutic progress made in the course of body psychotherapy. This paper reports the utilisation of Dohsa-hou with a patient who had a history of outpatient and inpatient treatment for depression-related psychiatric symptoms. At the start of treatment, the patient had difficulty in releasing tension because of the harsh rigidity of her body; further, the patient did not know how to regulate tension. As the Dohsa-hou therapy progressed, the patient became aware of her tenseness and learned to self-regulate her bodily rigidity. Her severe depressive symptoms were alleviated along with the change in her physical rigidity. This study illustrates the process of the treatment and the contribution of body awareness to the therapeutic progress made.     

Correlates of the Drive for Thinness in Young Female Adolescents

The core feature of anorexia nervosa is considered to be a drive for thinness. In order to try to identify personal and familial correlates of this drive, I studied 68 nonclinic girls ranging in age from 11 to 14 years. The personal attributes examined included body dissatisfaction, ineffectiveness, interoceptive awareness, perfectionism, and depression. The familial factors studied were conflict and independence. The results implicated two of the personal cognitive components as correlates of the drive for thinness, namely, body dissatisfaction and interoceptive awareness. These two variables accounted for 56% of the variance in a stepwise multiple-regression equation.     

Self‐stigma and the mediating impact of the “why try” effect on depression

The “why try” effect, a consequence of self‐stigma, is a sense of behavioral futility that may worsen depression. This study examines the regressive model of self‐stigma, the factor structure of a why try measure, and the pathway through which self‐stigma leads to depression. Data from 291 people self‐identifying with mental illness were collected through an online survey. Participants completed the Why Try Stigma Scale (WTSS) and measures of self‐stigma and depression. Structural equation modeling was used to test the WTSS factor structure and path models. Reducing the WTSS from 12 to 6 items led to good fit. The regressive model of self‐stigma was validated. A good fit was demonstrated for a model in which harm leads to unworthiness, then incapability, and then depression. The regressive model worsens sense of worthiness, which in turn affects personal capability, resulting in increased depression.     

Effect of EMG Biofeedback and Progressive Muscle Relaxation Training on Awareness of Frontalis Muscle Tension

Awareness of muscle tension, as estimated by a modification of the Kinsman et al. (1975) procedure for determining probability of correct estimation (P(c)) of absolute differences in muscle tension between adjacent trials, was examined before and after volunteer subjects underwent 4 sessions of either: 1) EMG biofeedback (BF) training, 2) progressive muscle relaxation (PMR) training, or 3) a placebo-control (MC) procedure which involved listening to music as an alleged guide for relaxation. The subjects were 30 females (mean age = 28.3 yrs) responding to an offering of experimental treatment for anxiety and tension. Measurements of frontalis muscle tension (EMG) and P(c) were made before and after training. The results showed that EMG was significantly reduced by BF and PMR training but not by the MC procedure. Increases in P(c) after training were significantly greater for BF than for PMR or MC training. There were no group differences for subjective report of tension. Correlations between pre- to post-training EMG and P(c) change scores were significant only for the BF group and the combined group of BF and PMR subjects. These results suggest that: 1) both BF and PMR training were effective in producing frontalis EMG reductions, 2) the following relationship may exist among training groups in terms of relative influence upon awareness of tension—BF training > PMR training > MC training, and 3) awareness of tension appears to be related to the ability to reduce EMG although the exact nature of this relationship remains unclear.     

A self-discrepancy reduction model of religious coping.

It was proposed that effectiveness of a religious response to personal crisis is related to type and amount of self-discrepancy. Fifty subjects were administered a questionnaire to assess the following two types of self-discrepancies: (1) discrepancy between perceived actual self and perceived ideal self and (2) discrepancy between perceived actual self and perceived ought-to-be self. Subjects also were asked to choose types of religious responses to a personal crisis. Religious responses were behaviorally, cognitively, and affectively loaded. Subjects with an actual/ought discrepancy chose behavioral and affective religious responses more frequently than did those without this discrepancy. No effects were found for the actual/ideal discrepancy. Implications of these results for revision and extension of the model are discussed.     

Adaptation of gender derived from biological motion

Human observers adapted to complex biological motions that distinguish males from females: viewing the gait of one gender biased judgments of subsequent gaits toward the opposite gender. This adaptation was not simply due to local features of the stimuli but instead relied upon the global motion of the figures. These results suggest the existence of neurons selective for gender and demonstrate that gender-from-motion judgments are not fixed but depend upon recent viewing history.     

Sexually transmitted disease prevention in adolescents and young adults

OBJECTIVE: Sexuality is one of the most pervasive aspects of the human life cycle. It warrants attention in childhood, adolescence and adulthood, and is an integral part of each health maintenance visit. Given this, it is unfortunate that U.S. medical schools do not offer more training in soliciting sexual histories and initiating dialogue about sexually healthy lifestyles. METHODS: Fourth-year medical student completed an adolescent and young-adult sexually transmitted disease elective. RESULTS: This elective allows medical students to confront personal biases and discomfort levels yet remain objective. It is also an opportunity to explore how the provider's body language and facial expressions can discourage information disclosure. Although sexuality is very prevalent in our society today, patients may still be apprehensive about discussing details of their sexual practices. Therefore, it becomes incumbent upon the physician to create an environment free from personal prejudice in order to best serve the patient. CONCLUSIONS: In order to promote sexual health awareness in a society that can be conservative and judgmental in this subject matter, it is essential to train all healthcare providers to lead discussions, educate patients and provide treatment in hopes that sexual health promotion will become as important as other socially accepted healthcare concerns.     

Clinical input into designing a PACS

The purpose of this study was to evaluate clinical attitudes and expectations in the implementation of a neuroradiology picture archiving and communication system (PACS). A 1-page survey of expectations and clinical attitudes toward a neuroradiology mini-PACS was distributed to 49 full-time faculty members in the departments of neurosurgery, neurology, and otorhinolaryngology at an academic center. Interest in viewing soft-copy images was moderate to very high for over 89% of clinicians. All clinicians were comfortable with phone consultations with radiologists while viewing soft-copy images. Clinicians preferred retrieving images from personal computers over workstations and film libraries by 72.9%, 27.1%, and 0%, respectively. However, 38.5% of surgeons felt the need for hard copy in the operating room. Clinicians estimated that in 18.3% of cases, patients took their in-house films to outside institutions for consultations. Clinicians were enthusiastic about implementing PACS. Although acceptance of soft-copy viewing among clinicians is high, some provision for supplying hard-copy images appears to be necessary.     

Yawning: unsuspected avenue for a better understanding of arousal and interoception

Almost all the vertebrates yawn, testifying the phylogenetic old origins of this behavior. Correlatively speaking, yawning shows an ontogenical precociousness since it occurs as early as 12 weeks after conception and remains relatively unchanged throughout life. Thus, it is contended that these common characteristics and their diencephalic origin allow to model an approach from which emerges a pivotal link between yawning and REM sleep. Yawning and stretching reverse the muscular atonia of the REM-sleep and reopen the collapsed airways. Yawning appears as a powerful muscular stretch, recruiting specific control systems particularly the paraventricular nucleus of the hypothalamus, the locus coeruleus and the reticular activating system from which the vigor of this ancestral vestige, surviving throughout evolution with little variation, may increase arousal. On the other hand, the James-Lange theory proposes that afferent feedback from muscles and viscera provides the brain with a feeling that characterizes the active motivational state and arousal. On this basis and using selected supporting findings from the literature and from data provided by daily life, it is contended that yawning takes part in interoceptiveness by its capacity to increase arousal and self-awareness. Adaptative behaviors depend on interactions among the nervous system and the body by a continuous feedback between them. The body's schema is a main component of the self, and interoceptive process is essential to awareness of the body and arousal. Yawning contributes to bodily consciousness as a behavior affiliating a sensory motor act and his perception from which pleasure is derived. Yawning can be seen as a proprioceptive performance awareness which inwardly provides a pre-reflective sense of one's body and a reappraisal of the body schema. The behavioral consequences of adopting specific regulatory strategies and the neural systems involved act upon attention and cognitive changes.Thus, it is proposed that yawning is a part of interoceptiveness by its capacity to increase arousal and self-awareness.     

Patient self-disclosure: a review of the research

Research shows that whereas most patients disclose deeply personal experiences in therapy, a significant proportion conceal some significant information. Findings also indicate that there are several categories of nondisclosed information (secrets, things left unsaid, and client reactions); that patients tend to withhold immediately experienced negative reactions; that disliked characteristics of oneself and parents are among the most thoroughly discussed issues in therapy while sex, aggression, and personal failure are least discussed; that men and women disclose to the same extent and on similar topics; that shame inhibits disclosure of negative affect; that a strong therapeutic alliance, overall tendency to be disclosing, and time in therapy facilitate disclosure; and that the discrepancy between disclosure and patients' ratings of salience of disclosure is a more powerful predictor of outcome than disclosure alone.     

Self-regulation, rumination, and vulnerability to depression in adolescent girls

There is increasing evidence that with the onset of adolescence, girls experience higher rates of depression than boys. However, a comprehensive understanding of the risk factors contributing to this emerging gender difference has yet to be attained. Previous studies indicate that both self-discrepancy, the perception that one is failing to attain an important personal goal, and ruminative coping, a tendency to passively and repetitively focus on one's failure and the causes and consequences of that failure, contribute to depression and that adolescent girls are more likely to manifest each than adolescent boys. In this translational study we tested the hypothesis that, whereas both actual:ideal discrepancy and ruminative coping style would independently predict depression in adolescent girls, the combination of high levels of actual:ideal discrepancy and ruminative coping would predict more severe depressive symptoms. Analyses of cross-sectional data in a sample of 223 girls ranging from 7th through 12th grades revealed a significant main effect for ruminative coping style and a trend for actual:ideal discrepancy, as well as the predicted interaction effect. We discuss the implications of this integrative psychosocial model for the etiology, treatment, and prevention of depression in adolescent girls.     

Vision influences tactile perception at body sites that cannot be viewed directly

Previous research has demonstrated that vision of a body site, without proprioceptive orienting of eye and head to that site, could affect tactile perception. The body site viewed was the hand, which can be seen directly under normal viewing conditions. The current research asked three further questions: First, can vision similarly affect tactile perception at a body site that cannot normally be viewed directly such as the face or neck? Second, does prior experience of seeing a body site, such as occurs when viewing the face in mirrors, produce larger effects of viewing than body sites rarely seen such as the back of the neck? And third, how quickly can visual information affect tactile target detection? We observe that: detection of tactile targets at these body sites was influenced by whether or not they were viewed, this effect was greater when viewing the more familiar site of the face than that of the neck, and significant effects were observed when the stimulus onset asynchrony between visual display and tactile target was as little as 200 ms.