Family experiences as moderators of the relationship between eating symptoms and personality disturbance

A questionnaire study with 243 female undergraduates assessed whether late adolescent females' experiences of autonomy and perceptions of family conflict would moderate the relationship between eating symptoms and personality disturbances associated with severe eating disorders. Univariate correlations between eating symptoms, on the one hand, and perceived family conflict and reports of individuation and mutuality in the adolescent/parent relationship, on the other hand, were relatively weak and for the most part insignificant. However, these data supported a moderating hypothesis in that eating symptoms were more strongly related to interoceptive confusion and maturity fears among participants describing less individuated relationships with their parents and reporting unusually low levels of family conflict.Authors' names are in alphabetical order, indicating equal contribution to this article.Received Ph.D. from Yale University in 1977. Major interests are in young adult and adolescent development, and etiology and treatment of adolescent depression and other psychopathologies.Received her B.A. from Vassar College and M.A. from Michigan State University. Major interests are in adolescent/parent relationships, separation-individuation, and eating disorders.     

Ten-Year outcome in adolescent onset anorexia nervosa

The purpose of the present study was to characterize the psychopathology measured ten years posttreatment in 51 women who had an adolescent onset of anorexia nervosa. Outcome status was determined using the modified categories of Ratnasuriya et al.[1991]. Anorexia Nervosa: Outcome and Prognostic Factors After 20 Years, British Journal of Psychiatry, Vol. 158, pp. 495–502). Psychopathology was assessed using a number of self-report questionnaires: Beck Depression Inventory, Hamilton Depression Inventory, Leyton Obsessionality Inventory, Social Adjustment Scale, and Minnesota Multiphasic Personality Inventory. Within this adolescent age of onset sample of anorexia nervosa, age of onset was not, in and of itself, associated with increased psychopathology at follow-up. Rather, severity of eating disorder outcome was associated with general psychopathology, with patients in the poor outcome group displaying elevations on several of the measures of psychopathology.Received Ph.D. in psychology from Rutgers Univesity. Major research interests are in eating behavior and attitudes toward foods in anorexia and bulimia nervosa, preoccupations and rituals associated with eating disorders, and comorbidity and eating disorders.Received M.D. from the University of Medicine and Dentistry in New Jersey. Research interests are in eating disorders.Received M.D. from University of Minnesota Medical School-Minneapolis, MN. Major research interests are anorexia nervosa and other eating disorders.Received M.D. from the University of Iowa—Iowa City. Research interests are in eating disorders.     

Congress advances on health care reform: one step at a time

In adopting the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Congress made a series of small but significant steps toward improving access to health care benefits. The Act's centerpiece is its new requirements for group health plans and for the health insurance industry for assuring portability, access, and renewability of health insurance coverage. Of nearly equal importance is the pilot program established for testing the viability of medical savings accounts. Other health-related changes include adjustments in the rules governing duplication and coordinating of Medicare-related plans, recommendations with respect to privacy of health information of employees, an increase in the deduction for health insurance costs for self-employed individuals, and permission for unemployed persons to make withdrawals from IRAs and other qualified plans for certain medical services' costs. This article summarizes these and other key provisions of HIPAA.     

“Who made the code in the first place?”: Delinquency and justice in an American Indian community

This paper examines the emergence of official categories of delinquency and a formal system for the legal processing of youth on one American Indian reservation. The creation of the legal code, Children's Court and Juvenile Detention Center, and the ongoing activities of these agencies are placed in the context of the larger social system of the reservation and the history of federal policies toward Indian peoples. Through in-depth interviews, participant observation, case file review, and the analysis of existing statistics, perceptions of delinquency and justice and trends in the legal processing of adolescents in this community are explored. The implications of this imposed system of law and justice for this community are discussed.     

Repeated postevent questioning can lead to elevated levels of eyewitness confidence

Two experiments tested the proposition that postevent questioning can lead to later increases in witness confidence without corresponding changes in witness accuracy. After a staged interruption in a college classroom, participants were questioned about the event 5 times over 5 weeks in Experiment 1 (n=57) and 3 times over 5 days in Experiment 2 (n=79). During the final questioning session, the participant-witnesses consistently reported higher levels of confidence for those items that had been subject to repeated postevent questioning than for those items that were asked for the first time, yet there was no difference in the accuracy of the responses to the two sets of items. Additionally, in all conditions the participant-witnesses were generally overconfident in their responses. These results suggest that repeated postevent questioning can cause eyewitnesses' subsequent confidence estimates to be artificially inflated.