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.     

Reviews

Chris Beasley, Sexual Economyths: Conceiving a Feminist Economics (Allen and Unwin) Sydney, 1994.

Jo Bridgeman and Susan Millns (eds), Law and Body Politics—Regulating the Female Body (Dartmouth) Aldershot, 1995.

Rosalyn Diprose, The Bodies of Women: Ethics, Embodiment and Sexual Difference (Routledge) London and New York, 1994.

Moira Gatens, Imaginary Bodies (Routledge) London & New York, 1996.

Elizabeth Grosz, Space, Time and Perversion: The Politics of Bodies (Allen & Unwin) St Leonards, 1995.

Karen Green, The Woman of Reason: Feminism, Humanism and Political Thought (Polity Press) Cambridge, 1995.

Laura E. Donaldson, Decolonizing Feminisms: Race, Gender and Empire‐Building (Routledge) London, 1992.

Maggie Humm, A Reader's Guide to Contemporary Feminist Literary Criticism (Harvester Wheatsheaf) London, 1994.

Maggie Humm, Practising Feminist Criticism: An Introduction (Harvester Wheatsheaf) London, 1995.

Jane Balme and Wendy Beck (eds), Gendered Archaeology: The Second Australian Women in Archaeology Conference, Research Papers in Archaeology and Natural History, No. 26 (ANH Publications, RSPAS, Australian National University) Canberra, 1995.

Patricia Ann Palmieri, In Adamless Eden: The Community of Women Faculty at Wellesley (Yale University Press) New Haven & London, 1995.

Myra Marx Ferree and Patricia Yancey Martin (eds) Feminist Organizations: Harvest Of The New Women's Movement (Temple University Press) Philadelphia, 1995.

Liane V. Davis, Building on Women's Strengths (Haworth Press) New York, 1994.

Dorothy Broom (ed.), Double Bind: Women Affected by Alcohol and Other Drugs (Allen & Unwin) St Leonards, 1994.     

Excuses,Excuses: Self-Handicapping in an Australian Adolescent Sample

The purpose of the present study was to examine gender differences in the self-handicapping tendencies of a sample of 337 Australian school attending adolescents, who were aged between 15 and 19 years. Self-handicapping, as measured by the shortened Self-Handicapping Scale, was examined in relation to self-esteem, performance attributions, coping strategies, and the potential behavioral self-handicaps of reduced study hours and inefficient study habits. Girls scored significantly higher on the Self-Handicapping Scale and endorsed using emotional and illness related excuses significantly more often than boys. High self-handicapping scores independently predicted lower study hours for boys, and were associated with less efficient study for girls. Coping and attributional predictors of self-handicapping were found to be rumination, luck attribution, and poor active coping strategies for boys, and ability attributions, behavioral disengagement, instrumental support, and poor active coping strategies for girls.     

Conflict Resolution Styles in Family Subsystems and Adolescent Romantic Relationships

The purpose of the present study is to examine how conflict resolution styles between one family dyad is related to other family dyads and how conflict resolution styles within these family dyads are related to conflict resolution styles in one relationship outside the family—adolescents' romantic relationships. Late adolescents (n = 217) were asked to report their perceptions of three resolution styles used in interparent, mother–adolescent, father–adolescent, sibling, and romantic couple conflicts. Based on the cases with complete data (n = 163), path analyses indicated that both direct and indirect relationships exist between these dyadic relationships: (1) Resolution styles utilized in the interparent subsystem were found to have a direct relationship with mother–adolescent and father–adolescent resolution and an indirect relationship with sibling and romantic couple resolution. (2) Mother–adolescent and father–adolescent resolution were found to have a direct relationship with sibling and romantic couple resolution. (3) Sibling resolution was found to have a direct relationship with romantic couple resolution for negative resolution styles, but not for the positive resolution style of compromise.     

The economic organization of legislatures and how it affects congressional voting

Congress confronts two major organizational problems that affect the behavior of legislators, party leaders, and groups doing business with congressional committees: The costly nature of monitoring and the absence of explicit mechanisms for upholding agreements. The problem of monitoring implies that party leaders will have a difficult time influencing decisions made in decision-making arenas where the actions of legislators are less visible, as in congressional committees. While legislators can evade leadership monitoring of their actions within committees, once an issue leaves a committee, the costs of monitoring decline, and leadership influence increases. The absence of mechanisms for assuring that legislators keep their bargains means that groups will place an emphasis on dealing with reliable legislators — those who can be counted upon to uphold their end of a bargain. Thus, party leaders are more effective in influencing floor voting because of their better ability to monitor legislator behavior; however, obligations to important interest groups will be more immune to leadership influence because of the incentives for committee members to adhere to their bargains.     

Rehumanizing Birth and Death in America

THESIS: Despite spending more on medical care than any other country in the world, the United States still boasts some of the worst patient outcomes of any developed nation. This disparity is especially true of how Americans give birth and die.  These natural human transitions have become catastrophically expensive and leave patients and their families traumatized from unnecessary interventions. This article examines the costs and outcomes associated with the medicalization of birth and death and argues that alternatives exist that improve patient outcomes while lowering costs. Access to these alternatives will require changing current regulatory and reimbursement structures and providing trained support staff to help families navigate beginning- and end-of life decisions.