Disordered Eating, Eating Disorders, and Body Image in Midlife and Older Women.

Purpose Of Review: We review the evidence for the reported increase in disordered eating and body image disturbance occurring in women in middle age and later life. We describe the contributing factors that relate to the unique experience of eating disorders (EDs) at midlife and beyond. We review evidence for several key factors in this observation, specifically the bio-psycho-social and relational components of later life EDs.

A pilot study of multifamily therapy group for young adults with anorexia nervosa: Reconnecting for recovery.

Objective: We tested the feasibility, acceptability, and preliminary effect sizes on outcome measures of Reconnecting for Recovery (R4R) Multifamily Therapy Group for young adults with anorexia nervosa (AN).

Method: Ten participants (mean age = 23 years, SD = 3.6) meeting Diagnostic and Statistical Manual of Mental Disorders 5th Edition criteria for a restrictive eating disorder (AN or other specified feeding and eating disorder) and 14 family members received 16 R4R outpatient sessions over 26 weeks.

The recruitment and acceptability of a project ECHO® eating disorders clinic: a pilot study of telementoring for primary medical and behavioral health care practitioners.

Early identification and intervention are critical to prevent physical and mental health complications, chronicity, and premature death associated with eating disorders. However, primary medical and behavioral health care clinicians often do not feel confident or competent to diagnose and manage patients with eating disorders. This pilot study describes an innovative telementoring project ( that builds a geographically defined collaborative learning community to bridge the knowledge gap between eating disorder specialists located in eating disorder service sites and community-based practitioners, often living in remote areas.

Creating a Nursing Student Center for Academic and Professional Success.

Background: The purpose of this article is to describe the development of an innovative broad-based initiative supportive of academic and professional success, the Center for Academic and Professional Success (CAPS) at the University of Rochester School of Nursing. While CAPS was founded to support all nursing students, it was also carefully developed to meet the special needs of students in the accelerated program for non-nurses (APNN) due to their diversity and the intensity and rapidity of the APNN program.

Method: Faculty discussion, literature review, and student needs assessment findings informed program development.

Measuring perceived mutuality in women with eating disorders: the development of the connection-disconnection scale.

This article describes the development and psychometric testing of the Connection-Disconnection Scale (CDS), the only self-report measure designed to assess perceived mutuality experienced in close relationships by women with eating disorders. Item development was informed by relational-cultural theory and focus groups with patients and recovered individuals. Content and construct validity, test-retest reliability, and internal consistency were examined in samples of female outpatient (n = 131) and partial hospitalization (n = 85) patients.

The therapist's use of self-disclosure in a relational therapy approach for eating disorders.

One of the critical aspects of Relational Therapy (RT) that distinguishes it from other treatments for eating disorders is the therapist's use of self-disclosure. Self-disclosure is one way the therapist authentically represents her- or himself in the therapeutic relationship to foster relational movement and growth. This article makes use of an initial clinical vignette to compare and contrast the use of therapist self-disclosure within an RT approach with views of therapist self-disclosure from other psychotherapy traditions.

A pilot investigation of the relation of perceived mutuality to eating disorders in women.

Relational theory predicts that lack of mutuality in important relationships leads to the development of psychological problems, including eating disorders. We sought to explore the association between perceived mutuality in relationships with partners and friends and eating disorders. Participants were 74 women, 35 with an eating disorder diagnosis and 39 non-psychiatric controls.

The relationship between perceived mutuality and bulimic symptoms, depression, and therapeutic change in group.

This pilot study examined (a) the effectiveness of short-term group relational therapy (RT) in comparison to short-term group cognitive-behavioral therapy (CBT), and (b) the relationship between perceived mutuality (PM) in relationships and severity of bulimic and depressive symptoms in women with bulimia nervosa (BN). Fifteen women ages 20-54 diagnosed with BN (n=11) or binge-eating disorder (BED, n=4) were randomly assigned to a 16-week manualized RT or CBT group. The following measures were administered at baseline, at 8 and 16 weeks, and at 6th- and 12th-month follow-ups: Eating Disorders Inventory-2 (EDI-2), Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI), and the Mutual Psychological Development Questionnaire (MPDQ).

Primary process and peer consultation: an experiential model to work through countertransference.

Various models exist for peer supervision and consultation of group therapy. This article documents the authors' experience using an experiential group consultation of group therapy model that relies on primary process to overcome countertransference dilemmas. A review of group therapy supervision and consultation models is followed by vignettes from the authors' experience.

The effects of exercise on children with attention-deficit hyperactivity disorder.

Purpose: The effects of exercise on children with attention-deficit hyperactivity disorder (ADHD) were evaluated by studying the rate of spontaneous eye blinks, the acoustic startle eye blink response (ASER), and motor impersistence among 8- to 12-yr-old children (10 boys and 8 girls) meeting DSM-III-R criteria for ADHD.

Methods: Children ceased methylphenidate medication 24 h before and during each of three daily conditions separated by 24-48 h. After a maximal treadmill walking test to determine cardiorespiratory fitness (VO(2peak)), each child was randomly assigned to counterbalanced conditions of treadmill walking at an intensity of 65-75% VO(2peak) or quiet rest.