Currently, there is a limited understanding of change mechanisms across all treatment approaches for eating disorders (ED), particularly with regard to group psychotherapy. This presents one of the major obstacles in the development of more effective treatments. The purpose of this study was to extend current understanding of therapeutic processes in group psychotherapy for bulimic disorders. Thirty-one women were randomly assigned to either 16-weeks of Emotion-Focused Therapy (EFT) or Motivation/Education and Skill Building (M/ESB) as part another study at a participating outpatient ED program. The goals of this study were to: (1) evaluate the relationship between in-session processes; (2) compare these processes between two group treatments; (3) examine in-session differences as a function of client activity in group EFT; (4) and identify a pathway to change. As expected, the findings demonstrated that mid therapy emotional arousal was associated with higher levels of insight, and an increase in insight overtime was associated with an increase in therapeutic alliance. Arousal was not positively correlated with alliance. There was a significant interaction between group treatment x time: clients in EFT reported gains in insight overtime, as measured by post-session change measure, whereas clients’ scores in M/ESB did not change over the course of psychotherapy. Alliance increased significantly over the course of therapy in both groups. Contrary to expectations, clients in the EFT group did not report higher levels of arousal compared to the M/ESB group. The limited sample size in the control group precludes firm conclusions about group comparisons. When examining client activity within EFT, the results demonstrated that clients that were actively engaged in the chair-tasks reported higher post-session change scores, arousal, and alliance compared to when they were in the observing role; however, there was a significant upward trend on post-session change scores regardless of the client role. The pathway to change was partially supported: the observer-rated degree of resolution scores predicted a third of variance in post-session change scores; controlling for pre-treatment outcome scores, post-session change scores predicted variance at the outcome on several EDI-3 subscales. These preliminary findings are discussed in the context of psychotherapy process literature, highlighting limitations and future directions.

This study explored the effectiveness of Handle With Care, a mental health promotion training program for child care practitioners working with children between birth to age 6. Handle With Care program content is based on research evidence. Training units are intended to deepen practitioners’ understanding of how children’s social-emotional development, centre and family connections and positive workplace activities link to children’s well-being and practitioners’ roles in these areas. Fifty-seven front-line practitioners from three different regional groups (Rural, Suburban, Urban) completed Handle With Care workshops and were compared to 56 comparison participants, matched according to region, who were not exposed to training. The evaluation utilized a time series repeated measures design and consisted of mixed quantitative and qualitative measures to determine training outcomes related to practitioner’s mental health promotion knowledge and practices. Findings indicated that child care practitioners who participated in Handle With Care training demonstrated increased mental health promotion knowledge. In particular, they acquired better comprehension of issues concerning practitioner and child attachment relationships, children’s self-esteem, emotion expression and regulation and peer relationships. Training participants significantly differed from comparison participants in their knowledge of these topics. In terms of practices, training participants also evidenced significantly improved practices relative to comparison participants. These gains were especially observed in relation to practitioners building trusting relationships with children, fostering children’s sense of self and competence, positive peer interactions and practitioners promoting their own mental health. In contrast, Handle With Care training did not show the intended consistent outcomes with respect to practitioners helping children with emotional communication, dealing with diversity, changes and transitions and practitioners building relationships with children’s parents. Results tended to be discrepant across regional groups, and in some instances, gains in mental health promotion and knowledge were not sustained over time. Overall, the study suggests that Handle With Care is a useful way to augment child care practitioners’ capacity to consider the mental health of all children in their care and flexibly implement strategies to help children reach their optimal potential. The study also provides important information concerning regional differences and areas of training content that may benefit from revision.

This study explored adult women’s lived experiences with body dissatisfaction. Using a multi-methods qualitative approach incorporating in-depth semi-structured interviews and arts-based projects, women between the ages of 20-39 engaged in a critical exploration of their body experiences in order to deepen understanding of the psychological construct of body dissatisfaction and its ongoing influence in their lives. Ten women from diverse social and ethnocultural backgrounds took part in the study, completing 1-2 interviews, an in-session drawing exercise, and a creative project. Interview transcripts, drawings, and creative projects were analyzed for themes using an hermeneutic phenomenological approach. Four core categories emerged from the data. The first category contained the women’s understanding of the experience and meaning of body dissatisfaction. The second category captured the external reinforcement of body dissatisfaction and related body beliefs. The third emergent category delineated the impact of body dissatisfaction on daily life, including body-self relationships and interpersonal relationships. The final category captured the difficulties the women encountered as they attempted to overcome their feelings of body dissatisfaction and their negative body beliefs. This research highlighted the complex and multidimensional meaning of body dissatisfaction in adult women’s lives.

Children with traumatic brain injury (TBI) often experience difficulties with inhibitory control (IC), manifest in both neurocognitive function (poor performance on the stop signal task, SST) and behavior (emergence of de novo attention-deficit/hyperactivity disorder, or secondary ADHD, S-ADHD). IC allows for the regulation of thought and action, and interacts with reward to modify behaviour adaptively as environments change. Children with developmental or primary ADHD (P-ADHD) exhibit poor IC and abnormalities when responding to rewards, yet the extent to which S-ADHD is similar to and different from P-ADHD in terms of these behaviours is not well-characterized. The cancellation and restraint versions of the SST were used to examine the effects of rewards on 2 distinct forms of IC in children and adolescents divided into 4 groups (control, TBI, S-ADHD, and P-ADHD). The SST requires participants to respond to a “go signal” and inhibit their responses when encountering a “stop signal”. Rewards improved performance similarly across groups, ages, and cancellation and restraint IC tasks. Adolescents exhibited better IC and faster and less variable response execution relative to children. Significant IC deficits were found in both tasks in the P-ADHD group, with participants with S-ADHD exhibiting intermediate cancellation performance relative to the other groups. Participants with TBI without S-ADHD were not impaired on either task. The relationship between neurocognitive and behavioral IC was examined by comparing multi-informant ratings of IC across groups, and examining the relationship between ratings and IC performance on the SST. Participants in the control and TBI groups were rated within the typical range, and exhibited fewer problems than either of the ADHD groups, who differed from each other (the P-ADHD group was rated as more inattentive than the S-ADHD group). Moderate to high concordance was found between parent and teacher reports, each of which was poorly concordant with self-reports. The P-ADHD and S-ADHD groups were unaware of their own deficits. Poorer IC predicted parent and teacher classification of participants into ADHD subtypes, although IC did not predict rating concordance. Despite similar clinical presentations, S-ADHD and P-ADHD differ in the phenotypic expression of behaviour and manifestation of IC across contexts.

Callous-unemotional (CU) traits are associated with severe and aggressive youth antisocial behavior (ASB) and are under consideration as a potential specifier for the diagnosis of Conduct Disorder in DSM-5 (Frick & Moffitt, 2010). This proposal demands more inquiry into the impact that CU traits have on behavioral subtypes of youth ASB. Normal-range personality traits, trait levels of anxiety, and hormonal stress reactivity (i.e., changes in the stress hormone, cortisol) are all factors that have been studied extensively in relation to ASB, but these relationships have not yet been considered in combination with CU traits. The purpose of the current set of studies was to examine the extent to which CU traits moderated links between these three factors and both overall and behavioral subtypes of ASB. In the first study, data were collected on children’s personality, CU traits, and three behavioral categories of ASB (physical aggression, relational aggression and non-violent rule-breaking behavior) for community (N = 742) and clinical (N = 183) samples of children. In the community sample, CU traits moderated links between Neuroticism, Extraversion, Agreeableness, Openness to Experience and ASB overall and externalizing behaviors, between Neuroticism, Extraversion and physical aggression and between Agreeableness, Extraversion and rule-breaking behaviors. In the clinical sample, CU traits moderated the link between Agreeableness and externalizing behaviors. In the second study, data were collected on children’s trait anxiety, CU traits, and the same three behavioral categories of ASB in a follow-up adolescent community sample (N = 145). Reactivity of cortisol in response to an unanticipated social stress test was also measured. Results revealed that CU traits moderated links between trait anxiety and ASB overall, externalizing behaviors and physical aggression. In females only, CU traits also moderated links between cortisol reactivity and ASB overall and externalizing behaviors. Combined, the results of these studies support the proposal that CU traits are a clinically useful diagnostic specifier with different implications for behavioral subtypes of ASB. Further, the present findings allow recommendations to be made for future research to further our understanding of the role CU traits play in CD, and to develop targeted interventions.

Callous-unemotional (CU) traits are associated with severe and aggressive youth antisocial behavior (ASB) and are under consideration as a potential specifier for the diagnosis of Conduct Disorder in DSM-5 (Frick & Moffitt, 2010). This proposal demands more inquiry into the impact that CU traits have on behavioral subtypes of youth ASB. Normal-range personality traits, trait levels of anxiety, and hormonal stress reactivity (i.e., changes in the stress hormone, cortisol) are all factors that have been studied extensively in relation to ASB, but these relationships have not yet been considered in combination with CU traits. The purpose of the current set of studies was to examine the extent to which CU traits moderated links between these three factors and both overall and behavioral subtypes of ASB. In the first study, data were collected on children’s personality, CU traits, and three behavioral categories of ASB (physical aggression, relational aggression and non-violent rule-breaking behavior) for community (N = 742) and clinical (N = 183) samples of children. In the community sample, CU traits moderated links between Neuroticism, Extraversion, Agreeableness, Openness to Experience and ASB overall and externalizing behaviors, between Neuroticism, Extraversion and physical aggression and between Agreeableness, Extraversion and rule-breaking behaviors. In the clinical sample, CU traits moderated the link between Agreeableness and externalizing behaviors. In the second study, data were collected on children’s trait anxiety, CU traits, and the same three behavioral categories of ASB in a follow-up adolescent community sample (N = 145). Reactivity of cortisol in response to an unanticipated social stress test was also measured. Results revealed that CU traits moderated links between trait anxiety and ASB overall, externalizing behaviors and physical aggression. In females only, CU traits also moderated links between cortisol reactivity and ASB overall and externalizing behaviors. Combined, the results of these studies support the proposal that CU traits are a clinically useful diagnostic specifier with different implications for behavioral subtypes of ASB. Further, the present findings allow recommendations to be made for future research to further our understanding of the role CU traits play in CD, and to develop targeted interventions.

Monogamy values and the influence of masculine conformity were examined using a sample of 154 gay men within the Greater Toronto Area. Monogamy values were measured on four dimensions: emotional monogamy, sexual monogamy, perceptions of monogamy as relationship-enhancing and perceptions of monogamy as a sacrifice. Gay men generally found monogamy to be enhancing, however, they tended to value emotional monogamy more than sexual monogamy. Gay men with traditionally masculine attitudes valued sexual monogamy less than those who held non-traditional attitudes. Emotional monogamy was not associated with masculine attitudes. This relationship of masculine attitudes and monogamy values was moderated by length of longest relationship experienced, religiosity, as well as current relational status. Results are interpreted through evolutionary, social learning and queer theory perspectives to suggest that monogamy values are a multi-faceted construct. Counsellors would benefit by asking questions regarding monogamy values expecting multiple interpretations as well applications.

This study examined links between antisocial behaviour, moral emotions (i.e., sympathy and guilt), and negative emotionality in an ethnically diverse sample of 4- and 8-year-old children (N = 79). Primary caregivers reported their children’s antisocial behaviour, sympathy, and negative emotionality through a questionnaire and across a 10-day span via daily diary entries (n = 474 records). In a semi-structured interview, children reported their sympathy levels and guilt feelings. Children with high guilt in harm contexts and low negative emotionality were rated as less antisocial in both questionnaire and diary reports. For children with low guilt in exclusion contexts, low sympathy ratings predicted higher questionnaire-reported antisocial behaviour. For children with high guilt in prosocial omission contexts, high sympathy ratings predicted lower diary-reported antisocial behaviour. Lastly, high sympathy ratings predicted lower questionnaire-reported antisocial behaviour for children with low negative emotionality.

This study explored adult women’s lived experiences with body dissatisfaction. Using a multi-methods qualitative approach incorporating in-depth semi-structured interviews and arts-based projects, women between the ages of 20-39 engaged in a critical exploration of their body experiences in order to deepen understanding of the psychological construct of body dissatisfaction and its ongoing influence in their lives. Ten women from diverse social and ethnocultural backgrounds took part in the study, completing 1-2 interviews, an in-session drawing exercise, and a creative project. Interview transcripts, drawings, and creative projects were analyzed for themes using an hermeneutic phenomenological approach. Four core categories emerged from the data. The first category contained the women’s understanding of the experience and meaning of body dissatisfaction. The second category captured the external reinforcement of body dissatisfaction and related body beliefs. The third emergent category delineated the impact of body dissatisfaction on daily life, including body-self relationships and interpersonal relationships. The final category captured the difficulties the women encountered as they attempted to overcome their feelings of body dissatisfaction and their negative body beliefs. This research highlighted the complex and multidimensional meaning of body dissatisfaction in adult women’s lives.

This study explored the effectiveness of Handle With Care, a mental health promotion training program for child care practitioners working with children between birth to age 6. Handle With Care program content is based on research evidence. Training units are intended to deepen practitioners’ understanding of how children’s social-emotional development, centre and family connections and positive workplace activities link to children’s well-being and practitioners’ roles in these areas. Fifty-seven front-line practitioners from three different regional groups (Rural, Suburban, Urban) completed Handle With Care workshops and were compared to 56 comparison participants, matched according to region, who were not exposed to training. The evaluation utilized a time series repeated measures design and consisted of mixed quantitative and qualitative measures to determine training outcomes related to practitioner’s mental health promotion knowledge and practices. Findings indicated that child care practitioners who participated in Handle With Care training demonstrated increased mental health promotion knowledge. In particular, they acquired better comprehension of issues concerning practitioner and child attachment relationships, children’s self-esteem, emotion expression and regulation and peer relationships. Training participants significantly differed from comparison participants in their knowledge of these topics. In terms of practices, training participants also evidenced significantly improved practices relative to comparison participants. These gains were especially observed in relation to practitioners building trusting relationships with children, fostering children’s sense of self and competence, positive peer interactions and practitioners promoting their own mental health. In contrast, Handle With Care training did not show the intended consistent outcomes with respect to practitioners helping children with emotional communication, dealing with diversity, changes and transitions and practitioners building relationships with children’s parents. Results tended to be discrepant across regional groups, and in some instances, gains in mental health promotion and knowledge were not sustained over time. Overall, the study suggests that Handle With Care is a useful way to augment child care practitioners’ capacity to consider the mental health of all children in their care and flexibly implement strategies to help children reach their optimal potential. The study also provides important information concerning regional differences and areas of training content that may benefit from revision.