The purpose of this study was to develop and conduct initial validation of a special MMPI scale for the detection of bulimia. Existing measures all contain content-obvious items that require the individual to self-disclose regarding their bulimia symptomatology. Such measures are not effective in identifying those reluctant or unwilling to self-disclose. A measure which utilizes nonobvious items would be useful in identifying those undetected by other measures. The MMPI item pool was utilized to develop such a nonobvious measure. A number of treatment centers were contacted to solicit MMPI response sheets and diagnostic and demographic information from existing client files. A random 80% subsample was drawn from the total sample with the remaining 20% reserved for cross-validation analyses.Item analysis and discriminant analysis were conducted to identify items which differentiated between criterion and comparison groups. The 31 items chosen by these analyses became the B-scale. The bulimic individuals were found to be differentiated from those in the comparison groups by significantly higher scores on the new B-scale Two-way cross-classification frequency analysis established a cutoff score of 21. Through evaluation of K-scale corrections it was determined that such correction did not add to the accuracy of the B-scale and is, therefore, unnecessary.The discriminant validity of the B-scale was then examined. Discriminant function analysis established the B-scale as a better predictor of group membership than the existing clinical scales. In addition, the existing clinical scales were not found to add significantly to prediction when compared with the B-scale alone. Cross-validation analyses were conducted on the independent 20% random sample, demonstrating that the B-scale effectively identifies bulimics when applied to a new sample. Implications of this scale construction and suggestions for future research are presented. / Department of Counseling Psychology and Guidance Services

Clinical observations of families with a member who displays bulimia have suggested that more than one family interaction pattern exist. The purpose of this study was to investigate these clinical observations using three self-report questionnaires: FACES-III, Binge Scale, and a demographic instrument including items regarding three identifiable family types. Data was collected from hospitals who treated persons displaying bulimia and eating disorder treatment centers. A total of 70 women, ages 13 to 39, and both parents of each woman included in the study (Total N = 210).Responses to the FACES-III and certain items on the demographic questionnaire were analyzed using chi-square and one-way ANOVAs with Tukey's follow-up procedure when necessary. Each of the 70 families were identified on the Circumplex Model, but because of methodological concerns only 57 families were used to test most of the hypotheses.Hypothesis One, which stated that more than 50% of the families would be classified as either moderately or extremely dysfunctional, was accepted. Sixty-four percent of the families were labeled moderately or extremely dysfunctional. Hypothesis Two, which claimed that there would be no differences between types of families in terms of the age and birth order of the member displaying bulimia and the number of siblings in the family, was also supported. There were no significant differences found among families with regards to the age and birth order of the daughter or the number of siblings in the family. Hypothesis Three, which asserted that types of families would not differ in terms of the parents' relational status, was accepted as well, but cautiously interpreted. Of the parents, 96.5% were married, while one set was divorced and another separated. Hypothesis Four, which stated that families would differ with respect to their degree of family satisfaction, was also supported. Functional families claimed feeling more satisfied than dysfunctional families. Hypothesis Five, which claimed that types of families would differ in terms of their previous and current level of closeness, was accepted. Dysfunctional, as compared to functional, families reported significantly less family satisfaction previously and currently. Finally, Hypothesis Six, which asserted that types of families would differ with respect to their degree of chaos, perfection, and overprotection, was partially supported. Dysfunctional families claimed to experience greater degrees of chaos and perfection than functional families.Relying on the Circumplex Model of family functioning, results suggest that there are identifiable differences in the family structures of families where one member displays bulimia. Findings from this study may assist therapists when conceptualizing and treating various types of families that are struggling with the interpersonal and emotional effects of bulimia. / Department of Counseling Psychology and Guidance Services

Public view removed at the authors request. 16/07/2006 / The daily experience of anorexia nervosa sufferers has not previously been studied and yet it is fundamental to understanding anorexia nervosa. This study examined and compared the daily experiences of anorexia nervosa patients and control participants in terms of sense of self, mood states and flow states. Flow is characterised by undivided concentration and interest in an activity for intrinsic benefits. Flow is not always desirable, as some ways of experiencing it may be harmful to the individual and society. Anorexia nervosa participants were recruited from hospitals and private practices of clinicians specialising in the treatment of anorexia nervosa. Exclusion criteria included male gender, chronic anorexia nervosa, drug abuse, and current participation in an inpatient program. Anorexia nervosa participants completed a series of questionnaires at baseline, 3-6 month follow-up and 7-12 month follow-up (stage one, two and three respectively). The questionnaires were designed to measure the severity of their eating disorder. Anorexia nervosa and control group participants completed Experience Sampling Forms (ESF) and a Repertory Grid at baseline and 3-6 months. The ESFs were completed each time a pager was activated. The pager was activated seven times a day, for four days at random times between 8.00am and 10.00pm. The pager signals were a minimum of two hours apart. The Repertory Grid consisted of 23 constructs and 13 elements provided to the participant. Thirty-one anorexia nervosa sufferers and thirty-two control participants completed stage one and eighteen anorexia nervosa sufferers and twenty-seven control group participants completed stage two of the study. Eighteen anorexia nervosa sufferers completed stage three of the study. Control participants were not required to participate in stage three. There was no difference in the severity of anorexia nervosa between completers and drop-outs The analysis of the ESFs at stage one indicated that the anorexia nervosa group participants did not spend more time alone at home or more time alone in any situation than the control group. For both groups, being alone had a negative influence on mood state, but had no effect on sense of self. The anorexia nervosa group felt lonelier and less sociable than the control group. The mood state and sense of self for the anorexia nervosa group was significantly lower over all the ESFs when compared to the control group. They were also more self-critical, experienced higher levels of guilt, were less able to live up to their own expectations, and were less satisfied with their performance in the activity they were doing. The anorexia nervosa group experienced less flow states than the control group at stage one. There was an improvement in mood state, sense of self and self-criticism for the anorexia nervosa group when they were in a flow state compared to when they were not in a flow state. There was an improvement in mood state, sense of self, guilt and self-criticism for the control group when they experienced flow, however these differences were not significant. The anorexia nervosa group had a more positive mood state and sense of self at stage two when compared to stage one. Correspondingly, there was a trend towards a reduced severity of the disorder indicated by a significant improvement on some of the psychological tests (EAT, REDS, BDI, DT). There was also a significant improvement in BMI. However, there was a significant decline in the amount of flow of anorexia nervosa participants experienced at stage two when compared to stage one. This result may be attributed to the significant decline in the response rate on ESFs in the second stage of the study for both the anorexia nervosa and control groups. Anorexia nervosa non-responders at stage two reported more severe symptoms of anorexia nervosa than anorexia nervosa responders, although this was a trend and reached significance only on minor indicators of eating disorder severity. The identification of a factor that predicted severity over a six-month period was not possible. The repertory grid analysis showed that the construct system of the anorexia nervosa participants was tighter and less complex than that of the control group. The anorexia nervosa group construed themselves as dissimilar from the way they would like to be in any context. The control group construed themselves as similar to the way they would like to be when they were alone, but as dissimilar from the way they would like to be when they were with other people. While the most salient element for both the anorexia nervosa and control groups was 'alone at home', it appears that the controls use this time for goal-directed activities. In contrast, this time was dominated by fear of losing control for the anorexia nervosa group. Although there was a trend towards a decrease in the amount of variance accounted for by the first component for the anorexia nervosa group at stage two compared to stage one, the interpretation of this result was complicated by mixed result of the control group. The anorexia nervosa groups' daily experience of life was bleak when compared to the daily experience of the control group, except for periods when the anorexia nervosa participants experienced a flow state. DeVries (1992) has documented the success of therapeutic interventions that involve the identification and replication of activities that resulted in a flow state. This investigation suggests that a similar result may be possible in the treatment of anorexia nervosa.

Thesis (Ph. D.)--University of Wyoming, 2005. / Title from PDF title page (viewed on Nov. 5, 2007). Includes bibliographical references (p. 60-70).

Thesis (M.S.)--Florida State University, 2004. / Advisor: Dr. Thomas Joiner, Florida State University, Dept. of Psychology. Title and description from dissertation home page (viewed Oct. 14, 2004). Includes bibliographical references.

Thesis (Ph. D.)--Universität Hamburg, 1996. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (Ph. D.)--Universität Hamburg, 1996. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 53-55).

Thesis (M. Sc.)--University of Canterbury, 2009. / Typescript (photocopy). Includes bibliographical references (leaves 49-57).

Thesis (B.Psy.Sc.(Hons.) - University of Queensland, 2006. / Includes bibliography.