A strong recent focus on unconscious processes has increased interest in subliminal stimulation and other experimental activation technologies. Five experiments using male and female university students (N = 365) were carried out to compare 5-ms exposures of "mommy and I" stimuli with 5-ms control stimulation. Measures of self-mother similarity and other variables taken 7-14 days after exposure were more strongly correlated among experimental participants. Such complex, persistent effects may follow when powerfully activating stimuli administered under wholly unconscious conditions provokes schematic processing of social information and behavioral confirmation. These scientifically exciting and ethically problematic findings imply a need for further reduction of the role accorded to conscious volition and control in psychology.

The Eating Disorder Inventory is one of very few tests for anorexia nervosa and bulimia nervosa that measures not only symptoms but also psychological characteristics believed to be central in these disorders. This study of 425 patients and control subjects showed that patients had markedly higher scores than controls and recovered patients on all eight scales. Individuals with bulimia nervosa scored higher on a few of the scales than those with anorexia nervosa, as did binge eaters at all weights compared with those who only restricted eating. Comparison with Canadian subjects showed several differences in normal controls. Since the technical properties of our Swedish version of the EDI were excellent, these differences may be meaningful rather than artifacts of the translation. Finally, the analyses indicated that the EDI may be useful for purposes of screening for eating disorders, and possibly for differential diagnosis.

No abstract

The present study explored treatment satisfaction among eating disorder patients participating in a Swedish multicentre study (N = 469) who had been followed up 36 months after initial assessment. Satisfaction was measured using a questionnaire focusing on initial reception at the treatment unit, suitability of treatment, ability of staff to listen and understand, confidence in the unit and agreement on treatment goals. After 36 months, 38% of patients were ‘highly satisfied’ with treatment, while 39% were ‘satisfied’ and 23% were ‘unsatisfied’. Satisfaction was predicted by treatment interventions focusing on support and increased control of eating problems. Although unsatisfied patients were characterized by significantly higher levels of eating disorder psychopathology and psychiatric symptoms as well as more negative interpersonal profiles at follow‐up, these patients had been virtually indistinguishable from the other groups at initial assessment, with a few notable exceptions. Unsatisfied patients had previously been less prepared to change their eating habits, had higher levels of conflict with their fathers, had a lesser degree of present weight acceptance and tended to expect less from treatment interventions focusing on control of eating problems. It is concluded that, although we may be successful in engaging and satisfying patients who are predisposed to therapeutic strategies focusing on support and control of eating problems, we may be less successful with those who have a greater number of interpersonal problems and who are not as focused on their symptoms of disordered eating. Copyright © 2004 John Wiley & Sons, Ltd and Eating Disorders Association.

It is important to focus on self-image in the treatment of both diagnostic groups, but especially in anorexia nervosa, where control-submission interactions between patient and therapist should be handled with care.