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Caring for psychiatrically healthy individuals at the end of life is typically emotionally taxing and burdensome. Caring for individuals with psychiatric disorders at the end of life is often considerably [...]

As (primarily) clinicians of a certain age, when picking up copies of mainstream and premier psychiatric journals these days, we, and many of our friends and associates, have increasingly experienced [...]

For the past decade, I have taught 6-hour annual seminars on the history of psychiatry to psychiatric residents. This course was assigned to me, in part, because I have lived [...]

Objective: Sociocultural factors are believed to play significant roles in predisposing individuals to eating disorders. Accordingly, this study aimed to investigate various sociocultural predictors of body shape and weight concerns among healthy women and those with eating disorders within the Turkish population. Method: Data from 79 patients (41 diagnosed with anorexia nervosa, 31 with bulimia nervosa, and 7 with binge eating disorder) were analyzed alongside 72 healthy controls matched for age and education. Participants provided demographic information and completed several questionnaires, including the Sociocultural Attitudes Towards Appearance Questionnaire - 4 Revised, the Social Comparison through Physical Appearance Scale and the Eating Disorder Examination Questionnaire. Results: Key findings include: 1) Patients exhibited higher scores related to sociocultural factors impacting appearance and engaged in more negative social comparisons than controls; 2) Among both groups, internalization of a thin ideal was a predictor of concerns about shape and weight; 3) In controls, but not in patients, family pressures influenced shape concerns; 4) Parental dieting status influenced weight concerns in both groups. Surprisingly, in controls, paternal dieting was linked to a higher shape and weight concerns, a finding not observed in patients. Conclusion: These findings indicate that sociocultural influences on body image may affect Turkish women with eating disorders (ED) differently from healthy women. The impact of paternal dieting on shape and weight concerns among control women has not been previously reported. This finding suggests that the influence of paternal dieting on daughters' shape and weight concerns may be more pronounced in Turkiye than in Western countries. [ABSTRACT FROM AUTHOR]

Terminally ill patients confront difficult end-of-life choices, which can include determining how and when they wish to hasten their death. Patients with less than six months to live, for whom [...]