Connecting a health-focused self-concept with orthorexia nervosa symptoms via fear of losing control over eating unhealthy food and disgust for unhealthy food.

PURPOSE: Orthorexia nervosa (ON) involves a maladaptive preoccupation with healthy eating through strict dietary rules that negatively affect physical and mental health. Recent evidence suggests that ON symptoms may stem, in part, from having a health-focused self-concept (i.e., overvaluing the importance of health for self-definition and self-worth). Herein, fear of losing control over eating unhealthy foods and disgust for unhealthy foods were examined as potential mediators of the association between health-focused self-concept and ON symptoms. METHODS: The parallel mediation model was tested using a community sample of people who believe they are currently following a healthy eating diet plan and/or believe they are leading a healthy eating lifestyle (N = 442). Participants were recruited from Amazon's Mechanical Turk and completed a questionnaire battery that included the Health-Focused Self-Concept Scale, questionnaires assessing fear of losing control over eating unhealthy food and disgust with unhealthy food, and the Orthorexia Nervosa Inventory. RESULTS: As expected, a health-focused self-concept was indirectly and positively associated with ON symptoms via fear and disgust. CONCLUSION: The findings conceptually replicate and extend prior research on anorexia nervosa supporting the transdiagnostic utility of a focused self-concept, fear of losing control, and disgust across eating disorders. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.

Comparison of visual perceptual organization in schizophrenia and body dysmorphic disorder.

People with schizophrenia are impaired at organizing potentially ambiguous visual information into well-formed shape and object representations. This perceptual organization (PO) impairment has not been found in other psychiatric disorders. However, recent data on body dysmorphic disorder (BDD), suggest that BDD may also be characterized by reduced PO. Similarities between these groups could have implications for understanding the RDoC dimension of visual perception in psychopathology, and for modeling symptom formation across these two conditions. We compared patients with SCZ (n=24) to those with BDD (n=20), as well as control groups of obsessive-compulsive disorder (OCD) patients (n=20) and healthy controls (n=20), on two measures of PO that have been reliably associated with schizophrenia-related performance impairment. On both the contour integration and Ebbinghaus illusion tests, only the SCZ group demonstrated abnormal performance relative to controls; the BDD group performed similarly to the OCD and CON groups. In addition, on both tasks, the SCZ group performed more abnormally than the BDD group. Overall, these data suggest that PO reductions observed in SCZ are not present in BDD. Visual processing impairments in BDD may arise instead from other perceptual disturbances or attentional biases related to emotional factors.

Mental contamination: the effects of imagined physical dirt and immoral behaviour.

There is a growing body of empirical support for Rachman's (1994, 2004, 2006) conceptualization of mental contamination. The aim of this study was to tease apart manipulations of imagined physical descriptions (i.e., clean versus dirty), in the context of both morally sound and reprehensible acts (i.e., consensual versus non-consensual kiss) to expand our understanding of the experimental variables which may evoke mental contamination and address limitations of previous research. Female undergraduate student participants (n = 140) were randomly assigned to listen to one of four audio recordings and imagine receiving either a consensual or non-consensual kiss from a man described as either physically clean or physically dirty. Results indicated that participants who imagined a non-consensual kiss from a physically dirty man reported the greatest feelings of mental contamination; whereas, participants who imagined a consensual kiss from a physically clean man reported the lowest feelings of mental contamination. However, there were few significant differences in mental contamination feelings between those who imagined a consensual kiss from a physically dirty man and those who imagined a non-consensual kiss from a physically clean man. Results are discussed in terms of cognitive-behavioural conceptualizations of and treatments for contamination fears.

Mental contamination: the perpetrator effect.

In order to test the proposition that imagining carrying out an unacceptable non-consensual act can evoke contamination-related feelings in the perpetrator, 4 connected experiments were carried out involving male students. The effects of the experimental procedure were enhanced by the introduction of a theme of betrayal which boosted the feelings of contamination and urges to wash. The non-consensual scenarios were followed by substantial increases in negative emotions, notably shame, disgust and guilt, and these increases were boosted over successive enhancements of the procedure. Overall the results show that perpetrators of (imagined) unacceptable acts report a range of negative emotions and feelings of dirtiness. The main conclusion of this research is that imagining an unacceptable, non-consensual act can produce feelings of contamination. It is an experimental illustration of mental contamination, that is, contamination which is evoked by a mental event without any contact with a tangible contaminant.

Analyses of mental contamination: Part I, experimental manipulations of morality.

The fear of contamination is thought to be comprised of two separate but related fears: those pertaining to physical and mental contamination. Previous research on mental contamination involved studies in which more than one independent variable was manipulated simultaneously. In particular, an immoral act (e.g., a non-consensual kiss) had been coupled with an immoral man (e.g., the person who forces the kiss) in each manipulation. The purpose of this study was to separate manipulations of the immorality of the man from the immorality of the act. Female undergraduate students (n=148) listened to an audio recording and imagined that they were experiencing either sharing a consensual kiss with a man described as moral or immoral, or receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and then completed a behavioural task for which spontaneous washing was recorded. Results indicated that a non-consensual kiss evoked greater feelings of mental contamination than a consensual kiss. In particular, participants who imagined a non-consensual kiss from a man described as either moral or immoral reported the greatest feelings of mental contamination, whereas participants who imagined a consensual kiss from a man described as moral reported the least. Results are discussed in terms of cognitive-behavioural conceptualizations of and treatments for contamination fears.

Analyses of mental contamination: Part II, individual differences.

Recent research on mental contamination (internal, psychological feelings of dirtiness) has focused primarily on examining the experimental variables necessary to provoke contamination-related thoughts, feelings and behaviour; yet, relatively little is known regarding the individual differences among participants' mental contamination responses to these situational and experimental characteristics. The purpose of this study was to determine whether variables associated with symptoms, beliefs and appraisals could predict the experience of mental contamination after an established provocation. Female undergraduate students (n = 70 from Part I of this study; Elliott & Radomsky, 2009), completed a series of questionnaires then listened to an audio recording and imagined that they were receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and appraisals of the man and act, then completed a behavioural task for which spontaneous washing was recorded. Results indicated that, although symptoms of physical contamination were able to predict feelings of mental contamination, appraisal variables emerged as unique predictors of feelings of mental contamination. Results are discussed in terms of cognitive-behavioural conceptualizations of and treatments for contamination fears.

Separating hoarding from OCD.

There is confusion about the status of excessive hoarding. In particular, there is an unresolved question about whether or not it is a manifestation of obsessive-compulsive disorder (OCD). There are some definite similarities between 'compulsive' hoarding and OCD, but they are outweighed by the differences between them. It is proposed that the matter can be clarified by separating hoarding from OCD, and that this would advance clinical work and research.