Ten volunteers kept written records of self-selected, daily events for a one-week period. After four months, they were given a surprise recognition test. This test consisted of original memories and several types of foils. In line with previous findings of Barclay and Wellman, it was found that acceptance of foils as one's own memories is a relatively common phenomenon. This suggests that pseudomemories may also occur in the absence of suggestions and repeated interviews and, more generally, that autobiographical memory is intrinsically unreliable.

This paper reviews cognitive theories of eating disorders as they are usually applied in treatment. More recent theoretical contributions and theory that is not widely applied are also reviewed. A set of hypotheses is derived from these theories and evidence for the validity of each hypothesis is discussed: this includes evidence from treatment studies, questionnaire studies and from experimental psychology. Following review of existing evidence, the paper summarizes the current status of cognitive theory in eating disorders. It then considers ways in which theory and research could be developed in order to improve and extend our understanding of cognitive content and processes in eating disorders. Limitations of existing models are highlighted and gaps in our knowledge, including knowledge of variables that typically have a central role in cognitive theory, are identified. Further strategies to test the validity of hypotheses derived from cognitive theory are suggested, together with strategies that might extend existing theory. It is concluded that much further research is needed, both to test the validity of existing theoretical contributions and to extend theory so that it will be more useful in clinical practice.

Cognitive models have linked individual differences in the appraisal of traumatic events and their sequelae to the persistence of post-traumatic stress disorder (PTSD). A pilot study investigated this proposal with victims of assault. Eleven assault victims suffering from persistent PTSD and 9 victims who had recovered from PTSD were interviewed retrospectively and compared on potentially relevant cognitive factors. Groups were comparable in terms of characteristics of the assault, gender, age, and initial PTSD severity. Participants with persistent PTSD were less likely than those who had recovered to have engaged in mental planning during the assault and more likely to have experienced mental defeat, and to indicate negative appraisals of their actions during the assault, of others' reactions after the assault, and of their initial PTSD symptoms. They were also more likely to indicate global negative beliefs concerning their perception of themselves, their world or their future. These cognitive factors may maintain PTSD symptoms either directly or by motivating the individual to engage in behaviour that prevents change.

This article deals with the modification of self-statements as a specific strategy in cognitive therapy. A method is described in which patients modify their self-talk by reading aloud positive self-statements that are incompatible with original self-deprecatory thoughts. Next, several cases are presented that illustrate how this intervention can effectively be integrated in the treatment of various disorders. In the discussion, the indications for using this intervention are considered and compared to other cognitive strategies.

l“Social support” refers to the informal provision of emotional, informational and practical help to those in distress. Its importance as a buffer against stressors is gaining in acceptance, but most measures of social support are based on self-report. Therefore, the purpose of the present study was to develop an observational tool with which to record objectively the duration, subject matter and form of client utterances, relating these to corresponding helper responses. This yields their respective speech profiles, together with an analysis of the contingencies. The potential value of this approach is illustrated in terms of clients attending hairdressing salons in a psychiatric hospital (N = 20) and in the local town (N = 19). Clear and predicted differences in the support elicitation skills of these two groups provided evidence of the instrument's validity, and good inter-rater reliability was also demonstrated. Applications for the instrument are outlined.

Biofeedback by means of an anorectal probe or balloon linked to a manometric apparatus can be an effective treatment for childhood faecal retention associated with inappropriate external anal sphincter coordination (obstipation). We report an alternative biofeedback approach in a child with long-standing obstipation. Sphincter tone was detected by digitization instead of manometrically and information on the state of the muscle relayed orally, the child's mother acting as trainer and working at home. Five years of dependency on purgatives for bowel evacuation was reversed in three weeks of this regime. Carer-mediated biofeedback by digitization may prove a low-technology alternative to manometric methods where suitable equipment is unavailable.

The relationship between effectiveness of interpersonal problem-solving and specificity of autobiographical memory was examined for 35 patients admitted to an inner-city District General Hospital following a deliberate drug-overdose. The results replicated those of Evans, Williams, O'Loughlin and Howells (1992) in finding a significant correlation between ineffective problem-solving and the over-general retrieval of autobiographical memories, giving further support to the suggestion that an over-general memory database may underpin the problem-solving deficits characteristic of parasuicide patients. However, the correlation coefficient computed was notably lower than in the Evans et al. study and an attempt is made to explain this discrepancy on the basis of differences in the levels of psychopathology between the patients involved in each study.

Body dysmorphic disorder is an illness of generally chronic course which can lead to significant impairment of social functioning, unnecessary plastic surgery and even suicide. It is little understood and treatment regimens have been of uncertain efficacy. Eye movement desensitization and reprocessing (EMDR) is a newly developed psychotherapeutic procedure used in the treatment of post-traumatic stress disorder, grief reactions and generalized anxiety. In this paper we describe its use in seven consecutive cases of body dysmorphic disorder. Improvements were obtained in six of the seven patients, five of whom had a complete resolution of their symptoms.