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The study examined whether the extent of negative body-related thoughts and emotions evoked by looking in a mirror can be changed by cognitive-behavioural body image therapy (BIT) and whether any remaining cognitive and affective responses dropped faster after the treatment. Females with eating disorders (n = 17) looked in a mirror for 40 minutes under standardised conditions before and after BIT. A control group (CG) (n = 24) was also exposed to their own bodies twice. Cognitive and affective reactions were assessed four times during the session. Hierarchical Linear Modelling revealed that among eating-disordered patients, the entrance levels of negative thoughts and feelings were lower at post compared to pre-BIT, whereas they remained stable in the CG. The extent of reduction of the remaining body image distress was not changed after the treatment. BIT seems to be a potent treatment of negative emotions and cognitions in an in vivo situation.
This dissertation, written for the course Master of European Social Policy Analysis – National University of Ireland Maynooth - , shows the context or so-called framework within which the medical social work service in two different welfare states: Ireland and Germany operates. This means the societal context as a whole, the health system in general (macro-level) and the hospital setting (mezzo-level) in particular. The idea of this publication is to give a short overview of the historic development of medical social work (micro-level) in Ireland and Germany and some background information about what medical social work is. The time frame examined starts from the 1980s up to present. The main questions to be answered are: What are the interdependencies between the macro-, mezzo- and micro-level? Have changes in the health system in general and the hospitals in particular influenced medical social work and if so how? What are the similarities and differences in the two countries?