The phenomenon of buying-shopping disorder (BSD) was described over 100 years ago. Definitions of BSD refer to extreme preoccupation with shopping and buying, to impulses to purchase that are experienced as irresistible, and to recurrent maladaptive buying excesses that lead to distress and impairments. Efforts to stop BSD episodes are unsuccessful, despite the awareness of repeated break-downs in self-regulation, experiences of post-purchase guilt and regret, comorbid psychiatric disorders, reduced quality of life, familial discord, work impairment, financial problems, and other negative consequences. A recent meta-analysis indicated an estimated point prevalence of BSD of 5%. In this narrative review, the authors offer a perspective to consider BSD as a mental health condition and to classify this disorder as a behavioral addiction, based on both research data and on long-standing clinical experience.

Trichotillomania (TTM) is characterised by the removal of one's hair, causing hair loss. Phenomenological research on TTM has investigated its associated behavioural and affective factors. Few studies have investigated the possible role of cognitions and beliefs, despite emerging support for cognitive therapies in treating this disorder. This study aimed to explore and describe the cognitions and beliefs that contribute to the onset and maintenance of hairpulling in TTM. Eight women with TTM participated in semi-structured, in-depth interviews to explore their experience of cognitions and beliefs before, during and after typical hairpulling episodes. Interviews were analysed using the qualitative method of Interpretative Phenomenological Analysis. Six superordinate themes of beliefs were identified as important: negative self-beliefs, control beliefs, beliefs about coping, beliefs about negative emotions, permission-giving beliefs, and perfectionism. These preliminary findings suggest that cognitions may play an important role in TTM phenomenology. Future quantitative research on the role of cognitions and beliefs in TTM in larger samples has the potential to advance cognitive-behavioural models and treatments of this poorly understood disorder.

Dissociative reactions during and subsequent to traumatic events are theorised to result in memory deficits for trauma-related information. This study investigated the interaction between induced amnesia and dissociative reactions. Participants (N = 29) were presented with a word list, a series of disfigured or neutral faces and a second word list, followed by free recall and recognition tasks. Participants presented with disfigured faces recalled fewer words from the postimage list in the free recall task than those presented with neutral faces; however, there were no between-group differences for recognition. No relationship was observed between dissociative tendencies and memory performance. Trait dissociation was unrelated to induced amnesia effects. Findings are interpreted in terms of impaired consolidation of information following encoding of distressing information. Implications of the results for the clinical management of traumatized individuals are considered.

Acute stress disorder (ASD) is purportedly characterized by impaired encoding of aversive material. In this study ASD, trauma-exposed non-ASD, and non-traumatized control participants (N = 45) were administered intermixed presentations of either distressing (i.e. disfigured) or neutral faces. For each presentation, two words were presented centrally to the image and two were presented peripherally. Participants were subsequently administered recall and recognition tests for the presented words. Participants recalled more words presented centrally to neutral images than those presented centrally to trauma images. Dissociative tendencies were negatively correlated with recognition of words centrally presented with distressing stimuli. These findings are consistent with the proposal that dissociative reactions are associated with impaired memory for distress-related information.

The aim of the current paper is to describe the tailoring of cognitive-behavioural treatment for a female client who developed posttraumatic stress disorder (PTSD) subsequent to awareness under anaesthetic during an emergency caesarean procedure. Treatment consisted of prolonged and in vivo exposure, and cognitive restructuring over eight sessions. Assessment was conducted prior to treatment, immediately after treatment, and at 6- and 24-month follow-up. Follow-up at 24 months demonstrated good outcome, with the client no longer meeting criteria for PTSD.