Objectives. Fear of receiving compassion from others, expressing compassion to others, and being compassionate towards oneself have been identified as potentially important factors in the persistence of depression, stress disorders, and eating disorders. There is good reason to expect that these fears may play a role in anxiety and related difficulties, but there is little available information on the extent to which they are present and associated with symptom severity.Methods. This study compared the severity of the three fears of compassion (receiving, expressing to others, and showing to oneself) in those with a principal diagnosis of depression (n = 34), obsessive-compulsive disorder (OCD; n = 27), social anxiety disorder (SAD; n = 91), generalized anxiety disorder (GAD, n = 43), and a control sample with no mental health difficulties (n = 212).Results. Those with depression, OCD, SAD, and GAD exhibited greater fear of receiving compassion and fear of self-compassion than controls, and the differences between anxious and control groups remained significant even when controlling for depressed mood. Whereas fears of compassion did not predict symptom severity over and above depressed mood in people with GAD, fear of receiving compassion uniquely predicted SAD symptom severity, and fear of expressing compassion for others uniquely predicted OCD symptom severity in those high on fear of self-compassion.Conclusions. Fear of compassion is higher in those with anxiety and related disorders than non-anxious controls. Although further research is needed, clinicians may benefit from assessing fear of compassion and addressing it in treatment. Practitioner pointsThose with anxiety and related disorders may fear receiving compassion from others or expressing compassion for themselves, even when controlling for depression. It may be informative to assess for fear of compassion and incorporate discussions about these fears into treatment, as these fears may interfere with treatment progress.Compassion is the sensitivity to suffering in self and others with a commitment to try to alleviate and prevent it (Gilbert, 2017;Neff, 2003). It is theorized to have evolved as part of our human attachment system (Gilbert, 2014), which involves caring and soothing functions. As such, compassion is associated with positive mental well-being (Brown & Brown, 2015;Neff, 2009), and low self-compassion in particular is associated with a wide

This case study discusses the implementation of Healey, Flint, and Harrington's (2014) model of student engagement through partnership with staff. Healey et al. (2014) identify issues associated with "putting partnership into practice" including inclusivity and scale, power relations, reward and recognition, transition and sustainability, and identity. Faculty, staff, and students participating in a Students as Partners (SaP) Program at McMaster University's MacPherson Institute encountered these issues during a Scholarship of Teaching and Learning (SOTL) project. This paper explores our reflections and suggests refinements related to the above five issues. It concludes by identifying possible new directions for SaP programs.

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Hoarding disorder is present in 2-6% of the population and can have an immense impact on the lives of patients and their families. Before its inclusion the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, pathological hoarding was often characterized as a symptom of obsessive-compulsive disorder, and several different diagnostic assessment methods were used to identify and characterize it. Although the age of onset of pathological hoarding is an important epidemiological measure, as clarifying the age of onset of hoarding symptoms may allow for early identification and implementation of evidence-based treatments before symptoms become clinically significant, the typical age of onset of hoarding is still uncertain. To that end, this study is a systematic review and meta-analysis of research published in English between the years 1900 and 2016 containing information on age of onset of hoarding symptoms. Twenty-five studies met inclusion criteria. The mean age of onset of hoarding symptoms across studies was 16.7 years old, with evidence of a bimodal distribution of onset. The authors conclude by discussing practice implications for early identification and treatment.

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