“…Programs that specifically promote body acceptance and use cognitive dissonance-based techniques (e.g., having participants voluntarily argue against the thin ideal of feminine beauty) were particularly efficacious (Stice et al, 2007). Some of the most efficacious prevention programs have been informed by the dual-pathway model of bulimic pathology, which posits five risk factors for the development of bulimia nervosa: social pressure to be thin, thin ideal internalization, body dissatisfaction, dieting, and negative affect (Stice, 2001; Stice & Agras, 1998). Dissonance-based programs primarily target internalization of the thin ideal and have demonstrated both efficacy and effectiveness (Becker, Bull, Schaumberg, Cauble, & Franco, 2008; Becker, Smith & Ciao, 2006; Stice, Chase, Stormer, & Appel, 2001; Stice, Mazotti, Weibel, & Agras, 2000; Stice, Shaw, Burton, & Wade, 2006; Stice, Marti, Spoor, Presnell, & Shaw, 2008; Stice, Trost, & Chase, 2003).…”