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PSY240 Lec 6-Eating Disorders and Substance-related disorders.docx

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University of Toronto Mississauga
Tina Malti

PSY240 Feb 25 – EATING DISORDERS  Almost 1 in 4 females are dieting  Prevalence of weight related problems and concerns  Health concerns  Obesity related to development of type II diabetes, high bp, heart disease, stroke, and some forms  Attractiveness  Western culture values thin ideal  Belief that being thin will increase slf-worth  Anorexia nervosa  interview  Some causes fitting in, control (she could control this), power over own life, society  Didn’t realize she was sick  Weak, cold, tired, she wanted to stop  Described it as a voice in her head that was stronger than her  DSM-IV-TR  Refusal to maintain body weight that is normal for them  Fear of gaining weight despite being thin  Distortions in perception of body  Amenorrhea  Other characteristics  Elaborate rituals surrounding food and food consumptions be restrictive on calories (constantly counting them), someone weighing their plate of food several times  Excessive exercise  Self-worth tied to losing weight and controlling eating  Prevalence  Types  Restricting type  Binge/purge type SLIDE 10  Periodically binge and purge, sense of loss of control during binges  Complications  High death rate  SLIDE 11  IRREGULAR HEART BEAT AND heart failure  Expansion of stomach to the point of rupturing  Bulimia nervosa DSM criteria  Binge: eating an abnormally large amt of food in an discreet period of time  Self induced vomiting, abuse of laxatives, fasting, excessive exercise  Loss of control  Recurrent behaviors to prevent weight gain  Binge eating, inappropriate purging behaviors have to happen on avg at least 2 times a week for 3 months  Self evaluation don’t have same severity of distortion as anorexics, but still dissatisfied  Types of bulimia  Non purging type excessive exercise or/and fasting to control weight harder to detect (exercise is not considered abnormal)  Purging type self induced vomiting and or purging medications (dentists can also tell)  When they binge feel guilty and then induce vomiting  Acid from vomit leads to tooth decay, heart damage, kidney damage, even death  Excessive worry, depression, appear a fairly normal size  Not curable without support  Common medical complications of bulimia SLIDE 19  Death rate not extremely high  Cultural and historical trends  Viewed as culture bound, and related to wealthy countries  SLIDE 20  SLIDE 21  SELF STRAVATION IS SEEN ACROSS CULTURES AND TIMES BUT MOTVIATIONS DIFFER  In some other cultures, starvation is due to religion, or stomach problems  SLIDE 22  BULIMIA more common in the past 50 yrs than before  More common in western than non western society  May vary by culture and historical period bc of abundance of food is required  Binge eating disorder  SLIDE 23  Without any behaviors to compensate don’t purge, or self restricting  Symptoms  Eating large amt of food in short period of time  May do this throughout the day and or in response to dress of negative emotions  Prevalence  3% pf ppl in weight loss programs  Ppl with BED overweight and ashamed of their bingeing and weight, and want to lose weight  Psychological disorders such as depression  Understanding eating disorders  Biological theories  SLIDE 27  Sociocultural and psych factors  THIN is beautiful  Promoted by media and friends  Viewing imaged of thin models increases women’s depression, shame, guilt, and eating disorder symptoms, while decreasing self esteem  SLIDE 28  Athletes and eating disorders  Increased risk among those participating in physical activities in which weight gain is relevant  Ballet, gymnastics, figure skating, wrestling, body building  Binge eating to regulate emotion  Binge eating often serves as a maladaptive strategy for coping with negative emotions  Ppl with binge eating disorder who binge eat to deal with emotions more likely to have chronic binge eating disorder  Cognitive models  Over-valuation of appearance especially when combined with perfectionism and low self esteem  Concern about others’ opinions  Dichotomous thinking something to be either really good, or really bad  black and white way of thinking  Unconscious attentions to body size  may not be trying to think of body size, but unconsciously tuned to it  Family dynamics  Parents are over invested in daughters; compliance and achievement; controlling  The problem lies within the family unit  Enmeshed families-extremely interdependent; no clear boundaries bn members  SLIDE 36 ^  Slide 32  TREAMTENTS FOR ANOREXIA  Hospitalization and refeeding to prevent death  Force feeding  Behavior therapy  Rewards are contingent upon gaining weight,  Relaxation  Effective for the majorit
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