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Lecture 8

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Ian Spence

Lecture 8 Slide 1  Age of child is important because certain tasks at certain ages are appropriate and not. Slide 3  2) This could explain #1). Influence of hormones they are experiencing. They are more moody than adults and children. If you monitor mood for a while, you see that it changes depending on environment there in. With peers, or doing social activities they have high mood and during parent direct activities, school activates they have low mood.  3) Frontal lobes haven’t developed yet – that happens in late 20s. Limbic system is fully developed so they have full pleasure system without consequence actions. This is where the risk taking behavior stems from this. Most deaths from teens is accidents and that’s because they take risks.  4) They take more risks. Crime has been decreasing. Most people (60% Canadians) believe that crime in youth is increasing. We do have a belief that adolescents are criminals. Slide 4  We see this in both male and female development. FSH stays the same in males but fluctuates in females based on their menstrual cycle. Slide 5  1T 2F 3F (if a mother is authoritarian, girls will menarche early) 4T (homes where fathers are not around, girls reach menarche early) Slide 6  1) Gets women away from ideal women body image. Men get closer to ideal male image.  This plays a role in self-esteem and body image.  2) Has different effects on men and women. Men should reach puberty early tend to be better off, they are happier, date more often and have higher self-esteem. Women who reach puberty early have greater mental health problems, lower self-esteem, engage in sexual experiences earlier and other risk taking behaviors like drinking and smoking. Slide 7  1) Need to pay attention to calcium and iron levels in adolescents. Iron linked with hemoglobin. Men with increased muscle mass you need to watch iron and women losing blood through menstruation need iron.  2) Not an issue of how many calories they take (they get more than enough calories) but lack proper nutrients.  3) Message isn’t being heard. o Why are they not working? Risk taking, pleasure oriented, under a lot of stress so eat unhealthy, in schools the target is on losing weight not proper food for brain stimulation and feeling good. o What types of program would you design to combat obesity? Greater focus on healthy eating and where the food comes from (connection with food), target eating practices (certain number of meals, looking at nutrition, physical activity). Slide 9  1F (most common is eating disorder not specified) 2F (people with binge eating have a binge but won’t purge or exercise after) 3T (very high suicide rate, severe medical problems and small chance of recovery). Slide 10  Binge 2 times a week for at least 6-month period. Binge characterized by lack of control to stress about binge behavior, eating very rapidly large amounts of food alone, no compensatory behavior. More common than anorexia and bulimia. Slide 11  1) Weight 15% among minimum height range.  3) Very thing but see something different. Delusion of being bigger than they are.  4) Absence of regular menstrual cycle.  5) RT: restrict calories and most exercise but no binge/purge cycle.  BEPT: same characteristics but don’t eat much but still eating more than they want but compensating by purging.  Greater cycle pathology, tend to come from families where more people are overweight, more likely that they were overweight in childhood. When we watch this over time we see people switch from RT to BEPT than the other way around. Slide 12)  2) 5% who have been treated end up dying and 15% without treatment end up dying. Some medical concerns: decreased blood pressure, decreased heart rate, decreased bone mass and electrolytes. Less severe symptoms such as dry skin, laguna (hair over body), hair loss and anemia. People who dye is because of electrolyte.  4) 2wice as high as other psychological disorders. Risk factors for suicide is the binge/purge subtype, history of childhood sexual assault, drugs/alcohol intake. Slide 13  1) Cannot control eating behavior. Describe binge as out of body experience.  2) Anything to compensate.  4) The focus of their life is their body.  5) PT: vomit  NPT: other behaviors to compensate.  No difference between the two. Slide 14  2) Substance use (getting increasing attention with eating disorders), personality disorder.  4) Electrolytes are an issue for those who vomit and use laxatives. Loss of dental enamel. Slide 15  Eating disorder not otherwise specified. Slide 16  3) The idea that what we believe of be feminine is someone who eats little, petite and dainty. What we found desirable and attractive in women has changes. This can infiltrate other cultures. While it is a western cultural phenomenon, it is not the case anymore. There were 0 cases in Fiji but after TV was introduced it spiked. Thinness is rooted in the media. Slide 17  1) Medical treatment is not helpful for eating disorders except for bulimia. Reduces binge eating but high drop out rates, relapse occurs with discontinuation, not at all effective for anorexia. So therapy is used.  2) N: bulimic people need to eat 3 meals a day and a snack.  CBT: target distortion of body weight, body size.  FT: dysfunctional family with eating disorders. Not as a big as people presumed.  Expectations for men and women and how that is relevant from onset of puberty. Slide 18  4) Out of those who are sexually active, 90% use contraception and 10% don’t. Slide 19  1) They don’t think they can get pregnant, embarrassed about buying it, lack of education on where to get it. Slide Sex-Role Quiz  1-really unlike me 5- really like me  5  3  1  4  3  2  5  3  1  1  1  1  3  3  3  2  Total: 41/16=2.5  4  4  4  3  3  3  4  4  3  3  3  3  5  5  3  3  Total: 57/16=3.5  3.9 is
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