CLP 4134 Lecture Notes - Lecture 11: Family Therapy, Bulimia Nervosa, Homeostasis

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FEEDING AND EATING DISORDERS
Feeding
What is feeding?
Developmental process affected by maturation of child
Necessary for biological development
Stages
oNursing (Newborn-4months)
Breast milk/formula
oTransitional period (4-6 months)
Semisolid foods
oStage 3 (6-12 months)
8 months – spoon
oModified adult period (1-2 years  present)
Solid food with preferences
Parents must know that they are models for their children
oAttachment, successful parenting
oTolerance and patients v permissiveness… don’t allow kids to reject food
Feeding Disorders
PICA
Characteristics
oPersistent eating of nonintrusive, nonfood substances over a period of at least 1 month
oInappropriate for age
oNot culturally supported
oIf occurs outside another mental disorder, must be clinically significant
No biological abnormalities
Sometimes complications… bowl problems, infections, poisoning
Prevalence
oUnclear (10-33%)
o> with ID
omales = females
oAlso occurs in pregnancy
Can involve medical emergencies
Treatment
oBehavioral strategies and environmental control
oReinforcement of appropriate eating behavior
Rumination Disorder
Characteristics
oRepeated regurgitation of food for at least 1 month
Re-chewed, re-swallowed, or spit out
oNot attributable to other disorders (mental or GI)
oWeight loss common, malnutrition
Prevalence
oAcross lifespan
oMore in ID
Straining and arching back with head back, make sucking noise then spit
oInfants 3-12, may remit spontaneously
Risk factors
oProbs with relationships, stress
Avoidant/Restrictive Food Intake Disorder
Characteristics
oEating or feeding disorder manifested by persistent failure to meet needs associated with
Growth
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