PSYB32H3 Study Guide - Enmeshment, Bulimia Nervosa, Water–Electrolyte Imbalance
Chapter 9: Eating Disorders
3.D – Bulimia is more common than anorexia in adolescents, lifetime rate for eating
disorder for females is 1.6%, many females don’t meet diagnostic criteria but are
4.D – prognosis is 70% of ppl with AN recover
5.A – after binging ppl feel, disgusted, uncomfortable and fear weight gain. Then they
purge, which relieves them
8.C – Anorexics are usually shy, obedient and perfectionistic
9.A – not eating neg. reinforces anxiety of becoming fat
10.C – 1st step in treatment of AN is to hospitalize and encourage eating
11.B – Minuchin is family system theory, Maudsley is labour intensive that gets parents
to find creative ways to feed children and be supportive
1.Purging from BN can cause electrolyte imbalance, damage enamel of teeth, swollen
salivary glands and lung infection through inhaled food
2.Characteristics of bulimic women are depression, anxiety, substance abuse and
personality disorders. They may also have problems with stealing and promiscuity
3.There is a genetic diathesis for eating disorders. Close relatives more likely to have
eating disorders, and there’s concordance in MZ twins.
4.Eating disorders are less prevalent in non-industrialized countries and more likely
in NA. This suggests cultural expectation of thinness in western society.
5.Bruch’s psychodynamic view of eating disorders is that it comes from parent’s
imposing their beliefs on children w/o considering their wants. Child doesn’t recognize
internal needs (hunger) and uses society’s emphasis on thinness to be in control and
6.Minuchin’s family systems model of cause of eating disorders is the family’s conflicts.
The eating disorder allows the family to shift focus away from other conflicts. These
families have enmeshment, overprotectiveness, rigidity and lack of conflict resolution.
Cause and effect haven’t been proven, starvation can change personality.
7.Steiger et al. suggest narcissism is high in people with AN & BN. They are
compensating for a fragile sense of self-esteem. Perfectionism and eating disorders are
positively correlated. These are both possible causes of eating disorders.
8.Research on families of individuals with eating disorders is inconclusive. Patients
report conflict, but parents do not. Reports are of limited use, observations are needed.
9.Drugs are not effective for AN. It can reduce depression in BN, but many drop out
and relapse after drug is stopped.
10.Cognitive methods to alter beliefs of bulimics try to tell them weight isn’t criteria for
acceptance, and extreme dieting doesn’t help. Also use assertiveness training to resist
criticism, accept not everyone’s perfect, criticize society’s idea of weight and reduce
sensitivity to criticism.
11.Fairburn’s cognitive-behavioral theory of the maintenance of anorexia implies we
should look at self-control. Traditional issues like self-esteem and interpersonal
relations shouldn’t be focused on. Ppl should find satisfaction in achievement of things
other than controlling eating.
12.Cognitive-behavioural methods to alter eating behaviour of bulimics lets them bring
in forbidden food and learn to relax while eating it. They are discouraged from purging.
Thoughts and feelings while eating are discussed and they’re encouraged to eat well