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PSYB32H3 Study Guide - Enmeshment, Bulimia Nervosa, Water–Electrolyte Imbalance

Course Code
Konstantine Zakzanis

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Chapter 9: Eating Disorders
Multiple Choice
3.D Bulimia is more common than anorexia in adolescents, lifetime rate for eating
disorder for females is 1.6%, many females dont 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
Short Answer
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
(suggest impulsiveness)
3.There is a genetic diathesis for eating disorders. Close relatives more likely to have
eating disorders, and theres 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.Bruchs psychodynamic view of eating disorders is that it comes from parents
imposing their beliefs on children w/o considering their wants. Child doesnt recognize
internal needs (hunger) and uses societys emphasis on thinness to be in control and
have identity.
6.Minuchins family systems model of cause of eating disorders is the familys 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 havent 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 isnt criteria for
acceptance, and extreme dieting doesnt help. Also use assertiveness training to resist
criticism, accept not everyones perfect, criticize societys idea of weight and reduce
sensitivity to criticism.
11.Fairburns cognitive-behavioral theory of the maintenance of anorexia implies we
should look at self-control. Traditional issues like self-esteem and interpersonal
relations shouldnt 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
balanced diets.