After reading, “Anorexia Nervosa: Friend or Foe?” by Serpell et. al., in 1998, “Bulimia Nervosa: Friend or Foe? The Pros and Cons of Bulimia Nervosa,” by Serpell and Treasure in 2001, and viewing the documentary, Dying to be Thin, from PBS in 2000, I found several significant points within this research. Specifically, AN is the deadliest of all psychiatric disorders and the most difficult psychiatric illness to treat. As mentioned in the video Dying to be Thin, while detection as well as treatment are critical for individuals suffering from AN and other eating disorders, the potential related health risks may be serious as well as irreversible, including osteoporosis, cardiac arrest, and amenorrhea leading to infertility as well significant …show more content…
There are behavioral similarities among individuals suffering from Anorexia Nervosa and Bulimia Nervosa such as feeling they are in control where they may have lacked power or control in their lives, feeling more confident, and the ability to avoid uncomfortable emotions through disordered eating behavior. However, there are also significant differences. According to the articles, those who suffer from AN consistently communicate this disordered eating behavior makes them feel more attractive, increases confidence and elicits a feeling of superiority, where as those who suffer from BN more often communicate a negative self-image and feelings of shame and defectiveness. BN patients also conveyed their desire to keep their illness a secret whereas AN patients are generally more concerned with their thinness being obvious to others and gaining attention. BN is frequently accompanied by depression, and feelings of self-loathing indicating a high prevalence of comorbidity, and those suffering from this illness experience a disturbance in feeling satisfied with a …show more content…
However, since eating disorders are not chosen behaviors, they may not be given up as a matter of choice as these individuals may lack the skills needed for effective change behavior. However, the lack of attention to cultural diversity or to male individuals who suffer from AN is a crucial missing component in this video as well as the presented research. According to Beidel, Frueh and Herson (2014), “studies of eating disordered attitudes and behaviors indicate considerable concern among Latinas” and that “Latina girls report greater body dissatisfaction than White girls,” with findings suggesting the need for cultural adaptation of treatments for diverse populations. In this western culture men are taught to not openly express their emotions and they also can turn to disordered eating as a means to stifle their feelings as well as live up to dominant cultural pressure. Moreover, the presented dated research pays no attention to Binge Eating Disorder (BED) which, according to Beidel, Frueh and Hersen, only recently received recognition in the DSM-5 as a stand-alone disorder. This disorder is marked by recurrent binge eating and a sense of lack of control over eating during the episode, but
Incidences of Anorexia Nervosa have appeared to increase sharply in the USA, UK and western European countries since the beginning of the 60s (Gordon, 2001). The increasing prevalence of the disease has led the World Health Organisation to declare eating disorders a global priority area within adolescent mental health (Becker et al. 2011). Anorexia has in many ways become a modern epidemic (Gordon, 2000) and with a mortality rate of 10% per decade (Gorwood et al. 2003), the highest of any mental disorder (Bulik et al. 2006), it is an epidemic that social and biological scientists have been working tirelessly to understand.
With Anorexia Nervosa, there is a strong fear of weight gain and a preoccupation with body image. Those diagnosed may show a resistance in maintaining body weight or denial of their illness. Additionally, anorexics may deny their hunger, have eating rituals such as excessive chewing and arranging food on a plate, and seek privacy when they are eating. For women, they go through immediate body changes from abnormal to no menstruation periods and develop lanugo all over their bodies. Characteristics of an anorexic individual also consist of extreme exercise patterns, loosely worn clothing, and maintain very private lives. Socially, to avoid criticism or concern from others, they may distant themselves from friends and activities they once enjoyed. Instead, their primary concerns revolve around weight loss, calorie intake, and dieting. In regards to health, many will have an abnormal slow heart rate and low blood pressure, some can develop osteoporosis, severe dehydration which can result in kidney failure, and overall feel weak (Robbins, 27-29). It has been reported that Anorexia Nervosa has one of the highest death rates in any mental health condition in America (www.NationalEatingDisorders.org).
Anorexia Nervosa has the highest mortality rate of any psychiatric illness. That fact should be enough for people to understand that Anorexia is a debilitating, uncontrollable mental disorder, but so many disagree and say its sufferers are simply over obsessive dieters. This is simply not true, not one of its victims wakes up and decides to become Anorexic or dangerously thin. Every person who has had Anorexia will tell you how miserable and terrified they were, how they wanted help but their mind would not let them ask, how their mind forced them to lose weight and brush the wings of death. More often than not, Anorexia accompanies another chronic psychiatric disorder, and the two mental illnesses will be treated together.
Eating Disorders (ED) are a real “epidemic” plaguing industrialized and developed societies, affecting mostly adolescents and young adults (Benas & Gibb 2011). In general, the flawed thinking of people suffering from such diseases is characterized by an obsession with perfection of the body. The impact that eating disorders have on women has always been more prevalent than on males. (Benas & Gibb 2011; Polivy & Herman 2002). The culture-bound syndromes are constellations of signs and symptoms, that are restricted to certain the cultural pressure to lose weight, which is considered a key element of the etiology of these disorders, therefore, along with biological, psychological and family factors have been generating an excessive preoccupation with the body, an abnormal fear of becoming fat and anxiety markedly accompanied by changes in the body schema. These are therefore the characteristics of Bulimia Nervosa (BN) and Anorexia Nervosa (AN). The following ten literature review attempt to demonstrate and support the theory of cognitive approach on eating disorders, briefly understanding the neurobiological mechanisms.
After watching the video on “Dying to be Thin,” the one statement that really stuck with me was that in order for someone to have some kind of eating disorder, there has to be vulnerability. I find that statement to be extremely true. There needs to be a sense of vulnerability for someone to feel so down about themselves that in order for them to make them feel better, they have to change their body image for them to feel like they are attractive. The video really specifically highlights the issues with anorexia nervosa compared to bulimia nervosa and binge eating disorder. For clinicians and researchers, this may be a difficult to really find
After reviewing the “Dying to be Thin” (2000) video and the two studies on anorexia nervosa (AN) and bulimia nervosa (BN) my view of these two disorders has been expanded and somewhat altered. The “Dying to Be Thin” video looked at the history, triggers, medical complications and treatments. It documents the struggles of models, dancers and teenagers with the disease. The two studies on AN and BN asked patients in a therapeutic setting to write letters to their disorders from the friend and foe perspective. The results were interesting and merit further studies.
Dying To Be Thin, Anorexia: Friend or Foe?, and Bulimia Nervosa: Friend or Foe? The Pros and Cons of Bulimia Nervosa discuss the eating disorders anorexia nervosa (AN) and bulimia nervosa (BN). Each is valuable to the clinician because they explore the attitudes, both pro and con, of those afflicted with eating disorders.
The cognitive view of the maintenance of bulimia nervosa stresses that there is more to an individual's eating problem then just binge eating (and purging). Low self-esteem, extreme concerns about shape and weight, and strict dieting are all implicated in perpetuating the vicious cycle of bulimia (Fairburn et al., 1993). Within the first stage of treatment (weekly sessions 1-8), the following steps characterize the cognitive-behavioral approach: 1) orient
Eating disorders are serious psychological conditions with grave consequences for the individuals affected by them. Eating disorders have a 20% mortality rate, with anorexia accounting for approximately 5.1 deaths per 1000 persons and bulimia accounting for 1.74 deaths per 1000 persons (Arcelus, J., Mitchell, A.J., Wales, J., & Nielsen, S., 2011; Trent, Moreira,
Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional
Eating disorders are severe disturbances in eating behaviors, such as eating too little or eating too much. “Anorexia nervosa affects nearly one in 200 Americans in their lives (three-quarters of them female)” (Treating anorexia nervosa). Anorexia, when translated into Greek means “without appetite” which is not true for all suffering from anorexia most people with this disorder have not lost their appetite they simply have to ignore it. People with anorexia have an intense fear of gaining weight and have convinced themselves that they are overweight even if they are the opposite of overweight. Since the way that they view themselves is in a negative light they starve themselves and put their lives at risk. “In the most severe
Anorexia nervosa and bulimia are eating disorders that severely affect both men and women around the world. The cause of the eating disorder usually derives from psychological, biological and social forces. Eating disorders have become an epidemic in American society, twenty-four million people of all ages and genders suffer from an eating disorder in the U.S. (National Association of Anorexia Nervosa and Associated Disorders.\, 2011). There are many ways to address and treat an eating disorder. There have been multiple studies conducted to test the effectiveness of different types of treatment. My central research question analyzes the relationship between the continuation of the eating disorder with the presence of intervention or some
Fairborn (2005) points out that there is a range of treatment options and a variety of treatment settings for anorexia nervosa, however there is inadequate empirical support for this abundance of options as what minimal research on the treatment has been inconclusive. One reasoning behind this is that anorexia nervosa has been an uncommon disorder and sample sizes for studies have been low. Furthermore, the lack of evidence based treatment research can be attributed to the individual’s avoidance of treatment and dropping out of treatment. Many individuals with anorexia nervosa are unwilling to change as their identity and self-worth are intertwined with their distorted body image; they tend to deny that anything is wrong with their weight and are ambivalent on changing (Abbate-Daga, Amianto, Delsedime, De-Bacco & Fassino,
The severity of the mental and physical effects of bulimia nervosa (BN) as well as the shockingly high initial diagnostic and subsequent relapse rates prove that the current system in place for treating the disorder is inadequate and the consequences are enormously detrimental. The past research on the subject focuses on fasting behaviors common to anorexia nervosa and on sweet flavors, leaving much to be desired in the purge-binge cycle central to BN and the fatty but non-sweet flavors so often involved in the binging process. By surveying females ages 13-17 currently diagnosed with BN and a healthy control group of the same demographic, this study will first evaluate healthy and unhealthy food-related behaviors, focusing on binging and
Eating disorders are extremely harmful and rising in prevalence. . The two most common eating disorders are Anorexia Nervosa and Bulimia Nervosa. In this essay, I will compare and contrast these two disorders. This essay will also assess the symptoms, causes, health affects and the most prevalent characteristics of people diagnosed with these two eating disorders.