PSYC 316 Week 9 Notes
PSYC 316 Week 9 Notes PSYC 316
Popular in Intro-Psycpathology
verified elite notetaker
Popular in Psychlogy
This 8 page Class Notes was uploaded by Sara Karikomi on Friday October 23, 2015. The Class Notes belongs to PSYC 316 at Northern Illinois University taught by Simon Jencius in Fall 2015. Since its upload, it has received 20 views. For similar materials see Intro-Psycpathology in Psychlogy at Northern Illinois University.
Reviews for PSYC 316 Week 9 Notes
Report this Material
What is Karma?
Karma is the currency of StudySoup.
Date Created: 10/23/15
Chapter 9 Eating Disorders Monday 19 October 1 Eating Disorders A Examples 1 What s Eating You TV episode a httpswwwyoutubecomwatchvhl9tx8RNOI What to Watch For different variables causal models symptoms history of client lming About Content disturbing a Video Links 1 httpswwwyoutubecomwatchvIY91ftpu5uO 2 httpswwwyoutubecomwatchv8LNhaG1quU Discussion a Troubled Childhood dysfunctional parenting rough childhood 1 Competition between the identical twins a Mother would brag about the other twin and said nothing about her b At age 10 she started abusing laxatives got compliments about her appearance 2 At age 16 her mother died 3 In high school she and her twin started fighting b Causal Model 1 Body Dysmorphic Disorder a She got complements on how skinny she was but she believed she wasn39t b She thought she had to get rid of the bulge on her abdomen which did not exist because she was so malnourished 2 Cognitive Variable lack of control a She felt that she had no control of her external environment but she could control her body and how she looked c Links for Further Understanding 1 httpwwweatingdisorderhopecomrecoverysupportgroups 2 httpwwwhe1pguideorgarticleseatingdisorderseatingdisordertreatmentandrecoveryhtm 3 httpwwwhea1th1inecomhealthslideshowbesteatingdisordersblogs2 B National Obsession Western society generally equates thinness with health and beauty 1 Standards of Beauty httpwwwhuf ngtonpostcomnewswomenbeautystandards C Startling Rise in Eating Disorders in the Past 30 Years the core issue is the intense fear of gaining weight D Three diagnoses in the DSMS Anorexia Nervosa 2 Bulimia Nervosa 3 Binge Eating Disorder new in the DSMS E Links for Further Understanding 2 Eating Disorders a Information 1 https wwwnationaleatingdisorders orggetfactseatingdisorders b Statistics 1 htt wwwbathnes ovukservices ourcouncilanddemocrac localresearchandstatisticswikieatin disorders c DSM Criteria d httpwwwallianceforeatingdisorderscomportaldsmanorexiaViqblstHOxc Bulimia a http www nimhnih govhealthpublications e atingdis orders newtrifold index shtml b httpwwwbulimiacom Anorexia a httpswwwnationaleatingdisordersorganorexianervosa 11 Eating Disorders Anorexia Nervosa A Symptoms 1 Refusal to maintain more than 85 normal body weight 2 Intense fear of becoming overweight 3 Distorted view of weight and shape 4 Amenorrhea women s menstrual period stops a http wwwmayoclinic orgdiseasesconditionsamenorrheabasicsde nitioncon2003 1561 b httpdeptswashingtoneduosteoedfaqsphpfanD93 2 Sub pes 1 Restricting cutting out food individual has almost no variability in their diet 2 BingeEatingPurging forcing self to vomit abuse laxatives excessively exercising individual may also engage in binge eating more characteristic of bulimia Prevalence and Onset 1 9095 of cases are in women though this may be due to the stigma for men 2 Peak of onset is usually between 1418 years 3 05 35 of individuals in Western countries will experience these disorders in their lifetime 4 Rates are rising in North America Europe and Japan Common Pattern 1 Normal to slightly overweight person goes on a diet 2 Dieting escalates toward anorexia a Sometimes in response to stressors such as leaving home experiencing a personal failure etc 3 Most individuals at least partially recover but 26 become so ill that they die as a result of the disorder related medical complications suicide Key Features 1 FEAR is the motivating factor in eating disorders a Fear of becoming obese b Fear of giving in to the desire to eat c Fear of losing control of body size and shape F Despite restrictions many with anorexia nervosa are preoccupied with food 1 Thinking of reading about food and planning their restricted meals a which may be a result of the body s response to starvation G Cognitive Distortions common factors 1 Negative opinion of self and body 2 Overestimating actual proportions of food 3 Maladantive Attitudes and Misnercentions driven by perfectionism guilt etc H Comorbidity Depression Anxiety Substance Use Disorders 0CD or OCrelgted svmntoms Low selfesteem insomnia behavioralcognitive perfectionism 9999 1 Medical Problems develop as a result of the eating disorder 1 Related Issues a Amenorrhea b Low body temperature the individual is always cold poor circulation c Low blood pressure fainting d Body swelling e Compression fractures low bone density f Slow heart rate g Metabolic issuesimbalances h Dry skin brittle nails i Lanugo growth of thin wispy hair that covers some newborns 2 Links a httpswwwnationaleatingdisordersorghealth conseguenceseatingdisorders b httpswwwmccallumplacecomhealthrisksofanoreXiahtml c httpwwwnytimescomhealthguidesdiseaseanoreXianervosacomplicationsofanoreXiahtml Wednesday 21 October 2015 Class Discussion Single mother of 4 knows she has an eating disorder 2000 calories per day are needed She consumes 500 calories per day Bodily functions suffer Starvation Started a website for eating disorder support Many believe that these websites help maintain the disorder or make it worse Receives hate mail Tried treatment but felt worse about herself III Eating Disorders Bulimia Nervosa A Characterized bV Binges uncontrolled overeating through a speci ed period of time 1 Hard to Define and Subiective eating objectively more than most people wouldcould eat in a similar period Compensatorv Behaviors behaviors following bingeing that the individual hopes will undo the effects of the binge a Vomiting abusing laxatives and diuretics enemas fasting excessive exercise B Different from Anorexia Bulimia includes purging along with bingeing C Prevalence and Onset 1 9095 of cases are in women a this may be an underestimation of eating disorders in men possibly due to stigma Peak of onset occurs at E years Cvclical Nature symptoms can last for several years periodically increasing or decreasing Patients with eating disorders typically begin within a normal weight range however their weight can uctuate signi cantly Sometimes the individual will qualify for Anorexia Nervosa if they lose enough weight Currently experimenting with binges and compensatory behaviors has become common among adolescentsyoung adults Bingeing can happen anywhere between 130 times per week and sometimes as many as 10000 calories per binge a Often carried out in secret b Some individuals develop OCDlike rituals regarding their bingeing c Binge episodes typically start as unplanned but eventually become scheduled d Often follows a time of intense tension and is followed by feelings of selfblame guilt depression and intense fear of gaining weight or having their disorder discovered 7 Maladaptive Attitudes D Compensatory Behaviors 1 Most Common vomiting a Fails to prevent absorption of half the calories consumed b Repeated vomiting leads to the inability to feel full which in turn leads to increased hunger and bingeing Typical Pattern normal to slightly overweight female has been on an intense diet and binges after the end of their strict diet a This occurs within healthy populations strict dieting followed by bingeing IV Eating Disorders Anorexia Nervosa vs Bulimia Nervosa A Similarities 1 Igsheww Starts after intense dieting Fear of becoming fat or obese Drive to be thin Preoccupation with food weight sizeshape appearance Anxiety depression substance abuse disorders obsessiveness perfectionism Greater risk for suicide attempts Distorted perception of body and attitudes toward eating B Differences 1 Individuals with Bulimia Nervosa are more liker than those with Anorexia Nervosa to be a more concerned about pleasing others being attractive having intimate relationships b more likely to be sexually experienced c more likely to have a history of mood swings low frustration tolerance poor coping skills d more likely to have a personality disorder particularly borderline personality disorder Anorexia Nervosa and not Bulimia Nervosa a weight is below 85 normal weight Different Medical Results a Anorexia Nervosa Amenorrhea characteristic of Anorexia Nervosa b Bulimia Nervosa damage caused by purging 1 Tooth decay 2 Damage to throat C Exam Question What makes Anorexia Nervosa and Bulimia Nervosa different from each other 1 Anorexia Nervosa centers around restriction 2 Bulimia Nervosa centers around the binge and purge cycle Friday 23 October 2015 V Eating Disorders Binge Eating Disorder A Controlled bouts of overeating but without the compensatory behaviors B Prevalence l 23s are or become overweight or obese 2 27 of the US population have this disorder C Unlike Bulimia Nervosa 1 Not a drive for thinness 2 Does not start following strict dieting 3 No large gender differences in prevalence VI Eating Disorders What Causes Them A Many take a Multidimensional Approach the more risk factors an individual has the greater the likelihood of an eating disorder 1 Psvch0102ical Problems a Ego b Cognitive c Mood Disturbances comorbidity with depressionmood disorders 2 Biological Factors a Hypothalamus 1 Set weight point 2 Hunger 3 Sociocultural Conditions a Societal 1 Beauty standards b Family c Multicultural B Psychodynamic Factors 1 Hilde Bruch s psychodynamic theory of eating disorders a Eating disorders are the result of disturbed interactions between mother and child 1 Leads to serious ego deficiencies in the child a Severe perceptual disturbances b Remember the video we watched in class about the twin sisters c Parents respond to their children either effectively or ineffectively 1 Effective parents accurately recognize and ful ll their child s biological and emotional needs 2 Ineffective parents fail to accurately recognize and fulfill their child s needs a Feeding the child when the child is anxious b Comforting the child when the child is tired Cognitive Factors a Bruch s theory has cognitive factors as well 1 Improper labeling of internal sensations and needs a Cognitive theorists believe that these de ciencies contribute to a broad cognitive distortion that lies at the center of eating disorders i Negative selfjudgment based on body shape and weight Psychological Factors a Depression may set the stage for eating disorders 1 Strong comorbidity particularly between those with bulimia nervosa 2 Relatives of those with eating disorders report greater levels of depression 3 Serotonin dysregulation is noted in both 4 SSRIs help with some symptoms of eating disorders Bioloqical Factors a Genetics 1 If one Monozvgotic Twin has Anorexia Nervosa there is a 70 chance that the other twin will develop the same disorder 2 If one Dizygotic Twin has Anorexia Nervosa there is a 20 chance that the other twin will develop the same disorder 3 If one Monozvgotic Twin has Bulimia Nervosa there is a 23 chance that the other twin will develop the same disorder 4 If one Dizvgotic Twin has Bulimia Nervosa there is a 9 chance that the other twin will develop the same disorder b Serotonin Trait level factors c Exam Question Why does the anorexic or bulimic individual not realize that they look bad because they are severely overweight a Body Dysmorphia d Hypothalamus Problems 1 Hypothalamus and Surrounding Brain Structures may be responsible for an individual s weight set point a Combination of w and family history leads to an individual s particular weight set po nt i If the individual falls below their weight set point feelings of hunger increase and their metabolic rate lowered to aid in weight again leads to binges ii If the individual rises above their weight set point feelings of hunger decrease and their metabolic rate increases