Class 3 Flashcards
(23 cards)
Important concept in psychotherapy
Understanding and accepting ambivalence
OSFED
Atypical anorexia
Low frequency bulimia
Low frequency BED
Purging
If ED is like OCD then ??? an decrease the OCD reaction
exposure
ED behaviours egosynthonic or dystronic?
egosynthonic
What is more effective? Psychoeducation on CBT, biology or malleable biology (epigenetic)?
CBT and malleable biology
PREDISPOSING bio
Genes Physiognomy/Weight Appetite Regulation Metabolism Gender Temperament Genes
PRECIPITATING bio
Weight (diet)
Metabolism
Puberty
PERPETUATING bio
Neurobiology
Weight
Temperament
Impulsivity
PREDISPOSING PSYCHOLOGICAL
Mealtime experiences Trauma affecting body experience Self-esteem Coping mechanisms Self-regulation Unresolved conflicts Posttraumatic reactions Identity Personality Overprotection/Neglect
PRECIPITATING PSYCHOLOGICAL
Body image: way we perceive body And investment in our body im Weight beliefs Values assigned to food/body Diet Trauma
PERPETUATING PSYCHOLOGICAL
Weight beliefs
Diet
Identity
Self-esteem
SOCIAL PREDISPOSING
Family attitudes (eating, weight) Pressure to be thin Body-relevant insults Cultural values on body Family dysfunction Social Isolation
PRECIPITATING SOCIAL
Pressure to be thin
Peer-group weight concerns
Major social change
PERPETUATING SOCIAL
Pressure to be thin
Peer-group weight concerns
Social Isolation
Biological factors
Genetically predetermined (85%) Restriction: lower metabolic rate Genes for ED Restriction leads to bingeing Tryptophan– amino acid that fabricates serotonin, less tryptophane, less serotonin
Psychological factors
-Certain traits associated with ED. Partly genetic.
Restriction and perfectionism (conscientious)/ impulsivity and binge (spontaneous)
Identifying our tendencies help better understand the ED
-Body image: How do you assess yourself? What is the difference if you assess yourself based on one or multiple domains of your life?
-Emotion regulation: How bingeing, purging and restriction can be a way of dealing with difficult emotions- but maintain the ED. Take the time to identify what happens for you when you feel X…
Social Factors
Creation of unhealthy beauty standards that are impossible to achieve
AN less influenced by culture than BN.
Evaluation: Eating patterns?
Can you talk to me about what you eat in a typical day?
How many times per day Quantity per meal Rigidity Rituals Food avoided
Evaluation: Binge eating?
Do you ever feel like you are losing control when you eat?
Objective binges?
Subjective binges?: N amount of food but loss of control
On which foods?
What precipitates the loss of control?
Evaluation:Weight control?
What are the means that you use
to control your weight?
Purges Laxatives, fat burners Coffee, energy drinks Chewing and spitting Exercise? Others? If you can’t do it, does it increase your anxiety level?
Evaluation:Body perception?
How do you find your physical appearance?
The line between feeling fat is fine
Do you have obsessive thoughts about your appearance?
Will you do any behaviors to check your appearance (mirror, weighing, body checking)?
Evaluation:Development of ED?
When did symptoms first appear?
In what context?
How did they evolve over time?
Evaluation all elements
Eating patterns, binge eating, weight control, body perception, development of ed, physical sx, medical follow-up
