Self-image in anorexia nervosa 7.5 years after initial presentation to a specialized eating disorders service

2002 ◽  
Vol 10 (6) ◽  
pp. 399-412 ◽  
Author(s):  
Eric J. Button ◽  
Rachel L. Warren
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Initial Presentation ◽  
Self Image

Etica ed estetica per l’anoressia / Ethics and aesthetics for anorexia

2018 ◽  
Vol 67 (4) ◽  
pp. 417-436
Author(s):  
Paolo Marino Cattorini
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Weight Gain ◽  
Contemporary Art ◽  
Medical Humanities ◽  
Phenomenological Approach ◽  
The Body ◽  
Sick People ◽  
Self Image

L’anoressia nervosa rischia di venir fraintesa, etichettandola come mero disturbo neurobiologico e affrontandola con tattiche assistenziali, che mirano semplicemente alla rapida correzione del peso. Un approccio fenomenologico coglie invece nel disturbo alimentare una strategia di liberazione, per quanto rischiosa e piena di contraddizioni. Nel presente articolo abbiamo indicato tre dimensioni etiche ed estetiche di questa pericolosa trasformazione di sé. L’anoressica scolpisce il corpo in forme dissonanti, al modo di una body artist; ella scrive nella carne la propria storia alla luce di un mito affettivo, che la guida come un racconto esemplare di formazione; infine l’anoressica prova per il cibo il disgusto che ella vive nei confronti di relazioni mancate di cui ha ancora disperata fame. La persona che soffre tenta di dirigere perfezionisticamente, attraverso la malattia, una trasformazione individuale, imbattendosi in un mondo di oggetti trasfigurati (fra cui i cibi, le sostanze alimentari), un mondo simile a quello istituito dall’arte contemporanea. Per questi motivi, il lavoro medico-psicologico condotto sui disturbi alimentari è più efficace quando si posseggono competenze in ambito umanistico, particolarmente di ordine etico ed estetico. ---------- Anorexia nervosa risks being misunderstood by labelling it merely as a neurobiological disorder or by tackling it only with behavioral advice, in order to rapidly achieve some weight gain. On the contrary, a phenomenological approach recognizes in an eating disorder also an ethical strategy of liberation, although it may well be risky and full of contradictions. This article indicates three ethical and aesthetic dimensions of this dangerous transformation of self-image. Anorexia sculpts the body in dissonant forms, in the way of a body artist; it writes in the flesh a suffering story in the light of an affective myth, which guides the patient towards an ideal of mature development. Finally, sick people feel the same disgust for food that they experience with regard to missed or damaged relationships of which they still desperately hunger for. Through the illness, an attempt is made to manage in a perfectionist way the bodily transformation, but the result is that they come upon a disquieting world of transfigured objects, a world similar to that established by some contemporary art movements. For these reasons, the medical-psychological work carried out on eating disorders requires competence in the field of medical humanities and particularly in the sphere of ethical and aesthetic education.

Perspectives on Music Therapy with People Suffering from Anorexia Nervosa

1994 ◽  
Vol 8 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Jacqueline Z. Robarts ◽  
Ann Sloboda
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Music Therapy ◽  
Clinical Work ◽  
Child And Adolescent Psychiatry ◽  
Self Image ◽  
Control Dynamic ◽  
The Individual ◽  
And Control ◽  
Distorted Body Image

This paper * explores the process of music therapy in the treatment of people suffering from anorexia nervosa, with reference to individual clinical work undertaken at an acute psychiatric unit specialising in eating disorders, and at an in-patient child and adolescent psychiatry unit. Case material illustrates ways in which music therapy supports the individual while addressing the often deeply-rooted problems commonly associated with eating disorders. These problems include issues of personal identity, negative self-image, distorted body-image, intellectualisation, difficulty in relationships, and issues of autonomy and control. Dynamic forms of spontaneous improvisational music-making and musical therapeutic intervention are discussed.

Pharmacotherapy for Eating Disorders

2017 ◽  
Author(s):  
Susan McElroy ◽  
Anna I. Guerdjikova ◽  
Nicole Mori ◽  
Paul E. Keck
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating

This chapter addresses the pharmacotherapy of the eating disorders (EDs). Many persons with EDs receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. This chapter first provides a brief rationale for using medications in the treatment of EDs. It then reviews the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES). It concludes by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.

Epidemiology and Course of Eating Disorders

2010 ◽  
pp. 24-32 ◽  
Author(s):  
Pamela Keel
Keyword(s):  
Public Health ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
The Public ◽  
Purging Disorder ◽  
Not Otherwise Specified ◽  
Public Health Significance ◽  
Health Significance

The epidemiology of eating disorders holds important clues for understanding factors that may contribute to their etiology. In addition, epidemiological findings speak to the public health significance of these deleterious syndromes. Information on course and outcome are important for clinicians to understand the prognosis associated with different disorders of eating and for treatment planning. This chapter reviews information on the epidemiology and course of anorexia nervosa, bulimia nervosa, and two forms of eating disorder not otherwise specified, binge eating disorder and purging disorder.

Pharmacotherapy of the Eating Disorders

2010 ◽  
pp. 416-451 ◽  
Author(s):  
Susan L. McElroy ◽  
Anna I. Guerdjikova ◽  
Anne M. O’Melia ◽  
Nicole Mori ◽  
Paul E. Keck
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Mental Disorders ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Night Eating Syndrome ◽  
Night Eating

Many persons with eating disorders (EDs) receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. In this chapter, we first provide a brief rationale for using medications in the treatment of EDs. We then review the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa, binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES) and sleep-related eating disorder (SRED). We conclude by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.

scholarly journals Overcontrolled, undercontrolled, and resilient personality styles among patients with eating disorders

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Martina Isaksson ◽  
Ata Ghaderi ◽  
Martina Wolf-Arehult ◽  
Mia Ramklint
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Clinical Group ◽  
Personality Style ◽  
Personality Styles ◽  
Dsm 5 ◽  
Significant Difference ◽  
Poor Treatment ◽  
Atypical Anorexia Nervosa ◽  
Poor Treatment Outcome

Abstract Background Personality has been suggested to be an important factor in understanding onset, maintenance, and recovery from eating disorders (ED). The objective of the current study was to evaluate personality style in different ED diagnostic groups as classified in the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5). Methods The overcontrolled, undercontrolled, and resilient personality styles were compared in four groups of patients with EDs: anorexia nervosa restricting (ANr) (n = 34), anorexia nervosa binge eating/purging (ANbp) (n = 31), atypical anorexia nervosa (AAN) (n = 29), and bulimia nervosa (BN) (n = 76). These groups were compared with a group of patients with borderline personality disorder (BPD) (n = 108), and a non-clinical group (NC) (n = 444). Patient data were collected at two outpatient clinics in Uppsala, Sweden. NC control data were collected through convenience sampling. Participants filled out questionnaires assessing personality style. Results The main findings were more pronounced overcontrol reported by the ANr and AAN groups compared with the BN, BPD, and NC groups, and no significant difference in resilience between the ED and the NC groups. Considerable variability of over- and undercontrol was also found within each group. Conclusions The results replicate previous findings when EDs are classified according to current diagnostic criteria (DSM-5). Taking personality styles into account may improve our understanding of certain characteristics in EDs, such as social deficits and rigidity that are attributed to poor treatment outcome.

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