scholarly journals Self-image and suicide in a Swedish national eating disorders clinical register

2014 ◽  
Vol 55 (3) ◽  
pp. 439-449 ◽  
Author(s):  
Cristin D. Runfola ◽  
Laura M. Thornton ◽  
Emily M. Pisetsky ◽  
Cynthia M. Bulik ◽  
Andreas Birgegård
2007 ◽  
Vol 8 (3) ◽  
pp. 398-406 ◽  
Author(s):  
Caroline Björck ◽  
David Clinton ◽  
Staffan Sohlberg ◽  
Claes Norring
Keyword(s):  

1996 ◽  
Vol 6 (1) ◽  
pp. 115-124
Author(s):  
Catherine J. Garrett

This article discusses two recent projects concerned with the problem of eating disorders and their prevention: One, an initiative of the NSW Department of School Education, examined the possibilities for prevention in schools. The other, the author's doctoral research on recovery from anorexia nervosa, explored the ways in which recovery takes place. Both took as their starting point the social aspects of eating disorders. The article discusses existing models of prevention. It outlines the aims, methods and findings of the NSW project, including what was discovered about students' self-image and attitudes to their bodies, the sources of information available to them concerning the problem, its relation to competitive sport, and the anxieties about it which were expressed by teachers and parents. It is argued that a study of recovery can make a strong contribution to preventive strategies. Participants in the second project, spoke of their own recovery as a rediscovery of meaning in their lives through access to ‘myths’ and ‘rituals’. This finding is explained in both sociological and recent scientific terms. The author concludes that an understanding of the factors present in recovery from an eating disorder can provide a blueprint for prevention.


Author(s):  
Alejandro Martínez-Rodríguez ◽  
Jacobo Á. Rubio-Arias ◽  
Domingo J. Ramos-Campo ◽  
Cristina Reche-García ◽  
Belén Leyva-Vela ◽  
...  

Anxiety, mood disturbance, eating and sleep disorders, and dissatisfaction with body image are prevalent disorders in women with fibromyalgia. The authors of this study aimed to determine the effects of tryptophan (TRY) and magnesium-enriched (MG) Mediterranean diet on psychological variables (trait anxiety, mood state, eating disorders, self-image perception) and sleep quality in women with fibromyalgia (n = 22; 49 ± 5 years old). In this randomized, controlled trial, the participants were randomly assigned to the experimental group and the placebo group. The intervention group received a Mediterranean diet enriched with high doses of TRY and MG (60 mg of TRY and 60 mg of MG), whereas the control group received the standard Mediterranean diet. Pittsburgh Sleep Quality Questionnaire, Body Shape Questionnaire, State–Trait Anxiety Inventory (STAI), Profile of Mood States (POMS-29) Questionnaire, Eating Attitudes Test-26, and Trait Anxiety Inventory were completed before and 16 weeks after the intervention. Significant differences were observed between groups after the intervention for the mean scores of trait anxiety (p = 0.001), self-image perception (p = 0.029), mood disturbance (p = 0.001), and eating disorders (p = 0.006). This study concludes that tryptophan and magnesium-enriched Mediterranean diet reduced anxiety symptoms, mood disturbance, eating disorders, and dissatisfaction with body image but did not improve sleep quality in women with fibromyalgia.


2017 ◽  
Vol 41 (S1) ◽  
pp. S552-S552
Author(s):  
E. Forsén Mantilla ◽  
A. Birgegård

Patients with eating disorders (EDs) often spontaneously talk about their disorder in terms of a symbolic other (a demon, a voice, a guardian). Further, externalizing exercises where patients are encouraged to separate their true self from their ED self are common in some treatment approaches. Yet, no previous quantitative study has investigated this phenomenon. We examined the patient-ED relationship (using the interpersonal structural analysis of social behavior methodology) and its implications for ED symptoms, illness duration and self-image. Participants were 16–25 year old female patients (N = 150) diagnosed with anorexia nervosa (N = 55), bulimia nervosa (N = 33) or eating disorder not otherwise specified (N = 62). Results suggested that patients had comprehensible and organized relationships with their EDs. EDs were primarily experienced as acting critical and controlling towards patients. Higher ED control was associated with more ED symptoms and longer illness duration, especially when coupled with patient submission. Patients reacting more negatively towards their EDs than their EDs were acting towards them had lower symptom levels and more positive self-images. Externalizing one's ED, relating to it like a symbolic other, seemed to make sense to patients and depending on its quality seemed to influence ED symptoms, illness duration and self-image. We put forward both clinical and theoretical implications based on the assumption that the patient-ED relationship may function in similar ways as real-life interpersonal relationships do.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2018 ◽  
Vol 67 (4) ◽  
pp. 417-436
Author(s):  
Paolo Marino Cattorini

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.


1994 ◽  
Vol 8 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Jacqueline Z. Robarts ◽  
Ann Sloboda

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.


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