Distorting Patient or Distorting Instrument?

1989 ◽  
Vol 155 (2) ◽  
pp. 196-201 ◽  
Author(s):  
P. K. Bowden ◽  
S. W. Touyz ◽  
P. J. Rodriguez ◽  
R. Hensley ◽  
P. J. V. Beumont

Three current techniques for estimating body size (Image Marking, Visual Size Estimation, and Distorting Video techniques) were compared. Anorexia nervosa and bulimic patients and normal control subjects were required to make size judgements of the way they ‘knew’ they looked, the way they ‘felt’ they looked, and of the width of an inanimate control object. Results from the three techniques were not the same, thus implying that research findings can no longer be cross-compared. Moreover, while all subjects were similar in the accuracy of their estimation of a control object, anorexia nervosa and bulimic patients overestimated their own body size significantly more than normal controls. This difference was even more marked when affective instructions were compared.

1986 ◽  
Vol 149 (1) ◽  
pp. 113-118 ◽  
Author(s):  
Linda Proctor ◽  
Stephen Morley

We asked 24 patients with anorexia nervosa and 30 normal controls to estimate their body-size several times, each time using different instructions. The degree of over-estimation was found to vary predictably with the wording of the instructions. Informing the subject that she had made an error without specifying the direction of the error resulted in reduced over-estimation on a subsequent trial, for both anorexics and controls. ‘Internally directed’ instructions were associated with a greater degree of over-estimation than ‘external’ instructions in both groups, but particularly in anorexic subjects. Our results indicate the necessity of controlling the ‘demand characteristics' of such experiments.


1978 ◽  
Vol 8 (2) ◽  
pp. 317-324 ◽  
Author(s):  
R. A. Pierloot ◽  
M. E. Houben

SYNOPSISThe estimation of body dimensions in a group of 31 patients with anorexia nervosa and a control group of 20 psychoneurotic females has been studied with different techniques, including a visual size estimation apparatus and the marking of indicated body points on a paper attached to the wall. The results confirm the previously described tendency by patients with anorexia nervosa to overestimate body size in the stage before their treatment in hospital. Various differences between the two groups were found and the anorexic patients were more inconsistent in the estimation of the different body measures. On the basis of correlations with the results of an internal-external control questionnaire, it is suggested that overestimation and variability in visual size estimation could be promoted by an orientation towards external control.


Topoi ◽  
2021 ◽  
Author(s):  
Lucy Osler ◽  
Joel Krueger

AbstractAnorexia Nervosa (AN) is an eating disorder characterised by self-starvation. Accounts of AN typically frame the disorder in individualistic terms: e.g., genetic predisposition, perceptual disturbances of body size and shape, experiential bodily disturbances. Without disputing the role these factors may play in developing AN, we instead draw attention to the way disordered eating practices in AN are actively supported by others. Specifically, we consider how Pro-Anorexia (ProAna) websites—which provide support and solidarity, tips, motivational content, a sense of community, and understanding to individuals with AN—help drive and maintain AN practices. We use C. Thi Nguyen’s work on epistemic “echo chambers”, along with Maria Lugones’ work on “worlds” and “ease”, to explore the dynamics of these processes. Adopting this broader temporal and intersubjective perspective, we argue, not only helps to further illuminate the experiential character of AN but also has important clinical and therapeutic significance.


1979 ◽  
Vol 134 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Regina C. Casper ◽  
Katherine A. Halmi ◽  
Solomon C. Goldberg ◽  
Elke D. Eckert ◽  
John M. Davis

SummaryBody image distortion in 79 female anorexia nervosa patients were examined on a visual-size estimation apparatus during the emaciated stage of illness. Both they and an age-matched female control group overestimated their body widths, so this overestimation cannot be considered unique to anorexia nervosa. Among anorexia patients the degree of overestimation was associated with less weight gain during treatment, greater denial of illness, and several other pretreatment characteristics indicative of poor outcome.


1995 ◽  
Vol 81 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Enrico Molinari

The aim was to explore the body-image perception of a group of 20 hospitalised anorexic patients, aged 18 to 21 years, undergoing a period of treatment. The instrument used was the Askevold nonverbal perception test as modified by Allamani and colleagues in 1978 to assess perception of the dimensions of different parts of the body by exploiting the capacity to project them into space. The four parts were the head, the thoracic area, the abdominal area, and the pelvic area. Analysis of responses indicated that anorexic patients overestimated the abdominal and the pelvic areas much more than the 20 members of the control group (50% vs 30%). The areas of the head and thorax were perceived almost in their real dimensions by the anorexic patients but were underestimated by the control group.


1986 ◽  
Vol 149 (1) ◽  
pp. 98-103 ◽  
Author(s):  
Andrew M. Whitehouse ◽  
Christopher P. L. Freeman ◽  
Annette Annandale

Body size estimation was studied in 22 patients with bulimia and 20 normal controls. Two methods of body size estimation were used, a distorting television image method (DTIM) and the image marking method (IMM). The subjects estimated body size of a dummy as well as their own body on the DTIM. When estimating body size on the DTIM the bulimics overestimated and the controls underestimated, there being a significant difference between the two groups. There was no difference between the groups when estimating the size of the dummy. On the IMM a significant difference was found between the bulimic and control groups, the bulimics overestimating body size and the controls being more accurate. Marked directional effects were found with the DTIM. The two methods of body size estimation are compared.


2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Katri K. Cornelissen ◽  
Kristofor McCarty ◽  
Piers L. Cornelissen ◽  
Martin J. Tovée

2017 ◽  
Vol 57 ◽  
pp. 21-31 ◽  
Author(s):  
Simone Claire Mölbert ◽  
Lukas Klein ◽  
Anne Thaler ◽  
Betty J. Mohler ◽  
Chiara Brozzo ◽  
...  

2021 ◽  
Vol 12 (1) ◽  
pp. 204380872199763
Author(s):  
Birgit Hasenack ◽  
Lot Sternheim ◽  
Jojanneke Bijsterbosch ◽  
Anouk Keizer

Although body size estimation (BSE) tasks are frequently used to investigate distorted body representation in anorexia nervosa (AN), the link between anxiety and task performance has been overlooked. To investigate this, 30 female healthy controls (HCs) and 29 female AN patients completed two body attitude questionnaires and three BSE tasks (the Visual Estimation Task, the Tactile Estimation Task and the Hoop Task). Participants completed two body attitude questionnaires and three BSE tasks; the Visual Estimation Task, the Tactile Estimation Task, and the Hoop Task. The STAI-6 was administered before and after each body-related task to assess state anxiety. Results showed that state anxiety levels increased significantly more in AN patients than in HC after completing each task. Thus, performance of AN patients on BSE and other body-related tasks might not just indicate the (mis)perception of their body but also co-occur with increased state anxiety. This has implications for the interpretation of these tasks and for furthering our understanding of the mechanisms that underlie distorted body image in AN.


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