scholarly journals “How Can I Have my Cake and Eat it?” A Contemporary Dissociation-Based Self-State Model of Anorexia and Binge-Eating Disorder

2020 ◽  
Author(s):  
Shelley Heusser
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Personality Disorders ◽  
Binge Eating Disorder ◽  
Psychotic Disorders ◽  
The Self ◽  
Eating Disordered ◽  
Clinical Vignettes ◽  
Psychoanalytic Literature ◽  
Relational Trauma

The extant, contemporary psychoanalytic literature suggests that pathological dissociation is at the heart of most psychiatric disorders, ranging from personality disorders to affective and psychotic disorders. This chapter will begin by situating Janet’s contributions to the splitting of consciousness, and then discuss dissociation, and the resultant splintering of the self, as a ubiquitous response to early relational trauma. Specific dissociated self-states as they appear in anorexia and binge-eating disorder will be put forward, using detailed clinical vignettes to describe the paradoxical functions of these self-states, and the way they structure the eating-disordered patient’s relationship to food, eating, and their body. Treatment implications as they pertain to relational psychoanalytic technique will be considered.

Personality Disorders in Eating Disorder Not Otherwise Specified and Binge Eating Disorder

2014 ◽  
Vol 202 (2) ◽  
pp. 119-125 ◽  
Author(s):  
Oddgeir Friborg ◽  
Monica Martinussen ◽  
Sabine Kaiser ◽  
Karl Tore Øvergård ◽  
Egil W. Martinsen ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Personality Disorders ◽  
Binge Eating Disorder ◽  
Not Otherwise Specified

The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity

2003 ◽  
Vol 33 (7) ◽  
pp. 1311-1317 ◽  
Author(s):  
P. VAN HANSWIJCK DE JONGE ◽  
E. F. VAN FURTH ◽  
J. HUBERT LACEY ◽  
G. WALLER
Keyword(s):  
Eating Disorder ◽  
Personality Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Personality Disorders ◽  
Binge Eating Disorder ◽  
Personality Pathology ◽  
Obese Patients ◽  
Binge Eaters ◽  
Dsm Iv

Background. There are numerous reports of personality disorder pathology in different eating disorders. However, few studies have directly compared personality pathology in bulimia nervosa, binge eating disorder and obesity. The present study examines group differences in DSM-IV personality pathology, considering the potential utility of understanding personality disorders in terms of diagnosis and dimensional scores.Method. Eating disorder diagnoses were established using the Eating Disorder Examination interview. Thirty-five bulimia nervosa patients, 15 binge eating disorder patients and 37 obese patients were assessed and compared on the International Personality Disorder Examination using categorical and dimensional personality disorder scores.Results. For most personality disorders, there was a dichotomy of binge eaters versus non-binge eaters. In contrast, there was a continuum of severity in borderline personality disorder pathology between the groups. The dimensional system of measurement of personality pathology allowed for clearer differentiation between the groups.Conclusion. The study strongly indicates that personality disorder difficulties are present in patients who binge eat, while obese patients who do not binge eat display significantly less personality disorder pathology. Assessment of bulimia nervosa, binge eating disorder and obesity needs to address personality disorders and pathology. Dimensional markers of personality pathology can be used to supplement categorical diagnoses, providing information about the traits that underlie diagnosis.

Klassifikation von Essstörungen im Zuge von DSM-V mit besonderem ­Fokus auf der Diagnostik von Ess­anfällen bei der Binge-Eating-Störung

2011 ◽  
Vol 59 (4) ◽  
pp. 267-274 ◽  
Author(s):  
Anja Hilbert
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Klinische Relevanz ◽  
Dsm V

Zusammenfassung.Die Klassifikation von Essstörungen steht im Zentrum aktuellen Forschungsinteresses. Gerade relativ rezente diagnostische Kategorien wie die Binge-Eating- oder Essanfallsstörung (Binge Eating Disorder, BED) und diagnostische Hauptmerkmale wie Essanfälle bedürfen im Zuge der Überarbeitungen des DSM einer Überprüfung. In dem vorliegenden Artikel werden zunächst die für das DSM-V vorgeschlagenen Veränderungen der diagnostischen Kriterien der BED und anderer Essstörungen beschrieben. An­schließend wird das Essanfallsmerkmal der Größe der verzehrten Nahrungsmenge in einer Forschungsübersicht hinsichtlich seiner klinischen Relevanz für die BED betrachtet. Dabei zeigt sich, dass sowohl objektive als auch subjektive Essanfälle psychopathologisch relevant sind. Jedoch sind objektive Essanfälle aufgrund ihrer Assoziation mit einem geringeren Behandlungserfolg, einer größeren residualen Symptomatik und vermehrten Rückfalltendenzen das vergleichsweise stringentere Erfolgskriterium in der Therapieerfolgsforschung der BED. Vor diesem Hintergrund erscheint es für die BED zentral, neben objektiven Essanfällen zusätzlich auch subjektive Essanfälle zu erfassen. Für das DSM-V wird empfohlen, ein Schema zu entwerfen, um das Auftreten und die Häufigkeit dieser Formen von Essanfällen für die BED sowie für andere klinische und subklinische Formen von Essanfällen systematisch zu erheben. Eine sorgfältige Erfassung der Essanfallsgröße in Studien zur Psychopathologie, zum Verlauf und zur Behandlung, wird es erlauben, die klinische Relevanz dieses Merkmals über das Essstörungsspektrum hinweg weiter zu klären.

Stress-induced body dissatisfaction in women with binge eating disorder.

2018 ◽  
Vol 127 (6) ◽  
pp. 548-558 ◽  
Author(s):  
Eva Naumann ◽  
Jennifer Svaldi ◽  
Tanja Wyschka ◽  
Markus Heinrichs ◽  
Bernadette von Dawans
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Body Dissatisfaction ◽  
Binge Eating Disorder

Comparable Effectiveness of CBT and IPT for Binge-Eating Disorder

2002 ◽  
Author(s):  
D. E. Wilfley ◽  
R. R. Welch ◽  
R. I. Stein ◽  
E .B. Spurrell ◽  
L. R. Cohen ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder

Excessive concern with shape and weight important in binge eating disorder

2008 ◽  
Author(s):  
C. M. Grilo ◽  
J. I. Hrabosky ◽  
M. A. White ◽  
K. C. Allison ◽  
A. J. Stunkard ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Binge Eating Disorder
Sign in / Sign up

Export Citation Format

Share Document