An
examination of anorexia nervosa
By: Alley Dezenhouse, BA ABS
By: Alley Dezenhouse, BA ABS
On
one end of the epidemic, children, adolescents and adults are going to extreme
measures to stay thin; on the other hand, more individuals are becoming obese
than previously recorded (Pinel, 2012).
The role of culture (Sigelman & Rider, 2012), and perhaps perception
(Pinel, 2012), are huge contributors to the both grossly over consuming and
grossly under consuming populations.
In
the case of anorexia nervosa, maladaptive behaviours contribute to the desire
for extreme thinness, pursued at the expense of physical health and wellness
(Pinel, 2012). Pinel (2012) suggest that
2.5% of Americans suffer from anorexia nervosa; I would suspect that even more
suffer from mild and undiagnosed forms of the disorder. From episodes of binge
eating, followed by episodes of guilt and self-induced purging (Pinel, 2012)
anorexics are often fixated on the idea of thinness and/or the desire to
control caloric consumption.
Pinel
suggests that there is currently no widely-used and/or most effective treatment
for anorexia nervosa (Pinel, 2012); but, the psychological component of the
condition requires a holistic treatment. Behaviour modification is often one
piece of the puzzle (Sigelman & Rider, 2012); but, the condition cannot be
targeted in isolation. Courturier and Isserlin (2012) posit a family-based
approach as a suitable intervention for anorexia. Courturier and Isserlin
outline the value of an approach that examines patient history and cite the
urgency and crisis associated with the clients decline in health, as a factor
which contributes to the families tendency to act rashly often going into
crisis mode (Courturier & Isserlin, 2012). An important part of this phase
of recovery, is the families willingness to take ownership over the ability to
challenge the anorexic behaviours; viewing the condition as a pattern of
behaviours that can be challenged, rather than a disease that is chronic is an
important factor in recovery (Courturier & Isserlin, 2012).
References
Isserlin, L., & Couturier, J. (2012).
Therapeutic alliance and family-based treatment for
adolescents with
anorexia nervosa. Psychotherapy, 49(1), 46-51.
doi:10.1037/a0023905
Pinel, J.P. (2012) Basic of biopsychology. Boston: Pearson
Sigelman, C.K. & Rider, E.A. (2012). Life span human development (7e ).
Belmont CA: Wadsworth
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