Anorexia Nervosa is an eating disorder characterized by severe restriction of food, an intense fear of gaining weight, a distorted body image and a body mass index of less than 18.5 (Kring, Johnson, Davison, Neale, 2013). There are two subtypes of anorexia, Restricting and Binge Eating/Purging. An individual who falls under the Restricting subtype severely restricts food intake, while an individual who falls under the Bing Eating/Purging subtype regularly engages in binge eating and purging. Anorexia typically begins in adolescence and primarily affects women. The disorder is more common in women than in men mainly because of the cultural emphasis that is placed on women’s beauty. Individuals with anorexia generally have a low self-esteem, a very critical self-evaluation and a belief that they can never be too thin. Due to the seriousness of the disorder, the issue of whether or not an individual should have the right the refuse life-sustaining treatment is highly debated.
Some people argue that individuals with Anorexia Nervosa should have the right to refuse life-sustaining treatment. If the individual understands that he or she is refusing treatment and recognizes the consequences of his or her decision, healthcare professionals should respect the patient’s wishes. A person with a mental health condition, such as anorexia, should not be automatically presumed incompetent when making an important health decision (Campbell & Aulisio, 2012). If an individual is automatically presumed incompetent in making the decision to refuse life-sustaining treatment, it displays discrimination towards individuals with mental disorders. Refusal of treatment from a competent individual should be acknowledged, even if the decision is irrational (...
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...tenance of weight gain (Kring et al., 2013). Overall, forced life-sustaining treatment will be appreciated in the long run.
References
Campbell, A. T., & Aulisio, M. P. (2012). The stigma of “mental” illness: End stage anorexia and treatment refusal. International Journal Of Eating Disorders, 45(5), 627-634. doi:10.1002/eat.22002
Gans, M., & Gunn, W. r. (2003). End stage anorexia: Criteria for competence to refuse treatment. International Journal Of Law And Psychiatry, 26(6), 677-695. doi:10.1016/j.ijlp.2003.09.004
Giordano, S. (2010). Anorexia and refusal of life-saving treatment: The moral place of competence, suffering, and the family. Philosophy, Psychiatry, & Psychology, 17(2), 143-154. doi:10.1353/ppp.0.0286
Kring, A. M., Johnson, S. L., Davison, G. C., & Neale, J. M. (2013). Abnormal Psychology.
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Anorexia Nervosa may be described directly as an eating disease classified by a deficit in weight, not being able to maintain weight appropriate for one’s height. Anorexia means loss of appetite while Anorexia Nervosa means a lack of appetite from nervous causes. Before the 1970s, most people never heard of Anorexia Nervosa. It was identified and named in the 1870s, before then people lived with this mental illness, not knowing what it was, or that they were even sick. It is a mental disorder, which distorts an individual’s perception of how they look. Looking in the mirror, they may see someone overweight
...l, D. M., & Willard, S. G. (2003). When dieting becomes dangerous: A guide to understanding and treating anorexia and bulimia [Ebrary version]. Retrieved from http://libproxy.utdallas.edu/login?url=http://site.ebrary.com/lib/utdallas/Doc?id=10170079&ppg=4
The DSM-IV outlines four criteria for anorexia nervosa (APA, 1994). One, a refusal to maintain body weight over a minimal normal weight for age and height (i.e., weight loss leading to maintenance of body weight less than 85% of that expected). Two, an intense fear of gaining weight or becoming fat, even though underweight. Three, a disturbance in the way in which one’s body weight, size, or shape is experienced (i.e., denial of the seriousness of current low body weight, or undue influence of body shape and weight on self-evaluation). Four, in post-menarcheal, amenorrhea (the absence of at least three consecutive menstrual cycles). Two types of anorexia nervosa are defined. The binge eating/purging subtype means that the individual engages in recurrent ep...
All Eating Disorders lead to various health complications and may ultimately result in the death of the sufferer. For instance, Anorexia Nervosa has the highest mortality rate of all psychiatric disorders, as 5 to 9% of Anorexics will die from it (Nolen-Hoeksema, Susan. (2013). Abnormal psychology (6th ed.). New York, NY: McGraw-Hill Education.). Anorexia Nervosa and Eating Disorder Not Otherwise Specified (EDNOS) in its restrictive/subtreshold Anorexia subtype may cause severe organ dysfunction due to extreme malnourishment. These problems include, but are not limited to, cardiac, hepatic, renal, and neurological failure.
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Anorexic: this word is an adjective, a label, and to some, a lifestyle. Medically speaking, it is someone who suffers from the deadly and heartbreaking disease, Anorexia Nervosa. This term translates to “nervous loss of appetite”, but anyone who has battled through this sickness is aware how that is anything but true. Eating disorder patients do not, in fact, lose their appetite; there is more to it than that. Many perceive eating disorders as a choice to be thin, a diet, or a cry for attention; they do not see the mental destruction going on inside of the mind. Eating disorders have the highest mortality rate of any mental illness, yet only 30% of people fully recover (ANAD). The general mindset that society has about eating disorders walks hand in hand with these statistics, slowing down any advances patients may be able to make. Eating disorder patients are not getting proper treatment because of ignorant misconceptions about the illness.
In 1978, Brunch called anorexia nervosa a 'new disease' and noted that the condition seemed to overtake ?the daughters of the well-to-do, educated and successful families.? Today it is acknowledged and accepted that anorexia affects more than just one gender or socio-economic class; however, much of the current research is focused on the female gender. ?Anorexia nervosa is characterized by extreme dieting, intense fear of gaining weight, and obsessive exercising. The weight loss eventually produces a variety of physical symptoms associated with starvation: sleep disturbance, cessation of menstruation, insensitivity to pain, loss of hair on the head, low blood pressure, a variety of cardiovascular problems and reduced body temperature. Between 10% and 15% of anorexics literally starve themselves to death; others die because of some type of cardiovascular dysfunction (Bee and Boyd, 2001).?
Barlow, David H., Vincent Mark. Durand, and Sherry H. Stewart. Abnormal Psychology: An Integrative Approach. Toronto: Nelson Education, 2012. 140-45. Print.
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