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Bulimia Nervosa
Within developmental lifespan psychology, eating disorders are often
categorised under the heading of 'adolescence problems' along with
suicide, delinquency, substance misuse and pregnancy. They are
particularly associated with females, especially during the
development stage of adolescence when one's physical, cognitive and
social development leaves childhood and enters adulthood (Seifert et
al, 1997: 333). It appears that young women are more dissatisfied with
weight than women at any other stage of the female lifespan. This is
due to an increase in awareness of their body shape and weight,
therefore accounting for the large majority of eating disorder cases
being adolescent females (90%) (Kayrooz 2001: 20). Problematic eating
behaviours are becoming a growing concern as the number of cases
increase (especially in the last 20-30 years) and especially as
younger age groups are being affected. Bulimia nervosa (bulimia) is
the most common eating disorder today. However it was only identified
as a disorder in 1979 when a rapid increase in the condition was
established (Gross, 2001: 657). Bulimia shall now be studied in
relation to psychological aspects, definitions, prevalence, symptoms,
complications, treatment and possible causes.
"Bulimia is a syndrome characterised by episodes of binge eating
followed by compensatory behaviour such as vomiting and purging, along
with other techniques to compensate for over eating" (Banyard, 2001:
88). Bulimia affects 1-2.8% of the population, yet it is estimated
that 20% of adolescent girls (2.5 million) exhibit less extreme
bulimic behaviours (Graber et al, 1994). Howeve...
... middle of paper ...
...270-288
Streigel-Moore, R.H., Silberstein, L.R., & Rodin, J. (1986), Toward an
Understanding of Risk Factors for Bulimia, American Psychologist, 41,
246-263, cited in Seifert, K.L., Hoffung, R.J., & Hoffung, M. (1997),
Lifespan Development, Houghton Mifflin Company, Boston, P.350
Tiggemann, M. (2003), Media Exposure, Body Dissatisfaction &
Disordered Eating: Television & Magazines are not the Same, Volume 11
(5), 418-430, cited in European Eating Disorders Review (1996), Wiley
& Sons, London, P.40-53
Thompson, R.A., & Sherman, R.T. (1993), Helping Athletes with Eating
Disorders, Human Kinetics, Champaign, cited in Trew, K & Kremer, J.
(1998), Gender and Psychology, Arnold Publishers, London, P.214
Wilson, G.T. (1999), Treatment Of Bulimia Nervosa: The Next Decade,
European Eating Disorders Review, 7, 77, 81
The complications that accompany body image have long been an issue in society. Body image is the sense of how an individual views his or her own body as compared to others in society, or what is considered to be the ideal body image. There are many different factors that effect ones body image, but a major influence is the media. The media has long been associated with eating disorders such as anorexia nervosa and bulimia. Anorexia nervosa is an eating disorder where an individual participates in self-starvation, and bulimia is an eating disorder where an individual will eat as much as he or she wishes and then purges the previously eaten food. These are two destructive eating disorders that are associated with a negative body image. This comes to question, does media have an influence on creating a negative body image, which may inherently lead to eating disorders like anorexia nervosa and bulimia? Anorexia nervosa and bulimia affect various age groups but is extremely common in adolescence and emerging adulthood. During this stage in an individual’s lifespan there is a lot going on with ones psychological development as well as body. How an adolescent views his or her body image be highly impacted by how the media portrays what the ideal body image is. According to Berger (2015), “as might be expected from a developmental perspective, healthy eating begins with childhood habits and family routines” (p.415). If proper eating habits are not implemented negative body image and eating disorders that are associated with media becomes further predominant in adolescence and emerging adulthood.
Bulimia nervosa is an eating disorder with psychological, physiological, developmental, and cultural components. The disorder is commonly characterized by binge eating followed by inappropriate compensatory behaviors, such as self-induced vomiting, excessive exercise, fasting, and the misuse of diuretics, laxatives or enemas. Patients properly diagnosed with bulimia nervosa endure many psychological and physiological problems. In order to alleviate these problems for the patient, usually some type of intervention is required. Considering the financial costs to the patient who seeks treatment, it is important to identify effective and efficient treatment programs. Due to the wide variety of individual patient differences, it would be unwise to proclaim one treatment method as the universal cure for bulimia nervosa. However, identifying what methods work under particular conditions may help therapists tailor an individualized treatment program after a careful assessment of the client. Having this knowledge would potentially save both the client and the therapist a lot of time and frustration; not to mention, the patient would be on the path to recovery sooner. Kaye et al (1999) stress the importance of making progress towards the understanding and treatment of anorexia and bulimia nervosa, in order to generate more specific and effective psychotherapies and pharmacologic interventions.
Derenne, Jennifer L., and Eugene V. Beresin. "Body Image, Media, and Eating Disorders." Academic Psychiatry 30. June (2006): 257-61. Web. 23 Mar. 2011.
Bulimia nervosa is a disease that predominately affects young females. Since the origination of its medical definition various studies have been implemented to examine the cause of onset and effects of bulimia nervosa. There have also been studies surveying the long-term outcome of bulimia nervosa. These long-term studies have analyzed such relationships as age, employment status, social status and marital status and bulimia nervosa. By using three scientific studies of long-term outcome of bulimia nervosa, this paper will try and evaluate the research obtained and offer critical suggestions to help further studies on this topic.
Look in the mirror. Do you like what you see? Most of us have come to appreciate ourselves for who we are. While other’s struggle to achieve the perfect body. They strive to be what is depicted in fashion magazines and movies. The never ending obsession to be the perfect size zero. This inevitably can lead to eating disorders. Eating disorders can cause someone to have an unhealthy image of themselves and food is the enemy. In a national survey at the Mclean Hospital in Massachusetts it was estimated that over 9 million people suffer with eating disorders. They can struggle with anorexia, bulimia or binge eating. A study conducted by the National Association of Anorexia Nervosa and Associated Disorders states that most of these diseases start before the age of twenty. Another growing problem in the United States is obesity. Over 60 million Americans suffer from this disease, this according to the American Obesity Association (gale opposing viewpoints: eating disorders 2010).
Eating Disorders are on a rapid rise in the United States today, they sweep the halls of Junior High School, High Schools, College Campuses and even Elementary Schools. These disorders are often referred to by professionals as the “Deadly Diet,” however you may know them as Anorexia or Bulimia. Eating disorder effect more than 20% of young females and males in today’s society. Ranging in age from thirteen to forty. It is very rare for a child of a young age to not know someone who is suffering from an eating disorder or symptoms that are associated with one. Statistically it has been proven that one out of every five young woman suffer from serious issues dealing with eating and or weight. (Bruch, 25)
Anorexia nervosa is a life threatening eating disorder defined by a refusal to maintain fifteen percent of a normal body weight through self-starvation (NAMI 1). Ninety-five percent of anorexics are women between the ages of twelve and eighteen, however, “…in the past twenty years, this disorder has become a growing threat to high school and college students”(Maloney and Kranz 60). Anorexia produces a multitude of symptoms, and if not treated, anorexia can lead to permanent physical damage or death.
“The attention-grabbing pictures of various high-flying supermodels and actors on different magazine covers and advertisements go a long way in influencing our choices” (Bagley). The media is highly affective to everyone, although they promote an improper image of living. Research proved says those with low self-esteem are most influenced by media. Media is not the only culprit behind eating disorders. However, that does not mean that they have no part in eating disorders. Media is omnipresent and challenging it can halt the constant pressure on people to be perfect (Bagley). Socio-cultural influences, like the false images of thin women have been researched to distort eating and cause un-satisfaction of an individual’s body. However, it is clear that, although virtually all women are exposed to these socio-cultural influences, only a very small proportion develop clinical eating disorders (Mazzeo and Bulik). Every article believes that socio-culture have an impact on eating disorders. Although, researchers believe that is not the only reason, and the easiest statement to make. Eating disorders are far more complicated than it just being blamed on the media. Bagley, Mazzeo and Bulik all state that media play a role in the development but are not the main reason to developing an eating disorder. In all of the research done thus far media is a part of eating disorders, but not the only culprit.
The stage of adolescence contains major changes which can bring stress, confusion, and anxiety. Feelings of self-consciousness, low self esteem and comparison with peers start occurring during this time. Along with the physical changes there is also hormonal and brain changes that affect the adolescent physically, mentally, emotionally, and psychologically. During this time a person can feel tremendous pressure to find their place in the world among a great deal of confusion (“Eating Disorders and Adolescence,” 2013). Body image concerns and peer pressure are heightened during the period of adolescence, and are potential risk factors in the development of an eating disorder. While eating disorders can affects males and females of all ages, the average age of onset for Anorexia Nervosa, Bulimia Nervosa, and disordered eating takes place during adolescence. These disorders are often a coping mechanism for people to attempt to gain control of their situation when they feel helpless among other aspects of life (“Eating Disorders and Adolescence,” 2013). Eating disorders in children and teens can lead to a number of serious physical problems and even death (Kam, n.d.).
Bulimia nervosa is a slightly less serious version of anorexia, but can lead to some of the same horrible results. Bulimia involves an intense concern about weight (which is generally inaccurate) combined with frequent cycles of binge eating followed by purging, through self-induced vomiting, unwarranted use of laxatives, or excessive exercising. Most bulimics are of normal body weight, but they are preoccupied with their weight, feel extreme shame about their abnormal behavior, and often experience significant depression. The occurrence of bulimia has increased in many Western countries over the past few decades. Numbers are difficult to establish due to the shame of reporting incidences to health care providers (Bee and Boyd, 2001).
Anorexia represents one percent of most prevalent eating disorder diseases. The word anorexia itself means, “ lack of appetite”. Anorexia is an all-encompassing pursuit of thinness. The person effected by Anorexia has an absolute fear of becoming obese (Matthew 4).
Shapiro, C. M. (2012). Eating disorders: Causes, diagnosis, and treatments [Ebrary version]. Retrieved from http://libproxy.utdallas.edu/login?url=http://site.ebrary.com/lib/utdallas/Doc?id=10683384&ppg=3
Bulimia nervosa, more commonly known simply as bulimia or binge and purge disorder, is an eating disorder that affects 1 in 4 college-aged women in America, or 1 in 10,000 Americans. The most common misconception concerning bulimia is that it is simply a physical or mental problem. Many people do not understand that bulimia is a disease that affects both the mind and the body, and in its course can destroy both aspects of the diseased individual.
Anorexia nervosa and Bulimia nervosa are described as psychological eating disorders (Keel and Levitt, 1). They are both characterized by an over evaluation of weight. Despite being primarily eating disorders, the manifestations of bulimia and anorexia are different. They both present a very conspicuous example of dangerous psychological disorders, as according to the South Carolina Department of Health, “Eating disorders have the highest mortality rate of any mental illness” (Eating Order Statistics, 1). While Bulimia and anorexia both psychological disorders primarily prevalent in women, anorexia tend to have different diagnostic complexities, symptoms and physiological effects as compared to bulimia.
Eating disorders are a serious health problem. Personal Counseling & Resources says that eating disorders "are characterized by a focus on body shape, weight, fat, food, and perfectionism and by feelings of powerlessness and low self-esteem." Three of the most common eating disorders are anorexia nervosa, bulimia nervosa, and binge eating or compulsive eating disorder. According to Anorexia Nervosa and Related Eating Disorders, a person with anorexia "refuses to maintain normal body weight for age and height" and "weighs 85 percent or less than what is what is expected for age and height." A person diagnosed with bulimia has several ways of getting rid of the calories such as binge eating, vomiting, laxative misuse, exercising, or fasting. The person might have a normal weight for their age and height unless anorexia is present. The signs of a compulsive eater include eating meals frequently, rapidly, and secretly. This person might also snack and nibble all day long. The compulsive eater tends to have a history of diet failures and may be depressed or obese (Anred.com).