OBESITY - OBESITY DSM-IV 316.00 Psychological factors affecting medical health behaviors % sex,andheight.,obesityisagener

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
OBESITY DSM-IV 316.00 Psychological factors affecting medical condition—maladaptive health behaviors Obesity is defined as an excess accumulation of body fat at least 20% over average weight for age,  sex, and height. Although considered to be a type of eating disorder, obesity is a general medical condition  coded on Axis III, with psychological factors that adversely affect the course and treatment of the medical  condition, creating additional health risks for the individual. ETIOLOGICAL THEORIES Psychodynamics Food is substituted by the parent for affection and love. The child harbors repressed feelings of  hostility toward the parent, which may be expressed inward on the self. Because of a poor self-concept, the  person has difficulty with other relationships. Eating is associated with a feeling of satisfaction and  becomes the primary defense. Biological These disorders may arise from neuroendocrine abnormalities within the hypothalamus, which cause  various chemical disturbances. Familial tendencies have been identified, but obesity is not clearly identified  as being hereditary. People who are overweight have more fat cells than thin people and are known to be  less active. Although overeating has long been believed to be the cause of obesity, research has not borne  this out. Another popular theory has identified carbohydrates as the fattening substance. Currently, a high  intake of fat in the diet is being identified as the reason for weight gain / inability to lose weight. The set- point theory proposes that people are programmed to maintain a certain level of weight to protect fat stores.  Studies reveal that leptin regulates body weight by telling the body how much fat is being stored. Obese  individuals often have higher leptin levels, suggesting a failure of the body to respond to leptin. This may  represent a deficiency of receptor sites or inadequate amounts of glucagon-like peptide-1 (GPL-1), which  may impair the leptin signaling pathway. In recent research, genetics, metabolic changes placing some people at risk, and the way the body  stores fat all play a part in the problems of obesity. Rather than a single, simple cause, obesity appears to be  the result of a complex system reflecting all these factors. Family Dynamics Parents act as role models for the child. Maladaptive coping patterns (overeating) are learned within  the family system and are supported through positive (or even negative) reinforcement. Family systems  may sabotage efforts at changing any part of the system to maintain the status quo. CLIENT ASSESSMENT DATA BASE
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

Page1 / 10

OBESITY - OBESITY DSM-IV 316.00 Psychological factors affecting medical health behaviors % sex,andheight.,obesityisagener

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online