Nonpurgingbulimianocompensatorybehaviors

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Unformatted text preview: ntense image­ • • Divorced or chaotic family pattern defensive posture • Inconsistent parenting & discipline • Self­denying, self­deprecating • Self­indulgent, shame, anger Binge Eating Disorder Binge Eating Disorder • The most common eating disorder • Recurrent episodes of eating amounts larger than most in similar circumstance routinely • Episode defined as 2­hour period of time or meal • Non­purging bulimia – no compensatory behaviors • Eat rapidly until uncomfortable even when not hungry • Frequently binge secretly • Embarrassment & guilt about eating behavior Epidemiology: Binge Eating Disorder Epidemiology: Binge Eating Disorder • 5% ­ 30% prevalence in general population • The most common eating disorder • 3:2 Female to Male • Commonly missed disorder among men • Age of Onset ­ Late teens to early 20s Bulimia and Binge Eating Disorders: Bulimia and Binge Eating Disorders: Comparison • Bulimia • Binge Eating Disorder • Binge eating • Binge eating • Compensatory behavior • No compensatory behavior • Obsessive concern about body • Distressed about bingeing • Obsessive guilt about eating • Non­obsessive guilt or body concern • Feel unable to control • Feel out of control with food • Binge/purge secretly • Less likely to eat secretly • Binge/Purge behavior at least 2X/week for 3 months • Binge 2 days/week for 6 months • Chronic history of food focus, Food cravings and bingeing BODY IMAGE DISTURBANCE BODY Janet (1903) – “A crowd of little specific delusions” Body­image begins to form as early as age 3, but is a consistent conscious awareness by age 8. Body­image disturbances serve as a form of dissociation and control mechanism. Most under­ and normal­weight individuals misperceive their bodies as larger than they are. Most over­weight individuals misperceive their bodies as smaller than they are. Twiggy – 1960s Anorexics Perceive Skin as Fat Exercise Obsession: Common Among AN & BN CONC...
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