Cognitive-Behavioral Therapy For Bulimia Nervosa
INTRODUCTION
Bulimia nervosa is an eating disorder characterized by binge eating as well as by self-induced vomiting and/or laxative abuse (Mitchell, 1986). Episodes of overeating typically alternate with attempts to diet, although the eating habits of bulimics and their methods of weight control vary (Fairburn et al., 1986). The majority of bulimics have a body weight within the normal range for their height, build, and age, and yet possess intense and prominent concerns about their shape and weight (Fairburn et al., 1986). Individuals with bulimia nervosa are aware that they have an eating problem, and therefore are often eager to receive help. The most common approach to treating bulimia nervosa has been with cognitive-behavioral therapy.
What is cognitive-behavioral Therapy?
Cognitive-behavioral treatment of bulimia regards individuals' attitudes toward their shape and weight as central to maintaining the disorder. This approach seeks to change individuals' dysfunctional attitudes in order to facilitate recovery. Cognitive-behavioral therapy (CBT) for bulimia is a combination of behavioral techniques and aspects of cognitive therapy. Cognitive therapy (CT) is founded upon the underlying rationale that an individual's affect and behavior are largely determined by the way he/she structures the world (Beck, 1979). The individual's cognitions are based upon attitudes or assumptions that have been developed from previous experiences. Therapeutic techniques of CT treatment are designed to identify, reality-test, and correct distorted conceptualizations and dysfunctional beliefs which underlie the individual's cognitions (Beck, 1979). Therefore CT views an individual'...
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...er characteristics predict outcome in the treatment of bulimia nervosa. International Journal of Eating Disorders. 13(4):349-357.
Thackwray, D., Smith, M., Bodfish, J. & Meyers, A. (1993). A comparison of behavioral and cognitive-behavioral interventions for bulimia nervosa. Journal of Consulting and Clinical Psychology. 61(4):639-645.
Treasure, J., Schmidt, U., Troop, N., Tiller, J., Todd, G., Keilen, M., & Dodge, E. (1994). First step in managing bulimia nervosa: controlled trial of therapeutic manual. BMJ. 308:686-689.
Waller, D., Fairburn, C., McPherson, A., Kay, R., Lee, A., & Nowell, T. (1996). Treating bulimia in primary care: a pilot study. International Journal of Eating Disorders. 19(1):99-103.
Wilson, G., & Fairburn, C. (1993). Cognitive treatments for eating disorders. Journal of Consulting and Clinical Psychology. 61(2):261-269.
Recurrent episodes of binge eating is classified by eating large amounts of food in a discrete amount of time and a lack of control in over-consuming during an episode (Pomerantz, 2014). One then uses recurrent inappropriate purging behavior to prevent weight gain. DSM-5 has updated this occurrence to only once a week for three months. Those with the disorder cause self-evaluation to be strongly influenced by body shape and weight. These disturbances do not occur during episodes of anorexia nervosa, which is self starvation to limit calories and weight (American Psychiatric Association,
Crow, S.J., Peterson, C.B., Swanson, S.A., Raymond, N.C., Specker, S., Eckert, E.D., Mitchell, J.E. (2009) Increased mortality in bulimia nervosa and other eating disorders. American Journal of Psychiatry 166, 1342-1346.
In the other definitions, The Army Doctrine reference Publications states the definitions of the profession. The Army defines a profession is a trusted self-policing and relatively ...
There is now compelling evidence from double-blind, placebo-controlled studies that antidepressant medication is useful in the treatment of bulimia nervosa. What is less clear is which patients are most likely to benefit from antidepressant medications and how to best sequence the various therapeutic interventions available. The utility of antidepressant medications in bulimia nervosa has led to their evaluation in binge eating disorder. The limited information currently available suggests that antidepressant treatment may be associated with a reduction in binge frequency in obese patients with binge eating disorder, but does not lead to weight reduction.
...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
Eldredge, K.L., et al. "The Effects of Extending Cognitive-Behavioral Therapy for Binge Eating Disorder Among Initial
Many arguments in the abortion debate assume that the morality of abortion depends upon the moral status of the foetus. While I regard the moral status of the foetus as important, it is not the central issue that determines the moral justifiability of abortion. The foetus may be awarded a level of moral status, nevertheless, such status does not result in the prescription of a set moral judgement. As with many morally significant issues, there are competing interests and a variety of possible outcomes that need to be considered when making a moral judgement on abortion. While we need to determine the moral status of the foetus in order to establish the type of entity we are dealing with, it does not, however, exist in a moral vacuum. There are other key issues requiring attention, such as the moral status and interests of the pregnant woman who may desire an abortion, and importantly, the likely consequences of aborting or not aborting a particular foetus. Furthermore, I assert that moral status should be awarded as a matter of degree, based upon the capacities of sentience and self-consciousness an entity possesses. In a bid to reach a coherent conclusion on the issue, the moral status of both foetus and woman, along with the likely results of aborting a particular foetus, must be considered together. Given the multiple facets requiring consideration, I assert that utilitarianism (Mill 1863) offers a coherent framework for weighing and comparing the inputs across a variety of situations, which can determine whether it is ever morally justifiable to have an abortion.
Rorty M, Yager J, & Rossotto E (1994). Childhood sexual, physical, and psychological abuse in bulimia nervosa. American Journal of Psychiatry, 151, 1122-1126.
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).
This article aims to prove that Acceptance and Commitment is the best method for treating eating disorders. Although Cognitive Behavior Therapy has shown some promising results. It supports this claim by stating that Cognitive Therapy is an effective treatment for bulimia and was given a grade A by the National Institute for Clinical Effectiveness Guidelines. The authors are aiming to determine which is an effective method, Acceptance and Commitment Therapy (ACT) or Cognitive Behavior Treatment (CBT). Although, it is a new theory it has proven very effective. Scientific studies of CBT have confirmed its effectiveness for a wide variety of mental illnesses including mood disorders, anxiety disorders, personality disorders, eating disorders, substance abuse disorders, sleep disorders and psychotic disorders. Studies have shown that CBT actually changes brain activity in people with mental illnesses who receive this treatment, suggestin...
The issue that this essay is dedicated to assist to this never ending battle of abortion. This essay will be written from the point of a pro-abortion utilitarian however I must also consider the argument against abortion to get a full understanding of how serious this issue is, the against argument is of a deontological stand-point. First while I argue that abortion is not impermissible, I do not argue that I is always permissible. It allows for and supports our sense, for an example, that Ms Judith Jarvis Thompson states in her A Defence of Abortion, “a sick and frightened teenaged school girl who is pregnant due to being raped may choose abortion and it should be morally permissible however choosing to terminate your pregnancy when you are
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.
The "Anorexia Nervosa" BMJ: British Medical Journal 334.7599 (2007): 894-98. Print. The. Hay, Phillipa J., and Josue Bacaltchuk. The "Bulimia Nervosa" BMJ: British Medical Journal, 323 (2001). Print.
O’Dwyer, Michael P. Student Eating Disorders : Anorexia Nervosa and Bulimia. Washington, D.C.: National Education Association, 2005.
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).