Described within the vignette is a nineteen year old teenager named Brandy. Similar to girls her age, Brandy has difficulties dealing with her body image and self-esteem. For instance, she experiences hopelessness, isolation, sadness, and anxiety that all contribute to Brandy’s acknowledgement of her physical appearance. She completely overestimates her body size to the point of taking dieting pills then defaulting to purging. During the typical day, the meals are scarce but healthy compared to a bad day full of unhealthy snacking. Lastly, her family predicament is not a supportive one at that. Her mother was obese so she constantly dieted while Brandy’s father illustrated signs of sexual interest although he never physically touched her. …show more content…
Although Brandy does not go on direct binges, she does pig out on candy and related junk food occasionally. Second, she tries to eat healthy and has defaulted to purging in order to stay skinny. Therefore, Brandy meets the second condition on the DSM-5 checklist for bulimia nervosa: “inappropriate behavior in order to prevent weight gain” (Comer, 2013, p.320). Nonetheless, instead of her symptoms lasting longer than a week, the side-effects of her condition continue endlessly. Lastly, all the signs and symptoms negatively impact Brandy’s self-esteem and self-concept. One could say the entire problem has an “undue influence of weight or shape on self-evaluation” (Comer, 2013, p.320). For example, Brandy believes no one wants to be around her because they are disgusted by her weight and overall appearance. Therefore, she shuts herself off from her friends and society. When individuals start paying too much attention, she begins to feel nervous and …show more content…
Honestly, all the treatment plans in the world may fix a problem but there will always be a reoccurrence if support from friends and family is not provided. For instance, going through family therapy is a positive option to choose from when trying to treat a disorder. Also with outside influences contributing to Brandy’s disorder, there is a limited chance she will recover completely. For example, societal pressures from coworkers contribute to her prognosis alongside her parents influence. Brandy’s family environment is rather negative considering her mom’s own personal weight issue and her father’s sexual overtones. In conclusion, if Brandy does recover, there is a high chance she will have a relapse and turn to her previous pathways. However, there is always hope she overcomes her issues after treatment and eventually find a supportive base of
However, these views don’t take social process into consideration. Therefore, they organized a self-help group for bulimics and anorexics known as BANISH in order to determine what societal aspects cause these disorders. The author’s group consisted mostly of college age females which is significant because this is group primarily affected by these disorders. Interestingly, the backgrounds of the women in the BANISH group are strikingly similar in that they are excellent students, good children who have very close parental relationships, from “functional” families - all having been brought up with an emphasis on thin physical appearance. The authors also allude to the fact that in today’s society, slimness is considered attractive and most worthy, while being overweight is viewed as both morally and physically wrong. Society labels heavy people as “lazy, obscene, and unhealthy”. (244) It is noted that when members of the group lost weight, they reported feeling more accepted and
In Andre Dubus’ The Fat Girl, Louise is a young adolescent with detrimental eating habits and broken self-esteem. Her lack of self-confidence stems from her atrocious emotional habitat. Louise receives constant criticism from her mother regarding her weight. Her mother states “If you are fat the boys won’t like you.” That kind of ridicule being said by a mother to her 9 year old daughter creates an atmosphere of self-hatred and self-loathing. It is not only her familial environment that contributes so greatly to Louise’s destructive behavior. She has few friends and the one’s she does have agree she needs to change. The society in which she lives also is a contributing factor; the society is laden with stigmas positioned on appearance. That manner of daily ridicule only introverts Louise even more, causing her secretive, binge eating to deteriorate. In research conducted by Ursula Polli-Potts PhD, Links between Psychological Symptoms and Disordered Eating behaviors in Obese Youths, she explains the correlation between psychological, emotional factors and eating disorders in overweight adolescents. Potts states, “The association between binge eating symptoms and eating in response to feelings of distress and sadness with depression/anxiety symptoms corresponds with the results of other studies.” Potts and her colleagues took overweight adolescents and placed them into control and variable groups to ensure correct data. The outcome of their research was that there is a direct correlation with emotional binge eating and psychological factors. Although more extensive research needs to be implemented, Potts and associates were pleased with the results of the case studies.
Sara is a thirty three year old lesbian black female. She reports that she was 5’9” in eighth grade and has always been larger than everyone. She also reports that her grandmother was present in her life and would control her diet with slim fast starting around eighth grade, and her brother lived with her as well. Sara has stated that growing up, she did not feel safe, and that there has been trauma causing her life struggles. Her close friend, Julie, reports that she is aware of Sara’s condition but only because she has brought it up when something apparent relates, but declines to discuss in any further detail. Julie states that it is hard to believe Sara is struggling with such a condition and for so long because
Ever since 1979, the world became introduced to a different type of anorexia disorder called bulimia nervosa by Gerald Russell. In the similar attempt to lose weight like anorexia, bulimia nervosa is characterized by having episodes of binge eating, followed by intense efforts to avoid gaining weight. Some of the methods to avoid gaining the weight can be to induce self-vomiting, and consuming laxatives or diuretics. As a result of Russell studying theses eating disorders, he discovered that approximately 1/100 women in Western societies were affected in 1990 (Palmer, 2014). Ever since bulimia nervosa became a known eating disorder, more people have been able to effectively be diagnosed with it, and more useful information about the disorder
DK reported having feelings of emptiness, insomnia, and negative mood (Case Study). Emotional symptoms of feeling empty and miserable are typical of unipolar depression (McClure). In addition, DK displays bulimic tendencies. She described her whole life as a diet and reports a constant worry about her weight. Moreover, after she fights with her mother, she engages in binge eating, where she eats many desserts or any food she can obtain (Case Study). Though DK does not exhibit the typical purge behaviors—forcing oneself to throw up or abusing diuretic—she does go to the gym for hours after the binge behavior (Comer, 2015; Case Study). Furthermore, she is very concerned with her appearance and tries to make herself attractive to others by wearing a lot of make-up and changing her hair color (Case Study). In addition, DK is promiscuous and sexually active, which us typical of individuals with bulimia nervosa. DK also exhibits moods swings, which her mother describes as erratic behaviors, which is indicative of bulimia (Comer, 2015; Case Study). Research shows that one-third of individuals with bulimia also display a personality disorder, particularly borderline personality disorder (McClure). More information, like the duration of DK’s depressive and bulimic symptoms, would be needed in order to make additional diagnoses or rule these disorders
...d the gravity of her situation. Portia De Rossi met the three criteria for an anorexia nervosa disorder binge-eating type at the age of 25. Her restrictive food intake through her diets impeded her from having a healthy body weight. As a result she was 85% less than her normal body weight. She also had an immense fear of gaining weight and recurred to purging and excessive exercise. Portia viewed herself to be “fat” even though she was already underweight due to her distorted point of view on body image and weight; all that matter to her was to be thin. Despite having symptoms that could also diagnose her with bulimia nervosa, there was still no clear proof she fulfilled all the criteria for this disorder. However, what clearly differentiated her from being diagnosed with bulimia nervosa and anorexia nervosa was her low weight which was below 85% of normal weight.
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.
Per Reporter: Brandy and her daughter (unknown) moved in with Eileen 11/28/17; attempting to rent a room. Brandy recently escaped an abusive relationship and needed a place to stay; prior to Brandy was unaware of who Eileen was. It is suspected that Eileen using drugs (pills). From 11/29/17-12/3/17 Eileen was witnessed passed out on the couch every day. Eileen admitted to drinking alcohol, but there was no alcohol in the home. Eileen constantly snapped out and cursed at Brittney. On 12/2/17, Brittany left the home going to Home Depot to a workshop with Brandy and her daughter. Before leaving the home Brandy made sure Brittany informed Eileen that she was leaving the home. Halfway through the workshop Eileen called Brandy ballistic stating
In “The Fat Girl,” Louise is overweight/obese in which she experiences indirect rejection, from her friends and family. Everywhere Louise was, she saw someone who was either skinny or skinny models pictured on magazine covers. Her father demonstrates his support and love towards Louise a lot more than any of her family members and friends; however, he still does not solely accept her and her body (Dubus, 159). In the story, Louise describes her father’s eyes filled with pity, but he does not display disapproval of her, while Louise’s mother portrays disappointm...
Anorexia is an obsessive desire to control ones bodily appearance. It often starts with the refusal to obtain a healthy body weight. “This disorder is associated with under nutrition of varying severity with resulting secondary endocrine and metabolic changes and disruptions of bodily functions” (Kontic et al. 2013). An Anorexic person has a distorted view of themselves which can lead to devastating measures of self-starvation due to an immense fear of weight gain. In the same way, an individual suffering with Bulimia has a fear of weight gain, but goes about their technique in a different manner. Bulimia is an eating disorder characterized by binge eating or, consuming a large amount of food in a short time followed by guilt. This guilt is the leading factor to the purging stage where the individual will rid themselves of the physical and emotional discomfort. The ridding stage can invo...
1. Eating disorders in our present society can be viewed as a multi-determined disorder for various reasons. The current definition of a multi-determined disorder is when there is more than one factor with a wide range of causes that creates the disorder to form. Negative influences from family members, friends, the western culture, or even a specific cultural may harshly impact a person and influence how he or she should live their life. Anorexia and Bulimia are both to be considered as a multi-determined disorder that is influenced greatly by socio-cultural, biological and psychological factors. Subcultures create large pressures and restraints to diet and become thin. For instance, the Asian culture, if a person is overweight, they are frowned upon and considered almost as a disgrace to the community. Studies have also proven that family histories that have a weight loss disorder are more likely to also develop depression and anxiety disorders and are more likely found in women. Daily habits in a household also greatly impact the way a child is raised. Factors such as being over protective or having excessive control may also lead to forming an eating disorder, which anorexia becomes more susceptible for children. Psychological factors are most commonly formed when other views and living habits become more influential than our own. The way others perceive a person is defined as a schema. Once schemas are formed they may store in a person’s long-term memory and create self-schemas. Negative self-schemas will change an individual’s personality to become unstable and believe they are constantly being judged. Self-concept then forms leading to more harmful disorders such as poor self-esteem, depression and inability ...
The disorder I pick to do my paper on is bulimia nervosa. In the text book it describes bulimia nervosa as an invisible eating disorder because patients are of normal weight or overweight. It is explain as recurrent episodes of binge eating and inappropriate compensatory behavior. Binge eating is when a person over eats in a short period of time then most people would. Binge eating is the lack of control over eating. There is two types of binge eating one is subjective binge eating is when eating a typical or even small amount of food. Then there is objective binge eating which is describe as eating comparatively large amount of food thats out of control. The pattern of binge eating various it can range from occasionally to a few times a week to 20 or 30 times per day. Once per week for 3 months is a
Out of all mental illnesses found throughout the world, eating disorders have the highest mortality rate. Anorexia nervosa is one of the more common eating disorders found in society, along with bulimia nervosa. Despite having many definitions, anorexia nervosa is simply defined as the refusal to maintain a normal body weight (Michel, 2003). Anorexia nervosa is derived from two Latin words meaning “nervous inability to eat” (Frey, 2002). Although anorexics, those suffering from anorexia, have this “nervous inability to eat,” it does not mean that they do not have an appetite—anorexics literally starve themselves. They feel that they cannot trust or believe their perceptions of hunger and satiation (Abraham, 2008). Anorexics lose at least 15 percent of normal weight for height (Michel, 2003). This amount of weight loss is significant enough to cause malnutrition with impairment of normal bodily functions and rational thinking (Lucas, 2004). Anorexics have an unrealistic view of their bodies—they believe that they are overweight, even if the mirror and friends or family say otherwise. They often weigh themselves because they possess an irrational fear of gaining weight or becoming obese (Abraham, 2008). Many anorexics derive their own self-esteem and self-worth from body weight, size, and shape (“Body Image and Disordered Eating,” 2000). Obsession with becoming increasingly thinner and limiting food intake compromises the health of individuals suffering from anorexia. No matter the amount of weight they lose or how much their health is in jeopardy, anorexics will never be satisfied with their body and will continue to lose more weight.
Daisy constantly compared her appearance and weight to those of TV actresses, women in the media and models, and found herself to be repulsive. Daisy constantly tried to hide her anorexia from friends, family, nurses and doctors. She soon saw herself developing a very severe case of major depression disorder because of the negative feelings she felt about herself, her life, and her relationships. Daisy’s eating disorder was much more apparent to others, that it masked her major depressive disorder that she was also currently struggling with. Throughout this paper I will discuss the following topics:
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.