psy381

Two main diagnosis... Eating disorders caused by the brain or the mind.  

Something is affecting the nervous system or the mind.

• 1. person refusal to maintain more than 85% of normal body weight
• 2. intense fear of becoming overweight
• 3. distorted view of body weight and shape 
• 4. amenorrhea=the absence of mentural cycle in women

restricting type and binge eating/purging type 

individual restricts bad food, leads to restricting almost everything

lose weight by vomitting after meals, using laxatives or diaretics (like the water pill), or overexercising. 

has biggest increase in rates of anorexia 

becoming thin

• fear of............
• becoming obese
• losing will power
• giving in to desire to ear
• losing control of body size, weight, or shape

low opinion of body shape, overestimate actual proportions, hold maladaptive attitudes and misperceptions (ideas)

• mild depression
• anxiety
• low self esteem
• sleep disturbances
• obsessive compulsive patterns 
• substance abuse 

• amenorrhea
• low body temp
• low blood pressure 
• low pulse rate 
• body swell (stomach) 
• brittle bones 
• dry skin, brittle nails 
• lanugo=fine white downey like hair that covers the body 

• uncontrollable overeating in a limited period of time
• then will vomit or use laxative to flush out as soon as possible 

tend to maintain normal body weight and can go years without being diagnosed. 

enemas

• purging type- 
• non purging type-go from binging to fasting, then burn up calories as much as possible, will exercise instead of sleeping 

but bulimia can lead to having anorexia 

• preceded by feelings tension, followed by feelings of extreme self-blame, guilt, depression, and fear of weight gain and discover=people are going to find out 
• 2-40 binges per wook 

prefer soft foods 

• vomiting-get rid of calories 
• laxatives or diuretics- help remove calories as quick as possible

Cycle- I eat cuz I feel good, throw up, then eat again.  

• onset starts after period of dieting 
• fear of becoming obese, desire to be thin
• preoccupation with food, weight, and appearance 
• elevated risk of self har or suicide
• feelings of anxiety & depression
• substance abuse
• neg. attitudes toward eating 

medical-half experience amenorrhea, suffer esophagul mouth teeth, 

psychological- change alot of friendships (cuz they will know what I do), want to please others, be attractive to others, interested in intimate relationships, more sexually experienced, more likely to predisposed to personality disorders

• sociocultural conditions (societal and family pressures 
• psychological problems (ego, cognitive, mood distubances)
• Biological factors- circulatory, respiratory, nervous system

• 1. correct abnormal eating pattern
• 2. address psychological and situational factors that have led to an are maintaining the eating problem 

• 1. restore proper weight 
• 2. recover from malnurishment
• 3. restore proper eating 

• 1. eliminate binge eating/purge patterns
• 2. establish good eating habits
• 3. eliminate underlying cause of the behavior (bylimic pattern)

state of mind where person detatches from reality 

• 1.delusion  
• 2.disorganized thinking or speech
• 3.heightened perceptions
• 4.hallucinations
• 5.inappropriate affect 

bizarre interpretation of reality most common is persecutory=someones following me, running my life

• loose association-mixed up sentences
• neologisms-words get created (frustrationing)
• clang-compulsive rhyming that has no meaning

sights sounds feeling are different, their feelings and experiences are much more powerful 

experiences of things that arent there, may be visual, auditory, or taste 

emotional response is not connected to actual experience. like social norms ex. open the door when someones hands are occupied 

• alogia
• flat affect
• avolition
• social withdrawl
• psychomotor 

• deficit or poverty in speech 
• ex. takes long in answering a question or very slow speech

• facial expression of when you've spaced out,
• ex. avoidance of eye contact, no emotion when disgussing something emotional 

awkward movements, strange gestures/postures

catatonia-forced grasping, waxy flexibility

• positive symptoms 
• neg. symptoms 
• psychomotor symptoms 

**some may experience 1 each or pos. w/ psychomotor or neg. w/ psychomotor symptoms 

• age late teens to mid 30's 
• onset is earlier in men than woman 

• prodromal-early stage, beginning of deterioration
• active-symptoms more increasingly apparent
• residual-subsiding stage, return to prodromal symptomology 

signs of disorder for six months or more, needs to be significant enough to impair daily life 

• 1. disorganized-confusion, incoherence, and flat or inappropriate affect. often accompanied by speech or laughter both pos. & neg. symptoms
• 2. catatonic-extreme psychomotor disturbance. echolalia=repeat what someone says... echopraxia=repeat someones movements or gestures. predominantly neg. symptoms
• 3. paranoid-delusions and hallucinations abound, superior or patronizing behavior to others positive symptoms
• 4. undifferentiated-symptoms are clearly unidentified, experiences a combination of symptoms, eventually will become somthing more specific 
• 5. residual-symptoms have lessoned in strength, has to be absent of postive symptoms, less severity of disorder

pscyhodynamic-freud where blames mother, blames it on childhood experiences 

behavioral-as a child was not reinforces to social cues leading them to focus on irrelevant cues ex. room lighting 

cognitive view-faulty thinking or thought process from cognitive perspective 

social labeling- see someone act abnormal, labeling occurs, live up to what label really means 

family dysfunction- the double bind hypothesis=when parents send children mixed messages where you're damned if you do and damned if you don't