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But the "eating disorder as an exercise in self-control" hypothesis may be overstated. If it were true, we would have anticipated eating disorders to be frequent surrounded minorities and the lower classes - human whose lives are controlled by others. Yet, the clinical picture is reversed: the vast bulk of patients with eating disorders (90-95%) are pearly, young (mostly youngster) women from the middle and upper classes. Eating disorders are rare amid the lower and working classes, and among minorities, and non-Western societies and civilizations.
Refusing to Grow Up
In Bulimia Nervosa, protracted incidents of fasting and purging (elicited vomiting and the abuse of laxatives and diuretics) are precipitated by accent (normally fear of social locations akin to Social Phobia) and the collapse of self-imposed dietary rules. Thus, eating disorders seem to be life-long attempts to relieve solicitude. Ironically, binging and purging render the patient even more perturbed and vex in her overwhelming self-loathing and crime.
The Diagnostic and Statistical Manual (DSM) IV-TR (2000) (pp. 584-5):
The Diagnostic and Statistical Manual (DSM) IV-TR (2000) (p. 584) comments on the interior mental landscape of patients with eating disorders:
"Weight loss is outlooked as one impressive accomplishment, a sign of amazing self-discipline, though weight acquisition is penetrated for an unacceptable failure of self-control."
Eating disorders involve masochism. The patient tortures herself and inflicts on her body excellent impair by ascetically abstaining from food alternatively along purging. Many patients cook elaborate meals as others and then refrain from consuming the dishes they had equitable arranged,[link widoczny dla zalogowanych], perhaps as a sort of "self-punishment" or "spiritual purging."
Patients with eating disorders are emotionally labile, frequently su
Other scholars believe that the patient with eating disorder refuses to grow up. By changing her body and stopping her menstruation (a condition known as amenorrhea), the patient regresses apt childhood and avoids the challenges of manhood (loneliness,[link widoczny dla zalogowanych], interpersonal relationships, sex, holding a job, and childrearing).
Eating disorders - notably Anorexia Nervosa and Bulimia Nervosa - are intricate phenomena. The patient with eating disorder maintains a misrepresented view of her body as also portly or as somehow defective (she may have a body dysmorphic disorder). Many patients with eating disorders are base in professions where body manner and image are emphasized ballet students, vogue models, actors).
Eating Disorders and Self-control
Patients with eating disorders retain great secrecy almost their condition, not diverse narcissists or paranoids, case in point. When they do heed psychotherapy it is usually indebted to tangential problems: having been caught stealing food and other forms of antisocial behavior, such as tantrum attacks. Clinicians who are no exercised to diagnose the shrewd and deceptive signs and symptoms of eating disorders constantly misdiagnose them as personality disorders or as mood or emotional or anxiety disorders.
One of the 1st scholars to have studied eating disorders, Bruch, depicted the patient's state of idea as "a skirmish for control, for a sense of personality and effectiveness." (1962, 1974).
The new view of orthodoxy is that the eating disordered patient is attempting to reassert control over her life by ritually regulating her food intake and her body weight. In this respect, eating disorders resemble obsessive-compulsive disorders.
The Eating Disordered Patient
"(Patients with personality disorders museum) feelings of ineffectiveness, a mighty absence to control one's environment, inflexible thinking, limited social spontaneity, perfectionism,[link widoczny dla zalogowanych], and overly curbed initiative and mawkish wording ... (Bulimics show a greater proclivity to have) impulse-control problems, abuse liquor or other drugs, display mood lability, (have) a greater frequency of suicide attempts."
Similarities with Personality Disorders
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