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PYC4802 Eating disorders 95%

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PYC4802 Eating disorders 95%

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PYC4802 Eating
disorders 95%

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DO NOT COPY THIS ASSIGNMENT. USE AS A GUIDELINE WHEN COMPILING YOUR OWN ASSIGNMENT.



Contents
Part A: The Diagnostic Criteria and Hallmark Features of Anorexia Nervosa, Bulimia Nervosa and Binge-
eating disorder.
Definitions of Anorexia Nervosa, Bulimia Nervosa, Binge-eating disorder.
DSM-5 Diagnostic Criteria of Definitions of Anorexia Nervosa, Bulimia Nervosa, Binge-eating disorder -
compared.
Clinical picture of Definitions of Anorexia Nervosa, Bulimia Nervosa, Binge-eating disorder.
Conclusion.
Park B: Current views on the ‘immunity for eating disorders in our black females of South Africa.
References.


Articles: Eating disorders.




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PART A: The Diagnostic Criteria and Hallmark Features of Anorexia Nervosa, Bulimia

Nervosa and Binge-Eating Disorder


1. An introduction to eating disorders


Anorexia Nervosa, Bulimia Nervosa and Binge-eating disorder are subtypes of an

eating disorder. Eating disorders are described as ‘psychological disorders that centre

around issues of eating behaviour as well as body weight and shape’ (The Cambridge

Dictionary of Psychology, 2009, p. 173). The identification and diagnostics criteria are

standardised with the Diagnostic and Statistical Manual, 5th Edition (DSM-5) under the

category of ‘Feeding and Eating Disorders’ (DSM-5, 2013, p. 329).


Eating disorders centre around an abnormal eating pattern when compared with

others, and an abnormal relationship with food. Anorexia Nervosa was thought to have a

sociocultural aetiology, with highest incidence related to Western cultures, and mostly

affecting middle to high income classes (Burke, 2014, pp. 411-413). The past two decades

have seen a shift to understanding how developmental and biological factors contribute to

these disorders (Nasser, Katzman, & Gordon, 2000).


AN was originally viewed as woman’s disorder, caused by a dysfunctional family. By

the early 1970s Anorexia was noted and spoken about in the media, and the cluster of

symptoms were finally developed and recognised as a neurotic disorder. Nervosa was first

identified in the late 1970s, and shortly followed by the binge-eating disorder. The

aetiology of these diseases was thought to be sociocultural pressures to conform with an

ideal of being very thin. However, family and twin studies conducted in the 1990s showed a

link with genetics for all three eating disorders; Anorexia Nervosa, Bulimia Nervosa and
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Binge-eating. Aetiology is thus multifactorial, and is a complex interaction of genetic

predisposition and environment (Collier & Treasure, 2004).


The ‘thinness ideal’ can be traced back to 1840s when Sylvester Graham, who was a

Presbyterian Minister, advocated that morality and health for women could be gained in a

bland abstinent diet. William Banting made it worse during the 1860s with his protein rich

diet. He equated being overweight with a physical disability and America responded an

anti-fat obsession. By the 1920s being overweight was reviled as it was a sign of being lazy,

and triggered disgust for people with even the smallest amount of surplus weight

(Wolchover, 2012 ).


Today, we find that cultures more recently exposed to ‘Westernised’ ideals are

reporting an increase in the frequency of these eating disorders. In the face of a strong local

and global political drive to understand the effect ‘Westernisation’ has had on the different

indigenous populations, the study of gene–environment interaction has all but fallen by the

wayside (Collier & Treasure, 2004).


2. Definitions of Anorexia Nervosa, Bulimia Nervosa, Binge-eating Disorder


Anorexia is not the same as Anorexia Nervosa in Psychiatric terms. Anorexia is used

to describe a loss of appetite, while Anorexia Nervosa describes as serious psychiatric

illness where the patient deliberately restricts the intake of food due to an intense fear of

being fat, despite being unhealthily underweight for their age, height and gender. Sufferers

may restrict the quantity of food eaten or restrict calories. Excessive exercise may be used

to burn calories consumed. Some sufferers purge food consumed by using laxatives,

enemas or self-induced vomiting (Nordqvist, 2015). While Bulimia Nervosa shares many
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