Mental health articles

OF mental health care and mentally ill

anorexia

Interventions in anorexia by cognitive behavioural approaches

The second phase of treatment involves interventions aimed at achieving and maintaining longterm behavioural change. Perhaps the most widely used cognitive behavioural approach was developed by Garner and Bemis. This was divided into a number of phases, the fi rst of which was intended to establish a working alliance with the individual. Garner and Bemis […]

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Nursing interventions for anorexia nervosa

Given the multiple routes to anorexia, the optimal emphasis of treatment may vary considerably across individuals. Potential interventions include cognitive behavioural therapy, family therapy, insight-oriented psychotherapy, with each being complementary rather than competitive interventions. Interventions can be considered in two stages: fi rst, initial treatment, usually in hospital, focusing on weight gain; and second, longer-term […]

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Anorexia and bulimia information

Here are two accounts of people with bulimia and anorexia. Despite both being concerned with eating-related disorders, the two discourses are completely different. The account of the person with bulimia centres on the drive to eat and the guilt and discomfort associated with it. That of the person with anorexia focuses on wider issues, in […]

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Psychological explanations for anorexia and bulimia

Weight-related schemata Social factors translate into behaviour through cognitive processes. Despite the many differences in presenting problems, Fairburn’s cognitive model proposed a similar cognitive disturbance in both anorexia and bulimia: a set of distorted beliefs and attitudes towards body shape and weight. Thinness and weight loss are prioritized, perhaps because of the high status given […]

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Socio-cultural factors of anorexia and bulimia

Socio-cultural factors ‘Thin is attractive.’ People with both anorexia and bulimia place a prime importance on shape and weight, probably because of a more general cultural emphasis placed on physical appearance within Western society. Images of femininity and female attractiveness have shifted since the 1960s to a slimmer, less ‘hour-glass’ shape. The classic ‘figure’ portrayed […]

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Biochemical mechanisms of anorexia and bulimia

Biochemical mechanisms The main brain area involved in the regulation of appetite is the hypothalamus, although other brain areas and factors in the gut also infl uence hunger and satiety. The lateral hypothalamus produces hunger when stimulated; surgical damage results in dramatic reductions in food intake and weight loss. Activation of the ventromedial hypothalamus triggers […]

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Genetic factors of anorexia and bulimia

Genetic factors Genetic factors may contribute to risk for both anorexia and bulimia. Klump et al., for example, estimated 74 per cent of the variance in anorexic behaviours to be attributable to genetic factors, following a twin study in which they found 50 per cent of MZ twins and no DZ twins to be concordant […]

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