scholarly journals Spektrum postaw wobec śmierci u osób z anoreksją

2009 ◽  
Vol 53 (1) ◽  
pp. 185-202
Author(s):  
Małgorzata Starzomska

Anorexia nervosa is a grave psychiatric illness characterized by a distorted body image which triggers intensive self-starvation and — as a consequence — significantly diminished body weight. It can be fatal: the mortality rate is thought to be between 4% and 20%. The very essence of this eating disorder is a categorical refusal to be cured in conjunction with a profound denial of illness. The most peculiar aspect of anorexia nervosa that may account for the denial of illness and the difficulty patients have in accepting treatment is egosyntonicity. It means that the illness is highly valued by afflicted individuals and it is inextricably linked with their sense of identity. Thus this illness is existential. Some researchers describe anorexia nervosa as suicide, but the anorexic understanding of death seems to be more complicated. If anorexia is, for the patient, an avenue to a worthwhile life, then, giving up anorexia — gaining weight — can mean giving up the reason for living. Therefore the refusal of eating that in another patient might look suicidal, may for the anorexic patient be the only way of life. The article analyses various aspects of anorexic attitudes to death.

1993 ◽  
Vol 38 (7) ◽  
pp. 469-471 ◽  
Author(s):  
Clifford W. Sharp

A woman aged 58 who has been blind since the age of nine months presented with major depression and a 40 year history of an eating disorder characterized by a restriction of food intake and body disparagement. The case is additional evidence that a specifically visual body image is not essential for the development of anorexia nervosa and supports the view that the concept of body image is unnecessary and unproductive in eating disorders. Greater emphasis should be placed on attitudes and feelings toward the body, and the possibility of an eating disorder should be considered in cases of older women with an atypical presentation.


2019 ◽  
Vol 21 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Barbara Kostecka ◽  
Katarzyna Kordyńska ◽  
Sławomir Murawiec ◽  
Katarzyna Kucharska

2020 ◽  
Author(s):  
Gennaro Catone ◽  
Filomena Salerno ◽  
Giulia Muzzo ◽  
Valentina Lanzara ◽  
Antonella Gritti

Abstract Background: psychiatric comorbidities are of particular interest in Eating disorders. The association between anorexia nervosa and psychotic disorders is less studied than that with affective disorders (anxiety/depression). The aim of this study is to describe a psychotic symptom (paranoia) in adolescents with Eating Disorders looking at several potential explicative associated factors: eating disorder symptoms, body image concerns, depression and social anxiety. Our hypothesis is that paranoia in AN patients is more explained by the concomitant depression and social anxiety symptoms than core symptoms of the disease (eating disorder symptoms or body image concerns). Methods: this is a retrospective cross sectional study and consecutive, help-seeking adolescents admitted to the Eating Disorder service of the Integrated Pediatric Care Department, Luigi Vanvitelli University Hospital constituted the sample. Data was obtained trough retrospective collection of clinical interviews and self – report questionnaires administered by trained and expert child and adolescent psychiatrists. Results: We obtained data from 92 adolescents with Eating Disorders. Paranoia was dimensionally distributed in the sample (mean: 22,17 SD: 17,7; median 18 IQR: 7/36; range: 0-62). Our regression model explained that paranoia in this population was better explained by depression (coefficient= 0,415 SD: 0,210, p=0,052) and social anxiety symptoms (coefficient= 0,253 SD: 0,060; p<0,001) than eating disorder symptoms (coefficient= 0,092 SD: 0,107; p=0,398) and body image concerns (coefficient= 1,916 SD: 2,079; p=0,359) that did not retain their significance when all our predictive factors entered in the model. Conclusion: This study has some theoretical, clinical and treatment implications. It is important to carrying out screening for the presence of psychotic symptoms in patients with Eating Disorders. These symptoms and associated factors (depression and social anxiety) may complicate the clinical picture of the disease with the need, in certain cases, of psychopharmacological drugs and, among these, anti-psychotics. Finally in the psychotherapy context, paranoid idea may be subject of treatment for patient with EDs.


2017 ◽  
Vol 4 (1) ◽  
pp. 57-59
Author(s):  
S. Dhungana ◽  
S.P. Ojha ◽  
M. Chapagai ◽  
P. Tulachan

Anorexia nervosa is a syndrome characterized by severe weight loss and preoccupation of distorted body image with resulting complications due to starvation. In most of the typical cases of anorexia nervosa, neuroimaging is not done. However, with increasing evidence of intracranial lesions associated with eating disorders including anorexia nervosa, neuroimaging is indicated in almost all cases. We present a case of a 17-year-old female who was admitted initially with the diagnosis of anorexia nervosa (restricting type) and later found to have pituitary adenoma.


Author(s):  
Paul E. Jenkins

AbstractAnorexia nervosa (AN) is a notoriously costly and challenging psychiatric illness to treat. Despite an accumulating evidence base, psychological treatment fails to achieve symptom abstinence in many patients with eating disorders, a shortcoming that is likely to be further pronounced in AN. The case study reported here describes how a mutually agreed break in a course of psychotherapy following an initial lack of progress might have influenced outcome for a client with a severe eating disorder. The patient received 26 sessions of CBT and results, consistent with those of larger studies, showed significant improvement on primary symptom measures. These results are discussed in the context of relevant psychological theories and an exploration of the client's motivation. Consideration is also given to other factors that may have influenced outcome.


2011 ◽  
Vol 3 (1) ◽  
pp. 1-2
Author(s):  
Anneke Aden ◽  
Thomas Stegemann ◽  
Andreas Richterich

Eating disorders do not typically occur in conjunction with specific neurological disorders. Only very few cases of Guillain-Barré-Syndrome (GBS) associated with eating disorders have been reported. The objective of this paper is to describe and discuss a case of anorexia nervosa and concomittant chronic GBS. We report on a course of medical management for a 15 year old female patient, who presented with acute neurological syndrome (GBS) which was followed by the onset of a severe eating disorder. The patient was diagnosed to have two different entities, with the association between the two remaining unclear. The mainstay of management was focused on the eating disorder. Using an integrative psychiatric therapy a significant improvement of the eating disorder was achieved. The patient's body weight was stabilised and the locomotor deficits improved. Though a significant somatic disorder was evident, it proved to be advantageous to primarily focus on the eating disorder, until it was under control. The possible correlations between the two distinct disorders are discussed.


2021 ◽  
Author(s):  
Martha Peaslee Levine

It has been well documented that individuals struggling with eating disorders don’t have clear perceptions of their own bodies. Yet they overly rely on their body image as their sense of self. Even the criteria of certain eating disorders recognize that individuals are strongly affected by their body weight and shape, which is often seen through a distorted lens. Individuals with eating disorders, particularly anorexia nervosa, struggle not only with recognizing their external beauty but also their internal positive qualities. Their perfectionism and critical sense of self leads them to have negative views of their beauty and self-worth. This chapter will look at some of the reasons individuals with eating disorders struggle to appreciate their own beauty, internally as well as externally, and will offer some tools to help with these struggles. Many individuals, even those without disordered eating, struggle with critical self-perception. Perhaps this chapter can help us all become more compassionate to ourselves as we consider our external and internal aspects of beauty.


2021 ◽  
Vol 9 (09) ◽  
pp. 01-04
Author(s):  
Khan Zeenat Muzaffar ◽  

Anorexia nervosa, a type of eating disorder is commonly seen in teenagers. An intense fear of gaining weight and distorted body image compels the teenagers to go on diet, which is resulting in eating less and skipping the meal and ultimately making the teenagers more prone to stress,anxiety,depression and other mental health issues. The study was taken with an intention to find the association of anorexia and mental health. A sample of 913 adolescents from junior college were selected as sample and a standardized test was administered. The findings showed that there is a positive correlation between eating disorder and mental health among adolescents.


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