A client comes to you having had to quit work due to a degenerative visual impairment. He has a 3 year-old child and his wife is expecting another baby. His sight may continue to deteriorate or it may remain at the current level. He is suffering stress, feelings of grief and loss and anxiety about the future. »
The essential features of Bulimia Nervosa are binge eating and inappropriate compensatory methods to prevent weight gain at least twice a week for at least three months. The self-evaluation of people with Bulimia Nervosa is excessively influenced by body shape and weight. A binge is defined as eating in a discrete period of time (usually less than two hours) an amount of food that is significantly larger than most people would eat under similar circumstances. Although the type of food consumed during binges varies, it typically includes sweet, high-calorie foods such as ice cream or cake. However, binge eating is characterised more by the abnormality in the amount of food consumed than by a craving for a specific food. »
MacLeod (1981) states people with anorexia are notoriously difficult persons who are determined to hang on to their symptoms at all costs. This is a common view throughout the medical profession and related fields, possibly due to the ego-syntonic nature of eating disorders – the person is comfortable with the disorder and views it as consistent with their goals and wishes. »
One of the most important advancements in the understanding of eating disorders is the recognition that many of the symptoms once thought to be primary features of anorexia nervosa are actually symptoms of starvation. An experimental study, conducted and published 50 years ago by Ancel Keys and his colleagues at the University of Minnesota (Keys, Brozek, Henschel, Mickelsen & Taylor, 1950) is the best example of the wide-ranging physical, cognitive, social and behavioural effects of starvation, initially thought to be the symptoms of anorexia nervosa. The subjects of the study were 36 healthy young men who volunteered as an alternative to military service. »
The Chimp Paradox, authored by Steve Peters (2013), presents a compelling exploration of the Human mind and its intricate workings. Peters, a psychiatrist most renowned for his work in elite sports psychology, introduces readers to a captivating mode...
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