Class 3

Question 1

Important concept in psychotherapy

Answer 1

Understanding and accepting ambivalence

Question 2

OSFED

Answer 2

Atypical anorexia
Low frequency bulimia
Low frequency BED
Purging

Question 3

If ED is like OCD then ??? an decrease the OCD reaction

Answer 3

exposure

Question 4

ED behaviours egosynthonic or dystronic?

Answer 4

egosynthonic

Question 5

What is more effective? Psychoeducation on CBT, biology or malleable biology (epigenetic)?

Answer 5

CBT and malleable biology

Question 6

PREDISPOSING bio

Answer 6

Genes
Physiognomy/Weight
Appetite Regulation
Metabolism
Gender
Temperament
Genes

Question 7

PRECIPITATING bio

Answer 7

Weight (diet)
Metabolism
Puberty

Question 8

PERPETUATING bio

Answer 8

Neurobiology
Weight
Temperament
Impulsivity

Question 9

PREDISPOSING PSYCHOLOGICAL

Answer 9

Mealtime experiences
Trauma affecting body experience
Self-esteem
Coping mechanisms
Self-regulation
Unresolved conflicts
Posttraumatic reactions
Identity
Personality
Overprotection/Neglect

Question 10

PRECIPITATING PSYCHOLOGICAL

Answer 10

Body image: way we perceive body
And investment in our body im
Weight beliefs
Values assigned to food/body
Diet
Trauma

Question 11

PERPETUATING PSYCHOLOGICAL

Answer 11

Weight beliefs
Diet
Identity
Self-esteem

Question 12

SOCIAL PREDISPOSING

Answer 12

Family attitudes (eating, weight)
Pressure to be  thin
Body-relevant insults
Cultural values on body
Family dysfunction
Social Isolation

Question 13

PRECIPITATING SOCIAL

Answer 13

Pressure to be thin
Peer-group weight concerns
Major social change

Question 14

PERPETUATING SOCIAL

Answer 14

Pressure to be thin
Peer-group weight concerns
Social Isolation

Question 15

Biological factors

Answer 15

Genetically predetermined (85%)
Restriction: lower metabolic rate
Genes for ED 
Restriction leads to bingeing
Tryptophan– amino acid that fabricates serotonin, less tryptophane, less serotonin

Question 16

Psychological factors

Answer 16

-Certain traits associated with ED. Partly genetic.
Restriction and perfectionism (conscientious)/ impulsivity and binge (spontaneous)
Identifying our tendencies help better understand the ED
-Body image: How do you assess yourself? What is the difference if you assess yourself based on one or multiple domains of your life?
-Emotion regulation: How bingeing, purging and restriction can be a way of dealing with difficult emotions- but maintain the ED. Take the time to identify what happens for you when you feel X…

Question 17

Social Factors

Answer 17

Creation of unhealthy beauty standards that are impossible to achieve
AN less influenced by culture than BN.

Question 18

Evaluation: Eating patterns?

Answer 18

Can you talk to me about what you eat in a typical day?

How many times per day
Quantity per meal
Rigidity
Rituals
Food avoided

Question 19

Evaluation: Binge eating?

Answer 19

Do you ever feel like you are losing control when you eat?

Objective binges?
Subjective binges?: N amount of food but loss of control
On which foods?
What precipitates the loss of control?

Question 20

Evaluation:Weight control?

Answer 20

What are the means that you use
to control your weight?

Purges
Laxatives, fat burners
Coffee, energy drinks
Chewing and spitting
Exercise?
Others? 
If you can’t do it, does it increase your anxiety level?

Question 21

Evaluation:Body perception?

Answer 21

How do you find your physical appearance?
The line between feeling fat is fine

Do you have obsessive thoughts about your appearance?

Will you do any behaviors to check your appearance (mirror, weighing, body checking)?

Question 22

Evaluation:Development of ED?

Answer 22

When did symptoms first appear?

In what context?

How did they evolve over time?

Question 23

Evaluation all elements

Answer 23

Eating patterns, binge eating, weight control, body perception, development of ed, physical sx, medical follow-up