Eating Disorders Flashcards

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1
Q

Exposure to food…
Birch and Marlin…
Evaluation…

A

The mere exposure effect suggests that the more exposed we are to something, the more familiar we become with it, resulting in a positive attitude towards it. If we grew up with certain types of food we are likely to have a positive attitude towards them but if we are exposed to new food we are likely to have negative attitudes towards it.

  • Introduced 2 year old children to novel food over 6 week period. 1 food was presented 20 x, one 10x and one 5x and one remained novel. The results found a direct relationship between exposure and food preference and found that 9-10 exposures were necessary before preference began to shift
  • Doesn’t tell us what happens when kids grow up
  • Well operationalised
  • practical applications
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2
Q

Social Learning Theory (Peer influence)…
Birch et al…
Evaluation…

A

SLT proposes that our behaviours are a result of observation and imitation. If role models have our attention we will observe them. A memory of this is retained and when a similar situation arises, we might be motivated to imitate the observed behaviour maybe due to vicarious reinforcement.

  • Used peer modelling to change children’s preference of veg. On 4 consecutive days the children were seated next to children who preferred a different tipe of veg at lunch. Resulted in the kid showing a preferred a different veg to the person next to them which was the same in the follow up assessment.
  • Generelisability - may not work of other - individual differences
  • May be result of conformity
  • social desirability.
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3
Q

SLT (parental influence)…
Olivera et al…
Brown and Ogden…

A

Olivera et al.. Reported a clear relationship between mothers food intake for most nutrients and their pre school children and suggested parents could be targeted for trying to improve children’s diets

Brown and Ogden.. Reported consistent correlations between parents and their children in terms of reported snack food intake and food motivation

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4
Q

Associate learning…
Lepper et al…
Evaluation…

A

Classical conditioning theory involves learning a new behavior via the process of association. In simple terms two stimuli are linked together to produce a new learned response in a person or animal. If something that we experience as pleasant e.g. our parents’ attention during a birthday party, is paired with a certain neutral stimulus, such as a birthday cake, then we might associate the cake with the pleasant feelings we have previously experienced as a result of our parents’ attention.

Lepper… used imaginary foods called hupe and hule. 28 pre school kids were told a story. The first was non-contingent condition so having 1 kind of food of was NOT contingent on eating the other. The other was the contingent condition so having 1 kind of food was contingent on having the other. Results showed that there was no preference in 1st condition but in the 2nd condition, children preferred food used as a reward claiming it ‘tasted better’

Evaluation

  • identifying something as a reward tends to enhance its value
  • didn’t get to taste the food so not ecologically valid
  • used counterbalancing, half got hupe before hule and half got hule before hupe.
  • this may be increasing the child’s preference for pudding even further, as pairing 2 foods in this way can result in the ‘reward’ food more positively.
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5
Q

Early learning effect on eating behaviour IDA
Culture…
Alternative approaches…
Nature-nurture debate…

A

Culture.. Early experience varies between culture so thus factor highlights cultural differences and can explain why certain foods are more popular in some cultures. However, studies on rating behaviour focus on western cultures and ignore third world countered whose main aim is to avoid starvation rather than deal with food choice.

Alternative approaches.. Food preferences may be due to physiological cravings for certain nutrients e.g. Cravings during pregnancy which are biological

Nature-nuture debate.. ‘Early learning’ suggests that we gradually develop food preferences over time however we may have some innate food preferences e.g. For sweet and fatty foods.

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6
Q

The Garcia effect - blaming food for illness even if the food does. It cause the illness. What did Garcia find?

A

Garcia gave rats radiation sickness through x rays after they drank saccharine flavoured water, in a red lit room. The rats learnt to avoid saccharine flavoured water but they did not learn to avoid red light.
Also found that when rats were electrically shocked after drinking saccharine flavoured water, they learned to avoid the place they were shocked but no the s flavoured water.
Conclusion: creatures are born ready to learn what makes them sick. This is a stronger ability than the ability to learn an association between two environmental factors meaning there are innate biological constraints on learning.

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7
Q

Evidence for set point theory.

A

Adopted children’s weight is more similar to that of their biological parents than their adoptive parents. MZ twins, even when reared apart are more similar in terms of weight than DZ twins - this supports the theory that body systems are ultimately genetical.

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8
Q

Early Learning Effects on eating behaviour (IDA)

  • culture
  • alternative approaches
  • nature-nurture
  • the Garcia effect
A

Culture: early experiences vary between cultures so this factor highlights cultural differences and can explain why certain foods are more common and popular in some cultures. In this sense there is no cultural bias; however, the study of eating behaviour has focused on western societies, ignoring third world countries whose main aim is to avoid starvation rather than deal with food choice.

Alternative approaches: the factor of early learning draws on behaviourist and development approaches; ignoring the idea that food preferences might be due to physiological craving for certain foods.

Nature-nurture: ‘early learning’ suggests that we gradually develop food preferences over time however, we may have some innate food preferences e.g. for sweet and fatty foods (evolutionary approach).

The Garcia Effect: This describes how we blaming food for illness, even if the food does not cause the illness. Garcia did an experiment on rats and found that creatures are born ready to learn what makes them sick. This is a stronger ability than the ability to learn an association between two environmental factors. This means there are innate biological constraints on learning

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9
Q

Stress effects on eating behaviour…
General Effect Model…
Evaluation… Animal studies, Garg and Bellisle.
-Study against GEM

A

Greeno and Wing 1994..
Stress affects eating via a physiological mechanism. It aims to discover whether stress increases eating generally.

Animal studies- The best evidence for GEM comes from research on housing conditions- rats are aggressive (assumed to be stressed) in isolation whilst Syrian rats are aggressive when housed in groups. Isolated rats put on more weight in isolation and Syrian rats more when it groups.

Garg 2007 - Examined how manipulation happiness and sadness through the content of a movie can influence the consumption of hedonistic foods. Results showed that the movies were successful in manipulating the desired emotions. Second, ppts consumed 28% more while watching a sad movie.
Evaluation…
-Using a full length film enabled researchers to mimic the natural environment in the lab e.g. going to the movies.
-By using lab they could investigate the cause and effect relationship of happy and sad rather than a more global effect.
-Ppts might have known the content of the films therefore the mere anticipation could have influenced consumption.

  • Bellisle et al - 12 men reported to hospital for surgery and were asked to choose their lunch from an array of food. Rated anxiety. Returned to hospital one month later and chose lunch again. Anxiety higher on day of surgery but no more calories eaten so evidence against GEM.

-

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10
Q

Individual Difference Model…
IDM predictions…
Evaluation.. Cool, Conner and Wolf.

A

Greeno and Wing… IDM has been tested on humans and tends to propose psychological mechanisms to explain why stress causes some types of people to eat more or less than they usually do.

  • The Individual Difference Model which predicts that stress only causes changes in eating behaviour in vulnerable individuals. It is argued that one particularly vulnerable group are people who have a history of dieting and concerns over their weight and eating.
  • Predicts that stress effects eating of some types differently to others e.g. Learning history, attitudes, biology.
  • External eating in response to
    1) Environmental cues e.g. food availability and food cues such as sight and smell, rather than when they are hungry
    2) stress masks hunger - external eaters will eat more when stressed if environmental suggests eating (IDM)
  • Emotional eating
    1) Confusing anxiety with hunger due to childhood starvation worry. This may be due to inconsistent parenting.
    2) Emotional eaters will eat more when stressed as they experience anxiety when hungry. (IDM)
  • Restrained eating i.e. dieting
    1) Limiting food intake with will power however this is undermined by stress.
    2) Women will eat more than men when stressed esp. certain foods because they are more likely to diet, more emotional and stress effects restrained, emotional eaters more.

(Shacter - people of normal weight eat when they detect cues telling them they are hungry. Stress decreases such cues (e.g. gastric contractions) Obese people fail to learn to identify such internal cues. So stress will decrease eating in hungry people of normal weight but will increase eating in people who are overweight. He did an experiment where obese males did not reduce eating in response to stress,when informed about electric shocks, but normals did eat less.)

Evaluation of stress and the Individual Differences Model

Oliver et al… 68 healthy men and women were randomly allocated to either stress or control group. In the stress condition, participants were asked to prepare a 4 minute speech on a controversial topic and they would be filmed and assessed after lunch. By contrast, the control group listened to a piece of calming music before lunch. A combination of physiological measures and self report measures were used to confirm the effectiveness of stress.
Results: Although stress did not alter overall intake of food or measures of appetite, stressed eaters in this study consumed more sweet, high- fat foods and ate more ‘energy-dense’ meal that unstressed eaters. Women also scored more highly on emotional eating that men. He also found that stressed/emotional eaters in this study consumed more sweet high, energy-dense foods that non-emotional eaters.

However, Conner et al (1999) students were asked to keep a daily record of the number and severity of daily hassles and the number of snacks consumed over a period of 7 days. Ppts were also asked to complete a questionnaire that assessed three dimensions of eating behaviour: restrained eating, emotional eating and external eating. For participants who scored highly on measures of external eating , there was a statistically significant positive relationship between hassles and snacking. No significant results were found between the two variables for ppts who were rated low on external eating.

Evidence against the influence of stress comes the study of ‘binge-eating disorder’. This disorder can be seen as comfort eating taken to the extreme. Wolff et al (2000) investigated differences between 20 female binge eaters and 20 female normal eaters focusing on daily, self-reported measures of mood, coping and eating behaviour over a three week period. It was found that the binge group reported more stress and negative moods but that their stress levels were similar on binge and non-binge days, whereas negative mood states were more apparent on binge days. This suggests that negative mood is more influential to our eating behaviour than stress.

But…..how can this research be criticised?

​A great deal of research into mood and eating focuses on studying women. However, women are more likely to be dieters, have a greater incidence of eating disorders and often have a pre-occupation with food because of these things. This is a problem because such research and the theories related to it will have a female oriented view of eating because women are pre-dominantly studied. This gives an unrepresentative view of eating behaviour across both genders.

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11
Q

Set-point theory…..

A
  • This theory explains why repeated dieting is unsuccessful in producing long term change in body weight. Going on a diet is an attempt to overpower the set point - the the set point is a seemingly tireless opponent to the dieter.
  • The set point is a control system built into every person dictating how much fat he or she should carry - a kind of thermostat for body fat. Body fat percentage and body weight are matters of internal biological controls that are set differently in different people. Studies show that a persons weight at the set point is optimal for efficient activity and a stable optimistic mood.
  • The set point is very good at supervising fat storage but cannot tell the difference between starvation and dieting. The dieter who begins a diet with a high set point experiences constant hunger, as part of their body’s attempt to restore the status quo.
  • After an initial, relatively quick loss, dieters become stuck in a plateau and lose weight at a much slower rate despite feeling very hungry. Long-term caloric deprivation, in a way that is not clear, acts as a signal for the body to turn down its metabolic rate. Calories are burned more slowly so that even a meager diet almost suffices to maintain weight loss. The body reacts to stringent dieting as though famine has set in and consequently the metabolic machinery shifts to a cautious regime designed to conserve calories it already has.
  • MZ twins are more similar in body weight, even when reared apart. and adopted children are more similar in body weight to their parents than their adopted parents This supports the theory by sugggesting that body systems are ultimately genetical.
  • Keys et al - in WW11 4 men agreed to loose 25 percent of their body weight as a way of working out how to re-feed starving people in Europe. They began eating 50 percent of their usually calorie intake. Initially they lost a lot of weight however they then reached a point where they stopped loosing weight quickly, were lathargic and avoided physical activites and had cravings to over eat. When they were allowed to eat again, they did overeat and ate high sugar foods that would fill up their fat tissues faster.
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12
Q

Evidence as to why diets fail…

A

THE BOUNDARY MODEL OF DIETARY CONSTRAINT -
Everyone has a biological set-point which acts as a physiological boundary for food intake. Restrained eaters consciously lower their food intake to a cognitive boundary.
If this is overcome, perhaps through stress or on a special occasion, the ‘what the hell’ effects takes over and eating is disinhibited. The individual eats past the physiological model, consequently eating more than they would off the diet, allowing the diet to fail.

A02:
Herman and Mack - investigated the effect of pre-loading on eating behaviour in restrained and unrestrained eaters. 3 groups, the first had no pre-load (control group), the second given 1 milkshake as a pre-load and asked to rate the test qualities of the milkshake. The third group were given two milkshakes as a pre-load and asked to rate the taste qualities of the milkshakes. All groups were given three tubs of ice cream and 10 minutes to eat as much as they want to rate their taste quality. Finally all ppts were given a questionnaire to assess their degree of dietary restraint. Each group was divided into 2 subgroups -restrained and non-restrained eaters. The unrestrained eaters in groups 1 ate the most, in group two ate less and in group 3 ate even less. The restrained eaters in group 3 at the most, then group 2 ate a bit less then group 1, significantly less then both the other groups.

Conclusion: the results show a boundary model of dietary restraint. Restrained eaters have a cognitive dieting boundary for food intake. Once this is overcome (by the milkshakes), the ‘what the hell’ effects takes over and eating is disinhibited. So they eat more in the pre-load condition than in the zero preload condition.

Evaluation:

  • No account was taken for individual differences. Group sizes were quite small. Some participants may have liked ice cream more or less than others despite three different varities being provided.
  • Participants recieved course credits for taking part, which implies some degree of coercion e.g. they were not purely volunteers. However the study was not unethical as they could eat as little or as much as they lied. There was elelment of deception , essential of the experiment was to be valid, but ppts were given full debrief.
  • The restrained questionnaire was given post-hoc to avoid ppts guessing the aim of the study. However this meant the the distribution of restrained and non-restrained ppts in each group was uneven which may of cause bias within the results, reducing the reliability of the research.

(- Masking hypothesis - diets fail when distress about an uncontrollable aspect of life is relieved by shifting into a diet, the perceived cause of the low mood. So long as the diet fails, this masks the source of the distress. It is better to feel that you could have succeeded than to feel a victim.)

Another explanation for the failure of dieting is the role of denial which suggests that attempting to suppress thoughts of foods is counterproductive and has the opposite effect. This theory illustrates the ironic processes of mental control because it represents a paradoxical effect of thought control. Diets often fail because when a restricted food becomes forbidden, the denied food becomes more attractive making attempts to suppress it difficult.For example
- Wegner (1987) asked half a sample of participants to not think about a white bear, but to ring a bell if they did. Those instructed not to rung the bell significantly more than those who were not instructed to. Therefore as soon as a food is denied, it becomes more attractive and likely to be eaten which ruins the diet.

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13
Q

What factors are there that potentially lead to the success of dieting…

A

Ogden 2000 - This model suggest that in order to diet successfully, the dieter needs to hold certain beliefs and also needs to engage in certain behaviours.

Cognitive elements: - Pyschoogical model of obesity - if individuals believe obesity is due to emotional eating, and causes depression and low self esteem then dieting can be successful as the individual believes weight loss is possible as they will be motivated to fix these problems
- Motivation for weight loss - if individuals are motivated to lost weight for personal reasons e.g. attractiveness.. dieting can then be successful.

Behavioural elements: - Small successes in weight loss are positively reinforcing as the individual believes weight loss is due to their own behaviour/dieting.
- Positive reinforcement strengthens behaviour, so dieting is likely to be continued.

2) Kieman et al found that individuals who were more dissatisfied at baseline with their bodies were more successful - motivation for weight loss is underpinned by a high value on attractiveness. Your behaviour will, as a consequence, the more motivated you become, resulting in success.
3) In Odgens and odgen and hills 2008 research - weightless was triggered by a key life event, such as divorce or illness. This initial behaviour was translated into longer term behaviour change if a number of conditions were not met including… a reduction in the choice over when and what you eat… and a reduction in the benefits and function of eating…. a belief in the behavioural model of obesity… a process of re-invention.
4) HOWEVER, there is a large problem of social desirability when using self-reort methods. In addition much of the research as an beta bias as it involves mostly women.

IDA: Important cause it stresses the importance of free will and the need to disbelieve the determinstic biological approach. However, it may ignore individuals are may have biological limitations to their weight loss.

5) One more factor is the attention paid to food. Many people get bored of repetition so should focus on the details of the meal e.g. crunchy cucumber and juicy tomatoes in a boring salad. - This was investigated by REDDEN - ppts are 22 fruit flavoured jelly beans while rating their enjoyment. At the end ppts wet asked to indicate how well they could distinguish the flavours and how similar the jelly beans seemed to each other and hoe repetitive the eating task felt. People who were given specific flavour labels became less satiated ad kept enjoying the jellybeans longer than people given the general label of jellybean number 7; Everyone ate the same variety of jellybeans, people who were just given ‘jellybeans’ to eat as opposed to ‘cherry jellybeans’ gave lower assessments as the experiments wore on.

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14
Q

What signals are there for starting a meal? A01/2

A

Dual centre model - A decline in glucose levels in the blood, leads to the stimulation of the lateral hypothalamus. The lateral hypothalamus is part of the hypothalamus that functions as feeding centre, stimulating feeding in response to signals of the body. The lateral hypothalamus therefore detects the decline in glucose and triggers feelings of hunger. The individual then consumes food and glucose levels begin to rise activating the VMH. The ventromedical hypothalamus is part of the hypothalamus that functions as a satiety centre to inhibit feeding. Therefore when the VMH detects the rise in glucose levels this leads to feelings of satiation which inhibits further feeding.

1) ANAND and BROBECK A and B found a lesion in another area of the hypothalamus, the lateral hypothalamus, led to a loss of feeding beahviour in rats, also known as aphagia - failure to eat when hungry.
2) Hetherington and Ranson. A02: H and R demonstrated that lesion in the Ventromedical hypothalamus of the brain caused rates to overeat and become dramatically obese.
2) It has been known for many years that an empty stomach sends signals to the brain to start eating. These sginals may include direct neural pathways from the stomach to the brain, animportant role i played by a hormane GRHELIN - released from the stomach that signals the hypothalamus to stimulate feeding. The amount released is proportional to the emptiness of the stomach. There is evidence that ghrelin acts directly on the brain mechanisms of feeding behaviour, including the hypothalamus

Cummings et al - investigated changes in blood ghrelin levels over time between meals. 6 ppts ate lunch then ghrelin levels were measured from blood samples taken every 5 minutes until the pps requested their evening meal. Pps assessed their degree of hunger every 30 minutes. Findings were that ghrelin levels fell immediately after eating lunch, reaching their lowest level at about 70 minutes. They then slowly began to rise, peaking as pps requested their evening meals. Importantly, in five out of six correlated closely with levels of hunger reported.
Conclusion: The authors conlcuded that ghrelin levels directly reflect stomach emptiness and are closely related to subjective feelings of hunger. Ghrelin is a key appetite signal in humans.

4) Mechanisms controlling feeding in the hypothalamus and related structures must receive a signal indicating the bodys fat reserves… - leptin. This hormone is released from adipocytes into the blood stream and travels to the hypothalamus where it acts as a satiety signal. As more fat is stored in adipocytes so more leptin is released and the hypothalamus is stimulated to reduce food intake.
Body weight is determined by muscle mass and more importantly body fat. Fat is sorted in specialised cells called adipocytes and fatty tissues is made up of these adipocytes. During early development, the number of adipocytes can be affected by diet but after this period, the number is set and the only way our fat stores can vary is through how much is stored in each cell.

CARLSON: Looked a obese mice and found that they did not produce lepton and so they ate continuously and became obese. Also found that injections of lepton into on mice stops them eating as much and their weight eventually returned to normal .
HOWEVER There are some rare individuals where people are obese because of a leptin defficiency but the majority have normal or higher than normal levels. The problem in theses cases seems to be that the brain mechanisms controlling feeding behaviour are insensitive to the effects of leptin.

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15
Q

IDA - Neural mechanisms involved in eating…

A

There is no doubt that we are biological organisms and our eating relied on complex biological systems therefore an understanding of these systems plays a key role in explaining the regulation of human eating behaviour. It is relevant to normal regulation, but also disorders such as anorexia and obesity.
HOWEVER, the biological approach is reductionist focusing only on the biological systems regulating food intake and body weight. It does not consider cultural or social factors.

  • Practical applications - knowledge of what causes obesity can help prevent. We can reduce ghrelin secretion from the stomach by using Gastric bands on those with obesity. This will decrease the amount of ghrelin being sent to the LHM. Because the method has shown to reduce obesity, this increases the validity of the theory
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16
Q

Evaluative point about set point theory…

A
  • Set point theory suggests that the set point is maintained by energy consumption and expenditure however it is also set by an individuals metabolic rates which is genetically determined. Some researchers argue that the set point can be altered by individuals who lose or gain weight. It has also been pointed out that people gain weight when they have access to high fat foods.
17
Q

Evaluative point about psychological hunger…

A

.. There is a difference between psychological and physical hunger - we often think we need food when it is not biologically required. There are various cognitive components to eating…

1) Availability to rich foods.
2) Taster preferences required usually though observational learning
3) Smell - some foods smell attractive so we can’t help feeling hungry
4) Habits - Time of day for example can affect feelings of hinger beyond any psychological requirements. These habits also influence hinger and food intake.
5) Stress - the increased psychological arousal associated with stressful situations stimulate hinger in some people, whereas in others stress can decrease hunger. Some people ‘comfort eat.’
6) cultural attitudes

18
Q

Evolution of food preferences…..
high fat foods..
sweet foods..
salty foods…

A

Evolutionary psychologists explain not just why individuals survive, but why certain food preference have survived in the species. Those who were best equipped to to obtain sufficient food and remain healthy were more likely to survive. This means humans have evolved with certain food preferences which give them the best chance of chosen good food with enough necessary nutrient to promote survival.

Preference for salty foods - salt is essential for bodily function and we need to keep salt at a constant level. The concentration of salt in th blood must be kept at a specific level. We all lose small amounts of. Look through sweat and through the action of the kidneys. We need to keep it at a constant level. Before industrial processing, humans found it difficult to get salt therefore it may be that natural selection has resulted in an innate preference for salt. Its also important for cell repair and functioning.
Evaluation: At the age of two, children reject foods that do not contain the expected amount of saltiness. This preference is universal and not restricted to cultural experiences - BEAUCHAMP
IDA: this preference for salt appears to be universal and not restricted to cultural experiences. Although this preference for salt was adaptive in the environment in which our ancestors lived, it is no longer adaptive and indeed causes serious problems for many people who consume to much salt e.g. High colestoral. It is argued that many food companies exploit our evolutionary inheritance ny producing over-salty food which makes us unhealthy,

Although it is impossible for humans to have in at preference for all high calorie foods, it might be possible for humans to have some innate preferences for certain specific tastes. A preference for sweet foods provided the survival benefit of encouraging an intake of energy. Individuals with this preference that would encourage consumption of ripe fruits, were more likely to survive and then reproduce because they were able to fight and flee better; those without this preference had fewer calories to burn on these activities and were less likely to survive predators. Consequently, a preference for sweet, high energy foods was naturally selected for and it became widespread in the population. Now however, this preference is maladaptive as energy rich foods are not difficult to find, contributing to obesity.
Evaluation: Bell et al - gave sugar congaing food to eskimos in northern Alaska who had lacked sweet food and drink. In all cases, cultures previously without sugar, did not reject the sugar containing food of the other culture suggesting a preference for a sweet taste is not culturally learnt.
- Logue 1991 - the human tongue seems to have specific receptors for detecting sweetness. This is not the case for other tastes, which are detected by non-specific receptors. Furthermore, there is more receptors for detecting sweetness than any other receptor. This evidence suggests that the taste of sweet is more important to the body than any other taste and our preference for sweetness has a substantial genetic component.

IDA : the preference for sweet foods would have been adaptive in rather environment in which humans evolved. Hew ever, it is not adaptive now, when so many sweet foods are easily and cheaply available and can lead to obesity,

19
Q

What was Davis’s study on children’s feeding patterns..

A

Children having a paediatric unit in the USA for several months were offered a range of 10-12 pre determined healthy foods, they chose a diet consistent with growth and health. This suggests there is an inner nutrition-seeking mechanism in children`
Davis devised the experiment to let children do for themselves because she suspected that children’s bodies instinctively “knew best” what the individual child should eat. Her intellectual model, a view that would later be called “the wisdom of the body,”
When the children’s food choices were analysed, they were found to be very different from each other and from the standard diet of the time. But, interestingly, when the diets were examined as a whole, they showed similar patterns of energy intake and proportions of proteins, carbohydrate and fats. Although some of the children were undernourished when they arrived, this evened out until there were no notably fat or thin children.

But very small sample of 15 and no control group - no comparison - there could of been other reasons why the health of these children improved. In addition may be research bias as Davis carried out the experiment herself,. But there’s a strong biological plausibility to the idea that children will instinctively choose a balanced diet.

20
Q

Evolutionary explanations of food preferences…

-self control

A

Evolutionary explanations account for the way organisms are, by stressing the good ‘fit’ between organism and its past environment. Only those survive who are well adapted to that environment. The range of different applications for evolutionary explanations is appealingly diverse, for many approaches in psychology including; Biological, social, cognitive, learning. We can also look at the evolutionary origins of the human diet.

1) Self control and food preferences - self control, in terms of eating behaviour, seems to be particularly difficult for many people and this may be due to our evolutionary past. During the EEA Hunter-gatherer societies moved around to exploit different food resources as they became readily available. Food was readily available. However, one million years ago, groups of people began to migrate north, encountering harsher weather conditions and less readily available food access. In the face of this, it made evolutionary sense to take food resources whenever they were available and not wait for later, delayed benefit. In essence, impulsiveness, not self control is encouraged: don’t wait for the fruit to grow bigger eat it immediately.
TOBIN and LOGUE - pigeons have the highest metabolic rates and are the most impulsive compared to rats and then humans who have the lowest metabolic rates and are the least impulsive. Animals with higher metabolic rates, who therefor have a greater cost associated with not eating, show less self control for food. This supports the theory that animas who live in environments where it is difficult to obtain food should be more impulsive with regard to eating and less willing to delay for a larger amount of food later.

IDA :

21
Q

Evolutionary avoidance of dangerous foods-
Food neophobia
Taste aversion theory
Avoiding certain foods during pregnancy

Meat is a major source of food poisoning even today. During evolution various methods have evolved to cope with this problem…

A

1) Cooking - introduced half a million years a go is one solution for killing bacteria in meat.
2) Spices have always been a part of the human diet and often spices like garlic and onion are extremely effective in killing bacteria. Culturural transmission would quickly spread the word that use of spices would help prevent food poisoning.
3) Our bitter and sour taste receptors are designed to help us identify foods that have gone off. These tastes lead to a facial expression of disgust which motivates us to avoid these foods in the future.
4) Food neophobia - another evolutionary aspect of food preferences. Neophobia is fear of the new. Animals have a powerful tendency to avoid foods they have not come across before - leads to a dull diet but ensures you are eating foods you know are safe. We tend to like foods that are more familiar. An aspect of neophobia is that we tend to show a greater liking for foods as they become more familiar. FROST - encouragingly, we do show a preference for variety of food that we know are safe; children will eat more smarties if they are multi coloured than if they are all the same colour.
5) Taste aversion learning - Taste aversion is a learned response to eating spoiled or toxic food. When taste aversion takes place, you avoid eating the foods that made you ill in the past. Taste aversion can be so powerful that sometimes you also avoid the foods that you associate with an illness, even if the food did not cause the illness. This demonstrates that there are biological constraints to our learning which prevent us from eating foods that may of threatened out survival during the EEA. Garcia, Rusiniak and Brett (1977) - made wolves sick with lambs meat contaminated with a mild poison and wrapped in sheepskin. When allowed to approach live sheep, they wolves would approach but leave them, learning to associate the poison with the sheep. Taste aversion learning is highly specific and extremely intense. Just one experience will the animals behaviour for months as it contents to keeping the animal alive.

3) Women during pregnancy… the avoidance of foods so much so that disgust and vomiting is the reaction. Found in 75 percent of women and is explained by the EMBRYO PROTECTION HYPOTHESIS. (Profet)
- Surveys show consistently that the foods most avoided by pregnant women are coffee, tea, meat, alcohol, eggs and vegetables (Buss 2008) - Alchohol and caffeine can damage a babies developing organs in early stages of the pregnancy whilst meat and eggs are a common source of toxins such as bacteria while some vegetables contain toxic chemicals harmful to the developing foetus.
IDA: practical applications.

22
Q

IDA - Evaluation of the evolutionary origins of human diet..

A
  • Our biological systems for controlling food intake have a long evolutionary history, and there are many similarities between humans and other animals - it is therefore sensible to investigate this evolutionary background.
  • The approach can explain some unusual aspects of food preferences such as morning sickness.
  • As part of the biological approach, evolutionary explanations are reductionist. They do not take into account cultural transmission of behaviours related to food and feeding, and they do not place enough emphasis on social and cultural changes e.g. the widespread availability of food.
  • Unfalsifiable and therefor can not be tested practically. It is therefore quite a closed approach.
23
Q

What is anorexia nervosa?

A

Anorexia nervosa can be defined as a type of eating disorder in which the person, despite being seriously underweight, fears that they might become obese and therefore engage in self starvation or obsessive excursive to prevent this happening.

24
Q

Descibe the 1) behavioural 2) cognitive and 3) physiological symptoms of anorexia.

  • 90 % of cases are male or female?
  • What percent of people with anorexia die of the disorder?
A

1) A refusal to maintain a body weight normal for that age - 85% less than expected
2) Inability to see own thinness, denial of seriousness of condition.
3) Loss of body weight and absence of menstruation for 3 consecutive months.

  • females
  • 5%
25
Q

Evalutative points (two) about the genetic explanations…

A
  • Genetic explanations doesn’t account for
    1) Higher incidence in higher socio-economic classes
    2) Higher incidence in immigrants to western cultures compared to those who stay in home country.
    3) Recent increase in prevalence.
  • One difficulty with all the studies is that diagnosis is not certain. Some individuals suffer both AN and bulimia, though not always at the same time. This means that the genetic susceptibility to develop eating disorders rather than anorexia in particular. Gorwood et al suggests that if we want to identify the genetic causes of AN we need to distinguish distinct subtypes more clearly.
26
Q

What are the two evolutionary theories of Anorexia?

Many example of modern behaviour are thought to have originally evolved thousands of years ago when the environment was very different. Behaviours that were able to adjust or adapt then may not be adaptive in todays environment but to understand them, we must consider their origins in the EEA.

A02: Holland

A

1) The Reproductive Supression Model - Wasser and Barash - The basic model upon which we elaborate, termed the Reproductive Suppression Model, argues that females can suppress reproduction when future conditions for the survival of offspring are likely to be sufficiently better than present ones. There ability to delay reproduction is adaptive cause it enables a female to avoid giving birth when conditions are unfavourable to the offsprings survival. Therefore, they are more likely to pass their genes on to the next generation.
2) Adapted to Flee Famine Hypothesis - When out ancestors were hunter-gatheres, they need to move on regularly as food supplies in the local area were exhausted. Key characteristics of those with anorexia are restlessness. high levels of activity. This contrasts to the usual response to starvation which would be inactivity and depression. High levels of activity and a denial of hunger would help the individual migrate in response to famine to their local area

A02: A good way of studying the genetics involved with AN is to compare its occurrence in twins and compare concordance rates for identical twins and non identical-fraternal twins.

1) Holland et al
Aims: to investigate whether there was a higher concordance rate of AN for MZ than DZ twins. The research found a significant difference as there was much higher concordance rates for anorexia for MZ (56%) twins than DZ twins (7%), compared to 1% of teenage girls generally.
Holland concluded that there is a genetic basis for anorexia and general psychiatric illness. The percentage suggests that genes are not wholly responsible and so they constitute a predisposition; they make the individual vulnerable but do not trigger the disorder.

2) -Small sample
Plus MZ twins may experience a more similar environment and may be treated more similarly than DZ twins. Thus it is over-simplistic and reductionist to consider only one factor, genes, a basis for anorexia

27
Q

Biological explanations for AN - Neural explanations.

1) Hypothalamus
2) Hormones

A

There are two major areas of the hypothalamus that control eating. The lateral hypothalamus which produces feelings of hunger when it is activated. The ventro-medical hypothalamus which depresses hunger when it is activated.

1) The LH and VMH jointly regulate hunger - if the LH is damaged the result is under eating because no feelings of hunger are the VMH continues to send signals making us feel full. So a malfunction in the lateral hypothalamus might explain AN.
Garfinkel and Garner have suggested that it is possible that people with anorexia have disturbed functioning of the hypothalamus. Animal research has found that damage to parts of the hypothalamus in the brain can result in the animal starvation to death. Malfunctioning of the huger centre in the hypothalamus might therefore explain eating disorders in humans.

2) The theory proposes that those with AN have a decreased level of serotonin receptor availability. The same amount of serotonin is produced in those with and without anorexia however for those with the illness, less serotonin is used up due to less activity within the receptors. This means there is lots of extra cellular serotonin which causes anxiety.
Consequently, this will cause a suppressed appetite as a way of reducing tryptophan which is found in food, especially in carbs. Tryptophan is a building block for serotonin and therefore by eating less, the individual intakes less typtophan, which means less serotonin is built and they experiences less anxiety. They learn through operant conditioning, that eating causes anxiety which results in the individual self-starving, leading to the development of AN.

A02: 1) Kaye found that decreased amount of serotinin receptors in the visual cortex and parental lobes compared to those without AN.
The second finding was that there was lower levels of a major metabolite of serotonin in those with AN which illustrates that they have reduced receptor activity which causes them to under eat.
These findings were found in those who had recovered from AN and therefore demonstrate that they are not caused by the illness.

EVALUATION: However, this still does not show conclusively that changes in the serotonin system cause eating disorders. The loss of weight in SN produces alterations in the body’s physiological systems. These alterations may be so profound that they persist even after the person has recovered, that they are still secondary to the illness and not the cause.
The only convincing way to show that dysfunction of the serotonin system causes eating disorders would be to show that the changes were there before the onset of AN. This is very difficult to do because it would mean testing a huge amount of people and following them in a longitudinal study to see which of them developed AN and as it only affects a small proportion of the population, this is impractical.

Practical applications: Scientists have given those with AN the SSRI drug which regulates serotonin levels. This however didn’t help the majority of those with the illness which suggests the reduction in serotonin receptor activity may not cause AN. This therefore weakens the validity of the theory.

28
Q

Evaluate the neural explanation for AN.

A

1) Although the role of the hypothalamus in the eating behaviour of animals is well documented, there is little conclusive evidence that eating disorders in humans might be influenced in the same way
2) It is not clear whether the fault in the hypothalamus causes anorexia or anorexia causes the fault in the hypothalamus.
3) The explanation cannot account for the fact that anorexia has increased dramatically in the past 30 years.
4) The best model to use is the diathesis-stress model. Some individuals are born with biological predisposition through, for example. birth injuries or illness. However, it is likely that life stressors trigger the disorder. Once the disorder begins, then biological mechanisms can perpetuate the illness. It is unlikely biological factors alone can explain AN.

29
Q

Behaviourist explanation of AN - Using the principles of classical and operant conditioning, the behavioural model argues that there are 2 steps in the development of anorexia nervosa. What is CLASSICAL CONDITIONING?

A

1) Classical conditions - learning an association between not eating and feeling good. An individual starts getting slimmer and this receives admiration, making them feel good. The individual learns to associate not eating with feeling good about him or herself.
During classical conditioning:

UCS NS UCR
(Getting fat) + (eating) ——-> Anxiety

CS CR
(Eating) ——-> anxiety

Same for Getting thin + not eating = feeling good. Not eating hen become the condition stimulus.

30
Q

How does OPERANT CONDITIONING lead to AN?

A

Operant conditioning, sometimes referred to as instrumental learning, is a method of learning that occurs through rewards and punishments for behavior. It encourages the subject to associate desirable or undesirable outcomes with certain behaviours.

With AN, individuals can be positively reinforced when you begin to lose weight (e.g. healthier, fitter, compliments) and negatively reinforced (e.d. nasty comments or judging views). They can also be positively punished when getting fat (e.g. gaining dissaproval and judgmental looks ) and negatively punished ( They lose the compliments and turns of heads)

31
Q

Beyond behaviourism - the influence of the media. It is the media that creates the social norm that ‘thin is good’. We see that thin models and film stars receive attention and admiration and therefore we imitate that behaviour. This media explanation focuses on indirect learning though social learning - how is its supported by Becker?

Evaluate Becker.

A

Becker et al 2000 - Aimed to take advantage of naturally occurring situation where television was fist introduced to the island of Fiji to see what effects prolonged, novel exposure to Western TV would have on attitudes towards eating and AN among young girls

  • In 1995 when tv was first introduced to the island, 63 native girls were asked to complete questionnaires on the attitudes towards eating. Three years later a further sample of 65 girls aged 17 on average were questioned on the impact tv had had on their eating habits. Girls were also interviews.
  • Becker found that the & of girls who reported that they vomited to control weight was 3% in 1995 and 15% in 1998. In addition the % of girls with a high score on the eating questionnaire indicating risk of disorder eating was 13% in 199995 and 29% in 1998. Those who reported watching most tv were more likely to be at risk.
  • The findings indicate a strong link between exposure to Western ideals of thinness and changed attitudes towards eating. Such changed attitudes are likely to lead to the development of eating disorders such as AN.

Evaluation: - The findings don’t necessarily demonstrate a cause. Becker was exploiting a naturally existing variable and therefore did not control the variables. This means we are not justified in making causal assumptions. It may be that changes are due to traditional culture trying to keep up with a technologically more advanced global culture.

Katzman: on theses developing Islands, it was socially desirable to be overweight. Despite this, the rate of anorexia on the island is the same as western societies; 1%. This might suggest that the prevalence of anorexia here is unaffected by the supposedly important factor of cultural pressure and even that there is something biologically universal about AN.
However findings showed that the women presented with AN evidenced vulnerability to a triple threat to identity formation. 1) they were mixed race, aspiring to fit in the mobile elite. 2) they had the means of education and travel that left them caught between modern and traditional constructs of femininity. 3) they had lived overseas and therefore struggled upon entry with adapting the islands culture.

32
Q

Make and IDA comment on the Media explanation.

A

The media explanation is also cultural explanation - the media transformed social norms and cultural views. Our culture values thinness. This means that one way to test this hypothesis is to look at the incidence of anorexia in other culture. E.g. In Sui-Wah reported in 1989 that anorexia is rare in black populations in Western and non Western cultures and in China. The Chinese have a cultural norm of respect for food which means that thinness is not valued.

33
Q

Evaluate the behavioural view..

A

1) Good cause it can explain gender differences and why the female stereotypes are more associated with dieting and thinness. It can also explain why anorexia is on an increase in general.
2) Its good because it explains cultural differences, different attitudes to eating and differetns social norms.
3) HOWEVER, the approach cannot explain individual differences. All of us in the West are exposed to thin models but very few develop AN. Equally, many diet but very few develop anorexia. This means that behavioural explanations are insufficient on their own. It may require the addition of one of the other biological and or psychological explanations to account for the development of the disorder in particular individuals.

34
Q

Explain the cognitive explanation…

Slade and Russel…

Cooper and Turner…

A

Individuals with AN have faulty cognition between a stimulus and a response, which causes AN.

1) An individual with anorexia, according to this model, is an individual who is preoccupied with the way s/he looks – or thinks s/he looks. They are likely to have a distorted body image and believe they are overweight. They are also likely to hold an intense fear about the future consequences of not being attractive or good enough in the eyes of the public. Due to these anxieties, they desire an increased sense of control…
2) An easy thing to control is their food intake and consequently eat less. By starving themselves, they feel a positive and enhanced sense of control. This increases their sense of worth and therefore by the process of operant conditioning, they are positively reinforced to restrict eating. Hunger is seen as a threat to this control and therefore hunger negatively reinforces restricted eating. When they are not eating, their anxiety is reduced.

Slade and Russel… carried out research to see if there was a significant difference between the way that people with AN estimate their own body width and the height and width of some objects. They found that people with AN overestimated the width of their body by 25 - 55% whilst the control group estimated body width accurately. They also found no difference between the people with AN and the control group of their estimation of height. They concluded that this demonstrate that there is a strong link between anorexia and distorted body image.

Cooper and Turner - AN patients - more negative beliefs about self that both people dieting and people not dieting. They concluded that AN people have a faulty belief of what looking ‘right’ is and pay more attention on being liked.

35
Q

Evaluation of the cognitive explanations.

A

1) A positive aspect of this model is that it has the potential to lead to useful therapies, enabling clients to tackle self-defeating statements and therefore start eating again. Garner and Bemis point out that whatever the cause, the result appears to be the desire to become thin. Thus, cognition should be the focus of the therapy.
2) Although we known that most individuals with eating disorders have strong cognitive biases that lead them to overestimate their own body size , it is unclear whether these biases exist before the onset of the eating disorder and thus may play a part in their development. The alternative view is that these cognitive disorders only develop after the onset of eating disorders, in which case they cannot be the causal factors.

36
Q

Psychodynamic explanations of Anorexia…

What did Bruch claim?

A

Bruch - claimed that ineffective parents, instead of responding appropriately to the needs of their children, impose their own wishes on the child and tend to their needs in arbitrary ways. They might feed them when they are anxious, comfort them when they are hungry and so on. Adolescence increases a desire to establish autonomy but adolescents are often unable to do so, feeling that they do not own their bodies, becoming over reliant on their parents. Their children are thus unable to different between their own internal needs and fail to develop self reliance. To overcome this sense of helplessness, the adolescent tries to control their body size and shape in a desperate attempt to excerpt some personal control over their lives.

A02: Bruch’s theory is supported by observations that parents of adolescents with AN have a tendency to define their child’s physical needs rather than allowing children to define their own (Steiner et al, 1991). Bruch found that many of these parents claimed to ‘anticipate’ their children’s needs rather than ever letting them ‘feel’ hungry (Bruch, 1973). So parents make decisions for child – are overly caring – which means the child is unable to express herself/himself. This has been found through interview and therapy transcripts, so is evidence for Bruch’s psychodynamic theory. Research also

37
Q

Psychodynamic explanations.

Anorexics have a weak ego which lets the moralising superego dominate the losing ID. The ID has a lust to eat whilst the ego moralises about getting fat. The Super ego usually negotiates between the two.

A

. A01: Freud suggested that eating was a substitute for sexual activity. Therefore not eating was a way to repress sexual thoughts and the onset of sexual maturity. Starvation in adolescence is also a means of avoiding the development of an adult body. Restricted food intake prevents menstruation (period) and development of secondary sexual characteristics, such as breasts and enlarged hips. By preventing adult development, an adolescent can avoid anxieties associated with adulthood and mature sexuality.

Freud argues that individuals with AN have a weak ego which lets the moralising superego dominate the losing ID. The ID has a lust to eat whilst the super ego moralises about getting fat. The ego usually negotiates between the two but when it is week the more dominant part of the mind, in this case the super ego, will determine behaviour, in this case not eating because of a fear of putting on weight and being obese is seen as morally deviant.

Freud argues that a fixation at the oral stage means individuals want to stay young and dependant. Unconsciously, they refuse to grow up by retreating into their body and stop eating as a way of preventing menstruation and the development of an adult body. Oral fixation is due to too much or insufficient pleasure around feeding when up to 18 months old; so inappropriate feeding (as in Bruch’s theory where a mother may feed a child even when it isn’t hungry) leads to fixation

38
Q

IDA for Psychosexual explanations.

1) Ethical issues
2) Minuchin et al
3) Main issue
4) Practical implications

A

1) Ethical issues - Researchers are increasingly turning to Internet communities as a rich source of qualitative data relating to AN. These communities include discussion boards, chat rooms and newsgroups however internet research on AN also raises several ethical questions for the researcher in relation to privacy, informed consent and protection of confidentiality.
2) Minuchin et al - took a family systems approach. They suggested that a child develops anorexia nervous as a means of diverting attention away from other family problems. It is a misguided attempt to keep the family together for example in cases where the parents are having relationships problems
3) There is no doubt that most cases of eating disorders involve complex interactions between children and parents. However, it can be difficult to identify family problems that come before the eating disorder and those that are caused by the eating disorder. Although psychodynamic interpretations seem to fit descriptions of some cases, they are difficult to test using rigorous scientific methods. Evidence comes mainly from case studies, and these always have issues of reliability as they cannot be replicated.
4) However, various ford of psychotherapy and family therapy have been used in the treatment of eating disorders.