Week 2 Flashcards
Case study, admin assistant,
Freshmen 20! Warned
Gained 60 pounds throughout university, tried many diets.
Struggled, no diagnosis, life changed after school, felt miserable when she got to 130, consumed by thoughts food. Stayed at 140.
Dreams what if she was 120 again, and what if no think about weight so much.
Chronic concern about weight. Most would away have eating disorder, dominating too much, but in last 10 yrs, emerging view, she has healthy adaption.
Why weight so difficult to discuss
What is a healthy approCh?
Current adaptive view
We need to consciously limit food, due o too many options. Lots of time and energy me to maintain xercise and eating, depletes self control.
Eight loss statistics
●Lose Weight is most popular resolution.
●78% of women; 64% of men currently dieting or watching their weight.
●Average American woman weighs 153lbs.
●Ideal Wt of Average Woman = 124lbs. (now 140)
–70% report they are over ideal weight. Unrealistic?
Martin selling an what you can change and what you cannot
●Panic - curable ●Specific Phobias – almost curable ●Sexual Dysfunction – marked relief ●Depression – moderate relief ●Anger problems - mild relief ●Overweight – temporary Change*** ●PTSD – marginal relief
Oprah phenomenon
Sellingman, and baumeister both use.
Joined trial, optifast , transition off, low calorie,
Used show as test case. But then hoax, rebound effect.
●Hovell et al. 1988 ●Definitive VLCD study ●500 pts, 50% above ideal wt. ●½ drop out before tx is complete. ●Stayers lose 84% of excess weight!! ●Over next 18 mths, pts gain 80% of excess wt back. ●3% considered success at 5 years
Therefore losing battle
Selling an conclusions
●Natural Wt is largely genetically determined. Set point inherited
Do not have that much conscious control
Can only change thing +- 10% many think its bogus
●Your body will vigorously defend this wt: starving effect
- intensely preoccupied w. food
- metabolic changes
●Our natural wt may be quite discrepant
from ideal wt. socially determined, unnatural
Metabolism changes and wt changes
Lost 10% metabolism dropped 18% but for how long! by what medahnism.
Gaining weight, increased metabolism. 10. 25
Oprah, video
Yoyo weight, depressed,
Outsources self control demand
Not good to combine self control idea with weight, does not reflect general self control
Se hope and self change
Big promises and repeat customers, thrive diet industry.
Diet vs lifestyle change, now psychologists distinguish.
False hoopoe syndrome
●1. Initial expectations. (Unrealistic ●2. Commitment to change. ●3. Initial Efforts. ●4. Resistance to Change. ●5. Failure/Abandonment (5-6 weeks in) ●6. Attributions ●7. Emotional, behavioral and physiological consequences.
Effort or wrong diet as excuse for not working. Cannot change set point. Repeated efforts get harder each time. So be cautious
Polivy And k response
Negative things happen each time we fail. Short term dieting no good.
●But many people have lost weight and kept it off; smokers too
Adapted from Stanley Schacter (1982)
Obese relies on external cues! Like time
●Progress may improve if other motivational factors are considered:
–Autonomous Motivation
–Autonomy Support for Goals
–Implementation plans.
Schacter optimistic perspective
1/3 of 161 adults been obese at some point in their life.
2/3’s of this subsample had successfully lost the excess weight and maintained the weight loss for more than 5 years.
Paradox: Hundred of studies suggest that at best 2 to 5% of patients will maintain weight loss but …….
●Why the discordance between experience and research?
●Describe the data collection: biased groups,
●Describe interview protocol: calculate repeated efforts, that why ppl succeed. Like 5-7 times to reach goal!
Gorin Study
●Randomized control weight-loss study over 18 mths.
●Behavioral Treatment vs Beh Tx + Home Care.
●Weekly group meetings focused on calorie reduction and increase in exercise.
●Wt Loss assessed at baseline, 6 months and 18 months.
Motivation and social support most important to success. Like is ideas. Of course
Directs support not as helpful, worse odd, autonomous more imp.
Implementation plans .33
K says key is lifestyle change, no dieting.
Ok
Slow and steady weight loss.
