Bulimia Cognitive Treatment
Bulimia is a very common eating disorder typically characterized by a person eating large quantities of food then purging usually by vomiting, but also by the use of laxatives diuretics and excessive exercising. The use of cognitive treatment in the treatment of Bulimia is very common and actually very effective. There are several views that I have reviewed in my quest for information on cognitive treatments for Bulimia. People diagnosed with an eating disorder are said to have developed a schematic obsession with body size and eating. The person in question is obsessed with body shape and fatness. They eat a forbidden food and feel bad about doing so. They feel the only way to correct this is to purge the food from their body to rid themselves of the negative feeli . . .
“Using stimulus control procedures, antecedents of the original abnormal eating patterns are limited. Some of the things that would affect outcome are, low self esteem, low weight, previous incidents of Anorexia as well as negative attitudes toward body shape, previous trouble with obesity, personality disorder and depression. Some things that are used are making the person eat only while sitting at a table no standing while eating Exposure Response Prevention (TERP). One of the factors hindering the treatment of Bulimia is cognitive processing so a test was performed; Ferraro, F Richard; Wonderlich, Stephen Jocic, Zeljko" Performance variability as a new theoretical mechanism regarding eating disorders and cognitive processing" Journal of Clinical Psychology v53n2 (Feb 1997):117-121. ERP is based on the theory that purging produces a reduction of eating-related anxiety; therefore, patients are allowed to eat, but compensatory behaviors are prevented. Everything the person sees and does is a direct link to fatness and their body looking bad until it becomes an all out obsession. Agras, W Stewart; Crow, Scott J Halmi, Katherine A Mitchell, James E " Outcome predictors for the cognitive behavior treatment of Bulimia Nervosa" American Journal of Psychiatry 1302-1308 157, no. “The pattern of results obtained in the present experiment suggests that a more fine-tuned analysis of behavioral performance in eating disorder individuals may provide a clearer picture of their underlying neuropsychological and cognitive function and dysfunction. Since Bulimia is a learned behavior, using cognition is a great way to correct the behavior. Several types of people including Bulimics were given a test to assess cognitive abilities. Anti-depressant medication is recommended along with cognitive treatment or else the outcome may not be desirable. The study was pretty much inconclusive.
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