Michael W. Wiederman, Tamara Proyor, and C.Don Morgan, conducted a study comparing the sexual experiences of women with bulimia vs. women who suffered anorexia. Similar to this experiment control groups in the past have used bulimics and anorexics (Wiederman et al., 1996a). It had been reported that women who are bulimic have greater sexual activity and experience compared to women with anorexia, and are more likely to engage in sexual intercourse (Wiederman et al., 1996a). In addition reports have stated that “anorexia nervosa was often precipitated by menarche and the initiation of breast development, and that the anorexic individual often had difficulty negotiating heterosexual relationships, ultimately retreating from, or rejecting, …show more content…
Also they were asked to “rate their satisfaction with their “current sexual activity”. 5-being extremely satisfied/extremely interested, and 1-being not at all satisfied/ not interested (Wiederman et al., 1996a). In addition “2 hour diagnostic assessments were conducted by clinicians experienced in the evaluation and treatment of eating disorders”, it began with “semi structured interviews conducted by a psychologist”, with the focus being on “patient’s current and past history of eating disorder symptoms, weight, and caloric intakes, as well as social and medical history” (Wiederman et al., 1996a). It “concluded with the staff psychiatrist who conducted a psychiatric interview including the Psychiatric Diagnostic Interview” (Wiederman et al., 1996a). The results for this experiment showed that bulimics were more sexually active than anorexics, with 53.4% of anorexics admitted to having sexual intercourse, and 85.6% of bulimics, and “with regard to having masturbated, only 24.2% of those diagnosed with anorexia nervosa indicated that they had such experience, whereas 51% of those diagnosed with bulimia nervosa indicated that they masturbated”(Wiederman et al., 1996a). The conclusion of this study indicated the same results as past research determining that women with anorexia were less likely then women with bulimia to have had sexual intercourse (Wiederman et al., 1996a). In another study done by Michael W. Wiederman about Women, Sex, and
Incidences of Anorexia Nervosa have appeared to increase sharply in the USA, UK and western European countries since the beginning of the 60s (Gordon, 2001). The increasing prevalence of the disease has led the World Health Organisation to declare eating disorders a global priority area within adolescent mental health (Becker et al. 2011). Anorexia has in many ways become a modern epidemic (Gordon, 2000) and with a mortality rate of 10% per decade (Gorwood et al. 2003), the highest of any mental disorder (Bulik et al. 2006), it is an epidemic that social and biological scientists have been working tirelessly to understand.
It was originally considered that, like bulimia nervosa and anorexia nervosa, binge-eating disorders occurred in females at a rate of 10 to 1 (Striegel-Moore and Franko, 2003). But studies have shown that a significant portion of men have binge-eating disorder as well ( Early trials showed that although the samples were not separated for race or gender, it became evident that binge-eating disorder affected both differing races and genders in similar ways. These studies lead to the first “large-scale surveys to examine eating disorders in male and non-White populations” (Striegel-Moore and Franko, 2003, p. S22). Studies have shown that “approximately 29% of subjects in weight control programs met the criteria for [binge-eating disorder],” (Spitzer, Yanovski, Wadden, Wing, Marcus. Stunkard, Devlin, Mitchell, Hasin, & Horne, 1992, p. 137). Possible risk factors for binge-eating disorder are still largely unknown at this time (Striegel-Moore and Franko, 2003), although some similarities amongst clients have been identified. These include: preoccupation with body image and weight, impairment in social functioning, significant time of adult life spent dieting, and a history of mental health concerns including alcoholism, depression, and anxiety (Spitzer et al., 1992).
The authors noted that 30% of the eating disordered women reported sexual traumata; however, such traumata was prevalent among bulimics (particularly those with no anorexic history), but was rare among anorexic restricters. Furthermore, subjects showing mixed anorexic and bulimic symptoms, showed prevalence of sexual
The two most common eating disorders are bulimia nervosa and anorexia nervosa. Both disorders, primarily affect young women, therefore the majority of the research on eating disorders has been done with women subjects. The onset of bulimia is between adolescence and early adulthood while the onset of anorexia is between early and late adolescence. Not only is the onset different but the disorders are unique. Bulimia nervosa is characterized by loss of control over eating which leads to food binges. These episodes are interspersed with episodes of purging, such as vomiting or laxative abuse, to keep weight down. The goal of anorexia is also to keep weight down , but to a
Eating disorders affect millions of men and women every day. Bulimia nervosa, anorexia nervosa, and binge eating disorder are three main types of eating disorders that can have detrimental consequences on the human body. These eating disorders not only deteriorate one’s body, but also eradicate the mind. “Inherent to anorexia nervosa and bulimia nervosa are a plethora of medical complications which correlate with the severity of weight loss or the frequency and mode of purging” (Mehler, 2015).
After reviewing the “Dying to be Thin” (2000) video and the two studies on anorexia nervosa (AN) and bulimia nervosa (BN) my view of these two disorders has been expanded and somewhat altered. The “Dying to Be Thin” video looked at the history, triggers, medical complications and treatments. It documents the struggles of models, dancers and teenagers with the disease. The two studies on AN and BN asked patients in a therapeutic setting to write letters to their disorders from the friend and foe perspective. The results were interesting and merit further studies.
There are behavioral similarities among individuals suffering from Anorexia Nervosa and Bulimia Nervosa such as feeling they are in control where they may have lacked power or control in their lives, feeling more confident, and the ability to avoid uncomfortable emotions through disordered eating behavior. However, there are also significant differences. According to the articles, those who suffer from AN consistently communicate this disordered eating behavior makes them feel more attractive, increases confidence and elicits a feeling of superiority, where as those who suffer from BN more often communicate a negative self-image and feelings of shame and defectiveness. BN patients also conveyed their desire to keep their illness a secret whereas AN patients are generally more concerned with their thinness being obvious to others and gaining attention. BN is frequently accompanied by depression, and feelings of self-loathing indicating a high prevalence of comorbidity, and those suffering from this illness experience a disturbance in feeling satisfied with a
After reading the two studies by Serpell from 1999 and 2002, as well as watching the movie Dying to be Thin, I have several opinions about the people diagnosed with Anorexia Nervosa (AN) and Bulimia Nervosa (BN). In addition, I understand where certain types of therapy and practices could be introduced to help change the thought process of these individuals.
Some studies have shown a correlation between physical, sexual and/or emotional abuse and eating disorders, but there appears to be no casual link. (Tripp, 2001). Between 30 to 50% of adult women report an unwanted sexual experience in either childhood or adulthood. This paper explores the connection between sexual abuse, specificity during childhood, and eating disorders. Eating disorders include anorexia nervosa, bulimia nervosa, binge eating and over exercising. Because of the complex nature, factors such as family interactions, self-esteem, core beliefs, body mass, depression, body image and laxative
Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional
The Eating Disorder Inventory was developed in 1983 by David M. Garner, Marion P. Olmstead, and Janet Polivy but was officially published in 1984. The original Eating Disorder Inventory assessment was created for the sole purpose of evaluating the “psychological and behavioral traits common in anorexia nervosa and bulimia” (Garner, Olmstead, & Polivy, p.15, 1983). The researchers wanted to develop yet another instrument aimed at eating disorders because the previous instruments were only used for inpatient clients or intended for the behavioral aspects of anorexia nervosa in particular. The researchers felt that bulimia was not being accounted for in previous assessments and that the depth of these disorders was much more complex than the previous assessments were exploring. They felt that they needed to develop an instrument to measure various other traits in order to properly treat individuals with eating disorders.
Eating disorders have numerous emotional, psychological, and physical consequences; despite this, many affected individuals refuse to admit that they have a problem. One of the more serious problems associated with eating disorders that may convince a young woman to seek treatment, is the negative effect disordered eating can have on fertility, pregnancy, and child rearing in general. In multiple studies anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified, have been associated with infertility, low maternal weight gain, low birth weight in infants, increased neonatal morbidity, and problems in infant feeding (Stewart, 1992). Women who are afflicted with an eating disorder at
Research on eating disorders has revealed a greater incidence of substance use and/or misuse in women with eating disorders than in the general population. Most of the research agrees that substance misuse is more common in patients with bulimia nervosa and the binge eating/purging subtype of patients with anorexia than in women with the restricting subtype of anorexia nervosa. Researchers and specialists have proposed a range of theories to account for the strong association between substance misuse and bulimia nervosa. Experiments have not provided evidence to conclusively support any one theory. However, studies conducted in the past decade have enabled researchers to refine
In a majority of the research articles studies were done on both patients with anorexia nervosa and patients with bulimia nervosa. During the research, as we will see, there was some difference in the comorbidity of personality disorders depending on whether the subjects were anorexic or bulimic.
Anorexia nervosa and bulimia are eating disorders that severely affect both men and women around the world. The cause of the eating disorder usually derives from psychological, biological and social forces. Eating disorders have become an epidemic in American society, twenty-four million people of all ages and genders suffer from an eating disorder in the U.S. (National Association of Anorexia Nervosa and Associated Disorders.\, 2011). There are many ways to address and treat an eating disorder. There have been multiple studies conducted to test the effectiveness of different types of treatment. My central research question analyzes the relationship between the continuation of the eating disorder with the presence of intervention or some