The DSM-5 Diagnosis Of Anorexia Nervosa

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Anorexia nervosa is a disorder which heightens the ideas of fear in an individual, particularly the phobia of gaining weight. People with the disorder pine to achieve a body that is unattainable, leading to obsessions about food. Fear is a driving emotion for the disorder, and often it is this emotion which causes prolonged suffering. This paper will go over the DSM-5’s diagnostic criteria, the prevalence of the disorder, the circumstances of onset, etiology, and finally a case example. The case example will illustrate how the disorder can be long-lived and affect relationships. Having a clinical understanding of anorexia nervosa allows for persons outside of the disorder the ability to relate to the victims.
The DSM-5 diagnosis for anorexia …show more content…

352). It is estimated that 1.0% to 4.2% of females in Western countries develop the disorder in their lifetime, with higher percentages who display symptoms (Renfrew, 2003). Currently, at least 30 million people of all ages and genders suffer from an eating disorder in the U.S. (Hudson, 2007). This is an alarming number of victims, where at least one dies every 62 minutes. Furthermore, one in every five anorexia deaths is due to suicide, signifying that there may be mental disorders that combine with anorexia, such as depression (Arcelus, 2011). Eating disorders do no discriminate, as they affect all races and ethnic groups. Ultimately, the disorder is quite prevalent, particularly in younger women in the Western …show more content…

In the psychodynamic perspective, Hilde Bruch is credited to arguing that disturbed mother-child interactions lead to what she considers as “ego-deficiencies” in the child, meaning they have a poor sense of independence and control, as well as “perceptual disturbances” which jointly result in eating disorders (Comer, 2015, pg. 359). These ego deficiencies depend on how effective parents are, chiefly when responding to biological and emotional needs of children. Failure to respond properly to crying indicates the risk of the child growing up without understanding their internal needs, specifically being unaware when they are hungry or full. These children grow up wishing to be “model children” for their parents, but as they move into adolescence, they feel as though they cannot find independence and instead find comfort in controlling their body’s shape through diet. Cognitively, theorists have found deficiencies lead to a cognitive distortion which is why the disorder expresses itself. For example, patients with anorexia “manifest difficulties in accurately perceiving or interpreting stimuli arising in their bodies, such as hunger and satiety, and also fatigue and weakness as the physiological signs of malnutrition” (Skårderud, 2009, pg. 85). Since they

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