Through practice, social workers may work with those who experience eating disorders, including the life threatening anorexia nervosa, however the imperative treatment of disordered eating often causes much controversy due to the ethical implications it carries. The medical dictionary defines Anorexia Nervosa as;
‘A psychiatric disorder characterized by an unrealistic fear of weight gain, self-starvation, and conspicuous distortion of body image. The individual is obsessed with becoming increasingly thinner and limits food intake to the point where health is compromised. The disorder may be fatal. The name comes from two Latin words that mean nervous inability to eat.’ Therefore due the physical and medical implications that anorexia nervosa presents, for an individual who experiences the condition, compulsory treatment is often deemed necessary. However this is often grounds for serious ethical debate between many, including medical professionals, those who experience anorexia nervosa and indeed social work practitioners. Thus the following essay will seek to explore the ethical issues that may pertain should the compulsory treatment of anorexia nervosa be utilised. By discussing the principles of ethical treatment, including the rights of the individual and also considering the benefits of allowing the individual to choose their course of treatment, view on the compulsory treatment of anorexia nervosa.
Within the Eating Disorders Review March/April 2008, Arnold E.
Dr. Levenkron talks about Anorexia Nervosa as a pathological distortion of today’s society of being “Fashion-model thin.” This source is reliable because it is told from a doctor's/psychotherapists perspective of the disease. It informs and broadens my research on the pathological aspect of the disease. Dr. Steven Levenkron uses case studies and specific strategies to explain and help cure the disease.
With Anorexia Nervosa, there is a strong fear of weight gain and a preoccupation with body image. Those diagnosed may show a resistance in maintaining body weight or denial of their illness. Additionally, anorexics may deny their hunger, have eating rituals such as excessive chewing and arranging food on a plate, and seek privacy when they are eating. For women, they go through immediate body changes from abnormal to no menstruation periods and develop lanugo all over their bodies. Characteristics of an anorexic individual also consist of extreme exercise patterns, loosely worn clothing, and maintain very private lives. Socially, to avoid criticism or concern from others, they may distant themselves from friends and activities they once enjoyed. Instead, their primary concerns revolve around weight loss, calorie intake, and dieting. In regards to health, many will have an abnormal slow heart rate and low blood pressure, some can develop osteoporosis, severe dehydration which can result in kidney failure, and overall feel weak (Robbins, 27-29). It has been reported that Anorexia Nervosa has one of the highest death rates in any mental health condition in America (www.NationalEatingDisorders.org).
A single father watched his daughter, 17 years old, dwindle down to 72 pounds. He begged her to eat, but she would cry and push the plate away. He was irritated and turned to his friends at work complaining his daughter was taking dieting way too far. He would scream at her “Stop! This is nonsense, just eat!”. This father, like many other Americans, did not understand that his daughter could not just stop being Anorexic. The common misconception is that Anorexia Nervosa is just someone obsessed with losing weight. Many people believe that Anorexics look in the mirror and smile at their thinness and progress. This is so untrue, they look in the mirror and wish for a way out.
Anorexia Nervosa is usually psychological as well as possibly an eating disorder which is life-threatening well-defined by a tremendously low body weight comparative to stature, great and needless weight loss, fear of gaining weight and distorted discernment of an individual’s self-image and body. There are several clinical factors of this eating disorder, and they are the following: the victim has a tendency of fearing his normal body weight where in this case, a person fears to be fat. In other words, the fear of normal body weight is very common in this eating disorder which is observed as a pathognomonic of the situation. In the case of Joshua, his parents should understand that he fears to get fat such that he already feels that his body
This essay aims to describe and evaluate two approaches to the treatment of self defeating behaviour. To do this I am using the description of Anorexia Nervosa as a self defeating behaviour, one which has far reaching consequences. I will include possible origins, causes and maintenance of Anorexia and describe two of many ways in which a therapist may help with this condition whilst weighing up
Eating disorders are diseases in which people have an unhealthy relationship with their food, and negative image reflecting how their body looks, such as, the fear of gaining weight. This type of body dysmorphia can lead to damaging eating habits, such as; starvation, purging, and even binging. Furthermore, there are numerous eating disorders recognized today, the most common being binge disorder, causing the affected person to eat far too much and experience pain, discomfort, and irritable bowel symptoms, bulimia which causes the affected person to purge their food through vomiting, and one of the most common eating disorders -- anorexia nervosa. (Eating Disorders, 2008) Many of these disorders can be treated in multiple ways, the most common way is through counselling with a social worker, the social worker helps develop a treatment plan for the client and aids them in their recovery.
Many individuals that deal with eating disorders usually diet because of the moral pressure to not possess the traits of being lazy or gluttonous that obese people possess. For many anorexic people, it’s a moral responsibility for them to be able to maintain a thin body; however, many times it can get out of hand, and many of their diets are not done so
Anorexia Nervosa is an emotional disorder that causes its victims to have an obsessive desire to lose weight by refusing to eat. It is known to be the third most common eating disorder among adolescents. Many who suffer from the disorder have a strong fear of gaining weight and they 're very determined to prevent any weight gain. AN patients are also incapable of recognizing the severity of their condition. In the article entitled, "A Factor Analysis of the Meanings of Anorexia Nervosa: Intrapsychic, Relational, and Avoidant Dimensions and Their Clinical Correlates", Enrica Marzola explains, "AN sufferers often refuse treatments, show poor compliance with therapy leading to high dropout rates, relapse, and high mortality" (Marzola 2). Marzola examines how many patients become very attached to their illness and do not wish to be recovered from it. In addition, Not only do many AN patients believe that the disorder has help them gain their ideal body image, but they 've also described their starvation as a way to escape from any negative emotions, strengthen their identity, and reveals their distress. Enrica Marzola also addresses, "These instruments confirmed that AN sufferers experience a
Doctors are now comparing anorexia to a biological disease that may be initiated by environmental factors, such as, stress and trauma. The reason these independent variables cannot be tested is because the dependent variables in this case would be genes and
Several pertinent factors favor enacting a law that would force an individual with a severe eating disorder to receive help. No matter what their age, whether eighteen, twenty-four, or thirty-six, people can still reach the point where they are so sick that the disease has taken over their ability to think logically.
Three themes emerge in anorexia nervosa patients: control, tensions between the client’s wants and the clinical intervention, and therapeutic alliance (Westwood & Kendal, 2012). For patients, anorexia nervosa both controls them and gives them control. Patients are torn between trying to overcome their disorder and enjoying the control they have over their body. Clients being treated for anorexia nervosa are challenged during treatment because they need to address both their physical and psychological needs (Westwood & Kendal, 2012). They want to have a say during their
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
“Anorexia nervosa is a self-induced starvation resulting from a fear of fatness, even though the patient is underweight.” (Ignatavicius & Workman, 2016, p. 1238) This disorder is most commonly seen in adolescent girls and women but can be seen in boys and men. Care for patients with anorexia nervosa can be quite complicated but is essential for their recovery. If these patients do not receive proper care they can deteriorate quickly and death will then be inevitable. “Approximately 15% of all patients suffering from anorexia nervosa die from the disorder: two-thirds from malnutrition, one-third as a result of suicide.” (Bakker, et al., 2011, pp. 16-22) Care plans for these patients will need to include physical, emotional, and psychological goals and interventions.
Professionals are trying to decide the best ways to treat eating disorders. A major complication in the proposed treatment plan is ethics. A potential solution may be to take control away from the patient but,
Fairborn (2005) points out that there is a range of treatment options and a variety of treatment settings for anorexia nervosa, however there is inadequate empirical support for this abundance of options as what minimal research on the treatment has been inconclusive. One reasoning behind this is that anorexia nervosa has been an uncommon disorder and sample sizes for studies have been low. Furthermore, the lack of evidence based treatment research can be attributed to the individual’s avoidance of treatment and dropping out of treatment. Many individuals with anorexia nervosa are unwilling to change as their identity and self-worth are intertwined with their distorted body image; they tend to deny that anything is wrong with their weight and are ambivalent on changing (Abbate-Daga, Amianto, Delsedime, De-Bacco & Fassino,