Bulimia Nervosa - cog abnormal

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13 Terms

1

Possible cognitive reasons behind bulimia

  • negative self-image

  • poor body image

  • tendency to perceive events as more stressful than most people would

    (Vanderlinden et al. 1 992)

  • perfectionism.

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2

the body-image distortion hypothesis

  • many eating disorder patients suffer from the delusion that they are fat.

    • overestimate their body size.

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3

Slade and Brodie (1994)

AMRCE

aimed to investigate the relationship between body image distortion and eating disorders, particularly bulimia.

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4

Slade and Brodie (1994)

AMRCE

  • Participants: Individuals with bulimia and a control group without eating disorders.

  • Procedure: Participants were assessed for their perception of body size using visual and cognitive tasks.

    • Perceptual Body Size Estimation:

      • Participants were asked to estimate the size of different body parts or their overall body size using visual and tactile tasks.

      • This was done to determine whether they perceived their body as larger than it actually was.

    • Cognitive and Emotional Measures:

      • Self-report questionnaires were used to assess levels of body dissatisfaction and attitudes toward body shape.

      • Psychological assessments measured factors like self-esteem, perfectionism, and societal influences on body image.

    • Comparison Between Perception and Cognition:

      • Researchers compared whether body size overestimation correlated more strongly with actual perceptual distortion or with negative thoughts and feelings about one’s body.

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5

Slade and Brodie (1994)

AMRCE

  • The study found that body image disturbance in bulimia is not primarily due to a perceptual distortion (i.e., actually seeing oneself as larger than one is).

  • Instead, cognitive and emotional biases played a more significant role in body dissatisfaction.

  • Participants with bulimia tended to judge their body size inaccurately due to negative self-perception, societal pressure, and emotional distress, rather than a misperception of physical reality.

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6

Slade and Brodie (1994)

AMRCE

  • The findings challenged the traditional belief that body image distortion in eating disorders is solely due to visual misperception.

  • Instead, body dissatisfaction in bulimia is largely driven by cognitive distortions, unrealistic beauty standards, and emotional factors like low self-esteem and anxiety.

  • This suggests that treatment should focus more on cognitive restructuring (e.g., changing negative thought patterns) rather than just correcting perceptual distortions.

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7

Slade and Brodie (1994)

AMRCE

Strengths:
Shift in Perspective: The study contributed to a deeper understanding of body image disturbance, influencing modern psychological treatments for bulimia.
Clinical Implications: Findings have been used to develop Cognitive Behavioral Therapy (CBT) strategies, which target negative self-perceptions and body-related anxieties.
Experimental Approach: The study combined objective perception tests with subjective psychological assessments, offering a more comprehensive analysis.

Limitations:
Small Sample Size: If the study had a limited number of participants, its findings might not generalize to all individuals with bulimia.
Self-Report Bias: Some data came from self-reported questionnaires, which can be influenced by social desirability (participants might underreport or exaggerate their feelings).
Not Accounting for Biological Factors: While the study emphasized cognitive aspects, biological and neurological factors (such as brain chemistry, hormones, or genetics) were not explored in-depth.
Focus on Bulimia Only: The study’s conclusions might not fully apply to other eating disorders like anorexia nervosa, where perceptual distortion may play a bigger role.

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8

cognitive disinhibition.

  • This occurs because of dichotomous thinkingan all-or-nothing approach to judging oneself. Bulimics follow very strict dieting rules in order to reach the weight that they feel is ideal.

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9

Polivy and Herman (1985)

AMRCE

aimed to investigate the relationship between dietary restraint and binge eating behaviors

  • whether restrained eaters (chronic dieters) are more susceptible to binge eating when they perceive a loss of control over their eating.

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10

Polivy and Herman (1985)

AMRCE

  • IV 1 = Restrained vs. unrestrained eaters

  • IV 2= Milkshake vs no milkshake

  • DV= Amount of food consumed

    • to examine whether a loss of dietary control (preloading) would lead to binge eating.

  • Stg. 1: manipulation of control over eating

    • iv2.

  • stg. 2: all participants were given free access to food (such as cookies or ice cream), and their eating behavior was observed.

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11

Polivy and Herman (1985)

AMRCE

  • Restrained eaters who had consumed the milkshake (and thus believed their diet was already "ruined") ate significantly more than unrestrained eaters.

  • Unrestrained eaters did not show the same excessive eating pattern after preloading.

  • This suggests that dietary restraint can paradoxically lead to loss of control and binge eating when dieters perceive they have broken their rules.

  • The findings supported the "What-the-hell effect", where a minor dietary slip leads to excessive consumption due to an "all-or-nothing" mindset.

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12

Polivy and Herman (1985)

AMRCE

  • concluded that chronic dieting and restrictive eating habits contribute to binge eating.

  • When restrained eaters perceive a violation of their diet, they are more likely to engage in binge eating episodes due to a sense of failure and loss of control.

  • This cycle is common in individuals with bulimia nervosa.

  • Their findings suggest that rigid dietary control increases the risk of disordered eating patterns, emphasizing the need for healthier, more flexible approaches to food regulation.

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13

Polivy and Herman (1985)

AMRCE

Strengths:

Provides empirical support for dietary restraint theory – The study effectively demonstrates how strict dieting can lead to binge eating.
Practical applications – Findings can be used in eating disorder prevention by promoting flexible, balanced eating habits.
Controlled experimental design – The study used a well-structured method to manipulate dietary control and measure its effects.

Limitations:

Artificial setting – The experiment took place in a controlled environment, which may not fully reflect real-life eating behaviors.
Individual differences – Not all restrained eaters binge, suggesting that psychological factors (e.g., self-esteem, stress) may also play a role.
Ethical concerns – The study involved manipulating eating behaviors, which might have caused distress in participants, especially those with existing eating concerns.

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