Introduction
Anorexia Nervosa is a type of eating disorder defined as a pathological fear of gaining weight. In its simple term, is self-starvation.
There are records that Simone Porta of Genoa, Italy, diagnosed the first medical account of anorexia nervosa in 1500. A hundred years later, in 1689, Sir. Richard Morton, a British physician offered a detailed explanation of the medical illness and reported two adolescent cases (One female and one male). He describes it as wasting away due to emotional turmoil.
In the year 1874, two physicians introduced anorexia nervosa as a clinical diagnosis. These two physicians are Charles Lasègue, of France, and English physician, Sir William Gull. In their clinical reports, it was clear that Gull and Lasègue had different views on the condition, yet both defined it as a “nervous” disease distinguished by self-starvation. Gull was the first to use the term anorexia nervosa, which literally mean “nervous loss of appetite” to the Clinical Society of London. The following year, Gull’s report was published to the society which made the term anorexia nervosa gain its immense acceptance.
It was not until the 1930s that physicians for the first time gave value to the importance of psychotherapy in treating anorexia nervosa patients. From here on, physicians continued their research; further increasing society’s knowledge on the physical and emotional harm the condition causes, and finding more ways to effectively treat patients.
Diagnosis
To
Anorexia has dangerous effects on the body and the mind. It has the highest rate of death of any mental illness. Between 5% and 20% of people who develop the disease eventually die from it (Lee, 2008). It may start as simple dieting, but can quickly roller coaster out of control such as not eating at all. The person’s main focus is food, dieting, and the fear of weight gain. Others see them as being very thin but they themselves see a distorted fat image when they look in the mirror.
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.
This article explored the topic of identifying symptoms in patients with anorexia nervosa (AN). The Eating Disorder Inventory led a study, conducted by D. Garner, that studied females with AN to classify behavior exclusive to the psychological disorder. The researchers recognized the problem of trying to identify any restrictive manners or detrimental behaviors that could identify a person with AN. The purpose of the research was to find tell-tale symptoms or psychological indicators of AN in patients.
During the time of Caesar (700 B.C.)…” where people would hold lavish banquets, and people would force themselves to vomit so they could eat more. The first actual recorded case of anorexia was an upper class Roman woman. According to the article, her behavior was driven by her Gnostic religious beliefs. Religion is not the only leading factor towards historic accounts of anorexia. Religious women would starve themselves in an attempt to grow closer to God. Sir William Gull, a royal physician, would treat anorexic women by “force feeding, moral teaching, and a change of scenery.” As a similar form of treatment, a French psychiatrist, Charles Lasegue, described anorexia from a social and psychological standpoint. Dr. Lasegue inferred that anorexia was a disease, and could be developed only in comfortable homes with an abundance of food. At meals, children were expected to eat everything on their plates, making meal times stressful and leading some to refuse to eat as a form of rebellion. He also suggested that women protested by not eating since they were not socially able to convey their feelings and frustrations. It was not until the 1930s that doctors began to understand that anorexia is not solely physical, but is part mental. Ellen West, unfortunately, only lived from 1888 to
In this paper, I will discuss how cognitive behavioral therapy (CBT) can be utilized in the management of eating disorders. More specifically I will identify Anorexia Nervosa and provide statistics that relate to the disease. Etiologies will be discussed as well as symptoms. Various techniques of Cognitive Behavioral Therapy will be described as well as the rationale as it relates to the clinical issue.
Eating disorders have become an increasing public health problem once thought to be an affliction amongst young women, now an epidemic across culture and gender boundaries. Anorexia gives rise to serious socio-economic and bio-psychological circumstances of our ever vast, growing society. Awareness of eating disorders have increased but perhaps only in proportion to its advancement of its research and treatment. That which still leaves us in a position for a much greater demand for education and heightened awareness of this perplexing disease.
It was first coined and clinically diagnosed in 1873, by eminent British physician Sir William Gull (Abraham & Llewellyn-Jones, 2001, p. 23). After studying several patients having all lost significant amounts of weight, he recognized this occurrence as a disorder. Gull believed the origins of anorexia nervosa were purely mental, as his medical journal states (Abraham & Llewellyn-Jones, 2001, p. 23): “That mental states may destroy appetite is notorious, and it will be admitted that young women at the ages named are specially obnoxious to mental perversity.” Gull’s treatments included natural medications such as cinchona, a tropical plant, along with observation and diet. (Abraham & Llewellyn-Jones, 2001, p.
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 an eating disorder that is categorized by severe food restriction, excessive exercise and body dysmorphia, which leads those that suffer from it to believe that they are overweight. Anorexia nervosa is commonly misunderstood by the general public. Research has disproved many of the previous thoughts about anorexia nervosa. According to the scientific research anorexia nervosa has a genetic factor, is not just a disorder of teenage girls, and that recovery is not simply gaining weight.
Anorexia nervosa is a mental illness that is characterized by an unrealistic fear of weight gain, self-starvation, and conspicuous distortion of body image. The individual with the disorder becomes obsessed with becoming increasingly thinner and will limits food intake to the point where their health is compromised (Butcher, Hooley, J. M., & Mineka, 2013).
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).
Anorexia was introduced into the world around 138 year ago. An esteemed English physician named Sir William Withey Gull introduced it at the Clinical Society of London. The disorder reached public awareness around the 1970’s. It was very popular in the upper class. There are two major types of anorexia. The restriction type and binge eating/purging type. The restriction type is when the person restricts their food intake on their own and does not engage in the other type. The other type, binge eating/purging, is when the person self-induces
As the term "anorexia nervosa" did not exist until 1873” (The first anorexic). In the western world one of the first accounts of anorexia nervosa was during “the 12th and 13th centuries, most famously Saint Catherine of Siena who denied herself food as part of a spiritual denial of self” (A History of Eating Disorders). Most cases of anorexia had to do with fasting as a religious or spiritual experience. However for the women of the Victorian period being thin had transformed and became a way for them to feel successful instead of powerless. It wasn’t till 1970 that the disorder was able to reach the public as it wasn’t just the upper-class that was suffering from anorexia. Again anorexia evolved into the "twentieth-century women progressively idealized the lean, almost 'tubular' body type, deprived of the symbolic emphasis of fertility and motherhood. The thinness of the 'new woman' expressed her sexual liberation and rejection of the traditional female role" (Bremer, J.). Whereas before woman needed to look healthy and capable of having and raising children, now women were aiming to achieve independence the need to be those thing were
We have discussed anorexia throughout history, what goes through the mind of an anorexic, and the importance of the awareness of eating disorders. Although the motivation to stop themselves from eating throughout history is different the determination to reach their goal is the same. Anorexia nervosa is a psychiatric condition
Anorexia nervosa was medically discovered in 1874 by a man named William Withey Gull, where he observed the experiences of women