2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
A very important point to understand when we talk about eating disorders is that eating disorders fall under the spectrum of emotional disorders. What does it mean? NPP is a "relative" of conditions such as depression, anxiety, or somatoform disorders. They are united by the fact that the main "breakdown" is the regulation of emotions. Not behavior, not thinking, but emotions. This means that if we ignore the emotional component, then no behavioral change or building a strict, intellectually clear scheme for regulating nutrition will not lead to stabilization of the state.
Few numbers. Eating disorders always go hand in hand with emotional impairment. So, it was found that girls suffering from anorexia have a history of affective disorder in 95 percent of cases, about 67% of which are related to depressive disorders and about 42% to anxiety disorders. Also, a number of researchers note that those people who suffer from eating disorders often have a reduced ability for empathy (i.e. the ability to recognize and respond to the experiences of another).
There are several protocols in the modern therapy of NPP that have been proven to be effective in the treatment of NPP, all of which are based on numerous studies conducted over the past 40 years. Each scheme for working with NPP begins with a clear prescription based on clinical experience, indicating the imperative need for the diagnosis of affective disorder and its treatment. Those. working directly with thoughts, feelings, behavior related to the characteristics of eating behavior will be ineffective or even ineffective without treatment of affective disorders.
Each stage of the bulimic cycle or an attack of overeating, or obsessive thoughts about being overweight in anorexia is accompanied by a whole spectrum of strong negative experiences, which are either realized and very painful, or avoided and felt as "stress", but still accompany the process of the violation itself. What usually happens? Tension is often experienced as a feeling of emptiness, drawing in and sucking in, which is associated with the experience of fear or even horror. Sometimes, on the contrary, emotions and feelings are experienced very sharply. So much so that they seem unbearable, capable of destroying everything, if you give them a way out, and the person and his loved ones, relationships, and sometimes the mind. Or the feeling can be felt as something separate, uncontrollable, omnipotent, filling from the inside and depriving of will. Emotions can sometimes mix with physical sensations to the point where they are difficult to separate, and frustration and resentment can be experienced as hunger or lack of air, for example. Feelings can often be distorted as well, for example, aggression or anger can be experienced as resentment if aggressive feelings are considered unacceptable or dangerous. And the feeling of frustration can be experienced as depression, sadness, or sadness. There are many more examples.
When it comes to SMEs as emotional disturbances, the conversation is about the fact that, as described above, emotions find their way through eating behavior. This path through food is dictated by many factors. Unfortunately, today there are no unambiguous data that would allow us to say that the study of NPP factors can be stopped and everything is unambiguously clear. So far, the proven influence of cultural factors (perhaps, it is on NPP that they affect the most in comparison with other violations of this spectrum), as well as the influence of the family context and environment. Also, a large number of studies confirm the influence of a number of personality traits, such as physical perfectionism and dissatisfaction with their appearance.
Working with the identification, awareness and regulation of experiences, feelings and emotions is a central process in the treatment of NPP. The rest of the targets of the work, such as eating behavior, self-esteem, beliefs about the importance of weight and shape are equally important, but the work will take place in a circle if the central "breakdown" is avoided.
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