Editorial on the Research Topic. Extreme Eating Behaviours.

Introduction: The thesis deals with the relationship between substance use and eating disorder. In particular, it focuses on the phenomenon of self-medication substance abuse among women who have experienced an eating disorders. The theoretical part provides a comprehensive picture of the studied issue, supported by Czech and international research in the area. The empirical part is based on qualitative data collection and consists of a combination of short case studies and thematic analysis. Objectives: The main aim of the thesis is to map out and find out whether women who suffer from eating disorders use addictive substances, including alcohol, for the purpose of self-medication. The thesis also aims to find out whether there is a difference between the different forms of eating disorders and the pattern of substance use. Sample: The research sample consisted of 10 women aged 19 - 38 years who have had experiences with eating disorders. Methods: The method of semi-structured interview was chosen for the purpose of the research. The data obtained were presented using short case reports. The case studies were supplemented by a timeline and a test battery, which consisted of AUDIT, DAST and FTND questionnaires for better orientation of the researcher. The data were subsequently analyzed through...

A anorexia, conhecida na comunidade científica, desde séculos anteriores, vem despertando interesse não só dos especialistas e estudiosos sobre o assunto, mas também da cena midiática e do senso comum. E, na medida em que gera preocupações, no meio social e familiar, pela proximidade com a morte em que certos sujeitos se colocam, ela tem-se tornado tema de diferentes pesquisas. Considerando essas referências e a difusão do número de blogs, na Internet, que reverenciam a anorexia e a busca de um corpo ossudo como um estilo de vida, sob o comando da líder virtual Ana (Ana/orexia), fazemos, neste trabalho e à luz da psicanálise, um estudo sobre as vicissitudes da imagem corporal nessa problemática, por meio da análise de blogs brasileiros, construídos por adolescentes do sexo feminino. Supomos que tais atitudes refletem uma imagem obscena e transgressora, ilustrada pelo desejo que essas garotas possuem de alcançar um corpo com ossos à mostra, estampando o horror da morte e empurrando o Outro à angústia. Analisando oito blogs, a partir de postagens arquivadas e referentes ao período de janeiro a dezembro de 2006, buscamos compreender a força da identificação existente entre as pró-anas, a relação que é estabelecida entre anorexia (Ana) e bulimia (Mia) e a maneira pela qual elas se vêem, ao marcarem uma estranheza particular em seus corpos e fazerem do blog um lugar de gozo e de comunicação entre fantasmas. Com este estudo, esperamos oferecer subsídios para novos posicionamentos, quanto ao manejo na clínica da adição e de sintomas que levam em consideração o corpo. / Anorexia, known in the scientific community for many centuries, not only comes to arouse interest of specialists and studious on the subject, but also of the media scene and common sense. As it generates concerns in the social and familiar circle, for the proximity with death where some people put themselves, has become subject of different research. Considering these references and the dissemination of blogs number, in the Internet, that bow to anorexia and the search of a bony body like a life style, under Anas leadership (Ana/orexia), we do in this work a study of problematical body image in anorexia, starting from analysis of female teenagers statements on Brazilians blogs, having psychoanalytical interpretation as analysis resource. We suppose that such attitudes reflect an obscene and transgressive image, illustrated for the desire that these girls have to reach a bony body, being printed the horror of death and pushing the Other to anguish. Analyzing eight blogs, starting from filed posts, regarding of period between January and December of 2006, we search to understand the identification force among pró-anas, the relation that are established between anorexia (Ana) and bulimia (Mia) and the way as they are seen themselves, when marking a particular queerness in its bodies and doing the blog a place of lusting and communication among psychical ghosts. With this study, we hope to offer subsidies for the handling in addition clinic and symptoms that take the body in consideration

Die vorliegende Arbeit entwickelt einen Vorschlag für einen neuen, kompakteren Fragebogen mit dem Akronym „BaFEK-45“ zur Diagnostik von Essstörungen, der auf einer statistischen Analyse von Daten aus fünf bereits etablierten Fragebogen (ANIS, EAT – 26, FBeK, EDI – 2, EDES) mit einer Gesamtzahl von 231 Items basiert. Dabei wurden die Antworten von Patientinnen aus den 1990er- und 2000er-Jahren der Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters der Universität Leipzig ausgewertet. Auf Grundlage zweier „Signalfragen“ zu Ess-Anfällen wurden die Fragebogen-Serien in drei Gruppen (anorektisch, bulimisch und grenzwertig) eingeteilt, daraufhin konnte eine Analyse zu den Unterschieden im Antwortverhalten zwischen eben diesen Gruppe vorgenommen werden. Nach einem auf dieser Analyse basierenden Auswahlverfahren wurden die verbliebenen Items einer mehrstufigen Faktorenanalyse und kritischen inhaltlichen Differenzierung unterzogen. An deren Ende steht der o.g. Vorschlag eines neuen Diagnostikinstruments, das sich aus 45 Fragen in fünf Skalen zusammensetzt.

As a whole, eating disorders have been characterised as having the following key features: a persistent over concern with body size and shape; and weight control behaviours such as fasting, exercise, and self-induced vomiting. However, there tends to be a blurred line between those that do and do not meet diagnostic thresholds as the level of psychological distress is comparably similar. This study examined whether psychological inflexibility (from an Acceptance and Commitment Therapy perspective) was associated with eating disorders and whether it mediated the relationship between childhood abuse and invalidation and eating disorders. This was considered to be important because high rates of abuse have consistently been found in this population, yet not everyone goes on to develop an eating disorder. In addition, the role of emotional abuse has been largely neglected. A clinical sample of 190 participants with a clinical or subclinical eating disorder were recruited from eating disorder charities and support forums; they completed a range of questionnaires measuring experiences of abuse and maternal/paternal emotional invalidation in childhood, current levels of cognitive fusion and experiential avoidance and current levels of eating pathology. The sample was split into three groups based on their Eating Disorder Risk Composite scores: elevated, typical and low clinical range. It was found that those in the elevated clinical range (most severe eating pathology) had the poorest emotional processing and significantly higher levels of psychological inflexibility, thought-shape-fusion, depression and anxiety than those in the low clinical range (least severe eating pathology). In terms of predicting current levels of eating pathology, three variables emerged as significant predictors: emotional processing, thought-shape fusion and depression. In terms of predicting current levels of psychological inflexibility, five variables emerged as significant predictors: childhood emotional abuse, emotional processing, thought-shape-fusion, depression and anxiety. The results add novel findings to the literature regarding the role of early experiences on the development of psychological inflexibility, and the role of psychological inflexibility in the maintenance of eating pathology and psychological distress. Clinical implications of these findings in relation to assessment, formulation, intervention and prevention are discussed.

Made available in DSpace on 2017-06-01T18:08:23Z (GMT). No. of bitstreams: 1 dissertacao_camila_neiva_confrontada.pdf: 2127950 bytes, checksum: 3d2d428febf247f77ff42e695df51495 (MD5) Previous issue date: 2008-05-20 / Anorexia, known in the scientific community for many centuries, not only comes to arouse interest of specialists and studious on the subject, but also of the media scene and common sense. As it generates concerns in the social and familiar circle, for the proximity with death where some people put themselves, has become subject of different research. Considering these references and the dissemination of blogs number, in the Internet, that bow to anorexia and the search of a bony body like a life style , under Ana s leadership (Ana/orexia), we do in this work a study of problematical body image in anorexia, starting from analysis of female teenagers statements on Brazilians blogs, having psychoanalytical interpretation as analysis resource. We suppose that such attitudes reflect an obscene and transgressive image, illustrated for the desire that these girls have to reach a bony body, being printed the horror of death and pushing the Other to anguish. Analyzing eight blogs, starting from filed posts, regarding of period between January and December of 2006, we search to understand the identification force among pró-anas , the relation that are established between anorexia ( Ana ) and bulimia ( Mia ) and the way as they are seen themselves, when marking a particular queerness in its bodies and doing the blog a place of lusting and communication among psychical ghosts. With this study, we hope to offer subsidies for the handling in addition clinic and symptoms that take the body in consideration / A anorexia, conhecida na comunidade científica, desde séculos anteriores, vem despertando interesse não só dos especialistas e estudiosos sobre o assunto, mas também da cena midiática e do senso comum. E, na medida em que gera preocupações, no meio social e familiar, pela proximidade com a morte em que certos sujeitos se colocam, ela tem-se tornado tema de diferentes pesquisas. Considerando essas referências e a difusão do número de blogs, na Internet, que reverenciam a anorexia e a busca de um corpo ossudo como um estilo de vida , sob o comando da líder virtual Ana (Ana/orexia), fazemos, neste trabalho e à luz da psicanálise, um estudo sobre as vicissitudes da imagem corporal nessa problemática, por meio da análise de blogs brasileiros, construídos por adolescentes do sexo feminino. Supomos que tais atitudes refletem uma imagem obscena e transgressora, ilustrada pelo desejo que essas garotas possuem de alcançar um corpo com ossos à mostra, estampando o horror da morte e empurrando o Outro à angústia. Analisando oito blogs, a partir de postagens arquivadas e referentes ao período de janeiro a dezembro de 2006, buscamos compreender a força da identificação existente entre as pró-anas , a relação que é estabelecida entre anorexia ( Ana ) e bulimia ( Mia ) e a maneira pela qual elas se vêem, ao marcarem uma estranheza particular em seus corpos e fazerem do blog um lugar de gozo e de comunicação entre fantasmas. Com este estudo, esperamos oferecer subsídios para novos posicionamentos, quanto ao manejo na clínica da adição e de sintomas que levam em consideração o corpo.

The diploma thesis is focusing on the topic of eating disorders in young men. The literature review summarizes the current information concerning eating disorders in this population. Eating and feeding disorders included in DSM - 5 are described. The thesis also focuses on orthorexia nervosa and muscle dysmorphia. A separate chapter deals with body image in men and its connection to eating disorders. The final chapter of the literary review section is focused on the possibilities of diagnostics and therapy. The empirical part of the work consists of a quantitative research conducted on a sample of 164 men aged 18-30 years. A questionnaire survey was carried out. Using Spearman's correlation coefficient, a significant correlation was found between the symptomatology of eating disorders and muscle dysmorphia. There was also a significant correlation between Body Mass Index and the symptoms of eating disorders and also between BMI and muscular dysmorphia. Data analysis revealed a positive correlation between the higher symptomatology of eating disorders and dissatisfaction with the amout of body fat. No significant relationship was found between the symptomatology of eating disorders and dissatisfaction with muscle mass. There was a significant correlation between Body Mass Index and dissatisfaction...