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Cognitive specificity in the treatment of Bulimia nervosaSetterfield, Melanie 08 May 2014 (has links)
M.A. (Clinical Psychology) / The relatively rapid development of cognitive-behavioural approaches to various psychological conditions, has prompted clinicians and researchers to investigate the effects of this therapeutic modality on Bulimia Nervosa sufferers more closely. Research has evidenced the complexity and uniqueness of this disorder and much speculation still remains with regard to the etiology, description and treatment of Bulimia. Of the various treatments proposed, the cognitive~behavioural approaches have appeared to be most effective. Latest developments in this modality emphasize cognitive factors like content-specific cognitions and Early maladaptive schemas. These factors are important for psychotherapeutic purposes. The hypothesis formulated for this study, stated broadly that cognitive-behavioural approaches would result in equal treatment efficacy, whether process(schema) or content based interventions. This was investigated in the context of a pilot clinical trial with four selected subjects. Apart from measures for depression and cognitive processes associated with eating and self image in Bulimia, a depth-of processing task and a schema questionnaire were used in investigating the hypothesis. These measures, in addition to the CB interventions were applied to a small group of carefully selected Bulimics ,diagnosed acccording to the DSM III-R. The findings supported the basic hypothesis of the study, and demonstrated that cognitive-behavioural approaches of either content or process types are equally efficacious in the treatment of Bulimia Nervosa.
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Community reflections in the House of Mirrors Pilot ProjectCoutts, Lara Marlaine 05 1900 (has links)
Researchers have identified the need to explore the context in which disordered
eating is a reasonable response to violence and socio-cultural expectations, and
the need for prevention programs that link fat phobia with other forms of
oppression (Burstow, 1992; Herman, 1997; Orbach, 1994; Piran, 1999; Sesan, 1994;
Steiner-Adair, 1994, Thompson, 1992). To date, the House of Mirrors
Community Development Pilot Project (the "HOM") is the only community-based
program in Canada that addresses these issues. The HOM is a visual arts
installation of twenty-six full-length mirrors onto which women, girls and artists
of various cultures, ages, and body types portrayed how violence and fat phobia
have impacted their lives. The purpose of this multiple method study was to
assess the efficacy of the HOM as a facilitator of working relationships between
the health, business, art, and education sectors in Campbell River, B.C. The
process was documented in two focus group interviews with five members of the
HOM Subcommittee and in a survey of the HOM subcommittee and the Eating
Disorder Program Advisory Committee. Evaluating the project's effectiveness
distinguished different levels of community involvement as connections,
relationships, and partnerships. The evaluation highlights differences between
prevention and community development initiatives and the need for an
emphasis on partnership building in social work. This knowledge will be used
to inform future policy and practice decisions.
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Community reflections in the House of Mirrors Pilot ProjectCoutts, Lara Marlaine 05 1900 (has links)
Researchers have identified the need to explore the context in which disordered
eating is a reasonable response to violence and socio-cultural expectations, and
the need for prevention programs that link fat phobia with other forms of
oppression (Burstow, 1992; Herman, 1997; Orbach, 1994; Piran, 1999; Sesan, 1994;
Steiner-Adair, 1994, Thompson, 1992). To date, the House of Mirrors
Community Development Pilot Project (the "HOM") is the only community-based
program in Canada that addresses these issues. The HOM is a visual arts
installation of twenty-six full-length mirrors onto which women, girls and artists
of various cultures, ages, and body types portrayed how violence and fat phobia
have impacted their lives. The purpose of this multiple method study was to
assess the efficacy of the HOM as a facilitator of working relationships between
the health, business, art, and education sectors in Campbell River, B.C. The
process was documented in two focus group interviews with five members of the
HOM Subcommittee and in a survey of the HOM subcommittee and the Eating
Disorder Program Advisory Committee. Evaluating the project's effectiveness
distinguished different levels of community involvement as connections,
relationships, and partnerships. The evaluation highlights differences between
prevention and community development initiatives and the need for an
emphasis on partnership building in social work. This knowledge will be used
to inform future policy and practice decisions. / Arts, Faculty of / Social Work, School of / Graduate
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Poruchy příjmu potravy / Eating disordersDouchová, Zuzana January 2011 (has links)
The diploma thesis deals with eating disorders, especially anorexia nervosa. The theoretical background gives a complex picture of this issue and puts mental anorexia in a broader psychological context. The aim is to clarify myths and preconceptions related to anorexia nervosa, to stress the importance of family environment for disorder's origin, course and prevention, and to show current state of treatment in the Czech Republic. These aspects are verified by the survey, based on how women with mental anorexia perceive this disorder.
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Perfectionism : an exploratory analysis of treatment resistant eating disorder clients during interventionWalters-du Plooy, Guillaume Neale 05 1900 (has links)
To gain a better understanding of those struggling with severe eating disorders (anorexia nervosa and bulimia nervosa), the inner life-world and subjective experiences of therapy clients were explored within the South African context. This was an empirical qualitative study. Specifically, the study’s focus was on the psychological construct of perfectionism as experienced during the respondents’ treatment resistant eating disorders. The two objectives of the research were to describe and explain perfectionism, which served to increase an overall improved understanding of perfectionism.
The study’s methodology encompassed a combination of phenomenological- and grounded theory methodology, exploring the narratives of six female candidates that were undergoing individual therapy for their eating disorders. These candidates were considered to have a treatment resistant eating disorder, because they had been struggling with this diagnosis for longer than a decade, and/or had previously received multiple treatment interventions without recovering.
The therapy sessions were recorded via digital audio recordings, and used in the data analysis process. The discourses pertaining to the study’s focus were transcribed and analysed using phenomenological- and grounded theory methods.
The phenomenological analysis produced individual descriptions of the participants’ experiences of their perfectionism, as well as a general description for perfectionism.
The grounded theory analysis produced an emerging theory in the form of a cognitive schema. This schema was named The Perfectionistic Eating Disorder Self-schema (PEDSS), and explains the inner psychological process of perfectionism within a treatment resistant eating disorder client.
The results of this study, in particular the PEDSS, has implications for those trying to understand, assist, and treat those who suffer from treatment resistant eating disorders, as well as helping those who struggle with perfectionism to understand their own problem more. / Psychology / D. Phil. (Psychology)
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Food addiction : a cost-effective treatment proposal within a developing country contextKistenmacher, Ann 01 1900 (has links)
This study explores the possible efficacy of a low carbohydrate and high fat nutritional intervention (LCHF) as a treatment possibility aiming to improve the ability of self-control and regulation in the context of carbohydrate-addiction.
The study first outlines why increased simple carbohydrate consumption has been implicated as a risk-factor in numerous chronic conditions, and then explores the possibility that a reduction of such consumption could lower general medical expenditure in the healthcare sector of already overburdened institutions, especially in developing countries like South Africa. Since the neurobiological evidence for food addiction is compelling, this study investigates the impact of a low carbohydrate and high fat eating (LCHF) regimen by measuring the change in the severity of addictive behaviour in relation to a reduced carbohydrate consumption. Results indicate that a LCHF nutritional intervention lessened addictive behaviour after just 30 days, resulting in a statistically significant decrease in addiction symptoms from day 1 to day 30. The weight and BMI values of the participants recorded at the end of the study showed a reduction from those obtained during the pre- treatment stage, and the self-perceived ‘feeling in control’ also improved in all participants after the intervention.
The introduction of a LCHF nutritional intervention presents a relatively cost-effective treatment and preventative measure to combat carbohydrate over-consumption and its numerous health complications, and it is therefore hoped that the positive findings of this study will foster further research, using larger samples, into this type of nutritional intervention against addictive eating behaviour. / Psychology / M.A. (Psychology)
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