The thesis has both a theoretical and a practical part. Within the theoretical part it deals with problems and the characteristics of food intake failures, especially with the perception of her/his body during maturation, pubescence, adolescence, early adulthood and middle adulthood and the impact of psychological and social factors and risk factors. It points out the possibilities of a probable occurrence of a food intake failures, the attitude of the society and parents. It deals with different attitudes to slenderness, self-esteem, eating habits of girls and how present-day girls are informed about food intake failures. The diploma thesis main aim within a practical part is the illustration of a theoretical part and the description of subjectively sensed possible causes from women who suffered from food intake failures. There are 6 casuistries described here which are subsequently summarized in the results. Possible comments and ideas are mentioned in the discussion.

My diploma thesis is both theoretical and empirical. It deals with modern nondrug addictions which are not yet classified as addictions according to the International Classification of Diseases, but their symptoms and common characteristics with recognised addictions allow us to label them as such. The theoretical part of my thesis concerns mainly a definition of these addictions, their typical symptoms, prevention and therapy. The practical part contains tables derived from the results of research carried out in the form of questionnaire surveys. One questionnaire was designed for adults,another for children and youth adults. Both aim to monitor the occurrence of modern addictions in today's population. The practical part also contains a questionnaire which confirmed or disconfirmed a suspicion of workaholism in the case of two selected persons. The appendixes to my thesis contains all the mentioned questionnaires and a case study of a person cured from a gambling addiction. The appendixes also contain graphs supplementing the practical part of the thesis, a list of rehabilitation institutions where individual addictions can be treated as well as contact information of various workplaces which provide help and counselling.

The thesis focuses on body image - defines the main characteristics of this area, describes cultural influences and body image history and explains basic quantitative values (Body Mass Index, Waist Hip Ratio, Bioelectrical Impedance Analysis). Furthemore the thesis deals with media influence on body ideal formation process, especially in gay subculture. The research part explores recent situation of body image in gay subculture compared with heterosexual males. This section includes the content analysis of mainstream gay movies which compares media presentation of gays and the real situation and examines media influence on gay body image formation.

Hintergrund: Anorexia nervosa (AN) und Bulimia nervosa (BN) sind schwere Erkrankungen, die vorwiegend junge Frauen betreffen und häufig mit gravierenden psychischen, somatischen und sozialen Folgen einhergehen. Behandlungsstandard beider Erkrankungen ist eine Richtlinienpsychotherapie. Ziel der Arbeit: Zielsetzung dieser Studie ist es, die Behandlungsprävalenzen und Versorgungssituation von Patienten mit AN oder BN in Sachsen abzubilden sowie aufzuzeigen, welche Fachrichtungen die Erstdiagnose dieser Krankheiten stellen, und welche Faktoren die Vermittlung in eine psychotherapeutische Behandlung beeinflussen. Material und Methoden: Basierend auf Routinedaten der gesetzlichen Krankenkasse AOK PLUS wurde unter allen Versicherten in Sachsen die Prävalenz von ambulant behandelten Patienten mit AN und BN im Zeitraum von 2009 bis 2014 ermittelt sowie nach Alter, Geschlecht und Wohnort des Patienten untersucht. Weiterhin wurden die Fachärzte, die die Diagnosen erstmalig kodierten, sowie die Inanspruchnahme einer ambulanten Psychotherapie nach ambulanter Erstdiagnose betrachtet. Ergebnisse und Diskussion: Die Behandlungsprävalenzen der AN und BN zeigen für Patientinnen von 2009 bis 2014 einen signifikanten Anstieg, während die deutlich niedrigeren Behandlungsprävalenzen für Patienten stabil blieben. In den Großstädten waren die Behandlungsprävalenzen für beide Diagnosen signifikant höher als in den übrigen Regionen. Fast die Hälfte der Essstörungen wurde von Fachärzten für Allgemeinmedizin diagnostiziert, weitere 20–25 % von Fachärzten für psychosomatische Medizin und Psychotherapie. Lediglich 25 % der AN-Patienten und 33 % der BN-Patienten nahmen im ersten Jahr nach der Diagnosestellung eine Richtlinienpsychotherapie wahr. / Background: Anorexia nervosa (AN) and bulimia nervosa (BN) are severe diseases that predominantly affect young women and are often associated with severe psychological, somatic and social consequences. The standard treatment for both disorders is guideline psychotherapy. Objective: The aim of this study is to present the treatment prevalence and care situation of patients with AN or BN in Saxony, to show which specialist disciplines make the initial diagnosis of these diseases and which factors influence the referral to psychotherapeutic treatment. Material and methods: Based on routine data of the statutory health insurance fund AOK PLUS, the prevalence of outpatients with AN and BN was determined among all insured persons treated in Saxony in the period from 2009 to 2014 and examined according to age, gender and place of residence of the patient. Furthermore, the medical specialists who made the diagnoses for the first time and the utilization of outpatient psychotherapy after initial outpatient diagnosis were investigated. Results and conclusion: The treatment prevalence of AN and BN showed a significant increase for female patients from 2009 to 2014, whereas the much lower treatment prevalence for male patients remained stable. The treatment prevalence for both diagnoses was significantly higher in large cities than in other regions. Almost half of the eating disorders were diagnosed by general practitioners and another 20–25% by specialists for psychosomatic medicine and psychotherapy. Only 25% of the AN patients and 33% of the BN patients underwent guideline psychotherapy within the first year after diagnosis.