By Carole Kayrooz

ISBN-10: 1853029181

ISBN-13: 9781853029189

This article provides an method of operating with ladies who've bulimia nervosa that's in line with examine displaying that bulimia nervosa includes interpersonal, social and societal elements in addition to the cognitive, developmental and behavioural facets which were the point of interest of a lot expert intervention so far. the writer exhibits how humans looking to comprehend and emotionally aid ladies with this complicated challenge must be capable of paintings with these kind of dimensions. the sensible program of this multi-dimensional, systems-based figuring out to remedy perform is validated via 3 in-depth case experiences.

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Additional info for A Systemic Treatment of Bulimia Nervosa: Women in Transition

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First, bulimia nervosa is hard to estimate because the standard diagnostic criteria have varied since it was first scientifically described (Hoek 1993). Surveys of the incidence and prevalence of bulimia nervosa have used three different criteria for classifications DSM-III, DSM-IIIR, and DSM-IV, leading to evidence in research reports that is based on different diagnoses (Allen, Scannel and Turner 1998; Levey, McDermott and Lee 1989). For example, the recent restrictive criteria of DSM-IV for classification (for example, two or more weekly binges for a three month period) has reduced prevalence rates in some studies by over 50 per cent (Hamilton 1999).

SCOPE AND SIGNIFICANCE OF BULIMIA NERVOSA 33 Accordingly, eating became divorced from survival for many people. Food access became more secure at the same time as people became separated from the means of production. Eating began to develop as a leisure activity and food preparation and consumption signified, even more strongly, one’s class and status in the society. Some researchers (for example, Littlewood 1995) have speculated that women needed to distance themselves from food preparation in order to be perceived as having the ability to occupy different roles.

One client’s sense of control over her acceptability and desirability was given over to others as she compared herself to their unexpressed standards and found herself wanting. She was acutely aware of her peers’ mocking eyes. This was an ‘outside in’ perspective that played itself out in strict adherence to norms about dress codes, acceptable weight levels and physical appearance. The client’s perception of these eyes made them seem like fun-parlour mirrors distorting and magnifying her body. Yet another client compared herself physically, emotionally and pro­ fessionally to others, often feeling envious of their achievements or physical appearance.

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A Systemic Treatment of Bulimia Nervosa: Women in Transition by Carole Kayrooz

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