UID:
almahu_9949984684002882
Umfang:
1 online resource (238 pages)
Ausgabe:
First edition.
ISBN:
9780443189050
,
0443189056
Inhalt:
This book explores anorexia nervosa and other eating disorders through the lens of evolutionary biology and behavioral ecology. It challenges traditional views by suggesting that these disorders are adaptations to ancient environments, rather than mere psychological or personal failings. The author, Shan Guisinger, offers a novel treatment approach called the 'Adapted to Famine Treatment,' which takes into account the evolutionary origins of such disorders. The book delves into the implications of viewing eating disorders as adaptive responses to ancient challenges, aiming to reduce stigma and improve treatment outcomes. It is intended for practitioners, researchers, and anyone interested in the evolutionary understanding of eating disorders.
Anmerkung:
Front Cover -- An Evolutionary Approach to Understanding and Treating Anorexia Nervosa and Other Eating Problems -- An Evolutionary Approach to Understanding and Treating Anorexia Nervosa and Other Eating Problems -- Copyright -- Dedication -- Contents -- Preface -- Acknowledgments -- 1 - A brief overview of human evolution and eating problems -- Comfort and meaning -- 2 - Understanding anorexia nervosa -- Claire -- Diagnostic and Statistical Manual of Mental Disorders-III (DSM-III) in 1980 -- Best practice today -- Historical understanding of AN -- Saints or hysterics? -- Scientific explanations -- Controlling mothers -- No relationship -- Organic or functional? -- An explanation from evolutionary behavioral ecology -- Adapted to flee famine -- How anorexia takes control -- Resistance to the evolutionary explanation -- Radical paradigm change -- Psychology's preference for the idea of the mind as a blank slate -- Logical evidence -- What people with AN do is normally impossible -- Some animals do exactly the same things when starving -- Genetic evidence -- The genetic reason for the AN sex ratio -- Neuroendocrine evidence -- Leptin -- Brain imaging evidence -- Body fat overestimation -- Why has paradigm change been slow for AN? -- Theories about AN's core psychopathology -- Ignorance of the signs of evolution -- Nothing tastes as good as skinny feels -- Gifted girls -- Economic incentives -- Resistance continues -- An incorrect explanation for AN has deadly consequences -- Assisted suicide -- Role of current beauty standards -- Weight loss dieting is a double disaster -- Teen girls and women must care about meeting beauty standards -- 3 - Overview of the Adapted to Famine Treatment for anorexia nervosa -- Understanding and treating passionate convictions, obsessive desires, and compulsive behaviors -- A perfect biopsychosocial storm.
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The sameness of AN: Lynette and Rachel -- The adapted-to-famine treatment challenges the Diagnostic and Statistical Manual of Mental Disorders definition of AN -- Case example -- How loved ones can help -- The explanation is everything -- The Adapted to Famine Treatment for AN -- Three stages of recovery -- Neurobiology of anorexia's starving phase -- Leptin in the starving phase -- Atypical anorexia -- Neurocircuitry changes -- Anxiety dreams of ice cream -- Neurobiology of anorexia's nearly weight recovered phase -- Neurobiology of anorexia's weight recovered phase -- Biological causation is good news for the therapeutic relationship -- Making new meaning -- Therapists, dieticians, physicians, and loved ones can help -- From feminine weakness to pleistocene heroism -- 4 - Treatment in the starving phase -- General clinical considerations -- Initial phone call -- Beginning the first session -- Working with the treatment team -- The role of therapists -- Support refeeding with labor nurse's mindset -- Support refeeding with Pleistocene politeness -- Educational component of AN-AFT's CBT -- Self-deception, body fat overestimation, denial of illness, and lack of insight -- Motivational interviewing for challenging the AN agenda -- Double-sided reflection -- I want to be healthy -- What do you want for your life? -- Acceptance and commitment therapy techniques with AN -- A repertoire of self-talk -- Reframe their attributions "needs to rebel" or "need for control" to stone age needs -- Case example -- Nutrition education -- Treatment for fear of eating and food phobias -- Working with adolescents -- Working with their parents -- The role of helpers -- Information about the risks of AN -- Using motivation interviewing with adolescents -- Agreeing with a twist -- Reflection followed by reframing -- Emphasizing personal choice and control.
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We explicitly challenge self- and parent-blaming theories -- When it seems like vanity and fear of getting fat -- For parent-blaming -- Cognitive reframing: dealing with patient's and loved ones' sense of guilt -- Other clinical situations -- How to make mealtimes go better -- Anorexia nervosa will come roaring back -- When a higher level of care is needed -- Other symptoms -- Cutting -- Working with younger children -- The wisdom of parents -- What is it like to have AN as a preteen? -- Magic plate -- 5 - Nearly weight restored -- The razor's edge -- Neurobiology of anorexia's nearly weight recovered phase -- Relationship issues in phase 2 -- Body dissatisfaction in phase 2 -- Education about nutrition: Normalize fats -- Education about biological changes: willpower versus wisdom -- Education about body changes -- Who's in charge? -- Motivational interviewing: what really matters to you? -- What would you want for a beloved friend in this situation? -- Gestalt techniques: letter from her body -- Actually feeding a hungry heart -- 6 - Weight recovered phase -- The relationship in Phase 3 -- Were people who developed AN really mentally ill before the illness? -- Perfectionism -- Do or die: Butch Cassidy and the Sundance Kid -- Interventions for symptoms in Phase 3 -- Body dissatisfaction -- Men looking for a mate care less about looks than character and intelligence -- Relapse prevention and accepting one's healthy body size -- Support for weight stabilization -- What if nothing you do would change your weight? -- Mourning the loss of anorexia's sense of being special and of having an important mission -- A new mission -- Working with comorbid psychopathology -- Severe and enduring AN -- Reparative family therapy during Phase 3 -- 7 - Problems with the DSM -- The interpreter explains it all -- Patient's search for an explanation.
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Other evidence overlooked by DSM authors -- Criterion A: restriction of energy intake -- Neuroendocrine evidence that weight loss initiates the disorder -- Denying that hyperactivity is a primary symptom -- Obscuring the similarity of animal models -- Brain circuit changes in humans and animals -- Super abilities are impossible without evolution -- Why are newly pubescent girls more vulnerable? -- A genetics × estrogen × serious weight loss interaction -- Criterion B: intense fear of gaining weight -- How best to understand the fear of feeding in AN? -- Criterion C: disturbance in the way body shape is experienced -- Starvation causes anxiety, depression, obsessive-compulsive symptoms -- Inference to the best explanation -- Three phases of AN recovery are due to distinct and specific neurobiological adaptations to different levels of weight loss -- Biases that lead to difficulty in paradigm change -- Confusion of levels of explanation -- Social and cognitive biases -- Consequences of traditional causal assumptions -- 8 - Psychotherapy outcome research -- History -- No treatment for adults is evidence based -- Eating disorders only make sense in the light of evolution -- Fundamental attribution error -- 9 - The evolutionary sense of other eating disorders and fatness -- ARFID -- Bulimia and Binge Eating Disorder -- Fatness -- Bred to store fat: thrifty genes and healthy brides -- Selection by genocide -- Epigenetic regulation -- Very low-calorie diets -- Problems with current conceptions of fat and obesity -- "Frankenfoods" and a high fat and sugar diet -- Synthetic chemical exposure -- 10 - Conclusion -- Changing the story has social consequences -- Mortgaging their future for sport -- A deadly double bind -- Imagine a world where no one dieted -- References -- References -- 1 - Melissa Espinoza's stories -- The scale -- Index -- A -- B -- C -- D.
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E -- F -- G -- H -- I -- L -- M -- N -- O -- P -- R -- S -- T -- U -- V -- W -- Y -- Back Cover.
Weitere Ausg.:
ISBN 9780443189043
Sprache:
Englisch
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