Invited case transcript bulimia: An individual behavioral analysis

Chiodo, June

doi:10.1016/0005-7916(87)90070-x

Cited by 7 publications

(2 citation statements)

References 7 publications

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“…For example, Strober and Humphrey (1987) argued that bulimia often derives from “an unfulfilled craving for nurturance and a remedy for intensely painful feelings of rejection and loneliness” (p. 605). Chiodo's (1987) case study exemplified how the desire for thinness was motivated by fears of social rejection, of negative evaluations, and of criticism.…”

Section: Review Of Relevant Evidencementioning

confidence: 99%

Binge eating as escape from self-awareness.

Heatherton

Baumeister²

1991

Psychological Bulletin

1,953

126

1,311

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This article proposes that binge eating is motivated by a desire to escape from self-awareness. Binge eaters suffer from high standards and expectations, especially an acute sensitivity to the difficult (perceived) demands of others. When they fall short of these standards, they develop an aversive pattern of high self-awareness, characterized by unflattering views of self and concern over how they are perceived by others. These aversive self-perceptions are accompanied by emotional distress, which often includes anxiety and depression. To escape from this unpleasant state, binge eaters attempt the cognitive response of narrowing attention to the immediate stimulus environment and avoiding broadly meaningful thought. This narrowing of attention disengages normal inhibitions against eating and fosters an uncritical acceptance of irrational beliefs and thoughts. The escape model is capable of integrating much of the available evidence about binge eating.

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Section: Review Of Relevant Evidencementioning

confidence: 99%

Binge eating as escape from self-awareness.

Heatherton

Baumeister²

1991

Psychological Bulletin

1,953

126

1,311

View full text Add to dashboard Cite

show abstract

“…According to clinical theorists, the false self originates in the early failure of significant others to provide adequately an accurate, empathic re-sponse that would enable development of a secure sense of self (Bruch, 1985;Geist, 1989;Strober, 1990). The eating disordered woman's extreme efforts to achieve a socially desirable appearance represent her attempt to be accepted in the face of this social invalidation (Button, 1983;Chiodo, 1987). Hence, heightened public self-consciousness both results from and serves to perpetuate the sense of false self.…”

mentioning

confidence: 99%

The social self in bulimia nervosa: Public self-consciousness, social anxiety, and perceived fraudulence.

Striegel‐Moore¹,

Silberstein²,

Rodin³

1993

Journal of Abnormal Psychology

143

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Bulimic women appear preoccupied not only with their physical presentation but also with their "social self-how others perceive them in general. This study examined the relationship of the social self to body esteem and to bulimia nervosa. In Phase 1, in which 222 nonclinical women (aged 16 to 50) participated, the social-self measures of Perceived Fraudulence, Social Anxiety, and Public Self-Consciousness were negatively associated with body esteem. In Phase 2, 34 bulimic women were compared with 33 Ss scoring high on the Eating Attitudes Test (EAT) and 67 matched control. Bulimic Ss, high-EAT Ss, and control Ss all differed on Perceived Fraudulence, and bulimic Ss and high-EAT Ss scored higher than control Ss on Public Self-Consciousness and Social Anxiety. The findings strongly support the hypothesized link of social-self concerns to body dissatisfaction and bulimia nervosa.A central symptom of eating disorders is preoccupation with appearance-a constant concern with how the physical self is viewed by others. Beneath this manifest symptom seems to lie a pervasive concern with how others view the self in general. Eating disordered patients appear preoccupied with self-presentation and with how others perceive and evaluate them, a facet of the self first designated the "social self" by William James (1890/1983).'Research suggests that women with bulimia nervosa and anorexia nervosa experience significant difficulties in the area of social adjustment, characterized by social anxiety, impoverished relationships, and social isolation (

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2008

Behavioral Case Formulation and Intervention

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Invited case transcript bulimia: An individual behavioral analysis

Cited by 7 publications

References 7 publications

Binge eating as escape from self-awareness.

Binge eating as escape from self-awareness.

The social self in bulimia nervosa: Public self-consciousness, social anxiety, and perceived fraudulence.

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