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Chapter 9: Eating Disorders

Chapter 9: Eating Disorders. Dr. Ashlea Smith. Agenda. Go over tests Case Study assignment Video HBO’s “Thin” 1 pg on Handouts on AN/BN African folktale In-class exercise Mindfulness activity. Activity. In your group I want you to:

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Chapter 9: Eating Disorders

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  1. Chapter 9: Eating Disorders Dr. Ashlea Smith

  2. Agenda Go over tests Case Study assignment Video HBO’s “Thin” 1 pg on Handouts on AN/BN African folktale In-class exercise Mindfulness activity

  3. Activity In your group I want you to: First, use the magazines that you brought in to cut out different parts of women in the magazines to form “one woman” that you would consider a “Real” woman Second, as a group I want you to use the magazines again to cut out different parts of women in the magazines to form SOCIETY’s view of the “ideal” woman

  4. http://www.dove.us/#/features/videos/default.aspx[cp-documentid=7049560]/http://www.dove.us/#/features/videos/default.aspx[cp-documentid=7049560]/ http://www.dove.us/#/features/videos/default.aspx[cp-documentid=7049560]/

  5. Calvin Klein Ad

  6. Effects of Media Beauty is a state of mind, not a state of your body Digitally morphed bodies, air-brushing 32% female TV characters underweight Messages portrayed Stereotypes of beauty, happiness, success Regular female TV watchers more likely to feel too big or too fat

  7. Women in Media

  8. Women Exploited in Bondage through the MEDIA

  9. Celebs with History of Eating Disorders

  10. Early 1900’s Camille CliffordActress - the quintessential "Gibson girl".

  11. 1920’s Louise BrooksDancer, showgirl, and actress. BMI: 19.9

  12. 1930’s Lisa FonssagrivesFashion model, dancer. Referred to as the first supermodel. This picture is from Vogue 1939. Also:Greta Garbo

  13. 1940’s Betty GrableThe pin-up girl of the 1940s: "The girl with the Million Dollar Legs"

  14. 1950’s Marilyn MonroeActress, model. BMI: 20 Also:Brigitte Bardot, Audrey Hepburn, Grace Kelly

  15. 1960’s TwiggyModel. BMI: 15. Mean BMI US females (aged 20-74): 24.9 Actresses of the time were in stark contrast to Twiggy:Jane Fonda (the movie Barbarella, 1968)Sophia Loren (the "perfect" hourglass - 38C-24-38)Catherine Deneuve (measurements 33½-24-35)Ann-MargretUrsula Andress

  16. 1970’s Farrah FawcettActress Mean BMI US females (aged 20-74): 25.3 Also:Jacqueline Bisset, Bo Derek, Brooke Shields.

  17. 1980’s Cindy CrawfordModel - the late 1980s marked the beginning of the age of the supermodel.BMI: 19 Mean BMI US females (aged 20-74): 26.6 Also:Naomi Campbell, Claudia SchifferMadonna

  18. 1990’s-present Kate MossModel - marked the beginning of the 'waif' look.BMI: 16 Mean BMI US females (aged 20-74): 28.1

  19. Who is at risk for Eating Disorders? Wrestlers Jockeys Cheerleaders Sorority members Socialites Dancers Gymnasts Runners Models Actresses Entertainers Male homosexuals Hx of physical/sexual abuse 80% onset of illness by age 20

  20. Facts about Eating Disorders 60% of adult Americans overweight, 34% obese 50% teenage girls on a diet 20% will die without Treatment Highest mortality rate 72% alcoholic women younger than 30 have EDAvg Avg. medical costs $6,054.00 v. Schizophrenia $4,824.00 Research dollars 3.00 per patient v. 107.00 a patient w/schizophrenia

  21. Anorexia Nervosa Self starvation Excessive weight loss Symptoms: refusal to maintain body weight at or above Calculate BMI: Formula: weight (lb) / [height (in)]2 x 703 Calculate BMI by dividing weight in pounds (lbs) by height in inches (in) squared and multiplying by a conversion factor of 703. Example: Weight = 150 lbs, Height = 5’5” (65")Calculation: [150 ÷ (65)2] x 703 = 24.96

  22. Symptoms of AN Intense fear of weight gain being “fat” Feeling fat or overweight despite dramatic weight loss Loss of menstrual periods Disturbance in self evaluation Preoccupation with food Anxiety about gaining weight Excuses to avoid meal times

  23. Health Consequences of AN Decreases heart rate Low Blood Pressure Heart failure Osteoporosis Overall weakness Dry hair/skin Hair loss • Dry brittle bones • Muscle loss/weakness • Severe dehydration • Kidney failure • Fainting • Fatigue • Lanugo Death

  24. Bulimia Nervosa Secretive cycle of binge eating followed by purging Eating large amounts of food for one meal in a short period of time Getting rid of the food by vomiting, laxative abuse, or over exercising Repeated episodes of bingeing/purging Feeling out of control Self-induced Extreme concern with body weight and shape

  25. Health Consequences of BN Irregular heartbeats Heart failure Death Inflammation and rupture of esophagus Tooth decay Tooth staining Lose teeth Chronic irregular bowel movements Gastric ruptures

  26. What is the BEST treatment for someone with BN and AN Use your creativity, experience, what you have read, the video, “Thin” Internet You can use the different models i.e. biological, psychodynamic, behavioral, cognitive, etc. Group members Brainstorm Come up with your own “Eating Disorder” treatment facility Would you take insurance, costs, age limits, gender, admission criteria, treatments, therapies, settings, staff, etc.

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