Anorexia nervosa and oversized experiences

In this paper, I discuss what I call the oversized experiences that anorexic patients suffer from. It has been known for some time that anorexic patients mentally picture their bodies as larger than reality. While this constitutes one kind of oversized experience, I claim there is another, less explored kind. This is an experience of the body as oversized in relation to the affordances of its environment. I discuss recent evidence suggesting anorexic patients exhibit distorted affordance perception. I then discuss how this distorted affordance perception also constitutes an oversized experience of the body. Along with sociocultural influences, I claim oversized experiences ground negative propositional attitudes regarding body size.     

Anorexia nervosa masculina--concordance in monozygotic twins

The case report presents the courses of the disease of an infantile-juvenile masculine monozygotic pair of twins suffering from anorexia nervosa. Beginning, therapy and result turned out differently in spite of a commonly suffered disease. Already the importance of smaller differences in their personality development as well as the merit of the intrageminate dynamic of parts are worked out.     

Anorexia nervosa: a misdiagnosis of the adolescent male

The rarity of anorexia nervosa among the male population is discussed with primary reference to differences from female symptomology. A case is presented which implies that anorexia nervosa in the male may be a marker for other more severe pathology. These findings suggest a diagnostic strategy based on familial, behavioral, environmental, educational, and psychological factors.     

Anorexia nervosa treated with response prevention and prolonged exposure

This paper presents two cases of anorexia nervosa who became overweight following an operant behavioral inpatient treatment program which, in addition, included prolonged exposure to phobic stimuli and response prevention of compulsive exercising.     

Anorexia nervosa in association with diabetes mellitus--a cognitive-behavioural approach to treatment

A case of anorexia nervosa occurring in a patient with diabetes mellitus is reported. The patient was successfully managed using a cognitive-behavioural treatment approach. The presence of diabetes necessitated certain modifications to the standard cognitive-behavioural treatment for anorexia nervosa, including self-monitoring of diabetic regimen behaviours, attention to the adequacy of glycaemic control, and advice about changes in insulin dosage. Cognitive restructuring techniques also had to address diabetes-related thoughts. The general applicability and cost-effectiveness of this type of approach for the treatment of patients with co-existing eating disorders and diabetes is discussed.     

Anorexia nervosa: the treatment of a male case with combined behavioural and family therapy

The successful treatment of a case of anorexia nervosa in a 14-year-old boy is described in this paper. The treatment comprised an initial month-long hospital-based behavioural weight gain programme. Concurrently a family evaluation was conducted. Family therapy, involving the parents only, was conducted over a subsequent four month period. The management of a relapse four months after the termination of treatment is described and information obtained at 9 and 16 month follow up is presented.     

Anorexia nervosa and autism spectrum disorders: guided investigation of social cognitive endophenotypes

Death by suicide occurs in a disproportionate percentage of individuals with anorexia nervosa (AN), with a standardized mortality ratio indicating a 57-fold greater risk of death from suicide relative to an age-matched cohort. Longitudinal studies indicate impaired social functioning increases risk for fatal outcomes, while social impairment persists following recovery. Study of social cognition in AN may elucidate impaired processes that may influence therapeutic efficacy. Symptoms of autism spectrum disorders (ASD) are overrepresented in those who evidence a chronic course. Relative to that in AN, social information processing in ASD is well characterized and may inform systematic study in AN. This article (a) reviews impaired interpersonal processes in AN, (b) compares the phenotype of AN with that of ASD, (c) highlights deficits of social cognitive disturbance in ASD relative to AN, and (d) proposes a new framework to understand the interaction of individuals with AN with their social context.     

神经性厌食症的家庭治疗--西方关于神经性厌食症心理治疗的新进展

弗洛伊德关于家庭和心理性别发展的论述给神经性厌食症的理解、分析与治疗带来了新的关注焦点,在其之后的学者将他的思想进一步继承和发展,创造出了以家庭为关注对象的且在当代得到广泛应用的系统家庭疗法,并将该疗法应用到了神经性厌食症的诊断与治疗中,取得了开创性的成果.     

Development of cognitive strategies and self control strategies in 8 to 14-year-old children]

This study examines the interaction between the development of cognitive strategies and self-monitoring abilities in children aged 8 to 14. Children were tested individually on eight proportionality problems presented with the balance-scale task. Cognitive development was assessed by the strategy used and the performance on each problem. The indicators of self-monitoring were: latencies before and after the solution of a problem, self-evaluation of one's ability to make the balance scale stay level, proportion of oriented moves on the balance scale, and persistence on a problem. Children's self-monitoring reactions to failure were assessed by changes in strategies, verbal explanations, self-evaluation of performance, and latencies. Results showed an interaction between the complexity of the items and cognitive level. On more complex items, children of lower cognitive levels had shorter latencies, made more (but less oriented) moves on the balance scale, persisted less in their activity, and had more difficulty to evaluate properly their performance. Following failure, children of lower cognitive levels did a less accurate evaluation of their performance, modified their strategy, and did not change their verbal justification, whereas children of higher cognitive levels did a good evaluation of their performance, did not change their strategy, and had the tendency to change their verbal justification. Following failure, all children took less time planning their activity. The results suggest that self-monitoring abilities develop according to the development of cognitive strategies and are mediated by the complexity of the task.     

Possible differences in family patterns in anorexia nervosa and bulimia nervosa

This paper examines the interactions in three families, one where the daughter had anorexia nervosa and two where the daughters had bulimia nervosa, and proposes some differences in the families’ patterns of enmeshment. It is hypothesized that these may be linked to differences in the development of the mother—child relationship. Implications for the choice of therapeutic strategies are discussed.     

The relationship between fluid intelligence and sustained inattentional blindness in 7-to-14-year-old children

Previous researches have shown that people with higher fluid intelligence are more likely to detect the unexpected stimuli. The current study systematically explored the relationship between fluid intelligence and sustained inattentional blindness in children. In Experiment 1, we measured one hundred and seventy-nine 7-to-14-year-old children’s fluid intelligence and sustained inattentional blindness. The results showed that fluid intelligence was negatively related to sustained inattentional blindness only in 7-to-8-year-old children. In Experiment 2, we explored sustained inattentional blindness in sixty children with high Raven’s scores. We found that compared with children who have average Raven’s scores aged 11-to-12 years old, children with high Raven’s scores were unable to better avoid sustained inattentional blindness. In general, this research implies that the relation between fluid intelligence and sustained inattentional blindness is weak. Fluid intelligence could predict sustained inattentional blindness only when children do not have enough perceptual capacities to complete the primary task.     

Social acceptance and the relationship between aggressive problem-solving strategies and aggressive behaviour in 14-year-old adolescents

This study examines the relationship between aggressive problem-solving strategies and aggressive behaviour, and the intervening role of social acceptance in that relationship. The subjects were 780 14-year-old adolescents (382 girls and 398 boys). They completed a questionnaire measuring social problem-solving strategies, while assessments of aggressive behaviour and social acceptance were obtained by peer ratings. The results showed that aggressive problem-solving strategies were only moderately related to aggressive behaviour, social acceptance playing an important role. Those who received incongruent social feedback, i.e. scored high on social acceptance even though they behaved aggressively, or low although they behaved non-aggressively, expressed aggressive problem-solving strategies which conflicted with their actual behaviour. Those who received congruent social feedback, on the other hand, i.e. scored high on social acceptance if they behaved non-aggressively, or low if they behaved aggressively, had strategies which were in line with their actual aggressive behaviour. Analyses of gender differences showed that aggressive problem-solving strategies were related to aggressive behaviour and social acceptance more among boys. The findings are discussed in terms of social information-processing models and social knowledge about the self.     

Interstitial deletion on chromosome 5q33.3q35.1 in a 6-year-old girl -- neuropsychological findings and follow-up in an extremely rare chromosomal aberration.

Interstitial deletion on chromosome 5q33.3q35.1 is an extremely rare chromosomal aberration for which a characteristic syndrome could not yet be delineated. In most patients with 5q deletions severe mental retardation is described. Recently, Spranger et al. (2000) described the case of a 4-year-old girl with a de novo deletion on 5q33.3q35.1 presenting only with mild psychomotor delay, minor facial anomalies, and seizures. The patient was admitted for outpatient neuropsychological assessment when she was 6.2 years old. Neurocognitive tests revealed an overall developmental delay of about 32 months and an intelligence score in the range of mild mental retardation. Her cognitive phenotype was characterized by a considerable visual-spatial deficit in the form of disorganized drawings or block designs indicating a profound lack of cohesion and overall global organization (decay of gestalt). The patient's behavioral phenotype was dominated by a distinct disinhibition syndrome demonstrating severe hyperactivity, utilization behavior, and aggressive behavior.