An analysis of the concept of anorexia and life in medical practice

Anorexia can be brought about by subjectively unpleasant food, surroundings, or company, or emotional states such as anxiety, irritation, anger, or fear; it may also be a symptom of a physical disorder or emotional disturbance.

An analysis of the concept of anorexia and life in medical practice

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The diagnostic consideration of the eating disorders anorexia nervosa and bulimia nervosa has been given much focus over the last two decades than previously, as clinicians have become more aware of the frequency of these disorders and the difficulties associated with their treatment.

Although the psychological explanation of what we now call anorexia nervosa have been known about for centuries, it has only recently attracted much interest, due to greater public knowledge and increased incidence according to Gross and MclLveenthe latter claim has been disputed.

Most people suffering from anorexia nervosa and bulimia nervosa start by fasting. Anorexia nervosa is a deliberate self-starvation. A person whose body weight is less than expected for his or her body height and weight is considered to be anorexic.

In contract, bulimia involves binge eating a large quantity of food followed by purging by self-induced vomiting, enemas, laxatives, or diuretics. However, many people with clinically significant eating disorders do not precisely fulfil the diagnostic criteria for anorexia and bulimia nervosa disorders.

The concept of anorexia nervosa has existed since the 19th century.

Anorexia | definition of anorexia by Medical dictionary

In contrast, bulimia nervosa was defined less than three decades ago [ 2 ]. Both concepts have evolved somewhat but each has remained useful and they are included in the main psychiatric classificatory systems, DSM-IV and ICD [ 34 ]. Three diagnostic criteria have been recommended by [ 6 ] for anorexia nervosa.

Table 2 One other diagnostic criterion for anorexia nervosa is the change of behaviour that is designed to produce marked weight loss.

There have been different general agreements that a drive for thinness is necessary for the diagnosis. Different investigators have described this criterion in somewhat differing terms: Another diagnostic criterion for anorexia nervosa is the intense of putting on body weight or becoming fat.

It involves both the morbid fear of becoming fat and the regulation of self-esteem to an excessive degree by concerns with weight and shape. This relates to attitudes and feelings the person has about her body or particular body part [ 7 ].

Background

As a result of the significant weight loss, anorectics take on an emaciated appearance. However, anorectics are often both hungry and preoccupied with thoughts of food.

For example, they may constantly read recipe books and may prepare elaborate meals for their friends. Anorectics themselves, however, will avoid most calorie-rich foods such as meat, milk products, sweets and other desserts, and will often limit their consumption to little more than a lettuce leaf and carrot.

Anorectics also demonstrate a reduced pleasure in eating [14]. Although studies indicate that anorectics do not experience deficiencies in taste, [ 13 ] have shown that they have a low hedonic responsiveness to taste and an aversion to the oral sensation of fat [ 13 ].

These experiences are diagnostic criteria for anorexia nervosa [ 1415 ]. As [ 9 ] have observed anorectics: As [ 16 ] has noted, the fact that many people who would be diagnosed as anorectic do not perceive themselves as having a disorder, he suggests that data relating to both the incidence and prevalence of the disorder should be treated with caution [ 16 ].

Research reported by [ 17 ] found females with severe restrictive anorexia nervosa to have histories of glandular fever like illnesses immediately preceding the onset of their eating disorder. Park and his colleagues suggest that immune-induced alterations in central home-ostasis, particularly involving corticotrophin-releasing hormone, could trigger and perpetuate a behavioural response leading to a particularly severe form of restrictive anorexia, a suggestion which is speculative but biologically plausible [ 18 ].

According to the DSM-IV diagnostic criteria, binge eating is one of the major diagnostic criteria for bulimia nervosa [ 420 ]. Although bulimia nervosa can accompany anorexia nervosa, most bulimics are at least average in weight and some are unquestionable obese [ 21 ].

According to Russell, the diagnostic criteria for bulimia nervosa have three components at the time he proposed the criteria. Although, these diagnostic criteria have undergone various modifications in the recent DSM-IV diagnostic criteria, however, they are still similar with that of the DSM-IV criteria which is shown on Table 3 [ 7 ].The professional practice of behavior analysis is a hybrid discipline with specific influences coming from counseling, psychology, education, special education, communication disorders, physical .

Jul 07,  · Lasegue29 and Gull30 presented a complete medical description of anorexia, considered the first true clinical recognition of the disorder. Gull coined the term “anorexia nervosa” to distinguish the disorder from the term “hysteria”, resulting in anorexia .

The concept of anorexia nervosa has existed since the 19th century.

An analysis of the concept of anorexia and life in medical practice

In contrast, bulimia nervosa was defined less than three decades ago [ 2 ]. Both concepts have evolved somewhat but each has remained useful and they are included in the main psychiatric classificatory systems, DSM-IV and ICD [ 3, 4 ]. concept analysis is to establish clarification of pro- fessional practice models and propose a definition using Rodgers’ and Knafl’s method.

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1 We concluded. Wilson's method of concept analysis guided this study into the meaning of disclosure from the point of view of a patient seeking healthcare. Inclusive years of search ranged from to Concept Analysis. Concept Selection: The selection of a concept to be analyzed is always the first step in the concept analysis.

The concept of alarm fatigue is chosen as the area of attention presented by the author in this analysis. As described earlier, alarm fatigue is a pressing clinical issue and one that requires concerted effort to ameliorate.

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