1. By: Edgar Luna

2. Discussion Question  How does reciprical determinism contribute to people dignosed with bullimia nervosa?  How would the enviroment, culture, and thinking lead to this disorder?

3. Definition  An eating disorder, characterized by episodes of eating, usually of high-calories foods, followed by vomiting, laxatives use fasting or, excessive exercise.

4. Associated Features  Binge–eating  Eating a large amount of food  Lack of control while eating food  Prone depression  Increase of concern of body

5. Bing-Eating  A large amount of intake of food and calories  Lack of control during episode

6. Purging & Nonpurging  Purging – purge every calorie and food by intaking an enema, or taking laxative, vomiting  Nonpurging- compesates by fasting or engaging in excessive exsercise

7. Anorexia vs. Bullemia  Bullimics have a clear perception about their body weight  They dont starve themselves but they do conduct some of the same actions that anemics would perform such as excessive vomiting

8. Causes  Cognitive factors: pathalogical patterns that are characterized through their thoughts  Aviod problems rather than resolving them  Wishful thinking rather than realistic thinking  Neglect or abuse from parents

9. Prevalence  1 to 2 percent of high school and 0.2% of college men  5 to 15% of female adolescents and young adult women  More common around 16 and than developes more over a 2 year period

10. Treatment  They are different type of treatments: therapy and medicine  Physcological Therapy  Interpersonal Therapy  Uses techniques similar to treating depression with help in treating personal conflicts and helping raise self-esteem  Cognitive-Behavioral Therapy  Treating eating disorder straight to the point  Consists of twelve elements  Focal Interpersonal Therapy  A logical approach would be to combine the two so that both the eating disorder and accompanying interpersonal problems were directly addressed.

11. Etiology  The cause of bulimia is not clear, but it probably results from a combination of family history, social values (such as admiring thinness), and certain personality traits (such as perfectionism)  Many young women, such as those in college or high school, have unhealthy attitudes toward eating and toward their bodies  Bulimia, like all eating disorders, is a complex physical and psychological condition.

12. Prognosis  Binge eating of high-carbohydrate foods  usually in secret  Exercising for hours  Eating until painfully full  Going to the bathroom during meals  Loss of control over eating, with guilt and shame  Body weight that goes up and down  Constipation, diarrhea, nausea, gas, abdominal pain  Dehydration  Missed periods or lack of menstrual periods  Damaged tooth enamel  Bad breath  Sore throat or mouth sores  Depression

13. Citations  Myer D.G.(2011).Myer's psychology for ap.New york.NY, Worth Publishers