ABSTRACT
O presente trabalho apresenta uma revisão crítica dos critérios diagnósticos e modelos de determinação da anorexia e bulimia, a partir de publicações veiculadas no International Journal of Eating Disorders. Questiona, particularmente, a noção de determinação interna destes transtornos, enfatizando a questão da fobia de peso (fat phobia) como um exemplo deste modo de interpretação. A recuperação do modelo biocomportamental de anorexia induzida por atividade física (activicty anorexia), e do conjunto de experimentos que o embasam, pretende incitar a consideração de explicações alternativas aos transtornos alimentares, sem a necessidade de apelo para variáveis cognitivas ou emocionais como determinantes destes transtornos...
This paper presents a critical review of diagnostic criteria and determination models of anorexia and bulimia, used in the International Journal of Eating Disorders. It is particularly questioning the notion of internal determination of these disorders, emphasizing this mode of interpretation with an analysis of the weight phobia (fat phobia). The recovery of this biobehavioral model of anorexia induced by physical activity, and the set of experiments that underlie it, aims to bring the consideration of alternative explanations for eating disorders without the need to appeal to emotional or cognitive variables as determinants of these disorders...
Subject(s)
Humans , Anorexia/psychology , Bulimia/psychology , Feeding and Eating Disorders/psychologyABSTRACT
This article is based on the notion that obsessive-compulsive behaviors are perpetuated by negative reinforcement. The assessment of such contingencies inevitably leads to the examination of family's interactions, crucial for establishing the severity and prognosis of the disorder . The notion of family accommodation is analyzed as reinforcement contingencies that act upon family members and patients. Family members, often desperate and unaware of behavior practices provide inconsistent and intermittent consequences for the patient's behaviors. As a result, abnormal behaviors worsen, get chronic, and there's a general deterioration of the quality of life. It is suggested that, as a part of the routine, the clinician should evaluate systematically and carefully the family's interactions in order to plan and assess effectively his/her therapeutic interventions