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ANOREXIC JOAN CASE

SYMPTOMOLOGY
A. Joan measured and B. She was over C. Her friends and
weighted all her food concerned about her family members
weight while she was told her to change
inactive, recovering her behavior but she
from surgery. still continued her
diet.
a. Once again she b. Joan weighed 100 c. After the
restricted her weight pounds> still felt starvation>
after she began to date overweight and coworkers noticed>
Mitch. believed that she internist noticed her
would look better if anorexic behavior>
she lost more weight. she left therapy and
continued what she
was doing.
This must be a sign of One point> To be unhappy Clear physical effects
narcissism because in her social because you are the wrong  She had problem
history it is stated that “she had weight is a sign of the with her liver
high personal standards and overindulgence of our society.  Her skin became
strove to be a perfect child” dry
And another point> she tried a  No healthy hair
conforming behavior to her  Her periods stops
parents as she lived in a large  Would often get
neighborhood filled with lots dizzy
of children.
She began dieting, restricting Joan stayed weak most of the After all of this, she still
and her weight dropped to time, even though the people thought that controlling the
another low point. around her start making her diet is her strength
realize the fact that she was
too thin. In Joan’s mind,
however, she was still too
heavy.
Another important factor is her Even though in the midst, she After Joan had gained few
restriction on diet was persisted showed symptoms of binging pounds while she was
for about 5 years. and purging but it wasn’t drinking heavily > again
lasted for once a weeks for restricting diet and start
three months. (It doesn’t meet taking control over it.
the criteria)

DISTORTED
THINKING

She took her ability to She believed that food


control her diet + appetite was bad and that it was a
as a sign of strength waste of money
What are the factors that may contribute to anorexia, especially media?
 FACTORS
There are quiet few factors that contribute to anorexia
1. Family conflicts > feeling of worthlessness or guilt.
2. Media
3. Parents or siblings advised them to lose weight
4. Stress or examinations> less food intake
5. History of a psychiatrist consultation for reasons other than eating behaviour.
6. Living in hostel or away from home
Interestingly, Sjostedt et al showed that Indian women scored higher on EAT-26 as compared
to Australian women9. In Iran, Nobakht et al. targeted school girls and found a lifetime
prevalence of 0.9% for anorexia nervosa, 3.2% for bulimia nervosa and 6.6% for the partial
syndrome (Nobakht, 2000).
In a study conducted in female university students in Karachi, it was found that there is a
misperception of body weight and one third of female students misclassified themselves as
normal while they were actually underweight ( Sirang& Bashir, et al. 2013).
 MEDIA INFLUENCE:
Multiple studies have tried to explain the reason behind the misperception as the impact of media
on psychology of females which has lead them to eating disorders. It has also been reported that
greater exposure to western culture and urbanization has been a strong influence and predictor of
defective eating attitudes, and impractical body shape insights which could eventually contribute
to depression.
Magazine articles, television shows, and advertisements have also created a social
context that may contribute to body dissatisfaction and disordered eating in girls and women. A
study found a significant increase in advertisements for diet foods and diet products for the years
1973–1991 (Wisemen, 1992)
Not only do the media glorify a slender ideal, they also emphasize its importance, and the
importance of appearances in general. Naomi Wolf argues that our culture disempowers women
by holding them prisoner to an unattainable beauty ideal (Wolf, 1990). The current evidence
suggests that the negative effects of the media are more pronounced for individuals who are
already at-risk or vulnerable (Stice, 2002).