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February 2007, a landmark clinical study by researchers at Harvard University was published in Biological Psychiatry and was soon picked up widely by the media. A survey of 3,000 participants found that 2.8 percent of them suffered from binge eating disorder (BED); that women were twice as likely to report binge eating; and that BED occurs across the age span, from children to the elderly. By extrapolating the statistics to the general population, health professionals estimate 5,250,000 American women and 3,000,000 men suffer from binge eating. The same month the study was published Jane Brody revealed in the New York Times that when she was a 23 years old, her food binges were so extreme that "Many mornings I awakened to find partly chewed food still in my mouth...." Cynthia Bulik, director of the UNC Eating Disorders Progam, is a foremost authority on binge eating. BED can affect anyone, and can be caused by brain chemistry, genetic predisposition, psychology, and cultural pressures--but none of those triggers make giving in to food cravings inevitable. Crave helps readers understand why they crave specific foods, recognize their individual triggers, and modify their responses to those triggers. Binge eating disorder is highly treatable; 70% to 80% of patients at the UNC Eating Disorders Program triumph over their binge eating by using techniques to "curb the crave". Through the stories of some of these patients--men and women, young and old--and with the guidance of Bulik, readers will develop a variety of strategies to use in conquering their cravings and establishing healthy eating habits.
"'Eating disorders.' Most of us instantly picture a teenaged or college aged girl when we see those words. After all, doesn't age immunize women from the body image, weight concerns and eating disorders that plague the younger years? Truth is that, over 15% women at midlife and beyond suffer from eating disorders, surpassing the number affected by breastt cancer! These are serious, life threatening and heartbreaking illnesses at any age. This story needs to be told and Betsy Brenner does just that. "The Longest Match: Rallying to Defeat an Eating Disorder in Midlife is a beautifully written and heartfelt memoir illustrating the trajectory from early childhood, through adolescence and early adulthood, to midlife when eating disorder thoughts and behaviors took over the author's life. Journal entries reveal occasional negative thoughts about her weight or food in younger years, but the stressors of midlife knocked this high functioning woman off her feet. "Like adolescence and young adulthood, midlife is full of tricky transitions. Unlike earlier in life, however, no one is there to catch you when you fall or to coach you back on your feet. Today women feel pressure to do it all and do it perfectly, constantly multitasking at home, and outside of home, taking care of their children and marriages, their extended families, ill and aging parents, all while trying to maintain an identity of their own. "Eating disorders can devour a woman at any age, but Betsy Brenner rallied, using every resource she had. Thank you, Betsy, for being painfully honest about your experiences and your pain, and for explaining the many factors that make a woman vulnerable to eating disorders during midlife. Thank you for finding the courage to access help, for trusting the treatment process and for inspiring other midlife women to believe in themselves. Thank you for telling your story so women struggling with an eating disorder at midlife will know they are not alone and will see a path to recovery. And, most of all, thank you for staying in the match-the 'longest match' ever-and winning." -Margo Maine, PhD, FAED, CEDS "I applaud Betsy Brenner for encouraging women of every age to reflect on their relationship with their parents. Through sharing her story, Betsy demonstrates how we can reframe our painful experiences with self-love and self-compassion. This book shows that, at every age, we can grow and find peace and fulfillment through bravely reaching out, connecting with like-minded others, and doing the hard work required to heal our childhood wounds. It's never too late to start. Thank you, Betsy, for showing us how to be free." -Dr. June Alexander, www.thediaryhealer.com "The Longest Match is an outstanding memoir. I have never seen a documented account of an individual who was first diagnosed with an eating disorder in mid-life. Brenner's description of the path that led to her illness and her route to recovery is remarkable. She eloquently describes her childhood, her family history, her personality traits, and her love of tennis, that all contributed to the development of her illness. She describes the process of her therapy with great clarity and allows us to see that full recovery is possible." -Beth Mayer, LICSW
Over the past fifteen years, there has been a great increase in the knowledge of eating disorders in sport and effective means of treatment. In this book, the authors draw on their extensive clinical experience to discuss how to identify, manage, treat, and prevent eating disorders in sport participants. They begin by examining the clinical conditions related to eating problems, including descriptions of specific disorders and a review of the relevant literature. Special attention is given to the specific gender and sport-related factors that can negatively influence the eating habits of athletes. The second half of the book discusses identification of participants with disordered eating by reviewing symptoms and how they manifest in sport; management issues for sport personnel, coaches, athletic trainers, and healthcare professionals; treatment; and medical considerations, such as the use of psychotropic medications. A list of useful resources is included in an appendix, as well as a glossary of important terms.
In Pursuing Perfection, authors Margo Maine and Joe Kelly explore the emotional, social and cultural factors behind the ongoing epidemic of disordered eating and body image despair in adult women at midlife and beyond. Written from a biopsychosocial and feminist perspective, Pursuing Perfection describes the many issues women encounter as they navigate a rapidly changing culture that promotes unhealthy standards for beauty and appearance. This updated and expanded edition (originally published as The Body Myth: Adult Women and the Pressure to Be Perfect) is a unique guide for anyone seeking practical tools and strategies for adult women looking to establish health and body acceptance.
Patients with eating disorders frequently feel that they aren’t "sick enough" to merit treatment, despite medical problems that are both measurable and unmeasurable. They may struggle to accept rest, nutrition, and a team to help them move towards recovery. Sick Enough offers patients, their families, and clinicians a comprehensive, accessible review of the medical issues that arise from eating disorders by bringing relatable case presentations and a scientifically sound, engaging style to the topic. Using metaphor and patient-centered language, Dr. Gaudiani aims to improve medical diagnosis and treatment, motivate recovery, and validate the lived experiences of individuals of all body shapes and sizes, while firmly rejecting dieting culture.
Boys and men with eating disorders remain a population that is under-recognized and underserved within both research and clinical contexts. It has been well documented that boys and men with eating disorders often exhibit distinct clinical presentations with regard to core cognitive (e.g., body image) and behavioral (e.g., pathological exercise) symptoms. Such differences, along with the greater likelihood of muscularity-oriented disordered eating among boys and men, emphasize the importance of understanding and recognizing unique factors of clinical relevance within this population. This book reviews the most up-to-date research findings on eating disorders among boys and men, with an emphasis on clinically salient information across multiple domains. Five sections are included, with the first focused on a historical overview and the unique nature and prevalence of specific forms of eating disorder symptoms and body image concerns in boys and men. The second section details population-specific considerations for the diagnosis and assessment of eating disorders, body image concerns, and muscle dysmorphia in boys and men. The third section identifies unique concerns regarding medical complications and care in this population, including medical complications of appearance and performance-enhancing substances. The fourth section reviews current findings and considerations for eating disorder prevention and intervention for boys and men. The fifth section of the book focuses on specific populations (e.g., sexual minorities, gender minorities) and addresses sociocultural factors of particular relevance for eating disorders in boys and men (e.g., racial and ethnic considerations, cross-cultural considerations). The book then concludes with a concise overview of key takeaways and a focused summary of current evidence gaps and unanswered questions, as well as directions for future research. Written by experts in the field, Eating Disorders in Boys and Men is a comprehensive guide to an under-reported topic. It is an excellent resource for primary care physicians, adolescent medicine physicians, pediatricians, psychologists, clinical social workers, and any other professional conducting research with or providing clinical care for boys and men with eating disorders. It is also an excellent resource for students, residents, fellows, and trainees across various disciplines.
If you've ever suffered from an eating disorder-or cared for someone who is anorexic or bulimic-you may think you understand these illnesses. But do you really understand why they occur? Do you know what it takes to fully recover? Do you know how eating disorders affect life after recovery? Now, nearly three decades after she detailed her first battle with anorexia in Solitaire, Aimee Liu presents an emotionally powerful and poignant sequel that digs deep into the causes, cures, and consequences of anorexia and bulimia nervosa. Aimee Liu believed she had conquered anorexia in her twenties. Then in her forties, when her life once again began spiraling out of control, she stopped eating. Liu realized the same forces that had caused her original eating disorder were still in play. She also noticed that other women she knew with histories of anorexia and bulimia seemed to share many of her personality traits and habits under stress-even decades after "recovery." Intrigued and concerned, Liu set out to learn who is susceptible to these disorders and why, and what it takes to overcome them once and for all. With GAINING, Liu shatters commonly held beliefs about eating disorders while assembling a puzzle that is as complex and fascinating as human identity itself. Through cutting-edge research and the stories of more than forty interview subjects, readers will discover that the tendency to develop anorexia or bulimia has little to do with culture, class, gender-or weight. Genetics, however, play a key role. So does temperament. So do anxiety, depression, and shame. Clearly, curing eating disorders involves more than good nutrition. Candidly recalling her own struggles, triumphs, and defeats, Aimee explores an array of promising and innovative new treatments, offers vital insights to anyone who has ever had an eating disorder, and shows parents how to help protect their children from ever developing one. Her book is sure to change the way we talk and think about eating disorders for years to come.
The eating disorders authority and author of Crave identifies social factors that cause women to confuse body esteem with self-esteem, sharing in-depth psychological insights into the causes of body image problems to counsel readers on how to overcome self-sabotaging behaviors. Original.
Clinical Handbook of Complex and Atypical Eating Disorders brings together into one comprehensive resource what is known about an array of complicating factors for patients with ED, serving as an accessible introduction to each of the comorbidities and symptom presentations highlighted in the volume.