Eating disorders in adolescents: anorexia nervosa. Case study
Abstract
Unhealthy eating behaviors and preoccupations with body size and shape can lead to eating disorders such as anorexia nervosa. Anorexia nervosa is characterized by low body weight, which is based on a distorted body image, with individuals suffering from this disorder having an irrational fear of gain- ing weight. Anorexia nervosa is not about food per se. It represents an unhealthy way of coping with emotional problems. Treating this disease in time can be very effective, as not catching it in time can lead to death, as a result of heart failure, or in many cases suicide. Given the importance of the disease, its prognosis and the frightening statistics we face, early detec - tion and identification of cases of patients with anorexia can be of vital importance, therefore this paper aimed to clarify the problem we face, explain the symptoms and signs that appear in patients with anorexia nervosa, with a focus on adolescents and discuss the effectiveness of logotherapy in the treatment of a case of an adolescent with anorexia nervosa, to understand more about the character - istics of anorexia nervosa.Keywords:
anorexia, adolescent, diagnosis, case study, etc. CHAPTER I: INTRODUCTION Anorexia Nervosa (AN) is an eating disorder characterized by the presence of behavioral, psycholog- ical, and physiological manifestations. The former involves a refusal to maintain a minimum body weight for one’s age and height, the latter involves changes in the perception of weight and body image. Initially associated with the middle and upper classes of metropolitan areas, the disease is now considered global and affects people of different races, social classes, genders, and ages. The specific characteristics of these patients are: high levels of self-demand, the constant search for perfection in everything they do or are, a strong tendency to follow the family line, an extreme fear of gaining weight, and a distorted perception of body image because even when they are underweight, they see themselves in the mirror as being healthy and overweight. On the other hand, in relation to the family of these patients, it is generally seen that they are family systems that have a high level of demands, mainly with that child in particular, they are families that have experienced dramas or traumatic life events or that have encountered or faced patterns of eatingDownloads
References
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Amengou, E., and M. Giner. 2012. “Los Trastornos de la Conducta Alimentaria Desde la Logoterapia y Viceversa.” Nous 16:39–60.
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American Psychiatric Association. 2013. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. doi:10.1176/appi.books.9780890425596.
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Baxter, P., and S. Jack. 2008. “Qualitative Case Study Methodology: Study Design and Implementation for Novice Researchers.” The Qualitative Report 13(4):544–559.
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Devaud, C., et al. 1998. “Eating Disorders Among Female Adolescents in Switzerland: Prevalence and Associations with Mental and Behavioral Disorders.” Int. J. Eat. Disord. 24(2):207–216.
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Dornbusch, S. M., J. M. Carlsmith, and P. D. Duncan, et al. 1984. “Sexual Maturation, Social Class, and the Desire to Be Thin Among Adolescent Females.” Develop. Behav. Pediatrics 5:308–314.
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Drewnowski, A., and D. K. Yee. 1987. “Men and Body Image: Are Males Satisfied with Their Body Weight?” Psychosomatic Medicine 49:626–634.
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Dunn, T. M., and S. Bratman. 2016. “On Orthorexia Nervosa: A Review of the Literature and Proposed Diagnostic Criteria.” Eating Behaviors 21:11–17.
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Fabry, J. 2003. La Búsqueda de Significado: La Logoterapia Aplicada a la Vida. México: LAG.
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Fisher, M., D. Pastore, M. Schneider, C. Pegler, and B. Napolitano. 1994. “Eating Attitudes in Urban and Suburban Adolescents.” Int. J. Eat. Disord. 16(1):67–74.
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Frankl, V. 1994. El Hombre Doliente. Barcelona: Herder.
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Frankl, V. 2001. En el Principio Era el Sentido: Reflexiones en Torno al Ser Humano. México: Paidós.
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Frankl, V. 2012. Fundamentos y Aplicaciones de la Logoterapia. Barcelona: Herder.
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French, S. A., et al. 1997. “Ethnic Differences in Psychosocial and Health Behavior Correlates of Dieting, Purging, and Binge Eating in Population Based.” Int. J. Eat. Disord. 22:315–322.
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Gralen, S. J., M. P. Levine, L. Smolak, and S. K. Murnen. 1990. “Dieting and Disordered Eating During Early and Middle Adolescence: Do the Influences Remain the Same?” Int. J. Eat. Disord. 9:501–512.
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Harrington, C., and M. Jimerson. 2015. Initial Evaluation, Diagnosis, and Treatment of Anorexia Nervosa and Bulimia Nervosa. Steamboat Springs, CO: Yampa Valley Medical Center Associates, P.C.
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Hay, P. 2013. “A Systematic Review of Evidence for Psychological Treatments in Eating Disorders: 2005–2012.” International Journal of Eating Disorders 46:462–469.
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Heidegger, M. 1989. Ser y Tiempo. Santiago: Escuela de Filosofía Universidad ARCIS.
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Huon, G. F., C. Braganza, L. B. Brown, J. E. Ritchie, and W. G. Roncolato. 1998. “Reflections on Prevention in Dieting-induced Disorders.” Int. J. Eat. Disord. 23:455–458.
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Johnson, J. G., P. Cohen, S. Kasen, and J. S. Brook. 2002. “Eating Disorders During Adolescence and the Risk for Physical and Mental Disorders During Early Adulthood.” Arch. Gen. Psychiatry 59(6):545–552.
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Lock, J. 2011. “Evaluation of Family Treatment Models for Eating Disorders.” Current Opinion in Psychiatry 24:274–279.
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Lukas, E. 1994. Tu Vida Tiene Sentido: Logoterapia y Salud Mental. Madrid: S.M.
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Madden, S., A. Morris, Y. A. Zurynski, et al. 2009. “Burden of Eating Disorders in 5–13-year-old Children in Australia.” The Medical Journal of Australia 190:410–414.
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Martínez, E. 2014. Coaching Existencial. Colombia: Ediciones SAPS.
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Martínez, E. 2011. Los Modos de Ser Inauténticos: Psicoterapia Centrada en el Sentido de los Trastornos de la Personalidad. Colombia: Manual Moderno.
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Martínez, E. 2013. Manual de Psicoterapia con Enfoque Logoterapéutico. Colombia: Manual Moderno.
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Martínez-González, M. A. 2003. “Parental Factors, Mass Media Influences, and the Onset of Eating Disorders in a Prospective Population-Based Cohort.” Pediatrics 111(2):315–320.
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Misra, M., D. Katzman, K. K. Miller, et al. 2011. “Physiologic Estrogen Replacement Increases Bone Density in Adolescent Girls with Anorexia Nervosa.” Journal of Bone and Mineral Research 26:2430–2438.
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Njie, B., and S. Asimiran. 2014. “Case Study as a Choice in Qualitative Methodology.” Journal of Research & Method in Education 4(3):35–40. Brunilda Laboviti, Elina Veizi, Stelina Taraj
References
Amengou, E., and M. Giner. 2012. “Los Trastornos de la Conducta Alimentaria Desde la Logoterapia y Viceversa.” Nous 16:39–60.
American Psychiatric Association. 2013. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. doi:10.1176/appi.books.9780890425596.
Baxter, P., and S. Jack. 2008. “Qualitative Case Study Methodology: Study Design and Implementation for Novice Researchers.” The Qualitative Report 13(4):544–559.
Devaud, C., et al. 1998. “Eating Disorders Among Female Adolescents in Switzerland: Prevalence and Associations with Mental and Behavioral Disorders.” Int. J. Eat. Disord. 24(2):207–216.
Dornbusch, S. M., J. M. Carlsmith, and P. D. Duncan, et al. 1984. “Sexual Maturation, Social Class, and the Desire to Be Thin Among Adolescent Females.” Develop. Behav. Pediatrics 5:308–314.
Drewnowski, A., and D. K. Yee. 1987. “Men and Body Image: Are Males Satisfied with Their Body Weight?” Psychosomatic Medicine 49:626–634.
Dunn, T. M., and S. Bratman. 2016. “On Orthorexia Nervosa: A Review of the Literature and Proposed Diagnostic Criteria.” Eating Behaviors 21:11–17.
Fabry, J. 2003. La Búsqueda de Significado: La Logoterapia Aplicada a la Vida. México: LAG.
Fisher, M., D. Pastore, M. Schneider, C. Pegler, and B. Napolitano. 1994. “Eating Attitudes in Urban and Suburban Adolescents.” Int. J. Eat. Disord. 16(1):67–74.
Frankl, V. 1994. El Hombre Doliente. Barcelona: Herder.
Frankl, V. 2001. En el Principio Era el Sentido: Reflexiones en Torno al Ser Humano. México: Paidós.
Frankl, V. 2012. Fundamentos y Aplicaciones de la Logoterapia. Barcelona: Herder.
French, S. A., et al. 1997. “Ethnic Differences in Psychosocial and Health Behavior Correlates of Dieting, Purging, and Binge Eating in Population Based.” Int. J. Eat. Disord. 22:315–322.
Gralen, S. J., M. P. Levine, L. Smolak, and S. K. Murnen. 1990. “Dieting and Disordered Eating During Early and Middle Adolescence: Do the Influences Remain the Same?” Int. J. Eat. Disord. 9:501–512.
Harrington, C., and M. Jimerson. 2015. Initial Evaluation, Diagnosis, and Treatment of Anorexia Nervosa and Bulimia Nervosa. Steamboat Springs, CO: Yampa Valley Medical Center Associates, P.C.
Hay, P. 2013. “A Systematic Review of Evidence for Psychological Treatments in Eating Disorders: 2005–2012.” International Journal of Eating Disorders 46:462–469.
Heidegger, M. 1989. Ser y Tiempo. Santiago: Escuela de Filosofía Universidad ARCIS.
Huon, G. F., C. Braganza, L. B. Brown, J. E. Ritchie, and W. G. Roncolato. 1998. “Reflections on Prevention in Dieting-induced Disorders.” Int. J. Eat. Disord. 23:455–458.
Johnson, J. G., P. Cohen, S. Kasen, and J. S. Brook. 2002. “Eating Disorders During Adolescence and the Risk for Physical and Mental Disorders During Early Adulthood.” Arch. Gen. Psychiatry 59(6):545–552.
Lock, J. 2011. “Evaluation of Family Treatment Models for Eating Disorders.” Current Opinion in Psychiatry 24:274–279.
Lukas, E. 1994. Tu Vida Tiene Sentido: Logoterapia y Salud Mental. Madrid: S.M.
Madden, S., A. Morris, Y. A. Zurynski, et al. 2009. “Burden of Eating Disorders in 5–13-year-old Children in Australia.” The Medical Journal of Australia 190:410–414.
Martínez, E. 2014. Coaching Existencial. Colombia: Ediciones SAPS.
Martínez, E. 2011. Los Modos de Ser Inauténticos: Psicoterapia Centrada en el Sentido de los Trastornos de la Personalidad. Colombia: Manual Moderno.
Martínez, E. 2013. Manual de Psicoterapia con Enfoque Logoterapéutico. Colombia: Manual Moderno.
Martínez-González, M. A. 2003. “Parental Factors, Mass Media Influences, and the Onset of Eating Disorders in a Prospective Population-Based Cohort.” Pediatrics 111(2):315–320.
Misra, M., D. Katzman, K. K. Miller, et al. 2011. “Physiologic Estrogen Replacement Increases Bone Density in Adolescent Girls with Anorexia Nervosa.” Journal of Bone and Mineral Research 26:2430–2438.
Njie, B., and S. Asimiran. 2014. “Case Study as a Choice in Qualitative Methodology.” Journal of Research & Method in Education 4(3):35–40. Brunilda Laboviti, Elina Veizi, Stelina Taraj



