injuries in sport: a case of bulimia EATING DISORDERS
1 - Influence of group on individual perception
a. Solomon Asch experiment
b. Construction of the personality
2 -
aesthetic reference 3 - The DSM IV
4 - Biological changes
5 - Complications of anorexia
a. B. Physiological
Psychological
6 - Experience
own
1-INFLUENCE OF GROUP PERCEPTION IN INDIVIDUAL
a) Solomon Asch Experiment
Sample: experimental subject
-7 -1 accomplices subject
Task: Identify the length of a line relation between a group of comparative lines.
trials (randomly)
-trials in which accomplices chose the correct answer
-Essays in accomplices who chose the answer clearly wrong: The experimental subjects chose the wrong answer at a rate about 50%.
Conclusions:
1-The group's influence can distort individual perception
2-The rules can be influenced by social pressure (steady state consumption). Consumption trends down the models.
b) Construction of the personality
longitudinal study of 3000 twins separated (Yale University): About 40% of personality traits are genetically determined and the remaining 60% is due to social learning.
social influence of personality:
-11 to 22 years: Age main capture features of referents:
> culture (musical groups)
> Politicians (ends)
> Commercial (aesthetic)
-reference social group exerts pressure on a reference ideals (aesthetic, political, ...)
- behaviors are made to approach the ideal reference.
2-aesthetic reference
Educational models:
-based education in the process: Criterion-
own outcome-based education: Criteria
-influenced social group identification criteria individual
-id with the social group
self-behaviors to approach the aesthetic standard reference-strain
perceptual influenced by the group near 3-THE
DSM-IV anorexia nervosa: regulatory behaviors to fit an aesthetic pattern ideal: Anorexia
Restrictive (anorexia)
Compulsive-purging (bulimia)
-Incidence
1% of Western populations mostly women
critical
Age: 14-18 years
Features:
- Fear of physical maturity
- In men, loss of libido and infertility
- Refusal to maintain minimum recommended weight
- Intense fear to add weight
- significant alteration of the shape and body size
- In women, onset of amenorrhea (loss of menstruation)
- There are usually no previous symptoms
- Background
slightly overweight - Thinness as a primary objective to obtain a core personality.
Evolution:
- begin with a restricted diet and often go to extremes close to fasting.
- Exercising too: They do not recognize fatigue as a warning signal, rather it is a feeling that strengthens the individual as indicative of "burning fat." Show high levels of activity (animal behavior foraging).
- When they take the weight loss continue reducing calorie intake
- Depending on the circumstances, rather than aversion to catch food way of buying interest in cookbooks, cooking without eating, etc ...
- The restrictive anorexia may evolve into compulsive-purging (bulimia): Self-administration of laxatives, diuretics, and self-induced vomiting
- Social isolation
- Less
Anorexia compulsive sexual activity - purgative: Mayor
-restrictive weight-loss control
and
binge-purge binge
à-à Remorse family history and / or personal history of overweight
In both cases there is an alteration perception of body image.
4 - CHANGES IN BIOLOGICAL
- Altered hypothalamic system, endocrine disorders (amenorrhea)
- Plasmatic i urinaros low gonadotropin and estrogen
- Hormone Levels Luteizante prepubertal (LH)
- Increases in cortisol
- Constipation
- Intolerance to cold
- Hypothermia
- Hypotension
- bradycardia
- Dry skin
- The compulsive anorexia: loss of water, minerals i electrolytes (potassium): i heart
renal
5 - COMPLICATIONS OF ANOREXIA
Therapies Psychological, behavioral, cognitive-behavioral, psychoeducation, Psychoanalysis, Gestalt, etc.
7-experience: Bulimia in sport
First consultation for problems of concentration. Profile
A) Background:
i. Unstructured family
ii. History of mild obesity
iii. Iv
deficit of self-discipline. Promiscuity
B) Triggers:
i. Increased muscle
ii. Rapid growth
iii. Repeated comments from the physical trainer (you're fat)
iv. Previous experience of a friend
C) Special
i. I repeated episodes of binge purge
ii. Unbalanced diet and schedule anarchic
D) Diagnostic tests
1 - Dependence - Field Independence :
-DC (field dependence) is not fixed in particular when it receives the composite image
-IC (Independence field): He perceives the singularities in the set
Figure 1-A of DC have a harder time seeing the reversibility of the figures
2 - Review of visible signs:
a. Neck lymph nodes: NO
b. Dental erosion: yellow shades
c. Abrasion in the fingers: NO
3 - Table of recognition of problems:

4 - Test
"Locus Control": 60 / 100: 1 standard deviation: Balanced
5 -
EAT (Eating Attitudes Test) : P (68) of the population pathological
6 -
perceptual matching test: Dependent field (Figure 2)
THERAPY Cognitive - behavioral Fairburn : 3 stages
STAGE 1
A) Explanation cognitive model of bulimia nervosa
B) Explaining the consequences of their binge of self-induced vomiting i :
a.
problems arising from overeating : Dilation of the stomach which can cause discomfort as a gut feeling bloated, shortness of breath due to the elevation of the diaphragm and lesions in the stomach wall because the expansion provided close to the wall. B.
Problems of self-induced vomiting: - Loss of dental enamel and fragility
- salivary gland enlargement and increased salivation that can deform the facial figure
- Superficial lesions in the throat that can infect and cause voice loss and pain
- Tear of the esophagus with bleeding
- Sign Russel: Sores and blisters on the fingers due to gastric acid
- imbalance of electrolytes (sodium and potassium): Heart problems, extreme thirst, dizziness, fluid retention, weakness, muscle tension, etc ...
C) Self-Report of overeating and purging behaviors:
D) Prescription of a regular feeding pattern
a. Times of 3-4 hours between meals and not eating anything mientrastanto. B.
Always eat in the same place
c. Limit foods available for meals
d. Leave some food e. the plate
Do not do anything for
meals f. Avoid exposure to hazardous foods (sweets, pastries, ...)
g. Go shopping after eating when not hungry
h. Carry just enough money to buy
i. Buy foods that need preparation
E) Find alternatives to overeating behaviors: Phone, music, exercise, etc.
F) Explain the appropriate therapy and social environment: Social support
STAGE 2
A) Make a planning intake of at least 1500 calories / day
B) Restructuring Cognitive Challenge and revise beliefs and cognitive distortions
C) Review body image
D) problem solving techniques
i. Identify
ii. Specify and define
iii. Find the best alternatives
iv. Choose the best solution
v. Vi
implement it. Review the adequacy of the solution STEP 3
o Monitoring and belief revision or review
diet
BEHAVIORAL INTERVENTION (Self-Pulse)
or relaxation techniques or coping with relaxation
to food
prohibited EVOLUTION
or at 6 weeks (1 session per week) sent
completely purges or Remorse continued until 4 months
or The last two months before Summers declined consultations
every 15 days or not to appear again throughout the summer until the coach again sent me
or during the summer did not take any control or with meals or with behaviors that we had agreed
or meeting with parents and coaches, the parents were not willing to follow the discipline and opted for an outpatient
o Nearly a year later still had regrets.