Carrie Arnold

When I began treatment for my eating disorder, I didn't know that science had a place in my therapist's office. My therapist's office held the therapist (obviously), me, a couch, and maybe a few bookshelves. None of the therapists I saw mentioned the research that supported their recommendations - not that I would have listened, anyway, not with my eating disorder firmly in charge. Science was for academia, for people in white lab coats. Strange things like Tukey's post-hoc test and ANOVA...

Amy Pershing

This feels so weird to tell someone this stuff. I don't even tell myself this stuff. I don't know me, and I don't know you, but here goes I hate my bingeing, but I have no idea how to stay on a diet. Every time I try, I binge worse than ever. It's like part of me says No way. This is mine. Nobody's taking this away. But my body is tired and too heavy. I just don't know any other way. Binge Eating Disorder (BED) has myriad causal factors. Biology, genetics, weight stigma and weight-related...

Info

53 231 lbs., binges on objectively large amounts of food 3 times a week, binge eating its most frequent ever Does not tell any family members she is seeking help Birth of second child I channeled Hateful my energy into my daughters Does not tell anyone (Nobody Scared had a clue that we didn't have a wonderful marriage) Continuing girl scout troop leader very active in church Husband invests 80,000 of their joint money in real estate - all money lost Debbie begins saving every penny, sending...

Lynn Grefe

Sarah Palin, the unsuccessful nominee for Vice President in the United States in 2008 was asked How can you tell a 'hockey mom' from a pit bull This whimsical, cutesy punch line was calculated to draw great applause at the Republican National Presidential Convention. The implication was clear a hockey mom is every bit as tough as a pit bull, and therefore the same, except for a gloss of lipstick. With the addition of Binge Eating Disorder (BED) to the Fifth Edition of the Diagnostic and...

Michael J Devlin Stephen A Wonderlich B Timothy Walsh and James E Mitchell

The following dialogue takes place in an eating disorders clinic at an academic medical center, circa 1990. The telephone rings. Assistant Hello, Eating Disorders Treatment Research Program, RA speaking. Caller Hello, this is C. I'm hoping you can help me with a problem I'm having with my eating. I've been looking desperately for some help, and no one seems to know what to do for me. RA You've called the right place. What sort of problem are you C Well, I'm ashamed to admit this, but just about...

Marian Tanofsky Kraff

Twelve-year-old Becky, from a multi-racial background, has initiated interpersonal psychotherapy for emotional eating and weight concerns. Becky lives at home with her nine-year-old brother and parents. Becky presented at the 95th age- and sex-specific BMI percentile, with recurrent loss of control eating episodes. She denies compensatory behaviors, and reports modest depression and anxiety symptoms. Weight-related teasing by her brother, together with occasional feelings of exclusion by her...

Introduction

Closing the research-practice gap Judith Banker The field of eating disorders has acknowledged that its research findings are not regularly applied in clinical practice, and that the knowledge and observations of clinicians have little impact on the direction of research (Banker and Klump 2010 Mussell et al. 2000). While steps are being taken in the field to bridge research and practice, this endeavor is fraught with even greater levels of complexity in the assessment, diagnosis and treatment...

Part

1 Binge eating disorder and obesity 3 marney a. white and loren m. gianini 2 Ethnicity, race and binge eating disorder 14 debra l. franko, meghan e. lovering and heather thompson-brenner 3 The genetics of binge eating disorder 26 4 Loss of control eating in children and adolescents Risk factors, correlates and development 42 ANDREA B. GoLDSCHMIDT, KERRI BoUTELLE (WITH STEPHANIE KNATz AND Jennifer madowitz) and marian tanofsky-kraff 5 Binge eating disorder, childhood trauma and psychiatric...

Chevese Turner

A radio interviewer asked me if it is true that a majority of Americans have binge eating disorder. Surely, the interviewer speculated, if we have an obesity epidemic in our country and around the world, then binge eating disorder must be rampant. Another common conversation takes place during Binge Eating Disorder Association (BEDA) outreach and educational work. People usually say something like this I definitely have an eating disorder. I eat too much and love food. I am an emotional eater...

Contributors

Accurso is a postdoctoral fellow with the Midwest Regional Postdoctoral Training Grant in Eating Disorders Research at the University of Chicago. She received her BA in psychology from Dartmouth College and her PhD in clinical psychology from the San Diego State University University of California, San Diego Joint Doctoral Program in Clinical Psychology. Research interests include the treatment of eating disorders and overweight in youth, with the ultimate goal of greater dissemination...

Scott Engel and James E Mitchell

I have been quite overweight all of my life. I was teased about my weight in grade school and in high school. Besides eating too much most of the time I also went on eating binges several times a week, when I would consume very large amounts of food, such as one or two pizzas or a quart of ice cream. During these times I felt driven, like I couldn't stop myself until the food was gone. I was very embarrassed by this and because of that I would isolate myself at home when no one else was around...

Marney A White and Loren M Gianini

When I was a kid, I was maybe a little on the thick side, but I was healthy. I was really active until adolescence, when I started to put on weight. That was when I started buying lunch at high school - which really meant that I started eating fast food and snack pies sold in the cafeteria. I would get either pizza or a fried chicken sandwich or a hamburger, and polish it off with a package of cupcakes. My friends and I went straight to the nearby fast food joint...

Jonathan Mond Anita Star and Phillipa

I'm a 32-year-old secretary working at a solicitor's office. I've been overweight since adolescence, but in recent years this problem has increased to the point where I'm severely obese, with a BMI well in excess of 40 kg m2. Over the years, I've tried a number of diet and healthy eating plans, but have never been able to adhere to the recommendations for any length of time. I live alone, have a strained relationship with my family and have few friends that I feel I can rely on. Generally, my...

Debra L Franko Meghan E Lovering and Heather Thompson Brenner

I am a 24-year-old Latina woman who recently graduated from college with a degree in biology. I am the eldest of four children and have always felt much pressure to succeed academically. I began binge eating once a month at age 16 to help cope with the stress from school and feelings of isolation. I felt out of control during these episodes, eating eat any junk food I could find, alone in my bedroom. After binging, I felt incredibly embarrassed looking at all the food wrappers and hid them...

Kelly C Berg and Carol B Peterson

I am a nurse manager at a local hospital, am married, and have two adolescent boys, ages 13 and 17. I'm seeking treatment for binge eating (BE), which occurs several times a week. As a child I would sneak food from my family's kitchen and hoard it in my bedroom. I would come home from school and binge in my room by myself. In typical episodes I would eat half a bag of brown sugar or a box of cookies. My BE has fluctuated in severity since childhood, with the worst periods occurring during...

Kay E Segal Sarah E Altman Jessica A Weissman Debra L Safer and Eunice Y Chen

For years, I struggled with my weight, often fluctuating between starvation and binge-eating. This was only one of many problems I faced. I also self-injured, abused alcohol, ruined relationships, and even attempted suicide a few times in my younger years. Often the way I felt after a binge would cause me to cut myself as a punishment for losing control. My therapists usually gave up on me. My family often only made things worse, having been a source of physical and emotional abuse since...

Loss of control and binge eating in children and adolescents

Children and adolescents interventions Robyn Osborn, Rachel Miller, Anna Vannucci, Andrea B. Goldschmidt, Kerri Boutelle with Stephanie Knatz and Jennifer Madowitz and Marian Tanofsky-Kraff Full-syndrome binge eating disorder BED is rarely diagnosed among children and adolescents. Yet episodes of loss of control LOC eating are often reported by youth Tanofsky-Kraff et al. 2004 . As described more fully in the first part of this chapter, when children and adolescents report experiencing an...

Cynthia M Bulik and Sara E Trace

I was having trouble sleeping and seemed to be crying all the time. A friend recommended I see a therapist, so I called for an appointment. During the initial consultation, the therapist asked about everything that was going on for me. She also asked about things I had experienced in my life and similar problems other family members might have experienced as well. Although I had never been treated for a mental illness, my mother was depressed a lot when I was...

Erin C Accurso and Lisa Sanchez Johnsen

I am 25 years old and, since I was 13 or 14, all of my doctors have said that I need to lose weight. I come from a traditional Mexican family and many of my family members and relatives are overweight, so I thought that was normal. I tried many diets, starting in early adolescence, but I always ended up gaining the weight back. Initially, I think I gained weight as a way to protect myself. My life has not been easy. I was sexually abused as a child, and men would always make sexual comments...

Alison E Field and Kendrin R Sonneville

I have hated my body for as long as I can remember. I was heavier than most of the other girls in my class and I was teased constantly. I think my parents felt sorry for me and they let me try all sorts of crazy diets. I have dieted so much that I don't think I can eat normally anymore or if I can even tell when I am hungry or full. Most of the time, I can avoid sweets, but when I do eat them, I totally lose control. once I take one bite, I just keep eating and eating and can't stop myself...

4

T t t t Deficits in Affect interpersonal Figure 7.3 Maintenance model of BED adapted according to Fairburn, Cooper and Shafran, 2003 Hilbert and Tuschen-Caffier, 2010 2003 , body image disturbance is part of the core pathology of eating disorders including BED. Figure 7.3 shows the vicious circle that patients with BED can end up in. A negative image of oneself and one's body, e.g., basing one's self-evaluation mainly on weight and shape, leads many patients to try to lose weight. These...