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Treatment for Addictive and Compulsive Behavior Disorders - Essay Example

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The author concludes that evidence accumulated in support of both biological and cultural factors contributing to the increased risk for the development of eating disorders or associated behaviors and attitudes. Research on biological factors and cultural factors has progressed along parallel tracks …
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Treatment for Addictive and Compulsive Behavior Disorders
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Download file to see previous pages Some experts believe that such an understanding helps decrease the stigma associated with a mental disorder: If the cause is seen as out of the individual's control, less blame is assigned than if the disorder is seen as “volitional” (Crisp, Gelder, Rix, Meltzer, & Rowlands, 2000). A Newsweek magazine story titled “Fighting Anorexia: No One to Blame” stressed recent findings on genetic vulnerability to explain risk for the development of anorexia nervosa (Tyre, 2005).
Second, ideally, nosology is based on etiology, yet the current classification schema for eating disorders, as articulated in the Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM–IV]; American Psychiatric Association, 1994), is based solely on the observed clustering of signs and symptoms. The eating disorder criteria remain the subject of considerable debate, in large part because they fail to result in clearly defined subgroups or to account for changing symptomatology over the course of the illness. Most individuals who experience a clinically significant eating disorder do not meet diagnostic criteria for anorexia nervosa or bulimia nervosa but, rather, meet criteria for eating disorder not otherwise specified (EDNOS), a diagnosis intended to capture a residual group (Hoek & van Hoeken, 2003; Hudson, Hiripi, Harrison, & Kessler, 2005; Striegel-Moore et al., 2005). Binge-eating disorder (BED) is the most widely studied specific example of an EDNOS (for review, see M. J. Devlin, Goldfein, & Dobrow, 2003).
Third, treatment is best accomplished when we know the causes of a disorder. The current evidence base for treatment of anorexia nervosa, in particular, is weak (Berkman, Bulik, Brownley, & Lohr, in press). A classic example from the history of psychiatry is the treatment of neurosyphilis.    ...Download file to see next pagesRead More
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