The sexual experience of women diagnosed with anorexia nervosa or bulimia nervosa

Wiederman, Michael W.; Pryor, Tamara; Morgan, Charlie D.

doi:10.1002/(sici)1098-108x(199603)19:2<109::aid-eat1>3.0.co;2-r

Cited by 51 publications

(42 citation statements)

References 25 publications

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“…The ambivalence we found in what concerns sexuality and femininity, although supporting the studies that demonstrate a difficult relationship with sexuality in patients with anorexia nervosa (e.g., Ghizzani & Montomoli, 2000;Morgan et al 1995;Tuiten et al, 1993;Widerman et al 1996), seems to stress the central role psychological factors might play in this dimension of the problem. What our results seem to reveal is that sexuality is avoided in the same amount that it is desired and therefore cannot be attributed exclusively to an endocrine alteration.…”

Section: Discussion and Concluding Remarkssupporting

confidence: 87%

“…Ghizzani & Montomoli, 2000;Morgan, Wiederman, & Pryor, 1995;Tuiten, Panhusysen, Everaerd, & Koppeschaar, 1993;Widerman, Pryor, & Morgan, 1996). For example, Widerman et al (1996) showed that self-ratings of current sexual satisfaction, as well as masturbation experience, were inversely related to the degree of restriction of caloric intake, particularly among women with anorexia nervosa, and revealed that these women exhibited less sexual interest and more negative affect during sex than a normative sample (Morgan et al, 1995). Generally, difficulties in sexual functioning are associated by researchers to endocrine and neuroendocrine alterations, supporting the hypothesis that the problems in these patients' sexual life arise only after the emergence of hypogonadism, as a consequence of emaciation.…”

Section: Introductionmentioning

confidence: 99%

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The Anorectic Dance: Towards a New Understanding of Inner-Experience Through Psychotherapeutic Movement

Padrão

Coimbra

2011

Am J Dance Ther

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A 6-month body-oriented psychotherapeutic intervention project was conducted with a group of seven hospitalized female patients diagnosed with Anorexia Nervosa. This intervention worked as a first pilot study integrated into a larger medium-term project, which had as its main goals to collect relevant material on the experiential and semantic levels of the body experience in Anorexia nervosa, as well as on the assessment of the movement characteristics and preferences revealed by the patients. Data collection included movement observation and verbal discourse analysis. The results seem to support some theoretical assumptions and allow the interpretation of empirical findings. On the basis of this study, we propose some considerations and implications for dance/movement therapy intervention with anorectic patients, founded on aesthetic experience and developmental-constructivist perspectives.

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Section: Discussion and Concluding Remarkssupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

The Anorectic Dance: Towards a New Understanding of Inner-Experience Through Psychotherapeutic Movement

Padrão

Coimbra

2011

Am J Dance Ther

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“…Depression often, although not always, precedes the onset of anorexia nervosa (Deep et al, 1995), and the clinical picture of anorexia nervosa contains some depressive features like low mood, sleep disturbances (Benca et al,1992), inward hostility (Tiller et al, 1995), reduced motivations (Wiederman et al, 1996). However, many important clinical features of anorexia nervosa do not correspond to those of depression.…”

Section: Anorexia Nervosa-a Misdirected Search Activitymentioning

confidence: 99%

Search Activity Concept: Relationship between Behavior, Health and Brain Functions

Rotenberg

2009

Act Nerv Super

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Search activity concept provides a new classification of the behavior which distinguishes search activity (activity in the uncertain situation with the constant feedback between behavior and its outcome), stereotyped behavior with a definite probability forecast, panic (activity without feedback between activity and its outcome) and renunciation of search. Only search activity which includes fight, flight, orienting behavior and creativity raises the body's resistance to stress, to natural and experimentally induced pathology whereas renunciation of search which display itself in freezing, helplessness and depression forms a nonspecific predisposition to somatic disturbances (e.g. psychosomatic diseases). Dreams in REM sleep are regarded as a specific form of search activity aimed at compensating for the lack of search in waking. REM sleep deprivation on a small as well as on rotating platform raises the requirement in REM sleep by frustrating search activity. It is suggested that in wakefulness characterized by the prominent search activity the inhibitory alpha-2-adrenoreceptors became less sensitive to stimulation and consequently in this state the activity of the brain monoamine neurons is less limited by the level of brain monoamines. During renunciation of search brain monoamine synthesis is not stimulated by monoamine exhaustion. In REM sleep the critical level of brain monoamines for search activity to start is lower than in wakefulness and alpha-2-adrenoreceptors are less sensitive than in the state of renunciation of search although more sensitive than during search behavior in waking. REM sleep indirectly contributes to memory consolidation by carrying out its main function -restoration of search activity. A functionally sufficient REM sleep contains search activity in dreams (subject is active in his/her own dream scenario) while in functionally insufficient REM sleep dreams are characterized by subject's passive position and feeling of helplessness. REM sleep insufficiency is an obligate condition for mental and somatic disorders to appear. The difference between normal (adaptive) and pathological (maladaptive) emotional tension is determined by the presence or absence of search activity in the structure of emotional tension. Repression of the unacceptable motive causing neurotic anxiety is a human variant of renunciation of search. Hypochondriac symptoms are in negative relationships with psychosomatic disorders and they, as well as positive symptoms in schizophrenia and anorectic behavior in anorexia nervosa, represent a pathological misdirected search activity.

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“…Moreover, considerable empirical evidence supports a link between sexuality and eating disorder symptomatology among women in Western cultures (e.g., Evans and Wertheim 1998;Rodriguez et al 2007;Wiederman 1996;Wiederman et al 1996). In particular, there is evidence indicating that women who report higher body dissatisfaction and other eating disorder symptoms also report less comfort with their sexual selves.…”

Section: Introductionmentioning

confidence: 99%

Sexual Self-Esteem in American and British College Women: Relations with Self-Objectification and Eating Problems

Calogero

Thompson

2008

Sex Roles

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The present study extended Objectification Theory (Fredrickson and Roberts, Psychol Women Q 21:173-206, 1997) to test the role of sexual self-esteem in models of disordered eating. Measures of self-objectification, sexual well-being, and disordered eating were completed by American (N=104) and British (N=111) college women. In Study 1, higher self-objectification was associated with lower sexual self-esteem, which, in turn, mediated the relationship between self-objectification and disordered eating in American women. In Study 2, path analyses indicated that self-objectification led to sexual self-esteem and body shame, which led to disordered eating in British women. This pattern of results was replicated, albeit weaker, when sexual self-competence replaced sexual selfesteem in the model. Discussion considers the significance of self-objectification and sexual self-esteem for women's well-being.

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The sexual experience of women diagnosed with anorexia nervosa or bulimia nervosa

Cited by 51 publications

References 25 publications

The Anorectic Dance: Towards a New Understanding of Inner-Experience Through Psychotherapeutic Movement

The Anorectic Dance: Towards a New Understanding of Inner-Experience Through Psychotherapeutic Movement

Search Activity Concept: Relationship between Behavior, Health and Brain Functions

Sexual Self-Esteem in American and British College Women: Relations with Self-Objectification and Eating Problems

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