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Reconceptualizing causative factors and intervention strategies in the eating disorders: a shift from body image to self-concept impairments.
Arch Psychiatr Nurs. 2003 Apr; 17(2):57-66.AP

Abstract

In this report, we argue that impairments in self-concept development function as a cognitive vulnerability that contributes to the formation of the eating disorders (ED) of anorexia nervosa (AN) and bulimia nervosa (BN). More specifically we argue that impairments in development of the total collection of identities that comprise the self-concept contribute to body image disturbances which in turn, motivate the eating and body-weight attitudes and behaviors that characterize the disorders. First, we review current understandings of the role of body image disturbances in the ED and discuss limitations of this approach. Then we review theories from psychoanalytic and feminist traditions that suggest that identity disturbances are a key factor in the etiology of the ED. Next, results of studies that examine identity disturbances in the ED are reviewed. Results of a study of women with AN and BN using the schema model of the self-concept as the theoretical framework showed that women with few positive and many negative self-cognitions are particularly vulnerable to cultural messages about body weight and form weight-related cognitions about the self that contribute to disordered eating attitudes and behaviors. Finally, the implications of these findings for primary and secondary level prevention of ED are addressed.

Authors+Show Affiliations

University of Michigan School of Nursing and the University of Michigan Addiction Research Center, Ann Arbor, MI 48109, USA. kfarchaus@umich.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12701083

Citation

Stein, Karen Farchaus, and Colleen Corte. "Reconceptualizing Causative Factors and Intervention Strategies in the Eating Disorders: a Shift From Body Image to Self-concept Impairments." Archives of Psychiatric Nursing, vol. 17, no. 2, 2003, pp. 57-66.
Stein KF, Corte C. Reconceptualizing causative factors and intervention strategies in the eating disorders: a shift from body image to self-concept impairments. Arch Psychiatr Nurs. 2003;17(2):57-66.
Stein, K. F., & Corte, C. (2003). Reconceptualizing causative factors and intervention strategies in the eating disorders: a shift from body image to self-concept impairments. Archives of Psychiatric Nursing, 17(2), 57-66.
Stein KF, Corte C. Reconceptualizing Causative Factors and Intervention Strategies in the Eating Disorders: a Shift From Body Image to Self-concept Impairments. Arch Psychiatr Nurs. 2003;17(2):57-66. PubMed PMID: 12701083.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reconceptualizing causative factors and intervention strategies in the eating disorders: a shift from body image to self-concept impairments. AU - Stein,Karen Farchaus, AU - Corte,Colleen, PY - 2003/4/18/pubmed PY - 2003/6/20/medline PY - 2003/4/18/entrez SP - 57 EP - 66 JF - Archives of psychiatric nursing JO - Arch Psychiatr Nurs VL - 17 IS - 2 N2 - In this report, we argue that impairments in self-concept development function as a cognitive vulnerability that contributes to the formation of the eating disorders (ED) of anorexia nervosa (AN) and bulimia nervosa (BN). More specifically we argue that impairments in development of the total collection of identities that comprise the self-concept contribute to body image disturbances which in turn, motivate the eating and body-weight attitudes and behaviors that characterize the disorders. First, we review current understandings of the role of body image disturbances in the ED and discuss limitations of this approach. Then we review theories from psychoanalytic and feminist traditions that suggest that identity disturbances are a key factor in the etiology of the ED. Next, results of studies that examine identity disturbances in the ED are reviewed. Results of a study of women with AN and BN using the schema model of the self-concept as the theoretical framework showed that women with few positive and many negative self-cognitions are particularly vulnerable to cultural messages about body weight and form weight-related cognitions about the self that contribute to disordered eating attitudes and behaviors. Finally, the implications of these findings for primary and secondary level prevention of ED are addressed. SN - 0883-9417 UR - https://www.unboundmedicine.com/medline/citation/12701083/Reconceptualizing_causative_factors_and_intervention_strategies_in_the_eating_disorders:_a_shift_from_body_image_to_self_concept_impairments_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0883941703000037 DB - PRIME DP - Unbound Medicine ER -