During a meeting with clients who have been suffering from eating disorders for a long time, I am discussing what it would be like if she was positive about herself. I was shocked by the response she gave me. The client did not report his desire to feel better, but ridiculed me and retorted, "Self-esteem is ridiculous to me. I hope to get rid of the disturbing behavior of eating disorders, but I know it requires too More like me. "This encounter has been very annoying and disturbing. In this interaction, I believe that I understand to a large extent that many women with eating disorders must understand themselves. And, I better understand that when therapists, dieticians, and other helpers meet these women, survival is often a goal rather than a sense of happiness or self-worth. This interaction symbolizes the lie of eating disorders for me because it is so effective in this kind of desperation, self-loathing and shame in women.
Relationship between self-esteem and eating disorders
Anyone working with a woman with eating disorders will realize that self-esteem is a complex connection, but the correlation between the two is not entirely clear. Inevitably, any discussion of eating disorders and self-esteem will lead to chicken and egg problems first: poor self-esteem, making individuals more susceptible to eating disorders or eating disorders, causing serious damage to the individual's self. -respect? Although there is no simple answer to this question, a large number of studies have investigated the relationship between self-esteem and eating disorders and provided interesting insights.
In a review of the literature, Ghaderi [2001] concluded that low self-esteem and other factors not only make women more susceptible to eating disorders, but also help maintain eating disorders. Many reports support the argument that low self-esteem often occurs before eating disorders, and even among young school-age girls, low self-esteem is an important risk factor for bulimia and anorexia [Ghaderi, 2001].
According to Robson [1989, Ghaderi, 2001], self-esteem is "a sense of satisfaction and self-acceptance, which is due to a person's assessment of his own value, attractiveness, ability, and ability to satisfy his or her wishes. "In view of this definition, it is clear that self-esteem is multifaceted. Similarly, the development and maintenance of eating disorders are complex, including family environment, cultural environment, dieting history, genetic predisposition, history of abuse, age and developmental problems, length of eating disorders, support and other direct factors. Systematic, emotional and spiritual factors, of which self-esteem is only one of many factors [Berrett, 2002]. However, self-esteem seems to be a major risk factor that may contribute to the development of other risk factors for eating disorders. For example, three independent studies have found that the development of bulimia is predicted by perfectionism and physical dissatisfaction, only women with low self-esteem, while women with higher self-esteem do not have these risk factors, so there is no development of bulimia [Vohs] , Voelz, Pettit, Bardone, Katz, Abramson, Heatherton, & Joiner, 2001; Vohs, Bardone, Joiner, Abramson, & Heatherton, 1999; Joiner, Heatherton, Rudd, & Schmidt, 1997].
Identity formation is an area of concern when discussing eating disorders and self-esteem. It has been noted that parent-child relationships and parents' perfectionist expectations limit the child's self-development, thereby creating an environment in which children depend on parental expectations rather than individual needs and desires [Stein, 1996]. Bruch [1982] argues that when children try to meet unrealistic parental demands, they tend to have a feeling of "no". As these children grow up to become puberty, they may turn to eating disorders to define themselves and build self-control [Stein, 1996].
Self-intervention
Although self-esteem is an important risk factor for eating disorders, a team found that physical dissatisfaction is the strongest predictor of eating disorders [Button, Sonug Barke, Davies, & Thompson, 1996]. Therefore, in the case of dissatisfaction with the body, therapist should pay attention to improve self-esteem, which is the main determinant of a human body image. For example, one study found that helping young people to recognize that their bodies and appearances are positive, while increasing their personal abilities, leads to reduced internalization of social and cultural norms, idealized and thin [Phelps, Dempsey, Sapia, and Nielsen, 1999]. This leads to a significant decrease in physical dissatisfaction, which in turn means a reduction in adolescent eating disorders [Phelps et al., 1999]. For women with eating disorders, improving self-esteem is a challenging task. Often, their negative thoughts and beliefs are deeply rooted and therefore difficult to give up. Once negative thoughts are established, they maintain low self-esteem and eating disorders.
Strict intervention in women with anorexia, bulimia or obsessive-compulsive diets is about beginning to challenge deep negative beliefs. For example, most women on a disordered diet equate their value with weight, size or shape. The sooner women give up these negative self-evaluations and replace them with more meaningful alternatives, the sooner she can embark on the road to recovery. This may include exploring questions such as "What do you want for your life, your future, your loved ones?" Answering these questions can be difficult and can lead to major changes in personal professional roles, leisure activities and relationships [Ghaderi, 2001]. Therapists can help women identify and build positive self-defining sources. The role of eating disorders is to limit individual resources, but through treatment, women may be challenged to try new roles and carry out activities that can be confident.
People with eating disorders often become an exception to life. They believe that others deserve happiness, love and happiness, but they should be sad, disappointed and punished. One of the first challenges for therapists about eating disorders is to begin to question the beliefs of these mistakes. The therapist can begin to point out how the customer makes himself an exception, and then can begin to explore the sources of these false beliefs, whether it is past abuse, negative family interaction, childhood teasing, or other difficult experiences. Teaching clients that she deserves to be loved and accepted, and that there is no condition to prove her value, which is essential for improving self-esteem.
It is important to remember that, at least initially, these types of interventions and therapists may be rejected by women who are anorexia, bulimia or forced eating. The challenge of negative thinking is not consistent with what many women think is unrelated to themselves. However, through lasting, patient and sustained acceptance, therapists can help clients recognize their value and may help create hope - overcoming one of the most important components of anorexia, bulimia or obsessive-compulsive diets.
Solving the perfectionist tendency is also important for solving the self-esteem of women with eating disorders. Often, these women are subject to their own achievements, whether through grades, career achievements or other activities. However, it is inevitable that as these women achieve their goals, their standards become more difficult to achieve, creating a cycle in which they can never reach acceptance or value. One of the tasks of treatment is to separate the value of the individual from the struggle for perfectionism.
For most women with anorexia, bulimia or obsessive-compulsive diets, eating disorders become their identity. Considering the tendency of perfectionism, these women are often eager to become perfect - work harder for longer, eat less, and do more health. Many women claim that eating disorders are "good at them" and become very expensive. The identity of a woman in a disordered diet prevents her from trying new activities, especially since she may not be "perfectly" doing these activities. From the perspective of these women, it is safer to completely treat the disease than to fail in other areas.
The therapist is doing a good job and can clarify this pattern during treatment. By addressing the potential fear of failure and uncovering what the disease is, these women can begin to face their fears by taking small steps while being supported by therapists and other assistants. These small steps may initially be related to disordered behavior. For example, these people may be challenged to start replacing dysfunctional eating behavior with healthier alternatives, such as calling friends or taking a walk on the impulse to self-injury. Because these women have succeeded in choosing healthier disease alternatives, their self-esteem has been strengthened and they may face greater risk challenges, such as interacting with friends, strengthening relationships or trying new ones.
Like perfectionism, most women with eating disorders are compared to other women, especially other women. When these women compare with other women, they seem to never show up in their minds. Others are always more capable, thinner and more attractive. These comparisons help to further undermine self-esteem and thus continue the harmful cycle of compensating for negative emotions...
Orignal From: Understanding self-esteem and eating disorders
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