Abstract
A case study of a young woman who was following a complex bulimic chain is described. Her emotional-behavioral sequence involved (1) feeling upset, (2) feeling more upset and taking a high dose of laxatives, (3) hinging, (4) taking additional laxatives, (5) feeling depressed, guilty, and angry, and then (6) “starving” herself for days on end. This paper lists the selfdefeating cognitions mediating the above sequence of emotions and behaviors and reports on a successful disputation of them through a Rational-Emotive Therapy approach. She resumed a normal eating pattern; her menstrual cycle returned in 2 months after having been absent for 13 months; and at followup, 15 months after termination of therapy, disclosed normal weight with no regression to any bulimic behavior. The case study concludes with preliminary notes on a cognitive-behavioral analysis of eating disorders. A model for eating disorders is proposed based upon the study and treatment of other selfindulgent disorders.
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References
American Heart Association Cookbook, 4th Ed. (1984). New York: David McKay.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford.
Caruthers, S. C. (1986).Group treatment of bulimia: Exposure and response prevention with refutation of irrational beliefs. Unpublished doctoral dissertation, University of Denver.
Cooper, P. J. & Fairburn, C. G. (1983). Binge-eating and self-induced vomiting in the community: A preliminary study.British Journal of Psychiatry, 142, 139–144.
Halmi, K., Falk, J. & Schwartz, E. (1981). Binge-eating and vomiting: A survey of a college population.Psychological Medicine, 11, 697–706.
Humphries, L. L. & Wrobel, S. (1983). Bulimia: The binge eating syndrome.Southern Medical Journal, 76, 181–184.
Mitchell, J. E., Pyle, R. L. & Eckert, E. D. (1981). Frequency and duration of binge-eating episodes in patients with bulimia.American Journal of Psychiatry, 138, 835–836.
Pope, H. G., Hudson, J. I., & Yurgelun-Todd, D. (1984). Anorexia and bulimia among 300 surburban women shoppers.American Journal of Psychiatry, 141, 292–294.
Pyle, R. L., Mitchell, J. E., & Eckert, E. D. (1981). Bulimia: A report of 34 cases.Journal of Clinical Psychiatry, 42, 60–64.
Rudnick, F. D. (1983).Medical and neurological aspects of bulimia. University of California at Los Angeles Extension and the School of Medicine, University of California at Los Angeles.
Russell, G. (1979). Bulimia nervosa: An ominous variant of anorexia nervosa.Psychological Medicine, 9, 429–448.
Spielberger, C., Gorsuch, R., Lushene, R., Vagg, P. & Jacobs, G. (1983).The state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.
Woods, P. J. (1990).Controlling your smoking. Roanoke, VA: The Scholars' Press, Ltd.
Woods, P. J. (1991). Orthodox RET taught effectively with graphics, feedback on irrational beliefs, a structured homework series, and models of disputation. In M. E. Bernard (Ed.),Using rational-emotive therapy effectively (pp. 69–109). New York: Plenum.
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Paul J. Woods, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, a Professor Emeritus of Psychology at Hollins College, and a Licensed Psychologist in independent practice in Roanoke, Virginia.
Russell M. Grieger, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, and a Licensed Clinical Psychologist in independent practice in Charlottesville, Virginia.
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Woods, P.J., Grieger, R.M. Bulimia: A case study with mediating cognitions and notes on a cognitive-behavioral analysis of eating disorders. J Rational-Emot Cognitive-Behav Ther 11, 159–172 (1993). https://doi.org/10.1007/BF01074093
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DOI: https://doi.org/10.1007/BF01074093