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How many women in the use think they are overweight?
38%
v
66% of college women 42% of college men
Why are americans obsessed with weight?
1.health reasons/problems 2. believe attractive bodies lead to self-worth and happiness
Eating disorders
characterized by: -a severe disturbance in eating behavior, -an intense fear of becoming overweight -pursuit of thinness
Anorexia Nervosa
characterized by an intense fear of gaining weight and a refusal to maintain even a minimally low body weight
Anorexia Nervosa restricting subtype
persistent efforts to limit food intakes
Anorexia Nervosa binge-eating/purgin type
binge: out of control comsumptions of food far greater than what most would eat in the same amount of time purge: removal of the food eaten
Bulimia Nervosa
uncontrollable binge eating and recurrent inappropriate behaviors to prevent weight gain  -can be normal or even overweight
Bulimia vs. Anorexia
if both diagnoses are met, anorexia is diagnosed 
Binge Eating Disorder
excessive eating during a discrete period of time and a feeling of lack of control over eating
Binge eating disorder prevalence
-most common -3-5% women -2% men -6-8% in obese
Bulimia Nervosa prevalance
1.5% women 0.5% men
Anorexia Nervosa
0.9% in women 0.3 % in men
gender ratio of eating disorders
10:1 female:male current research is suggesting 3:1 f:m
Men and eating disorders
-10% -similar symptoms to females -more likely to have a history of being overweight -mixed evidence on sexual orientation 
Muscle Dysmorphia
most commonly in men, obsessing over muscle gain
Culture and eating disorders
-Anorexia is not culturally bound, Bulimia may be. -being Caucasian is a risk factor, being African-American is a protective factor  
set point
the weight that our bodies try to defend -patients with BN may experience impulses to binge after trying to fail below their set point 
Fiji study
high rates of overweight women associated with being strong, etc.  -- when american tv shows emerged women began to express concerns about their bodies and dieting increased
individual risk factors for eating disorders
-internalizing the thin ideal  -perfectionism -negative body image -family dysfunction (regarding eating)
Somatic Symptom Disorders
complaints of bodily systems or defects that suggest the presence of medical problems that aren't there as well as dysfunctional thoughts, feelings or behaviors
Hypochondriasis
preoccupations with fears of contracting a serious disease or with the idea that they actually have such a disease even though they do not
hypochondriasis prevalence
2-7% males=females
somatization disorder
many different complaints of physical ailments in the absence of physical pathology  (but they are not convinced they have a disorder/disease)
Somatization Disorder
0.2-2% women less than 0.2% men
Pain Disorder
the experience of persistent and severe pain in one or more areas of the body that is not intentionally faked
Illness Anxiety Disorder
high anxiety about having or developing a serious illness, but have few (mild) somatic symptoms  -25% of those previously diagnosed with hypocondriasis
Conversion Disorder
symptoms or deficits affecting sensory or voluntary motor functions leading one to think there is a medical or neurological  problem (that isn't there). -usually triggered by a stressful life event -blindness, paralysis, pseudo-seizures
Conversion disorder prevalence
- accounts for 1-3% of disorders referred for treatment 2-3x more often in women
Factitous Disorder (Munchausen's syndrome)
intentionally producing symptoms to obtain and maintain the personal benefits that playing the "sick role" may provide
Malinering
intentionally producing of exaggerating symptoms and is motivated by external incentives (e.g., financial compensation)
Dissociative Disorders
characterized by disruptions in consciousness, memory, identity, and/or perception -appear to be ways to avoid anxiety and stress and of managing problems that would overwhelm coping mechanisms 
Depersonalization/ Derealization Disorder
persistent and recurrent episodes of feeling detached from one's mental processes, self, body, and/or surroundings  -often puzzle & frighten the person, they are unaware of what happened
Depersonalization
loss of sense of SELF and one's own reality
Derealization
loss of sense of the reality of the outside WORLD
Depersonalization/Derealization Disorder Prevalence
-DSM-5 says 1-2% -1:1 gender ratio -age of onset: 16 yrs. old
Dissociative Amnesia
inability to recall previously stored personal information that cannot be accounted for by ordinary forgetting -form of retrograde amnesia
Retrograde Amnesia
partial or total inability to recall past experiences and knowledge
Anterograde amnesia
partial or total inability to retain new information and experiences
Dissociative Amnesia prevalence
1.8% ? 2-3:1 female:male can last a few days to  years
Dissociative Amnesia with dissociative fugue
sudden, unexpected travel away from home or work, accompanied by inability to recall one's part and confusion about personal identity or the assumption of a new identity
Dissociative Fugue prevalence
0.20%
Dissociative Identity Disorder
the presence of two or more distinct identities or personality states that recurrently take control of the individual's behavior and difficulty recalling personal information
D.I.D. prevalence
~1-2% much more common in females (3-9x)
Degeneracy and Abstinence Theory
1750s Simon Tissot -semen is necessary for physical and sexual vigor and growth -masturbation and sex (not intended to procreate) is a waste of semen
Reverend Sylvester Graham
-healthy foods (Graham crackers) -physical fitness -sexual abstinence --sexual abstinence=improved public health
Dr. John Harvey Kellogg 
-disapproved of masturbation - 39 signs of "the secret vice" -cornflakes!
Sambia Tribe
-important to growth, strength & spirit  -children and adolescent boys engage in sexual behaviors to obtain semen -once part puberty, they transition into heterosexual behaviors 
Sexual Abuse
sexual contact that involved physical or psychological coercion or at least one individual who cannot reasonably consent to the contact
Child sexual abuse prevalence 
7.9% of men 19.7% women -higher rates in African countries, lower in European
Rape prevalence
1/3 of women experience rape or attempted rape Marital Rape: 10-14% of married women, 40-50% among battered women
Pedophilia 
intense sexual urges or fantasies about sexual activity with prepubescent child
Sex offender treatment (3)
-psychotherapy -antidepressants -castration
Paraphilic Disorders
recurrent, intense sexually arousing fantasies, urges, or behaviors that generally involve: 1. nonhuman objects 2. suffering or humiliation (or self or partner) 3. children or other non-consenting persons
Fetishism
–Fantasies, urges, or behaviors involvinginanimate objects or part of the body not typically found erotic (e.g., feet) to obtain sexual gratification -must cause distress or impairment
Tranvestic Disorder
fantasies, urges or behaviors involving cross-dressing -must cause distress or impairment 
Voyeuristic Disorder
–Fantasies, urges, or behaviors involvingthe observations of unsuspecting personwho are undressing or engaged in sexual activity – aka “peeping toms” -distress/impairment OR acted upon urges
Exhibitionistic Disorder
–Fantasies, urges, or behaviors involving exposure of one’s genitals to others in inappropriate circumstances and without consent- aka “flasher” –Distress/Impairment OR acted upon such urges -commonly co-occurs with voyeurism
sexual sadism disorder
fantasies, urges, or behaviors involving the infliction of psychological or physical pain on another individual –Distress/Impairment OR acted upon such urges -Themes: dominance, control, humiliation  
sexual masochism
fantasies, urges, or behaviors involving the real act of being humiliated, beaten, bound, or otherwise made to suffer
Autoerotic asphyxia
"self-strangulation" during climax - 500-1000 accidental deaths each year
Frotteurism
fantasies, urges, or behaviors involving touching or rubbing against a non-consenting person –Distress/Impairment OR acted upon such urges
Gender Dysphoria 
a strong and persistent cross-gender identification and gender dysphoria (discomfort about on'es biological sex or sense of gender role)
Transsexualism
adults with gender dysmorphia who desire to change their sex

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