BULIMIA Bulimia is an eating disorder defined in

Often the binge period is associated with fear of being unable to control what the bulimic herself sees as non-normal eating behavior. There also tends to be depression and self-depreciating thoughts following binges.

Most bulimics are young women around college age; they appear to have some obsessive-compulsive tendencies (Johnson & Holloway, 1988; Lowenkopf, 1987). It is believed that the preoccupation with thoughts of food and the compulsive need to engage in binge eating followed by periods of purging are, at least in part, the result of sociocultural pressures to be thin. In this regard, Schwartz and Barrett (1988) have stated that the idea that the thin woman is the attractive woman permeates society.

The authors state that in America women are taught by both society and their families that success, intimacy, security and satisfaction in life are gained and maintained by being thin and attractive. The authors explain th

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articular, the authors reported that comparison studies of bulimic and anoretic groups have consistently found more depressive symptoms and higher frequencies of suicide in bulimic groups. Similarly, in their study of bulimics admitted to New York State Psychiatric Institute (N=50), the authors found that over 70 percent of the patients had, at least at one time in their lives, met the diagnostic criteria for an episode of major depression. Treatments for bulimia are diverse. According to Mereson (1988), results with both anti-depressants and medications used to treat drug addiction are fairly dramatic. More than a dozen studies have shown that bingeing and purging episodes are decreased an average of 75 percent. Moreover, for about one quarter of the patients, bingeing and purging have stopped altogether. Cognitive-behavioral therapies have also providen to be very successful by teaching bulimics to develop new and more positive ways of thinking about food, eating and weight, as well as how to break food rituals that trigger bingeing episodes. Vognsen (1985) has reported good results for the use of brief, individual therapy in the treatment of bulimia. The primary treatment premise of this intervention is to stop the bing
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