1/28. Empowerment through giving symptoms voice.This paper takes the perspective that physical and behavioral symptoms can be viewed as a form of mind-body communication. If the symptoms are listened to and "given voice," they can point the way to addressing imbalances influencing the development of the symptoms or to examining factors that can empower clients to heal. The author contends that women's traditional gender socialization may play a role in developing symptomatic bodily expression. It is proposed that hypnosis provides a suitable method for hearing and translating the mind-body communication. The application of hypnotic techniques is illustrated through two case examples.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/28. Gastric perforation caused by a bulimic attack in an anorexia nervosa patient: report of a case.We report a rare case of gastric perforation due to a bulimic attack in a 17-year-old girl suffering from anorexia nervosa. She was admitted to our hospital with the chief complaint of abdominal pain following bulimia. Initially, her symptoms were reduced after drainage using a nasogastric tube. Eight hours later, however, she fell into a state of preshock. Abdominal radiography revealed subphrenic free air. We diagnosed the patient as having diffuse peritonitis. At laparotomy, the stomach was dilated and necrotic with perforation. Almost the entire stomach was resected. Postoperatively, the patient recovered uneventfully. We should therefore be aware of this condition when treating patients with anorexia nervosa who complain of abdominal pain.- - - - - - - - - - ranking = 2.0995913077035keywords = suffering (Clic here for more details about this article) |
3/28. binge-eating disorder and obesity. A combined treatment approach.patients presenting with both obesity and BED face multiple challenges: normalizing their eating, improving their physical health, and working to enhance their own acceptance of their body image. In an effort to feel better about themselves, they often have become trapped in a cycle of desperately attempting to diet, then losing control, binge eating, and gaining even more weight. Several psychological and pharmacologic treatment approaches have been used in this population. Most suppress binge eating in the short term, and some seem promising in the long term as well. However, sustained weight loss remains a largely unrealized goal. More recently, BED treatment programs have attempted to address these goals sequentially or in combination. In either approach, it is clear that adopting a long-term focus and promoting enhanced self-acceptance, which have so often been missing from these patients' previous attempts at recovery, are important tasks of treatment that are likely to lead to beneficial lifestyle changes and long-term improvements in physical and psychological health.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
4/28. Oral rehabilitation of a bulimic patient: a case report.bulimia nervosa is among the most common health problems in contemporary society. It is a self-induced weight loss syndrome associated with distinct dental manifestations involving physical and psychologic symptoms. It is characterized by recurrent binge-purge episodes that occur at least once a day. This article describes the complete-mouth rehabilitation of a bulimic patient with a generalized enamel erosion of her dentition and a poor esthetic appearance. Porcelain-fused-to-metal restorations were used as the definitive treatment. Good esthetics and high self-esteem were the final results. Comprehensive restorative therapy was applied in this clinical case report to achieve both function and esthetics in a demanding situation.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
5/28. Gastric surgery and restraint from food as triggering factors of eating disorders in morbid obesity.Obese patients may share some clinical features with anorexia nervosa patients because they risk developing an eating disorder when they diet. methods and Results Some common etiological, psychological, and social factors have been proposed for both disorders. We present two cases of patients suffering from morbid obesity who, after weight loss, presented an intense fear of regaining weight and developed anorexic-like symptoms. In the first case, the symptoms appeared after gastric reduction surgery. In the second case, a strict diet was the triggering factor. DISCUSSION: This paper stresses the need for psychiatric evaluation of all patients with morbid obesity who seek treatment in clinical settings, in order to identify the factors that may lead to psychiatric complications.- - - - - - - - - - ranking = 2.0995913077035keywords = suffering (Clic here for more details about this article) |
6/28. gender identity disorder and eating disorders.We report three cases of transsexual patients who are suffering from an eating disorder: a biological male patient diagnosed with anorexia nervosa (AN), a biological male patient with bulimia nervosa (BN), and a biological female patient with AN as well as a severe alcohol dependence. The relationship between eating behavior, gender identity, sexual orientation, and body dissatisfaction is discussed.- - - - - - - - - - ranking = 2.0995913077035keywords = suffering (Clic here for more details about this article) |
7/28. The treatment of bulimia nervosa following surgery using a stimulus control procedure: a case study.This single case report describes the treatment of a 35-year-old female, who was diagnosed as suffering from severe bulimia nervosa. Of interest were the frequent vomiting episodes which did not exist prior to two surgical operations performed on the client in order to reduce her overall body weight. The treatment, a stimulus control procedure, which spanned 20 sessions, lasted about 24 weeks and was deemed successful after a year follow-up. Of primary importance was the self-management aspect of the treatment program, which emphasized minimum therapist intervention. In addition, there was a complete absence of "cognitive components" deemed necessary by some authors for the long-term treatment success of bulimics. Different factors relating to the success of this treatment program are also reviewed.- - - - - - - - - - ranking = 2.0995913077035keywords = suffering (Clic here for more details about this article) |
8/28. Sexual dysfunction in married female patients with anorexia and bulimia nervosa.The immediacy of anorexia and bulimia nervosa tends to obscure the adjunct problems of eating-disordered patients. The literature records no data pertaining to the treatment of concomitant psychosexual dysfunctions. The authors report the cases of five young married women referred for psychosexual therapy from eating disorders programs. The therapists found that each of the women was suffering from at least one additional disorder. Basic issues of control, grounded in these patients' early lives, generated intense resistance to treatment. The authors emphasize the need for accelerated research to gather the data from which to develop an effective treatment program for eating-disordered patients with associated sexual dysfunctioning.- - - - - - - - - - ranking = 2.0995913077035keywords = suffering (Clic here for more details about this article) |
9/28. Topiramate for binge eating disorder.Topiramate is a new anti convulsant agent that acts on the voltage-activated sodium channels and on the glutamate and GABA receptors; it is furthermore able to reduce hunger and therefore contributes to loss of weight. The authors report the case of a patient suffering from binge eating disorder, who was unresponsive to several therapeutic plans but was successfully treated with topiramate.- - - - - - - - - - ranking = 2.0995913077035keywords = suffering (Clic here for more details about this article) |
10/28. Full-mouth rehabilitation of a patient with bulimia nervosa. A case report.Anorexia and bulimia nervosa are eating disorders seen mainly in adolescents or young patients. The dentist should be in the position to recognize early signs of the disorder and alert the patient (and the patient's parents, if necessary) of the possible physical, psychologi cal, and dental consequences. Such dental treatment may help motivate the patient to confront the problem. In this paper the full-mouth rehabilitation, using a combination of galvano- and metal-ceramic restorations, of a young patient suffering from bulimia nervosa is described.- - - - - - - - - - ranking = 3.0995913077035keywords = suffering, physical (Clic here for more details about this article) |
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