imustnotcry
Posts: 12
(25/3/04 2:06 pm)
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Diagnostic Criteria for Bulimia Nervosa
Diagnostic Criteria for Bulimia Nervosa
Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
Eating, in a discrete period of time (e.g., within a two-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting or excessive exercise.
The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for three months.
Self-evaluation is unduly influenced by body shape and weight.
The disturbance does not occur exclusively during episodes of anorexia nervosa.
Specify type:
Purging type: during the current episode of bulimia nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
Nonpurging type: during the current episode of bulimia nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
'When you are small there is no protection from shame, and now that you are older your attempts to keep the unsafe out cost you more then you can imagine. We need to breath in the direction of danger and to sing. We must not only be wounded - for surely all of us are that, but be willing to suffer the terrifying healing with its stations of humiliation, shame, endurance and grief'
- Sark, Succulent Wild Woman, 1997. |
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