Eating Disorder Maintaining Factors Continued
Bridget Engel, Psy.D., edited by Kathryn Patricelli, MAShame and Embarrassment
Behaviors associated with eating disorders that involve food restriction or purging often develop out of a sense of shame. Shame happens when someone is painfully aware that they have failed to meet a social standard, and have let people down. Shame is a social emotion. It reveals a deep need to meet social expectations. Individuals suffering with eating disorders cannot change or reset the culturally established standards to which they hold themselves. Because of this, their moods and level of shame depend on how well they feel they meet those standards.
Because there is shame attached to eating disorders, a sort of trap happens when people realize that their disordered behavior is no longer manageable. For fear of being judged, and to preserve their self-worth, they often avoid or reject assistance and help. When they are unable to help themselves, they feel ashamed and embarrassed to admit that they are out of control. They believe that asking for help would be telling others that they are a complete failure. This painful and shameful secret tends to keep their unhealthy behaviors going.
Dysfunctional Thinking
Psychologists know that dysfunctional thinking can affect a person's vulnerability toward development and continuing an eating disorder, as well as depression. One example of unhealthy thinking is learned helplessness. This is a psychological condition in which people learns to believe that they are helpless even when their situation is avoidable or changeable. People with eating disorders often believe that they have no control over:
- the expectations placed on them
- the behaviors used to meet those standards
- the resulting pain and loneliness they endure
They believe that their situation is hopeless and anything they do is useless. They remain stuck in an unpleasant and even harmful situation.
Another unhealthy pattern of thinking often found in those with an eating disorder is body image distortion. This happens when people falsely see themselves as being different (generally heavier) than they actually are. People with eating disorders continue to see themselves as fat and unattractive, even when the people around them worry about their weight loss and body size. Because they see themselves as significantly different than others, they do not trust the opinions or advice of those around them. Body image distortion happens more frequently for women than for men. Teenagers may be particularly at risk for developing body image distortion during puberty. The rapid changes in body size and shape, as well as development of secondary sex characteristics (breasts, body hair, etc.) make them vulnerable to feeling awkward and large.
Resources
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Articles
- What are Eating Disorders?
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Eating Disorder Causes and Maintaining Factors
- Causes of Eating Disorders - Biological Factors
- Causes of Eating Disorders - Biological Factors Continued
- Causes of Eating Disorders - Personality Traits and Missing Skills
- Causes of Eating Disorders - Family Influences
- Causes of Eating Disorders - Cultural Influences
- Eating Disorder Maintaining Factors
- Eating Disorder Maintaining Factors Continued
- Other Eating Disorder Maintaining Factors
- Characteristis of Eating Disorders
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Eating Disorder Treatment & Prevention
- Eating Disorder Professional Treatment - Nutritional Rehabilitation
- Eating Disorder Professional Treatment - Individual Psychotherapy
- Eating Disorder Professional Treatment - Individual Psychotherapy Continued
- Eating Disorder Professional Treatment - Inpatient and Residential
- Eating Disorder Professional Treatment - Group Therapy and Peer Support
- Eating Disorder Professional Treatment - Family Therapy
- Prevention of Eating Disorders
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Questions and Answers
- Eating Disorder or Overreacting?
- Please Help. I Criticize Myself Too Much and I Need to Stop.
- I Have Bulimia
- Heavy Load
- Eating
- Odd Eating Behavior
- Husband's Weight Problem
- Help
- Do I Have an Eating Disorder?
- When Psychotherapy Does Not Help
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19 more
- Teenaged girl at risk for Eating Disorders writes, "i want to be confidant with my body"
- Do I have an eating disorder?
- I am afraid to see a doctor about my problem because of my future profession!
- I am bulimic for more than 10 years, and it is killing me...
- I don't like to eat.
- Help?
- Where do i start to get on the road to recovery
- How can I change my life?
- Is this a eating disorder ?
- how can i get my former eating habit back
- Is This An Eating Disorder
- Is this an eating disorder?
- Am I a bulimic or not?
- I Sometimes Cut
- I Wanna Be Thin!
- Bulimic
- Odd Eating Disorder
- Elder Anorexia
- Eating Disorder?
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Book & Media Reviews
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Links
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Videos
- Anorexia: What Therapists and Parents Need to Know
- Eating Disorders Myths Busted- Myth # 1: You can tell by looking at someone
- Eating Disorders Myths Busted- Myth #9: Eating Disorders are for Life
- Eating Disorders Myths Busted- Myth #3: Mothers are to Blame
- Eating Disorders Myths Busted- Myth #2: Families are to Blame
- Eating Disorders Myths Busted- Myth #8: Genes are Destiny
- Eating Disorders Myths Busted- Myth #7: Society Alone to Blame
- Eating Disorders Myths Busted- Myth # 6: Eating Disorders are Benign
- Eating Disorders Myths Busted- Myth #4: Eating Disorders are a Choice
- Myth # 5: Eating Disorders are the province of white upper-middle class teenage girls
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11 more
- Mental Health Minute: Eating Disorders
- Pediatrics: Child Eating Disorders - Part 2
- Pediatrics: Child Eating Disorders - Part 1
- Not Falling For It: How to Challenge Toxic Media Messages about Food, Weight, and Body Image
- Eating Disorder Treatment Blogging Series - Part 1
- Eating Disorder Treatment Blogging Series - Part 2
- Eating Disorder Treatment Blogging Series - Part 3
- Eating and Body Dysmorphic Disorders
- Eating Disorders from the Inside Out
- Eating Disorders Part 2: Recent Advances in Treatment
- Eating Disorders Part 1: How to Prevent Identify and Intervene Early
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