The investigation of schematic content and processing in eating disorders

Cognitive Therapy and Research - Tập 14 - Trang 191-214 - 1990
Kelly Bemis Vitousek1, Steven D. Hollon2
1Department of Psychology, University of Hawaii, Honolulu, USA
2Vanderbilt University, USA

Tóm tắt

The core psychopathology of anorexia nervosa and bulimia nervosa is hypothesized to be represented in organized cognitive structures that unite views of the self with beliefs about weight. These weight-related self-schemata may exert automatic effects on the processing of information, and may also help to account for the clinical observation that patients frequently regard their symptoms as serving a valued function. Strategies for assessing the presence and operation of self-schemata in the eating disorders are outlined, and the limitations of inventories designed to measure self-statements about food and weight are emphasized. It is suggested that the “cognitive essence” of these disorders may be found in potent and inclusive schemata that reduce ambiguity, facilitate judgments and predictions, and provide a simple set of premises from which specific rules can be deduced. Several constructs are recommended for further study, including a preference for simplicity, a preference for certainty, and a distinctive “New Year's resolution” cognitive style.

Tài liệu tham khảo

Bemis, K. M. (1983). A comparison of functional relationships in anorexia nervosa and phobia. In P. L. Darby, P. E. Garfinkel, D. M. Garner, & D. V. Coscina (Eds.),Anorexia nervosa: Recent developments in research. New York: Allan R. Liss, pp. 403–415.

Bemis, K. M. (1986).A comparison of the subjective experience of individuals with eating disorders and phobic disorders. Unpublished doctoral dissertation, University of Minnesota, Minneapolis, MN.

Bemis, K. M. (1987). The present status of operant conditioning for the treatment of anorexia nervosa.Behavior Modification, 11 432–463.

Ben-Tovim, D. I., Walker, M. K., Fok, D., & Yap, E. (1988).An adaptation of the Stroop Test for measuring shape and food concerns in eating disorders: A quantitative measure of psychopathology? Paper presented at the Third International Conference on Eating Disorders, New York.

Bower, G. H. (1981). Mood and memory.American Psychologist, 36 129–148.

Bradley, B., & Mathews, A. (1983). Negative self-schemata in clinical depression.British Journal of Clinical Psychology, 22 173–181.

Bruch, H. (1973).Eating disorders: Obesity, anorexia nervosa, and the person within. New York: Basic Books.

Bruch, H. (1978).The golden cage: The enigma of anorexia nervosa. Cambridge, MA: Harvard University Press.

Bruch, H. (1982). Psychotherapy in anorexia nervosa.International Journal of Eating Disorders, 2 3–14.

Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety.Advances in Behaviour Research and Therapy, 5 51–62.

Button, E. (1983). Personal construct theory and psychological well-being.British Journal of Medical Psychology, 56 313–321.

Cameron, N. (1974). Paranoid conditions and paranoia. In S. Arieti (Ed.),American handbook of psychiatry (2nd ed., Vol. 3). New York: Basic Books, pp. 676–693.

Casper, R. C. (1983). Some provisional ideas concerning the psychologic structure in anorexia nervosa and bulimia. In P. L. Darby, P. E. Garfinkel, D. M. Garner, & D. V. Coscina (Eds.),Anorexia nervosa: Recent developments in research. New York: Alan R. Liss, pp. 387–392.

Casper, R. C., & Davis, J. M. (1977). On the course of anorexia nervosa.American Journal of Psychiatry, 134 974–977.

Casper, R. C., Offer, D., & Ostrov, E. (1981). The self-image of adolescents with acute anorexia nervosa.Pediatrics, 98 656–661.

Channon, S., Hemsley, D., & de Silva, P. (1988). Selective processing of food words in anorexia nervosa.Britsh Journal of Clinical Psychology, 27 259–260.

Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairburn, C. G. (1987). The development and validation of the Body Shape Questionnaire.International Journal of Eating Disorders, 6 485–494.

Cooper, Z., Cooper, P. J., & Fairburn, C. G. (1985). The specificity of the Eating Disorders Inventory.British Journal of Clinical Psychology, 24 129–130.

Crisp, A. H. (1980).Anorexia nervosa: Let me be. London: Academic Press.

Crisp, A. H. (1983). Some aspect sof the psychopathology of anorexia nervosa. In P. L. Darby, P. E. Garfinkel, D. M. Garner, & D. V. Coscina (Eds.),Anorexia nervosa: Recent development in research. New York: Alan R. Liss, pp. 15–28.

Crisp, A. H., & Fransella, F. (1972). Conceptual changes during recovery from anorexia nervosa.British Journal of Medical Psychology, 45 395–405.

Davis, R. (1986). Assessing the eating disorders.The Clinical Psychologist, 39 33–36.

Dykens, E. M., & Gerrard, M. (1986). Psychological profiles of purging bulimics, repeat dieters, and controls.Journal of Consulting and Clinical Psychology, 54 283–288.

Epstein, S. (1973). The self-concept revisited, or a theory of a theory.American Psychologist, 28 404–416.

Fairburn, C. G. (1984). Bulimia: Its epidemiology and management. In A. J. Stunkard & E. Stellar (Eds.),Eating and its disorders. New York: Raven Press, pp. 235–258.

Fairburn, C. G. (1985). Cognitive-behavioral treatment for bulimia. In D. M. Garner & P. E. Garfinkel (Eds.),Handbook of psychotherapy for anorexia nervosa and bulimia. New York: Guilford Press, pp. 160–192.

Fairburn, C. G. (1987).The uncertain status of the cognitive approach to bulimia nervosa. Paper presented at the Symposium on the Psychobiology of Bulimia Nervosa, Ringberg Castle, Germany.

Fairburn, C. G., & Cooper, P. J. (1984). The clinical features of bulimia nervosa.British Journal of Psychiatry, 144 238–246.

Fairburn, C. G., & Garner, D. M. (1988). Diagnostic criteria for anorexia nervosa and bulimia nervosa: The importance of attitudes to shape and weight. In D. M. Garner & P. E. Garfinkel (Eds.),Diagnostic issues in anorexia nervosa and bulimia nervosa. New York: Brunner/Mazel, pp. 36–55.

Fiske, S. T., & Linville, P. W. (1980). What does the schema concept buy us?Personality and Social Psychology Bulletin, 6 543–557.

Foa., E. B. (1979). Failure in treating obsessive-compulsives.Behaviour Research and Therapy, 17 169–176.

Frankenburg, F., Garfinkel, P. E., & Garner, D. M. (1982). Anorexia nervosa: Issues in prevention.Journal of Preventive Psychiatry, 1 469–483.

Fransella, F., & Button, E. (1983). The “construing” of self and body size in relation to maintenance of weight gain in anorexia nervosa. In P. L. Darby, P. E. Garfinkel, D. M. Garner, & D. V. Coscina (Eds.),Anorexia nervosa: Recent developments in research. New York: Alan R. Liss, pp. 107–116.

Fransella, F., & Crisp, A. H. (1979). Comparisons of weight concepts in groups of neurotic, normal, and anorexic females.British Journal of Psychiatry, 134 79–86.

Garber, J., & Hollon, S. D. (1988).Specificity design logic in psychopathology research: Conceptual issues and the heterogeneous versus homogeneous control controversy. Manuscript submitted for publication.

Garner, D. M. (1986). Cognitive therapy for bulimia nervosa.Adolescent Psychiatry, 13 358–390.

Garner, D. M., & Bemis, K. M. (1982). A cognitive-behavioral approach to anorexia nervosa.Cognitive Therapy and Research, 6 123–150.

Garner, D. M., & Bemis, K. M. (1985). Cognitive therapy for anorexia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.),Handbook of psychotherapy for anorexia nervosa and bulimia. New York: Guilford Press, pp. 107–146.

Garner, D. M., & Davis, R. (1986). The clinical assessment of anorexia nervosa and bulimia nervosa. In P. A. Keller & L. Ritt (Eds.),Innovations in clinical practice: A source book (Vol. 5). Sarasota, Florida: Professional Resource Exchange, pp. 5–28.

Garner, D. M., Fairburn, C. G., & Davis, R. (1987). Cognitive-behavioral treatment of bulimia nervosa.Behavior Modification, 11 398–431.

Garner, D. M., & Garfinkel, P. E. (1981). Body image in anorexia nervosa: Measurement, theory, and clinical implications.International Journal of Psychiatry in Medicine, 11 263–284.

Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia.International Journal of Eating Disorders, 2 15–34.

Goldfried, M. R., & Robins, C. (1983). Self-schema, cognitive bias, and the processing of therapeutic experiences. In P. C. Kendall (Ed.),Advances in cognitive-behavioral research and therapy (Vol. 2). New York: Academic Press, pp. 33–79.

Guidano, V. F., & Liotti, G. (1983).Cognitive processes and emotional disorders. New York: Guilford Press.

Hammen, C., Marks, T., Mayol, A., & deMayo, R. (1985). Depressive self-schemas, life stress, and vulnerability to depression:Journal of Abnormal Psychology, 94 308–319.

Hollon, S. D., DeRubeis, R. J., & Evans, M. D. (1987). Causal mediation of change in treatment for depression: Discriminating between nonspecificity and noncausality.Psychological Bulletin, 102 139–149.

Hollon, S. D., & Garber, J. (1988). Cognitive therapy: A social-cognitive perspective. In L. Y. Abramson (Ed.),Social cognition and clinical psychology. New York: Guilford Press, pp. 204–253.

Hollon, S. D., & Kendall, P. C. (1981). In vivo assessment techniques for cognitive-behavioral processes. In P. C. Kendal & S. D. Hollon (Eds.),Assessment strategies for cognitive-behavioral interventions. New York: Academic Press, pp. 319–362.

Kendall, P. C., & Ingram, R. (1987). The future for cognitive assessment of anxiety: Let's get specific. In L. Michelson & L. M. Ascher (Eds.),Anxiety and stress disorders: Cognitive-behavioral assessment and treatment. New York: Guilford Press, pp. 89–104.

Keys, A., Brozek, J., Henschel, A., Mickelsen, O., & Taylor, H. I. (1950).The biology of human starvation (Vol. 2). Minneapolis: University of Minnesota Press.

Kihlstrom, J. F., & Nasby, W. (1981). Cognitive tasks in clinical assessment: An exercise in applied psychology. In P. C. Kendall & S. D. Hollon (Eds.),Assessment strategies for cognitive-behavioral interventions. New York: Academic Press, pp. 287–317.

Kowalski, P. S. (1986). Cognitive abilities of female adolescents with anorexia nervosa. International Journal of Eating Disorders, 5 983–997.

Laessle, R. G., Schweiger, U., Daute-Herold, U., Schweiger, M., Fichter, M. M., & Pirke, K. M. (1988). Nutritional knowledge in patients with anorexia nervosa.International Journal of Eating Disorders, 7 63–73.

Landau, R. J. (1980). The role of semantic schemata in phobic word interpretation.Cognitive Therapy and Research, 4 427–434.

Landau, R. J., & Goldfried, M. R. (1981). The assessment of schemata: A unifying framework for cognitive, behavioral, and traditional assessment. In P. C. Kendall & S. D. Hollon (Eds.),Assessment strategies for cognitive-behavioral interventions. New York: Academic Press, pp. 363–399.

Lawrence, M. (1979). Anorexia nervosa: The control paradox.Women's Studies International Quarterly, 2 93–101.

Litz, B. T., Payne, T. J., & Colletti, G. (1987). Schematic processing of smoking information by smokers and never-smokers.Cognitive Therapy and Research, 11 301–313.

Markus, H. (1977). Self-schemata and processing information about the self.Journal of Personality and Social Psychology, 35 63–78.

Markus, H., Hamill, R., & Sentis, K. P. (1987). Thinking fat: Self-schemas for body weight and the processing of weight relevant information.Journal of Applied Social Psychology, 17 50–71.

Mathews, A., & MacLeod, C. (1987). An information-processing approach to anxiety.Journal of Cognitive Psychotherapy, 1 105–115.

Mogul, S. L. (1980). Asceticism in adolescence and anorexia nervosa.Psychoanalytic Study of the Child, 35 155–175.

Mottram, M. A. (1985). Personal constructs in anorexia.Journal of Psychiatric Research, 19 291–295.

Nisbett, R. E., Ross, L. (1980).Human inference: Strategies and shortcomings of social judgment. Englewood Cliffs, NJ: Prentice-Hall.

Peterson, C., Luborsky, L., & Seligman, M. E. P. (1985). Attributions and depressive mood shifts: A case study using the symptom-context method.Journal of Abnormal Psychology, 92 96–103.

Phelan, P. W. (1987). Cognitive correlates of bulimia: The Bulimic Thoughts Questionnaire.International Journal of Eating Disorders, 6 593–607.

Rachman, S. (1983). Irrational thinking, with special reference to cognitive therapy.Advances in Behaviour Research and Therapy, 5 63–88.

Rampling, D. (1985). Ascetic ideals and anorexia nervosa.Journal of Psychiatric Research, 19 89–94.

Ross, L. (1977). The intuitive psychologist and his shortcomings. In L. Berkowitz (Ed.),Advances in experimental social psychology (Vol. 10). New York: Academic Press, pp. 173–220.

Ross, L., & Anderson, C. A. (1982). Shortcomings in the attribution process: On the origins and maintenance of erroneous social assessments. In D. Kahneman, P. Slovic, & A. Tversky (Eds.),Judgment under uncertainty: Heuristics and biases. Cambridge: Cambridge University Press, pp. 129–152.

Ruderman, S. (1986). Bulimia and irrational beliefs.Behaviour Research and Therapy, 24 193–197.

Rudy, T. E., & Merluzzi, T. V. (1984). Recovering social-cognitive schemata: Descriptions and applications of multidimensional scaling. In P. C. Kendall (Ed.),Advances in cognitive-behavioral research and therapy (Vol. 3), New York: Academic Press, pp. 61–102.

Segal, Z. V. (1988). Appraisal of the self-schema construct in cognitive models of depression.Psychological Bulletin, 103 147–162.

Selvini-Palazzoli, M. (1978).Self-starvation: From individual to family therapy in the treatment of anorexia nervosa (rev. ed.). New York: Jason Aronson.

Slade, P. (1982). Toards a functional analysis of anorexia nervosa and bulimia nervosa.British Journal of Clinical Psychology, 21 167–179.

Slade, P. (1985). A review of body image studies in anorexia nervosa and bulimia nervosa.Journal of Psychiatric Research, 19 255–265.

Slade, P. D., & Dewey, M. E. (1986). Development and preliminary validation of SCANS: A screening instrument for identifying individuals at risk of developing anorexia and bulimia nervosa.International Journal of Eating Disorders, 5 517–538.

Striegel-Moore, R., McAvay, G., & Rodin, J. (1986). Psychological and behavioral correlates of feeling fat in women.International Journal of Eating Disorders, 5 935–947.

Stroop, J. R. (1935). Studies of interference in serial verbal reactions.Journal of Experimental Psychology, 18 643–662.

Strupp, B. J., Weingartner, H., Kaye, W., & Gwirtsman, H. (1986). Cognitive processing in anorexia nervosa: A disturbance in automatic information-processing.Neuropsychobiology, 15 89–94.

Taylor, S. E., & Crocker, J. (1981). Schematic bases of social information processing. In E. T. Higgins, P. Herman, & M. P. Zanna (Eds.),The Ontario Symposium in Personality and Social Psychology (Vol. 1). Hillsdale, NJ: Erlbaum, pp. 89–134.

Thurman, J. (1982).Isak Dinesen: The life of a storyteller. New York: St. Martin's Press.

Turk, D. C., & Salovey, P. (1985). Cognitive structures, cognitive processes, and cognitive-behavior modification: I. Client issues.Cognitive Therapy and Research, 9 1–17.

Tversky, A., & Kahneman, D. (1974). Judgment under uncertainty: Heuristics and biases.Science, 185 1124–1131.

Vitousek, K. M. B., Daly, J., & Heiser, C. (1990).The problem of self-report in the eating disorders. Manuscript submitted for publication.

Vitousek, K. M. B., Garner, D. M., & Hollon, S. D. (1990).The assessment of cognitive processes in the eating disorders. Unpublished manuscript, University of Hawaii.

Weinreich, P., Doherty, J., & Harris, P. (1985). Empirical assessment of identity in anorexia and bulimia nervosa.Journal of Psychiatric Research, 19 297–302.

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Cognitive Therapy and Research

Tập 14

191-214

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