Back from the Abyss: Psychiatry in Stories Eating Disorders, Body Image, and Building an Alliance-- A Conversation with Dr. Jennifer Gaudiani
Mar 8, 2024
Dr. Jennifer Gaudiani, a leading expert on eating disorders and founder of the Gaudiani Clinic, discusses the nuanced challenges of treating these complex conditions. She delves into the origins of eating disorders, emphasizing cultural and psychological factors, while also addressing the struggle of anosognosia in patients. The conversation highlights the sensitivity required in discussions around body image and weight, critiques bariatric surgery, and advocates for a compassionate, weight-neutral approach to treatment. Lastly, she explores the transformative journey from restrictive eating to intuitive practices.
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Etiology of Eating Disorders
- Eating disorders are complex, with causes ranging from temperament to trauma.
- They're not solely a brain, body, or social media disease but a mix of factors.
Gender and Eating Disorders
- The higher prevalence of eating disorders in women reflects cultural pressures and expectations.
- Historical and societal factors contribute to women's complex relationship with food and body image.
Anorexia Nervosa: A Distinct Disorder
- Anorexia Nervosa, with its higher lethality and delusional aspects, stands out among eating disorders.
- Anosognosia, the lack of awareness of illness, makes it particularly challenging to treat.