| 2. |
Read the following case history. Decide how a
psychologist using your perspective would explain the
CAUSE of Andrea's problem. DO NOT RELY ON COMMON SENSE
AND INTUITION IN DISCUSSING THE CASE. IMAGINE THAT YOU
ARE A DYED-IN-THE-WOOL ADVOCATE OF THIS PARTICULAR
VIEWPOINT AND MAKE YOUR ARGUMENTS FROM THAT POINT OF
VIEW. |
| Andrea is a 19 year old college
student. She has requested counseling from her college
counseling center at the urging of her friends. Andrea's
friends believe that she may have an eating disorder.
Andrea sees herself as fat, but to her friends she is
startlingly thin. In fact, she is so thin that they are
afraid that she will become seriously ill. Andrea
maintains this low weight mainly by eating practically
nothing and drinking two quarts of water a day. She says
that she thinks about food "all the time" when
she is restricting her food intake, but that she does not
want to eat because she is afraid of getting fat. At
other times, however, her hunger is so intense that she
feels like she has to give in to the cravings. At those
times she "binges" and eats huge amounts of
food. For example, she once ate a half gallon of ice
cream in a little over one hour. After her
"binges" she works to get rid of the excess
calories she has consumed by vomiting. She says she is
starting to agree that she may have an eating problem.
After interviewing Andrea, you are convinced that she
meets the criteria for a diagnoses of both anorexia and
bulimia. |
| You are also interested in obtaining
some background information about Andrea, to aid in
understanding her. You find out that Andrea is 19 years
old and a freshman at your college. She says that she
started really worrying about her weight two years ago,
when she was a junior in high school. At that time her
parents were quarreling a lot and had even talked about
divorce. She says that managing her eating made her feel
in control. She also noticed that, even though she still
felt fat, people seemed to pay more attention to her and
to respond to her better as she got thinner. She
indicates that she likes having a more
"boyish," more athletic figure. |