“Food restriction does not necessarily lead to self-starvation; in fact, a common effect of sustained weight loss is a tendency to binge whenever food is available (typically with feelings of automaticity and loss of control). Common triggers for binges include tempting food and excessive hunger, but also interpersonal stressors and strong emotions. To compensate for impulsive overeating, some people start to adopt purging behaviors such as vomiting and laxative use. The combination of bingeing and purging may lead to the onset of a self-reinforcing cycle. Especially in the early stages of the cycle, bingeing and purging cause intense guilt, shame and anxiety. Those negative emotions may then trigger more binges or prompt renewed attempts to restrict food, which ultimately end up strengthening the cycle. Bingeing and purging can be rewarding on a number of levels. On the one hand, these symptoms relieve anxiety, boredom, emptiness, and other negative feelings; on the other hands, they prevent stressful interactions with other people (e.g. staying home from school or work to binge), attract attention from family and friends, and may provide a way to communicate one's ill-defined psychological distress in concrete terms. Over time, the behavioral sequence of bingeing and purging becomes more automatic and less emotionally intense, but also harder to interrupt.”
Quote by Marco del Giudice
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Evolutionary Psychopathology: A Unified Approach
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Source: Evolutionary Psychopathology: A Unified Approach
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