Treating Eating: A Dynamical Systems Model of Eating Disorders

Frontiers in Psychology

article

Emily T. Troscianko¹  Michael Leon² 

[1] The Oxford Research Centre in the Humanities (TORCH), University of Oxford, United Kingdom;Department of Neurobiology and Behavior, University of California, United States

关键词: eating disorders;    cognitive behavior therapy;    behavior;    eating speed;    dynamical systems;    feedback;    psychology;   

DOI  :  10.3389/fpsyg.2020.01801

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Mainstream forms of psychiatric talk therapy and cognitive behavioral therapy (CBT) do not reliably generate lasting recovery for eating disorders. We discuss widespread assumptions regarding the nature of eating disorders as fundamentally psychological disorders and highlight the problems that underlie these notions, as well as related practical problems in the implementation of mainstream treatments. We then offer a theoretical and practical alternative: a dynamical systems model of eating disorders in which behavioral interventions are foregrounded as powerful mediators between psychological and physical states. We go on to present empirical evidence for behavioral modification specifically of eating speed in the treatment of eating disorders, and a hypothesis accounting for the etiology and progression, as well as the effective treatment, of the full spectrum of eating problems. A dynamical systems approach mandates that in any dietary and lifestyle change as profound as recovery from an eating disorder, acknowledgment must be made of the full range of pragmatic (psychological, cultural, social, etc.) factors involved. However, normalizing eating speed may be necessary if not sufficient for the development of a reliable treatment for the full spectrum of eating disorders, in its role as a mediator in the complex feedback loops that connect the biology and the psychology with the behaviors of eating.

【 授权许可】

CC BY