| Questions 15.
            
            What are the  socioeconomic factors related  to bulimia nervosa?  16.
            
            What  personality disorders are linked to  bulimia nervosa?
 17.
            
            What are  impulsive behaviors for which  women with bulimia are at a higher-than-average risk for?
 18.
            
            What are the  goals of Dialectical  Behavioral Therapy with bulimic clients?
 19.
            
            Beck suggests that a cognitive continuum  technique is often useful with clients displaying dichotomous thinking. What  are the benefits of a  cognitive continuum technique?
 20.
            
            What  is the focus of interpersonal therapy with a bulimic or binge eating client?
 21.
            
            What family treatment for  bulimia nervosa was explored in this article?
 22.
            
            According  to Le Grange et al., what should be the focus of Phase II of treatment for a  bulimic client?
 23.
            
            What  are some examples of behavioral techniques used with bulimic clients?
 24.
            
            Why  does assessing the percentage of male  athletes suffering from either anorexia or bulimia prove even more difficult  than in the general population?
 25.
            
            What  are the "red flags" of eating disorders specific to adolescent males?
 26.
            
            Why  has group counseling with adolescent boys suffering from body image disorders  proved to be so effective?
 | Answers A.  The Maudsley Family-Based Treatment    Approach B.  (1) Age 14 to 18 years (2) Athletes in sports that    focus on body    image and weight classifications (3) Homosexuality or confusion related to    sexual identification (4) Occurrence of mental disorders that appear    co-morbid with eating disorders (5) Recent turmoil in the home environment    such as death of a loved one, divorce, moving, and    financial difficulties (6) Presence of family members suffering from an    eating disorder as well as a family 
	                  environment    that stresses physical appearance and body image
 C. (1)    economically developed nation (2) Some studies suggest that those in lower    economic groups may be at higher risk for bulimia.    (3) City living is a risk factor for bulimia. (4) People with eating    disorders scored significantly    higher than average on IQ tests. People with bulimia had higher nonverbal    than verbal scores.
 D. (1) Borderline personalities (2) histrionic    personalities (3) Narcissism
 E.  not buying trigger foods or avoiding certain shops;    that is,    building up new habits to replace existing ones,  modifying eating behavior such as eating in    the same place  each day, or concentrating solely on eating and not    watching television at the same time.
 F.  sexual promiscuity, self-cutting, and kleptomania.
 G.  In this form of therapy, the patient and therapist    concentrate on the patient's personal relationships, emphasizing one of four    themes: loss, disputes, life transitions, and isolation or loneliness.
 H.  Negotiating for a New Pattern of Relationships
 I.  Because    many boys with body image disorders suffer in silence, learning that other    boys in their peer group suffer from the same insecurities and receiving    support from those peers can be quite beneficial to adolescent boys working    within a single-gender support group.
 J.  (1) Becoming aware of emotions. (2) Regulating the    emotions. (3) Learning how to identify painful feelings. (4) Learning how to    relate to other people.
 K.  Difficulty    in assessing male athletes suffering from anorexia or bulimia is due to a    myriad of factors that include: methodological limitations from the current    literature, assessments that rely on self-report, and lack of uniform criteria    across studies
 L.  This    technique is effective not only in modifying the beliefs that reflect    polarized thinking but also in facilitating the recognition of the middle    ground.
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