Comments | ed_ucate: empirical classification of EDs

vnc_00 in ed_ucate

empirical classification of EDs

Dec 09, 2011 22:09

Interesting read for anyone that's interested:

It is in my public dropbox folder (and I uploaded it to the shared eating disorder folder - RE previous post).
http://dl.dropbox.com/u/5676472/Keel-2011-Empirical%20Classification%20of%20EDs. ( Read more... )

Comments 3

redefine_you December 10 2011, 19:51:39 UTC

I found this really interesting, and shared it with my facebook friends. Thanks!

01010011 December 12 2011, 18:35:25 UTC

it also highlights that our tendency to "study what we define" has created a gap between the problems that people have and what we know about those problems.YES. I've been reading a lot of articles (most by Christopher Fairburn) about utilizing a 'transdiagnostic' approach, given that ED behaviors, and thus, diagnosis, tend to shift and evolve over time - and clinical judgement in applying diagnostic criteria varies. He makes a good point about it being common for people to theoretically be diagnosed with AN --> BN --> EDNOS, for example, over a period of time, and as common sense and patient experience would advise, that's not a person who has three separate & discrete psychiatric diagnoses, that's one diagnosis manifested in different ways (Q: What do you call a 5-year-plus anorexic? A: Bulimic.) The distinction between the AN subtypes seem to have some predictive validity, at least, from what I've read, but I very much look forward to reading this article once finals are over and I get to read for personal purposes & pleasure again ( ... )

vnc_00 December 14 2011, 22:20:22 UTC

Right, yeah. I think you can probably make an arguement that those that 5+ years on don't switch diagnoses are different from those of us that fluctuate between everything and anything. I go through phases of restriction, to b/ping, to just binging (now), but most of the time, I'm underweight or close to. But, I think those anorexics that never b/p, never become ed-nos, are different, personality wise. I think, maybe, those personality traits associated with AN, are stronger in those people. I'm not sure. I do think the current DSM criteria, the biggest difference, is that it drives research and interpretation, and that's BAD. because I think it is unecessarily limiting. In the last 5 years I would've fit the diagnosis of AN-BP, AN, bulimic, and ed-nos. right now, AN-BP. but, like, in a few weeks, when I stop binging, i'll be ed-nos. cause my weight will be high enough.. but like, i can assure you. mentally, not much has changed!!