1. Body Image- Self Esteem- Eating Disorders
Mental Health Week
2010
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Body Image
Our bodies are all different and individual
Body image is the picture that a person forms of
their body in their mind based on feelings and
judgements and sometimes it is different than what
we see in the mirror.
Self-esteem is how much a person values or accepts
themselves for who and what they are.
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Everyday we are surrounded by photos of
models in magazines, television and internet
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What is real?
Often people ‘airbrush’ or
photoshop faces and bodies and
spend hours with a makeup artist
and hairdresser
Girls are often encouraged to lose
weight
Boys are often encouraged to bulk
up
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Body Image Stats
•Body dissatisfaction is increasing and occurring
at younger ages. Attitudes towards thinness and
ideal body size are formed as early as age 3.
By school age, girls fear looking fat more
than losing their parents, getting cancer or a
nuclear war (Cramer & Steinwert, 2008).
•An Australian study found that 74% of women
aged 18-22 wanted to weigh less and that only
25% of women in the “healthy weight range”
were happy with their weight (Paxton, 2008)
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Body Image and Guys
•Male body image
dissatisfaction has tripled in
the last 25 years.
•10% of individuals diagnosed
with anorexia are male.
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Influences on Body Image
Culture (Music, Fashion)
Media (TV, internet, magazines)
Diet businesses (Sure Slim, Weight
Watchers, Lite and Easy)
Peers, friendships, family and
relationships.
Events and activities (PE, swimming
sports etc)
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Body Image
Think of 3 things you don’t like
about your body.
Think of 3 things you do like about
your body.
What was hardest to do?
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Diets
A restriction in the amount or type of
food in order to alter body shape or
size.
On any given day, about 60% of
Australian women are on some sort of
diet (Paxton, 2008).
1 in 4 seven to 10 year olds have
dieted to lose weight (Gray, 2008).
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Diets
A study involving Victorian students
age 12 to 17 yrs classified over 1 in
3 girls and 1 in 10 boys as
“extreme dieters” making them at
risk of an eating disorder (Patton et
al, 2008).
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Why Diets Don’t Work
Diets have been linked to a range of health
difficulties which include bad breath, fatigue,
over-eating, headaches, muscle cramps,
constipation, sleep disturbance and loss of
bone density.
Deprivation can result in depression, anxiety,
feelings of guilt and emotional instability.
Adolescent girl extreme dieters are 18% more
likely to develop an eating disorder.
95% of people who go on weight loss diets
regain everything they have lost plus more
within two years.
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What is An Eating Disorder?
The two most common disorders are
anorexia nervosa and bulimia nervosa
Both are preoccupied with control over
their body weight
People with anorexia control the amounts
of food they eat
People with bulimia tend to feel out of
control where food is concerned
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Eating Disorder Stats
Eating disorders affect approximately
2-3% of the general population.
Anorexia is the the 3rd
most common
disease in Australian females aged 15-
24 yrs.
Eating disorders most typically
commence in adolescence and early
adulthood.
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Eating Disorder Stats
Eating disorders are occurring at
younger ages including diagnosis of
anorexia at age 6. 3% of reported
cases are in pre-pubescent children.
It is estimated that only about 10%
of cases of bulimia in the Australian
community are detected (Sulivan,
1995).
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Types of Eating Disorders
Anorexia nervosa
A loss of at least 15% of body weight due to
dieting
Intense fear of becoming “fat”
Body image issue i.e. feeling “fat” despite
being underweight
Can spend lots of time preparing food for
others
A tendency to exercise obsessively
Make lists of ‘good’ and ‘bad’ foods
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Types of Eating Disorders
Bulimia Nervosa
Eating binges of large amounts of food,
often secretly
Binge then try to avoid weight gain by
making themselves vomit, taking
laxatives or diet pills, excessive
exercise or strict dieting
Sense of loss of control and /or shame
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Copycat behavior
At times students imitate the
behaviour of their friend
Students way of:
Dealing with their own fear
Trying to related to their friend
Trying to understand the illness
Feeling special or unusual
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Interesting??
Researches investigated the impact of
introducing western television into the area of
Nadroga in Fiji. Three years after the
introduction of TV the rate of self-induced
vomiting for weight control had risen from
0 to 11.3% (Becker, 1995).
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What can cause Eating Disorders?
There is no single cause
Eating disorders are complex conditions caused by a
combination of factors
Girls are more likely to be affected
An eating disorder can be triggered by
Life crisis – family loss, friendship loss, moving to a
new home, school or job or personal disappointment
Weight loss due to dieting
Stress without good coping skills
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Signs of an Eating Disorder - Physical
Significant and rapid
weight loss or
fluctuations.
Loss or thinning hair.
Skin and nail
problems.
Abdominal Problems.
Fatigue.
Dental Problems (due
to vomiting).
Sensitivity to cold.
Stress Fractures.
Loss of periods.
Growth of fine body
hair.
Insomnia.
Low blood pressure.
Arrhythmia and or
Brachycardia.
Poor immunity.
Sexual dysfunction.
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Signs of an Eating Disorder – Behavioural
Very restricted diet
(amounts and types).
Avoids situations
involving eating or
sharing meals eg takes
meals to room.
Social isolation to
protect restrictive
behaviours.
Frequent weighing.
Compulsively counting
calories and fat.
Binge/purge type
activity.
Obsessive pre-
occupation with foods
that may have not been
present before eg
wanting to cook for
others.
Excessive Exercise
Frequent verbalisations
regarding feeling fat
and low body esteem.
Over use of diet pills
and products,
supplements and
laxatives.
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Where to get help?
If you are concerned about yourself
or someone else it is important to
seek help
People that you can talk to- your
family, a teacher, GP/Doctor
All information for this presentation
is from
www.betterhealthchannel.vic.gov.au
or www.eatingdisorders.org.au
Notes de l'éditeur
Seeing a friend develop an eating issue or disorder can sometimes lead to confusion, fear and self-doubt. It can lead to students questioning their own values around thinness, healthy eating, weight loss dieting and body image.
At times students may imitate the behaviour of their friend. This may be the students way of dealing with their own fear, trying to relate to their friend, trying to understand the illness, or feeling special or unusual
In other cases a group of students may diet together, which can create competition around weight loss. If dieting is part of the accepted peer norm of the peer group it can be difficult for a young person who is anxious for peer acceptance to resist joining the behavior.
Approach similarly to someone to approaching someone with a suspected eating problem
Focus on developing protective factors in students
Create opportunities for students to work collaboratively on various shared projects to reduce levels of competition and promote cooperation
Assess the culture around weigh loss dieting and body image in the wider school community.
Be aware of comments, posters and literature that may promote one type of body shape and size
Deal with any comments from student to student about appearance appropriately