Eating Behaviour Ppt
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Transcript of Eating Behaviour Ppt
A"tudes to Food and Ea.ng Behaviour • There are two explana.ons into a1tudes towards food and ea.ng behavior; SLT
and cultural influences. • Bandura’s Social Learning Theory emphasises the idea that people observe
modeled behaviour from other people. Children may learn a1tudes and behaviours towards ea.ng from their parents and the parents’ preferences and sa.sfac.on. Through this vicarious learning, children will model the behaviour themselves.
• Brown et al found a consistent correla.on between ea.ng habits of parents and their children in terms of snack food intake and body dissa.sfac.on. Moreover, parents also mould a child’s ea.ng habits as they dictate what kinds of food enter the household.
• The SLT is supported by Gast et al; boys and girls aged 10-‐12 were surveyed and they found a +e correla.on between peer influence and disordered thinking of food. An important element that determined this correla.on was the likeability by peers, which is in line with the SLT because the more the child iden.fies with the model the more likely the model will shape their behaviour.
• Moreover, Fisher et al found that a good indicator of a daughter’s ea.ng habits came from looking at their mother’s restrained die.ng and how the mother perceived the risks of their daughters becoming overweight. This would suggest that daughters learnt behaviors from their mothers which supports this explana.on.
• SLT is also evident in the impact of TV and magazines as McIntyre found that the media significantly impacted what people ate and their a1tudes towards certain foods e.g. new 5:2 diet fad.
A"tudes to Food and Ea.ng Behaviour • There are two explana.ons into a1tudes towards food and ea.ng behavior; SLT and cultural influences. • Bandura’s Social Learning Theory emphasises the idea that people observe modeled behaviour from other
people. Children may learn a1tudes and behaviours towards ea.ng from their parents and the parents’ preferences and sa.sfac.on. Through this vicarious learning, children will model the behaviour themselves.
• Brown et al found a consistent correla.on between ea.ng habits of parents and their children in terms of snack food intake and body dissa.sfac.on. Moreover, parents also mould a child’s ea.ng habits as they dictate what kinds of food enter the household.
• The SLT is supported by Gast et al; boys and girls aged 10-‐12 were surveyed and they found a +e correla.on between peer influence and disordered thinking of food. An important element that determined this correla.on was the likeability by peers, which is in line with the SLT because the more the child iden.fies with the model the more likely the model will shape their behaviour.
• Moreover, Fisher et al found that a good indicator of a daughter’s ea.ng habits came from looking at their mother’s restrained die.ng and how the mother perceived the risks of their daughters becoming overweight. This would suggest that daughters learnt behaviors from their mothers which supports this explana.on.
• SLT is also evident in the impact of TV and magazines as McIntyre found that the media significantly impacted what people ate and their a1tudes towards certain foods e.g. new 5:2 diet fad.
• Another explana.on into a1tudes towards food and ea.ng behaviour is cultural influences. • Ethnicity seems to play a role in determining ea.ng behaviour; Khan et al found that white women were more
likely to have body dissa.sfac.on and ea.ng disorders such as anorexia nervosa than Asian or black women. This suggests that ethnicity will impact whether a woman is more likely to develop ea.ng disorders, which may be because Western cultures tend to promote a beauty standard achieved through thinness.
• Moreover, Kennedy et al supports these findings; over 14,000 women aged 18-‐23 were studied and they found that the longer these women lived in Australia, the more likely they were to portray a1tudes and ea.ng behaviours similar to women born in Australia. This is known as the accultura.on effect.
• On the other hand, Mumford et al found completely opposite results; they found that the incidence rates of bulimia were higher among Asian schoolgirls than their white counterparts. This suggests that ethnicity may not necessarily play a role in determining ea.ng behaviour.
• Similarly, Striegel-‐Moore found that a ‘drive for thinness’ was more evidence in black girls than in white girls. This further emphasises the idea that ethnicity impacts ea.ng behaviour, further weakening this explana.on.
A"tudes to Food and Ea.ng Behaviour • Social class has found to determine a1tudes towards food. In Dornbusch et al’s survey of 7000
American adolescents, they found that the upper-‐class women were more like to strive for thinness than those of lower social classes. This suggests that social class may influence body image. To emphasise this, Goode et al found that such individuals were also more likely to achieve this and a posi.ve correla.on between income and healthy ea.ng was established.
• This is supported by Xie et al who found that teenagers from higher-‐income background were found to eat more healthy foods than those from lower-‐income families. They consume less saturated fats, more protein and calcium and ate closer to the daily guidelines. This suggests that income impacts ea.ng behaviour and a1tudes towards certain foods. However, a weakness in this research is that we cannot infer a cause and effect for certain that higher incomes relates to healthier ea.ng habits. There may be confounding unknown variables contribu.ng to this correla.on, such as the stress of actually being poor contribu.ng to poor ea.ng habits.
• On the other hand, Story et al found that in a sample of American students, higher social class was related to greater sa.sfac.on with weight and lower rates of weight control behaviours. This completely opposes the social class explana.on of cultural influences, weakening the explana.on.
• However, research into cultural influences on ea.ng behaviour and a1tudes is arguably culturally biased, as a1tudes towards certain foods may be specific to that culture alone. Thus, what may be valid for one culture may not necessarily be true for another; for example, the Western ideals of being skinny may not apply to cultures where the focus is to avoid starva.on.
• Most studies have focused purely on women and their a1tudes to ea.ng behaviour, which suggests that many of these explana.ons suffer from beta bias as they a[empt to be generalised to men. This is an issue because men have different body types and different metabolic reac.ons so they may not be prone to cultural influences or models in the same way as women may be. Therefore, these explana.ons lack popula.on validity because their applica.on is limited to women solely.
• Moreover, there are issues in generalizability as some studies are based on women diagnosed with ea.ng disorders, some are based on people with subclinical condi.ons and other studies are based on people who may be experiencing temporary depressed moods. The problem here is that we cannot generalise findings from such specific circumstances to other groups or even the wider popula.on itself. Therefore, the findings from these studies may lack in external validity because the studies aren’t measuring how ea.ng behaviour is affected in a way that can be generalised beyond that niche group of individuals.
Failures of Die.ng • There are two explana.ons into failures of die.ng; the restraint theory and the role of denial. • One explana.on for the failure of die.ng is the Restraint Theory; this theory suggests that when people
consciously a[empt to eat less and restrain their intake, they actually end up overea.ng. This is o]en because the dieter has periods of restraint that are very hard to maintain. This then means that the restraint is followed by periods of dis-‐inhibi.on. Dis-‐inhibi.on has been defined as ea.ng more as a result of loosening restraints in response to emo.onal distress, intoxica.on or preloading.
• A study by Wardles and Beales highlighted how die.ng contributed to overea.ng; 27 obese women were put either into a diet condi.on that focused on restrained ea.ng pa[erns, an ‘exercise’ condi.on or a non-‐treatment condi.on for 7 weeks. Assessments on food intake and appe.te were made before and a]er they ate a snack at week 4 and 6 (under stressful condi.ons); it was found that women in the die.ng condi.on ate more than those in the other condi.ons. Thus, this suggests that overea.ng is caused by peoples’ a[empts to diet.
• Herman and Polivy’s Boundary Model a[empts to explain why die.ng leads to overra.ng; it suggests that ‘hunger’ ensures we don’t eat less than the minimum level, whilst ‘sa.ety’ ensures we don’t eat more than the maximum level. Psychological factors are believed to play a role between these two levels, with those die.ng believed to have a larger range between sa.a.on and hunger. This could be because it takes longer for dieters to feel hungry. Once restrained dieters don’t eat, they may find themselves ea.ng more than they had planned because it takes longer for sa.a.on to begin.
• However, one weakness of this theory is that it cannot explain why some people successfully lose weight through restrained ea.ng or why ea.ng disorders such as anorexia exist. Therefore, this suggests that other factors may be involved and so the theory is simplis.c in focusing only on people ea.ng less as the main cause for failures of die.ng when the nature of die.ng is in fact very complex. Thus, this weakens the restraint theory model.
• Moreover, we cannot therefore infer cause and effect between research findings into restrained ea.ng resul.ng in overea.ng and diets failing as this is based on correla.onal research. There may be other extraneous variables like nega.ve cogni.ons that lead to overea.ng.
Failures of Die.ng • This is cri.cised by another explana.on into the failure of die.ng which is the role of denial. This suggests that
a[emp.ng to suppress thoughts has a counterproduc.ve effect, as it will make the thought even more prominent in our head. Wegner et al’s study highlights the basis for this; par.cipants were asked to not think about a white bear but ring a bell every .me they did whereas a control group were asked to ac.vely think about the white bear; it was found that those asked not to think about it rang the bell more frequently than those in the control group. It’s referred to as being the ‘theory of ironic process of mental control’ as denial of a thought leads to it occurring more o]en. Thus, when dieters a[empt to not eat certain foods or reduce intake, the foods then become more temp.ng and prominent in their minds, leading to the failure of diets.
• Soetens lends experimental support to this theory; par.cipants were divided into two groups: restrained and unrestrained. The restrained group was further subdivided into those who were either high or low in disinhibi.on; those in the disinhibited restrained group used more thought suppression than the other groups and also showed a rebound effect a]erwards. This shows that restrained eaters who tend to overeat try to suppress thoughts about food more o]en, strengthening the role of denial explana.on.
• However, an issue to consider is whether people have the free will to control their weight loss or whether it’s biologically determined. For example, lipoprotein lipase (LPL) is an enzyme produced by fat cells to help store calories as food; a person who produces an overload of LPL will regain lost weight faster than others. This is supported by Kern et al, whereby 9 people had their LPL levels measured before and a]er losing 90 pounds; people who were fa[er at the start were found to have higher LPL levels post-‐weight loss, sugges.ng that the body was figh.ng harder in those people to retain the lost weight. The weight loss would have ac.vated the produc.on of LPL, which may explain why some people struggle to lose weight. This weakens both explana.ons into failures of die.ng as it argues that there is an individualis.c explana.on that exists for each person.
• Moreover, another issue is that research into die.ng has found to be culturally biased as some cultural groups find it more difficult to diet successfully due to the natural inclina.on to obesity where they are; for example, Asian adults are more prone to obesity than European adults. This weakens the explana.ons as they do not take into account culture and therefore cannot be extrapolated across cultures.
• Furthermore, studies into die.ng are based on anecdotal accounts of individuals. These are not 100% accurate, cannot be replicated nor have controls, which means that the studies suppor.ng the explana.ons are not fully valid nor reliable, therefore weakening them. This can be fixed by using scien.fic means of acquiring data.
Neural Mechanisms into Ea.ng Behaviour • The hypothalamus is a gland in the brain responsible for homeostasis. Homeostasis has two mechanisms: to
detect whether the body has enough nutrients and to correct a situa.on to restore the op.mum environment. Thus, the hypothalamus is believed to play a role within ea.ng behaviour. There is a large .me lag between the two mechanisms and the body registering their effects, so the body has evolved two separate systems to overcome this .me lag; one to turn ea.ng behaviour on and the other, off. Glucose levels play a key role in producing the feeling of hunger; hunger increases when glucose levels fall, ac.va.ng the lateral hypothalamus. Once food is consumed, glucose levels rise, ac.va.ng the ventromedial hypothalamus, which causes feelings of sa.a.on, helping stop further feeding.
• However, one weakness for the homeosta.c explana.on is that hunger mechanisms should theore.cally be adap.ve to an.cipate and prevent deficits in energy as opposed reac.ng to them. The idea that hunger and ea.ng is triggered only due to low glucose levels doesn’t fit into evolu.onary perspec.ve in which our biology has evolved.
• On the other hand, researchers found that damage to the lateral hypothalamus in rats caused aphagia, the absence of ea.ng, suppor.ng the lateral hypothalamus explana.on as the LH couldn’t be ac.vated.
• In contrast however, damage to the LH has shown to cause deficits in other aspects too such as sex as opposed to just hunger. Recent studies have also found that neural circuits running throughout the brain play a role in ea.ng behaviour too. This suggests that LH does not have an essen.al role in controlling the ea.ng centre. Therefore, the view that the LH and VMH are alone responsible is simplis.c, as it appears there are more complex processes occurring, thus weakening the theory.
• Yet, Wickens found that s.mula.on to the lateral hypothalamus through injec.on of neuropep.de Y (type of neurotransmi[er) caused them to begin feeding. This suggests that there is an ON switch and that NPY found in the hypothalamus plays a role both in s.mula.ng lateral hypothalamus and increasing ea.ng behaviour.
• Conversely, Mariah et al manipulated mice to disable them from producing NPY through gene.c modifica.on. They found no subsequent decrease in their ea.ng behaviour. This suggests that hunger s.mulated by NPY injec.ons may have been an experimental artefact in that NPY flooding causes the opposite behaviour. This would mean that the research into NPY lacks external validity as they are conducted in laboratory se1ngs. This suggests that it cannot be generalised to real world findings.
• Addi.onally, another cri.cism is the use of animals as much of the empirical evidence is based on non-‐human animals. It can therefore be suggested that the findings cannot be extrapolated to human beings because our gene.c makeup and biology are significantly different. This also suggests that such studies may lack internal validity, as observa.ons made in animal may not apply to human ea.ng behaviour, thus weakening the theory.
Neural Mechanisms into Ea.ng Behaviour • On the other hand, researchers have found that damage to the ventromedial hypothalamus resulted in rats
overea.ng due the lack of a “stop signal” for sa.a.on onset, leading to hyperphagia which is excessive hunger. S.mula.on of the VMH was also found to inhibit and stop feeding, again sugges.ng this neural mechanism controls ea.ng behaviour.
• Suppor.ng this, Hetherington and Ranson made lesions on an area of the ventromedial nucleus in rats. This caused them to over-‐eat and become drama.cally obese. It was found that this lesion destroyed a centre that’s vital for the control of feeding behaviour; this centre was thought to be the sa.ety centre.
• However, damage to nerve fibres passing through the VH possibly damages another area in the hypothalamus, the PVN. Gold suggests that damage to the PVN alone causes hyperphagia and found that lesions to the VMH alone did not result in hyperphagia, weakening the hypothesis that VMH damage leads to hypoerphagia.
• However, the issue with Gold’s findings are that no subsequent research has managed to replicate the findings. This suggests that the claims are unreliable, as researchers have actually found the contrary; that lesions to the VMH caused over-‐ea.ng and weight gain.
• Other neural explana.ons suggest that the amygdala and the inferior prefrontal cortex affect ea.ng behaviour through cogni.ve and neural factors. The amygdala is believed to influence food choice though previous experience. Rolls and Rolls’ findings confirm this as they found that removing the amygdala in rats would cause them to consume both familiar and unfamiliar foods. The prefrontal cortex receives messages regarding smell, which, if damaged, can affect the taste of food.
• In contrast, research has found that hunger and ea.ng pa[erns may not be under the control of neural mechanisms; LuLer et al found the body produced extra ghrelin when stressed, which has been associated with an increase in appe.te. The view that neural mechanisms alone affects hunger is thus simplis.c because there may be combina.on of different processes involved in hunger management. Yet, research into neutral mechanisms may be responsible for affec.ng ea.ng behaviour in real life. For example, drugs with Lep.n may be developed to increase weight loss or drugs that inhibited LH may help people reduce feelings of cravings. This suggests that there are real world applica.ons that can help people struggling with obesity.
• Moreover, cogni.ve factors may play a bigger role in determining sa.ety and when a person is full. People are aware of when they have eaten and they could therefore conclude that they are full, leading to sa.a.on. This explana.on accounts for the role of free will because people have the choice to eat or not.
Evolu.onary Explana.ons of Food Preferences • Humans evolved from hunter-‐gatherers and their diet would have consisted of what was available in their
environment e.g. plants and animals. • Preferences for fa[y foods would have been adap.ve because it provides valuable energy resources, which
were vital in an environment where an individual’s next meal was never guaranteed. Calories were less available within the EEA and thus it would have been adap.ve for humans to develop a preference for highly calorific foods, as these foods would provide them with the longest period of energy.
• Moreover, Gibson and Wardle support the idea the importance of calorific foods in an ancestral diet; they showed that children aged 4-‐5 preferred fruit and vegetables that were dense in calories, such as bananas and potatoes, as opposed to foods high in protein or sweetness. This suggests that a fa[y food preference had evolved, suppor.ng the fa[y food preference explana.on.
• To support this, Stanford conducted a study on Tanzanian chimpanzees; when coming close to starva.on, it was found that the chimpanzees would kill and eat the most fa[y parts of a colobus monkey such as the brain or bone marrow, leaving tender nutri.ous flesh. This emphasises how our own behaviour may have been shaped in the EEA and thus supports the fa[y food preference explana.on.
• Furthermore, humans also developed a preference for sweet foods as it’s associated with high-‐energy and not being toxic so it would be beneficial for survival. In contrast, our ability to detect and reject bi[er and sour tasted also makes evolu.onary sense because these tastes would be indica.ve of poison or toxins that plants produce to repel predators such as humans. Thus, us having a natural dislike to bi[er and sour taste makes sense because they would be dangerous if consumed. Humans have 30 genes that code for bi[er taste receptors so humans have a wider scope to recognise bi[er and possibly toxic foods.
• In support of the evolu.onary advantage to bi[er/sour food development, Desor and Steiner found, judging by facial expressions, that neonates were more sensi.ve to bi[er tastes and preferred sweet foods, which was an innate preference; these neonates are young and lack environmental experience to know which foods are safe to eat. This suggests that being more prone to bi[er/sour tastes would have had an evolu.onary advantage. A strength of this study is that it rules out extraneous variables such as social learning factors because the neonates are too young to have learnt preferences, making the findings more valid. On the other hand, interpre.ng preference using facial expressions is subjec.ve and can easily be misinterpreted and unreliable. Thus, this methodological flaw observed may weaken the study because expressions observed may not necessarily imply a preference. This can be fixed by using quan.ta.ve means of obtaining the results.
• Moreover, if sweet preference was determined by evolu.on, it would be found across cultures and would be universal. However, Stefansson found that Copper Inuit’s were disgusted by the taste of sugar when they first tried it. This undermines the evolu.onary explana.on behind sweet preferences and can instead be explained by the lack of exposure to sweet foods from their environment instead.
Evolu.onary Explana.ons of Food Preferences • Humans have the ability to learn taste aversion to toxic foods, which can be explana.on through
evolu.onary explana.ons. Taste aversion is when toxic food is ingested and we subsequently develop a dislike towards it a]er consump.on and illness. This would have been beneficial for survival from an evolu.onary perspec.ve because if we survived the ini.al consump.on, our body would adapt by learning to avoid the foods and developing a natural dislike for them. The opposite can also occur, with a preference for foods that enhance health.
• One study that supports the evolu.onary explana.on of taste aversion is by Garcia et al. They found that when a rat with a thiamine (vitamin B) deficiency consumed food with a dis.nc.ve taste followed by a thiamine injec.on, the rat would subsequently develop a preference for this dis.nc.ve-‐tas.ng food. This therefore supports the taste aversion explana.on as thiamine enhances health hence why rats consumed foods that contained thiamine.
• Moreover, Sandell and Breslin’s study supports the evolu.onary explana.on of taste aversion; 35 adults were screened for the hTAS2R38 bi[er taste receptor gene and par.cipants were asked to rate the bi[erness of various vegetables. Some of these vegetables contained glucosinates, a mild toxic known to be dangerous in high dosages. It was found that those with the sensi.ve version of hTAS2R38 rated vegetables containing glucosinates as 60% more bi[er than those with the insensi.ve version of the gene. This suggests an adap.ve ability to detect and avoid toxic foods, which would explain why such genes are more widespread, suppor.ng the evolu.onary explana.on of taste aversion.
• Furthermore, real-‐world applica.ons can be made by understanding how taste aversion and preference works; cancer pa.ents have reported developing an aversion to food they consume prior to chemotherapy, which has resulted in the ‘scapegoat technique’ to help pa.ents con.nue enjoying their foods post-‐treatment. This involves giving cancer pa.ents a novel food along with something they’re familiar with prior to treatment; results have found that pa.ents form an aversion to the novel food and not to the familiar food, allowing them to con.nue ea.ng familiar foods.
Psychological Explana.ons for AN • There are two psychological explana.ons into anorexia nervosa: the SLT and the psychodynamic
explana.on. • Within Western society, people learn that beauty is equated to thinness and this ideal of a[rac.on is
thought to be a contributor towards AN. The media is then used to ensure that body ideals are maintained in adolescents through the influence of TV, magazines and fashion. All of these consistently reinforce this cultural ideal within the popula.on as one study found that 16% of all 15-‐18 year old girls in the UK were ‘currently on a diet’. This could be because girls internalise culturally defined standards of female beauty, leading to unhappiness over their own body type not matching this ideal and an obsession with die.ng and food, thus people observe and imitate the model ideal, leading to AN.
• One study that supports the impact of learning from the media has on body type was conducted by Becker et al; it was carried out in Fiji where TV was introduced in 1995; ea.ng disorders were absent un.l the introduc.on of the TV and influence of the West as the girls’ a1tudes began to shi] towards a desire to lose weight. It was found that a]er 5 years, there was a significant increase in the number of girls suffering from anorexia and bulimia nervosa. This highlights how the media may contribute to the onset of AN indirectly, thus strengthening the explana.on. However, one weakness of this study is that it lacks internal validity because we cannot conclude for certain that the shi] in a1tude towards body image directly led to AN as there may be other factors that contributed to the onset of AN; this is emphasised by Jones and Buckingham who argue that not everyone is influenced by the media in the same and that it’s usually those with low self-‐esteem who are more likely to be influenced. Therefore this directly highlights the fact that we don’t all learn to be thin because of individual differences, which would explain why there are people who don’t fit into the Western ideals.
• On the other hand, Gomesz’s meta-‐analysis of 25 studies found a consistent support for the idea that slender beauty ideals led to body dissa.sfac.on, which contributed to the development of ea.ng disorders, primarily under 19s.
• Moreover, to support the role of learning AN, Lai et al found that the rate of AN began to increase amongst people in Hong Kong as the culture become more modernised and therefore westernised, sugges.ng that learning does influence AN.
Psychological Explana.ons for AN • However, another explana.on that directly cri.cises the idea of learning AN is the psychodynamic
theory by Bruch. The principles of the psychodynamic theory is that adolescents do not want to grow up and separate from their parents so they become fixated at the oral stage where they are completely dependent on their parents. Those with AN will want to lose weight so that they lose secondary sexual characteris.cs to remain childlike and asexual, enabling them to return to the safety of their families. Bruch argued that AN is ac.vated in early childhood, sugges.ng that it is caused by how parents respond to their child’s needs; effec.ve parents recognise their needs and feed them when they’re hungry whereas ineffec.ve parents fail to respond to their child’s needs by feeding the child when they are not hungry or vice versa. Children with ineffec.ve parents grow up confused about their internal needs, becoming more reliant on them. Therefore, they may find it difficult to establish autonomy when they become adolescent, as they don’t feel control over their own bodies. Thus, to overcome their sense of helplessness, they develop abnormal ea.ng habits and take excessive control over their body shape and size. As a result, anorexia nervosa is an a[empt to control ones life and strive for autonomy. Moreover, Crisp developed the idea of remaining pre-‐pubescent through starva.on, leading to amenorrhoea, underdeveloped hips and breasts.
• Steiner supports Bruch’s psychodynamic explana.on of AN, as they found that parents of AN pa.ents have a tendency of defining their child’s physical needs than allowing the child to be autonomous in defining their own. Thus, this suggests that AN enables teenagers with AN to strive for the autonomy they have been deprived of, strengthening the theory.
• However, Minuchin disagrees and suggests that the onset of AN is actually related to family problems and developed the family system approach. Anorexia diverts a[en.on from family problems so it’s a misguided a[empt at keeping the family together as they will start to worry about the child and ignore other issues.
• Furthermore, the psychodynamic approach has been cri.cised for being unscien.fic because it is based on small case studies, for example Bruch’s studies are based on qualita.ve case studies. This means that it cannot be replicated so it lacks validity and cannot be tested using the scien.fic method.
• On the other hand, the explana.on into AN is personality, which is a gene.c characteris.c, directly cri.cizes both the SLT and the psychodynamic theory. Personality traits are thought to play an important causal role on the onset and maintenance of AN. Those with a perfec.onist personality are more likely to have AN as Strober et al retrospec.vely studied boys and girls receiving treatment of AN and found high levels of perfec.onism amongst them.
• To emphasise the link between perfec.onism and AN, Nilsson et al’s longitudinal study found that those with a short period of AN were less perfec.onist, strengthening the personality explana.on.
• Halmi et al supports this explana.on. They inves.gated the rela.onship between AN and perfec.onism in 322 women in the US and Europe. They found that women with a history of AN scored higher on the Mul.dimensional Perfec.onism Scale when compared to a control group. Moreover, they found that the extent of perfec.onism was directly related to the severity of AN.
• As part of this study, Halmi et al also included rela.ves of those with AN and found that perfec.onism as a personality traits appears to be passed on from rela.ves and thus represents a gene.c vulnerability for the onset of AN. Therefore, this suggests that biological explana.ons can cause the onset of AN. This means that a diathesis-‐stress model may be[er explain how both nature and nurture play a role, with perfec.onism being gene.c but influenced by the environment.
• However, most of the research is also based on females so all the explana.ons into AN may suffer from beta (gender) bias; the same psychological factors impac.ng women may not necessarily explain the onset of AN in men as they may perceive the world differently, thus weakening the psychological explana.ons into AN.
Psychological Explana.ons for AN
Biological Explana.ons for AN • There are two biological explana.ons into the onset of AN: neurotransmi[ers, the reproduc.ve
suppression hypothesis and the hypothalamus dysfunc.on theory. • Neurotransmi[ers are thought to cause the AN. Neurotransmi[ers involved include serotonin &
dopamine. • Kaye et al found that drugs such as SSRIs that alter serotonin levels were effec.ve in recovering
AN pa.ents as they prevented relapse. SSRIs alter serotonin levels by blocking uptake of serotonin from the synap.c cle]s, which maintains higher serotonin levels. This suggests that there is a link between serotonin levels and the onset of AN, suppor.ng the explana.on.
• Although it ahs been suggested that serotonin is involved it’s the dopamine, the second neurotransmi[er, that is the most responsible for the onset of AN is dopamine. Kaye et al’s PET scan compared dopamine ac.vity in the brains of 10 women recovering from AN and 12 healthy controls. They found that in the AN women, there was an over ac.vity in dopamine receptors in the basal ganglia where dopamine plays a part in interpreta.on of harm and pleasure. Increase dopamine ac.vity in the basal ganglia seems to alter the way people interpret rewards so those with AN find it harder to associate good feelings with things that people find pleasurable such as food. However, one weakness of this study is that it has a small sample size that only uses women; therefore, we cannot be certain that the imbalances in dopamine would be the same in men with AN and the small sample size means that we cannot generalise the findings to men, let alone the general popula.on. As a result, it lacks external validity and thus weakens the explana.on of dopamine’s effect on AN.
• Furthermore, Castro-‐Fornieles et al found that AN teenage girls had higher levels of homovanilic acid (waste product of dopamine) than a control group and they also found that improvement in weight levels normalised homovanilic acid. This suggests weight gain decreased the ac.vity of dopamine levels hence the decreased homovanilic acid, strengthening the theory.
Biological Explana.ons for AN • Another biological explana.on is the hypothalamus dysfunc.on theory, which suggests that people have a set
weight for their bodies; as weight increases or decreases, the body adapts to make adjustments in food regula.on to return the individual to their set weight. The hypothalamus is believed to have a role in hunger and sa.a.on as the lateral hypothalamus turns ea.ng behaviour on whilst the ventromedial hypothalamus turns sa.a.on on to decrease feeding. Thus, Garfunkel et al argued that a disturbed hypothalamus causes AN through the LH as it stops sending signals to eat or the VMH being overac.ve with the individual receiving signals telling them they are full.
• Brobeck supports this theory, as they found that damaged LH in rats lead to aphagia which is the failure to eat when hungry. This provides support for the idea that damage of the hypothalamus could lead to reduced ea.ng, suppor.ng this theory. Moreover, Stellar et al found that s.mula.ng VMH inhibited feeding, which again support the idea that possible over-‐ac.va.on of the VMH could lead to the onset of AN.
• However, biological explana.ons e.g. hypothalamus dysfunc.on theory can be cri.cised as biologically determinis.c as they ignore the free will and ability of individuals to control their own behaviour. They suggest that if someone has par.cular genes or biochemical imbalances they will inevitably have an ea.ng disorder, which ignores the individual’s mo.va.on to resist or overcome ea.ng disorder, thus weakening the theory.
• Evolu.onary explana.ons involve the reproduc.ve suppression hypothesis. The reproduc.ve suppression hypothesis assumes that weight loss was a strategy for suppressing reproduc.ve capability when food was in limited supply as pregnancy would have been risky for the mother and survival changes for the infant would have been reduced. Reproduc.on is costly to females so when a female faces condi.ons that are unfavourable to reproduc.on she can increase her life.me reproduc.ve success by delaying reproduc.on un.l condi.ons improve. Because a minimum amount of fat is needed before menstrua.on begins and for regular ovula.on to be maintained, Frisch et al argues that this could have been an effec.ve mechanism for controlling sexual matura.on and fer.lity in ancestral females.
• However, a major cri.cism of this explana.on is that AN appears more maladap.ve overall than adap.ve, especially during harsh condi.ons in the EEA. AN causes an individual to be weak, frail and vulnerable as well as a liability to the group and it seems unlikely any benefit could be achieved from such a weak person. Also, the basics for survival also become difficult, e.g. hun.ng for food which is necessary for all animals. This further undermines the evolu.onary explana.on.
• Moreover, a further cri.cism is that AN cannot be evolu.onary because it cannot be passed down gene.cally as those with AN would die out of malnutri.on. AN kills which therefore contradicts with the idea that it helps us survive.