“Using the case study at the end of the module assess the client’s issues and describe your treatment plan. What ethical issues might arise?” Miss E came to therapy for weight loss wanting to lose 2 ½ stone in all. She is 29 and came out of a failed relationship 6 months ago. She is now ready to look for another partner but she is scared as her previous partner of 6 years was very controlling and almost seemed to want her to stay overweight. She had struggled with her weight since she was 12 or 13 and her parents badgered her about being unattractive and eating too much. She has tried many diets but always seems to put the weight back on again after a while. Before assessing the case of Miss E, it is important to look at some aspects about the relation between human beings and food. The Psychology of Eating
A very important aspect to have in mind, before and while treating a client for weight loss, is the emotional or psychological links we have to food. In numerous studies it has been shown that appetite can be stimulated by feelings of worry, frustration, anger, poor self-esteem, etc… Binge eating is often a way of trying to suppress these negative emotions. More often than not, these feelings stimulate the appetite for food with high fat content. Fat contains twice as many calories per gram than do proteins or carbohydrates. From the beginning of human existence, animals and people would instinctively search for food high in calories, as those were important and scarce energy resources in the primitive era. So it is easy to see how humans (and other animals) would learn at an early age to prefer high-fat foods. Such foods were not easy to find in the environment in which humans evolved. However, these foods are now easily and cheaply available around us. The result is that we tend to over-eat high-calorie foods, resulting in obesity being an increasing problem now days. The definition of obesity is the state of being overweight, having too much body fat in...
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