摘要：This article describes the treatment of a female secondary school student with bulimia, manifested as a mean of 20 episodes of binge eating per week fol/owed by self-induced vomiting. The patient was preoccupied about her weight, wished to lose weight and displayed anxiety before school exams. To plan the intervention functional analysis was used to examine situations in which episodes of bulimia occurred (type of food consumed) and the consequences (escape from adversive situations, eg, studying, sensation of a full stomach after eating, anxiety and preoccupation over gaining weight). Treatment centered on: substituting other alternative responses Ior the escape response to studying (varying the strategies for studying); training alternative behaviors to reduce anxiety (relaxation training); preventing episodes of binge eating; and exposure plus response prevention to stimulation that caused self-induced vomiting. In addition, relapse prevention tasks were scheduled. After five months of treatment, bulimia-related problems had disappeared and eating habits had normalized. The patient was no longer preoccupied about foad and her weight. During the one and a half year follow-up perlod no episodes of bulimia occurred.
其他摘要：This article describes the treatment of a female secondary school student with bulimia, manifested as a mean of 20 episodes of binge eating per week fol/owed by self-induced vomiting. The patient was preoccupied about her weight, wished to lose weight and displayed anxiety before school exams. To plan the intervention functional analysis was used to examine situations in which episodes of bulimia occurred (type of food consumed) and the consequences (escape from adversive situations, eg, studying, sensation of a full stomach after eating, anxiety and preoccupation over gaining weight). Treatment centered on: substituting other alternative responses Ior the escape response to studying (varying the strategies for studying); training alternative behaviors to reduce anxiety (relaxation training); preventing episodes of binge eating; and exposure plus response prevention to stimulation that caused self-induced vomiting. In addition, relapse prevention tasks were scheduled. After five months of treatment, bulimia-related problems had disappeared and eating habits had normalized. The patient was no longer preoccupied about foad and her weight. During the one and a half year follow-up perlod no episodes of bulimia occurred.
