Literature DB >> 11948643

Pseudoparadoxical impulsivity in restrictive anorexia nervosa: a consequence of the logic of scarcity.

Daniel M T Fessler1.   

Abstract

OBJECTIVE: To explain an apparently paradoxical pattern wherein sufferers of restrictive anorexia nervosa exhibit both rigorous self-restraint and episodic impulsivity.
METHOD: The experimental, historical, and clinical literatures were examined for evidence of psychological and behavioral changes accompanying severe dietary constriction; such changes were noted and compared with those reported to occur in anorexics.
RESULTS: Increased impulsivity in association with dietary constriction is described in diverse literatures. A number of lines of evidence suggest that the serotonergic system mediates this change. DISCUSSION: Many forms of impulsivity can be understood as having once constituted fitness-enhancing responses to resource scarcity. It is suggested that an evolved psychological mechanism calibrates the individual's sensitivity to risk in light of future prospects. Self-injurious behaviors are explicable as misfirings of such a mechanism. Similarly, excessive exercising by anorexics may reflect the misdirection of reward systems that normally encourage adaptive increases in ranging behavior under conditions of scarcity. Copyright 2002 by Wiley Periodicals, Inc.

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Year:  2002        PMID: 11948643     DOI: 10.1002/eat.10035

Source DB:  PubMed          Journal:  Int J Eat Disord        ISSN: 0276-3478            Impact factor:   4.861


  5 in total

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5.  Aberrant network integrity of the inferior frontal cortex in women with anorexia nervosa.

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  5 in total

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