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Food in The Bible From Faith to Action Bitten by Eating Disorders Famous People with eating disorders Spices l Anise (Matthew 23:23 KJV) Coriander (Exodus 16:31; Numbers 11:7) Mustard (Matthew 13:31) Fruits and Nuts l Apples (Song of Solomon 2:5),Almonds (Genesis 43:11; Numbers 17:8),Dates (2 Samuel 6:19; 1 Chronicles 16:3) Vegetables and Legumes l Beans (2 Samuel 17:28; Ezekiel 4:9) Cucumbers (Numbers 11:5) Gourds (2 Kings 4:39) Leeks (Numbers 11:5) Grains l Barley (Deuteronomy 8:8; Ezekiel 4:9) Bread (Genesis 25:34; 2 Samuel 6:19; 16:1; Mark 8:14) Fish l Matthew 15:36,John 21:11-13 Fowl l Partridge (1 Samuel 26:20; Jeremiah 17:11) Pigeon (Genesis 15:9; Leviticus 12:8) Animal Meats l Calf (Proverbs 15:17; Luke 15:23)Goat (Genesis 27:9) Lamb (2 Samuel 12:4) Dairy l Butter (Proverbs 30:33) Cheese (2 Samuel 17:29; Job 10:10) Milk (Exodus 33:3; Job 10:10; Judges 5:25) Miscellaneous l Eggs (Job 6:6; Luke 11:12) Grape Juice (Numbers 6:3) What is an Eating Disorder? l Anna Freud Hepburn l Jane Fonda l Princess Diana of Wales l Audrey Types of eating disorders l Anorexia nervosa ;weight as low as possible, for example by starving themselves or exercising excessively l Bulimia; control weight by binge eating and then deliberately being sick or using laxatives. l Binge Eating; compelled to overeat l Characterised by an abnormal attitude towards food resulting in change to eating habits and behaviour. l May focus excessively on their weight and shape, leading them to make unhealthy choices about food with damaging results to their health. Who it affects l l l Anorexia nervosa;1 in 250 women;1 in 2,000 men. Develops around the age of 16 or 17. Bulimia five times more common than anorexia nervosa; 90% are female; develops around the age of 18 or 19. Binge eating affects males and females equally; appears later in life, between 30 and 40. Due to the difficulty of precisely defining binge eating, it is not clear how widespread the condition is. 1 Cause & Risk Factors l l l l l l l l Family history of eating disorders, depression or substance misuse . Criticism of eating habits, body shape or weight. Social pressures, job ( ballet dancers, models, athletes) . Certain characteristics, e.g. obsessive personality, anxiety disorder, low self-esteem, perfectionist. Particular experiences; sexual or emotional abuse/distress, death of someone special. Difficult relationships with family members or friends. Stressful situations; e.g. problems at work, school or university. Lack of an “off” switch Bulimia Nervosa What are the signs? What happens? l l l l l l l l l Worry more and more about their weight - but stay a normal weight. Binge eat. Raid the fridge; buy lots of fattening foods - normally avoided. Eat it all quickly in secret in their room/car Take others food, shoplift to satisfy the urge to binge. Afterwards feel stuffed, bloated, uncomfortable, tired, guilty, depressed. Get rid of the food by vomiting, purging with laxatives. Have irregular menstrual periods. Trapped in a routine of binge eating, vomiting, purging. Binge Eating Disorder Anorexia Nervosa What are the signs? what happens l l l l l l l l l l l l Worry more and more about their weight; can't stop losing weight. Eat less, ’’healthily’’ fewer calories; not enough to give the body energy. Exercise more, to burn off calories, Smoke, chew gum, slimming pills, laxatives. Not want to eat themselves; buy food and cook for other people. Remain hungry as ever, can't stop thinking about food. Lie to people about the amount they are eating. Lose interest in sex. Family may be the first to notice thinness and weight loss. Females - monthly menstrual periods become irregular or stop. Males - erections and wet dreams stop, testicles shrink May develop symptoms of bulimia - weight continues to be very low. Bulimia Nervosa When does it start? l l l l Mid-teens. Unlikely to seek help until their early to midtwenties because they are able to hide it, even though it affects their work and social life. Most often seek help when their life changes the start of a new relationship or having to live with other people for the first time. About 4 out of every 100 women suffers from bulimia at some time in their lives, rather fewer men. Affects of anorexia and bulimia Psychological symptoms Sleep badly. Difficult to concentrate, depressed; Lose interest in other people. Become obsessive about food and eating (and sometimes other things such as washing, cleaning or tidiness). Physical symptoms l Find it harder to eat because the stomach has shrunk. l Feel tired, weak and cold as the body's metabolism slows down. l Constipated, brittle bones, Stinted height. l Liver damage, particularly if alcohol is drank. l Anorexia Nervosa has the highest death rate of any psychological disorder. Vomiting can cause, : l Loss of enamel on teeth , Puffy face, irregular heart beat - palpitations l Weakness, tiredness, kidney damage, epileptic fits, inability to get pregnant. Regular use of laxatives. l Persistent stomach pain, Swollen fingers, no bowel movement without the use of laxatives. l Huge weight swings. l Purging appears as weight loss -regained immediately on drinking water, No calories are lost using laxatives. l l l This is a pattern of behaviour that has recently been recognised. It involves dieting and binge eating, but not vomiting. It is distressing, but much less harmful than bulimia. Sufferers are more likely to become overweight. 2 People with special needs and younger children l l l A learning difficulty, autism or other developmental problems can disrupt eating. E.g some people with autism may take a dislike to the colour or texture of foods, and refuse to eat them. The eating problems of pre-teen children are more to do with food texture, “picky eating” or being angry rather than with wanting to be very thin. The ways of helping these problems are rather different from those for anorexia and bulimia. Treatment l l l l l Not treated = negative impact on job or schoolwork, disrupt relationships with family members and friends. The physical effects can sometimes be fatal. Treatment is available, recovery can take a long time. Important for the person affected to want to get better, and the support of family and friends is invaluable. Treatment usually involves monitoring a person’s physical health while helping them to deal with the underlying psychological causes. Self Help l l l l l l l l l l Regular mealtimes – THREE A DAY PLUS morning, afternoon and night time snacks. Small steps Keep a diary of what is eaten. Honesty Make two lists – what the disorder has given and what it has lost. Be kind to your body, don’t punish it. Know what a reasonable weight is and understand why. Stories of other people’s experiences of recovery. Think about joining a self-help group. Avoid websites that encourage weight loss. Treatments l l l l Cognitive Behavioural Therapy (CBT): focuses on changing how someone thinks about a situation, which in turn will affect how they act Interpersonal psychotherapy: a talking therapy that focuses on relationship-based issues Dietary counselling: a talking therapy to help people maintain a healthy diet Psychodynamic therapy: counselling that focuses on how a person’s personality and life experiences influence their current thoughts, feelings, relationships and behaviour . From Faith to Action l l l l l l l l How can our faith help people with eating disorders? What actions can we take? 1 Corinthians 13:13 And now these three remain: faith, hope and love. But the greatest of these is love. Ephesians 4:2 Be completely humble and gentle; be patient, bearing with one another in love. 1 John 4:7 Dear friends, let us love one another, for love comes from God. Everyone who loves has been born of God and knows God. 3