Assessment of body image in patients with obesity and binge eating disorder

Abstract

Introduction: The paper describes a model for assessing body image in patients with obesity and binge eating disorder. The aim is to contribute to the physiotherapeutic body of knowledge concerning bigger bodies. The paper is rooted in a pilot project conducted at Nord-Trøndelag Hospital Trust. Main part: Disturbed body image is a central feature in binge eating disorder. Cognitive aspects of body image are traditionally the focal point in evaluation and treatment, although research also highlights preconscious, sensorimotor experiences, often interwoven with shame and relational interactions. A theoretical and empirical statement and a threefold model for examining body image in this patient population is described. Sum up: Rather than offering exercise-based treatment for weight reduction, physiotherapists should focus on movement as a source of strengthened contact with one's body and surroundings, in a shame-sensitive manner that encourages new relational experiences.

Keywords

• body image
• obesity
• binge eating disorder