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Chapter 7
Feeding and Eating Disorders
Multiple Choice:
1) The example cited in the text of saints starving themselves out of devotion is
A) an illustration of the binge-purge cycle.
B) not considered a historical form of anorexia nervosa.
C) not a case of anorexia nervosa because it involves a religious context.
D) an example of the impact of context on symptom expression in an illness.
ANSWER: D
Diff: 1 Page Ref: 242-243
Topic: Chapter Opener
Skill: Factual
2) Among young women in today’s culture, anorexia nervosa is generally interpreted as

A) self-denial in order to attain a state of euphoria.
B) an attempt to achieve an ideal state of thinness.
C) a wish for parental attention.
D) a need to remain childlike in body build.
ANSWER: B
Diff: 1 Page Ref: 243
Topic: Chapter Opener
Skill: Factual
3) Select the statement that is FALSE regarding anorexia nervosa.

A) Victims weigh less than 85% of their ideal body weight.
B) It is rarely associated with mortality.
C) Younger patients do not have normal developmental weight gains.
D) Cases may be found throughout history.
ANSWER: B
Topic: Anorexia Nervosa
Skill: Conceptual
4) Margaret’s appetite has decreased markedly over the course of the semester, resulting in a
weight of 100 lbs. on her 5’9” frame. Her roommate has noticed that she tends to wear layers of
clothing even in warm weather and frequently complains about her weight. If Margaret were
referred for evaluation for an eating disorder, what percent of ideal body weight would be used
as a criterion for excessive weight loss?
A) 35%
B) 50%
Copyright © 2018by Pearson Education, Inc. All rights reserved.
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C) 65%
D) 85%
ANSWER: D
Skill: Applied
5) Body mass index (BMI) is a way of expressing

A) the ratio of height and weight to percent body fat.
B) the threshold for abnormal weight loss.
C) percent of body fat.
D) both height and weight in one measure.
ANSWER: D
Skill: Factual
6) Clinicians use the ________ in determining the weight status of their clients.
A) caloric weight index (CWI)
B) body mass index (BMI)
C) weight to height ratio (WHR)
D) body weight ratio (BWR)
ANSWER: B
Skill: Conceptual
7) Alejandra has been diagnosed with anorexia nervosa. Her dinner last night consisted of 3
celery sticks, a spoonful of hummus, half of a slice of pita bread, and a cup of tea. Feeling full
and bloated after eating, Alejandra decided to work out on the treadmill for 40 minutes. Which of
the following anorexia nervosa subtypes accurately describes her condition?
A) Binging
B) Dieting
C) Purging
D) Restricting
ANSWER: D
Skill: Applied
8) Which of the following statements is TRUE of the binge eating/purging subtype of anorexia
nervosa?
A) Both binge eating and purging must be present for the diagnosis to be made.
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B) Binge eating, purging, or both may be present for the disorder to be diagnosed.
C) Binge eating is often accompanied by excessive exercise.
D) Binge eating need only occur once to meet the diagnostic criterion.
ANSWER: B
Skill: Conceptual
9) A particularly perplexing clinical feature of anorexia nervosa is the

A) individual’s intense fear of gaining weight despite emaciation.
B) person’s concern over parental approval and acceptance.
C) person’s inability to articulate any food favorites.
D) patient’s willingness to binge after long periods of starvation.
ANSWER: A
Skill: Factual
10) Kaylyn suffers from anorexia nervosa. She induces vomiting. This is called
A) bingeing.
B) emaciation.
C) purging.
D) restricting.
ANSWER: C
Skill: Conceptual
11) Three consecutive months of ___________has been removed from the official diagnosis of
anorexia nervosa in the DSM 5 because it was determined that no meaningful differences
occurred between individuals with anorexia nervosa who do and do not menstruate.
A) weight loss
B) amenorrhea
C) purging
D) denial of emaciation
ANSWER: B
Skill: Factual
12) Select the statement below that is TRUE of amenorrhea and the diagnosis of anorexia
nervosa in the DSM-5.
A) Amenorrhea need not be present for anorexia nervosa to be diagnosed.
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B) Research demonstrates meaningful differences in diagnosis between females who do and
do not menstruate.
C) Amenorrhea must be present for an anorexia nervosa diagnosis.
D) Menstruation must occur monthly but for briefer periods than usual for a diagnosis of
anorexia nervosa.
ANSWER: A
Skill: Conceptual
13) An associated medical feature of anorexia nervosa that might explain the tendency to layer
clothing even in mild temperatures is
A) lowered body temperature.
B) heightened blood pressure.
C) increased heart rate.
D) shallow breathing.
ANSWER: A
Skill: Factual
14) Epidemiological estimates that between ___% and ___% of women in Canada will develop
anorexia nervosa. At some point in their lives.
A) 0.5% and 4%
B) 5% and 10%
C) 7% and 9%
D) 10% and 20%
ANSWER: A
Skill: Factual
15) Females are _____ likely to develop anorexia nervosa than are males.
A) more
B) less
C) equally as
D) much less
ANSWER: A
Skill: Factual
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16) As in other Western countries, in Canada anorexia nervosa has the highest mortality rate of
any mental disorder, with about ____ to ____ of people with anorexia dying from the disorder
(LeBlanc, 2014).
A) 1% to 3%.
B) 10% to 15%.
C) 16% to 18%.
D) people do not die from this disorder.
ANSWER: B
Skill: Factual
17) Certain segments of the population have higher rates of anorexia nervosa than others. Which
of the following segments would potentially have the highest rates of the disorder?
A) Females from suburban homes
B) Workers in service industries
C) Daughters of divorced parents
D) Workers in the entertainment industry
ANSWER: D
Skill: Factual
18) Psychological features often associated with anorexia nervosa include

A) anxiety and personality disorders.
B) anxiety and childhood disorders.
C) depression and somatoform disorders.
D) depression and anxiety.
ANSWER: D
Skill: Factual
19) Which of the following is TRUE of the course of anorexia nervosa as a disorder?
A) It usually develops during early adolescence and tends to be short-lived.
B) It may often include periods of relapse and remission.
C) It rarely includes a crossover into bulimia nervosa.
D) It does not have long-term health consequences for the patient.
ANSWER: B
Skill: Conceptual
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20) Anorexia nervosa may be a lethal disorder resulting in death from the effects of starvation or
from
A) breathing difficulties.
B) stomach cancer.
C) amenorrehea.
D) suicide.
ANSWER: D
Skill: Conceptual
21) By the time Kathleen Rea joined the National Ballet Company of Canada, she was binging
and purging up to ___ times a day. ?
A) 3
B) 6
C) 8
D) 12
ANSWER: C
Skill: Factual
22) The most important personality trait found in cases of anorexia nervosa is
A) perfectionism.
B) conscientiousness.
C) agreeableness.
D) responsibility.
ANSWER: A
Skill: Factual
23) Adolescence and young adulthood are typical periods of risk for eating disorders in that
individuals who are perfectionistic, prone to worry, and stressed by change may
A) resist unwanted interventions by parents or other authority figures.
B) find developmental milestones to be triggers for the disorder.
C) use regurgitation as a passive-aggressive tactic for control.
D) develop phobias centering on specific food groups.
ANSWER: B
Skill: Conceptual
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24) At least 75% of all persons diagnosed with anorexia nervosa have a comorbid risk of
A) bipolar disorder.
B) substance abuse disorder.
C) major depressive disorder and posttraumatic stress disorder.
D) an anxiety disorder and major depressive disorder.
ANSWER: D
Skill: Factual
25) __________ disorders often precede the development of anorexia nervosa and consequently
may place a person at particular risk for the expression of the disorder.
A) Developmental
B) Personality
C) Anxiety
D) Substance abuse
ANSWER: C
Skill: Factual
26) Unlike anorexia nervosa, bulimia nervosa is

A) a visible eating disorder.
B) an invisible eating disorder.
C) life-threatening.
D) found in women only.
ANSWER: B
Topic: Bulimia Nervosa
Skill: Factual
27) Key symptoms of bulimia nervosa include recurrent episodes of binge eating, a feeling of
being “out of control” during binge eating episodes, and
A) inappropriate strategies for weight control.
B) amnesia for food consumption.
C) a fear of running out of food.
D) a desire to maintain a state of starvation.
ANSWER: A
Skill: Conceptual
205
28) For bulimia nervosa to be diagnosed, binge eating must have occurred
A) daily for a period of two months or more.
B) daily for a period of three months or more.
C) at least weekly for a period of two months or more.
D) at least weekly for a period of three months or more.
ANSWER: D
Skill: Factual
29) Biweekly for the last year, Beverly has experienced irresistible urges to eat two gallons of ice
cream and a bag of chocolate chip cookies. However, she manages to work off her calories using
an exercise regimen that includes two hours of treadmill activity followed by a four-mile jog.
Although she manages to avoid weight gain when she goes into her “binge modes,” she
complains of feeling out of control during these binges. Beverly exhibits symptoms of
A) obsessive-compulsive eating disorder.
B) bulimia nervosa.
C) anorexia nervosa.
D) a binge eating disorder.
ANSWER: B
Skill: Applied
30) Unlike overeating too much of a favorite food, people with bulimia nervosa
A) consume a large amount of food in a short period of time and use compensatory
behaviours.
B) consume a large quantity of food in a brief period of time but do not use laxatives.
C) do not have trouble stopping when they feel full.
D) feel more control over their eating because they have compensatory behaviours to
regulate weight gain.
ANSWER: A
Skill: Applied
31) Which of the following is TRUE of both anorexia nervosa and bulimia nervosa?
A) Both disorders involve periods of extreme overeating.
B) Patients with both disorders complain of fear starvation.
C) Both disorders involve a purging subtype.
D) Both disorders are not found among older persons.
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ANSWER: C
Skill: Conceptual
32) In bulimia nervosa, binges are usually terminated because the person runs out of food, is
interrupted by someone, or
A) a strong gag reflex starts.
B) feels satiated.
C) experiences a strong urge to purge.
D) becomes violently ill.
ANSWER: C
Skill: Factual
33) Marina complains of feeling out-of-control after eating a slice of toast. In an eating disorders
paradigm, this behaviour would be termed a(n)
A) objective binge.
B) subjective binge.
C) brief binge.
D) psychological binge.
ANSWER: B
Skill: Applied
34) Patterns of binge eating may vary among those diagnosed with bulimia nervosa. Bingeing
may occur from occasionally to
A) weekly.
B) daily.
C) hourly.
D) multiple times per day.
ANSWER: D
Skill: Factual
35) An inappropriate compensatory behaviour may be defined as

A) any action taken to counteract a binge or avoid weight gain.
B) only those actions taken to avoid binge eating.
C) any ritualistic behaviour used to avoid thinking about bingeing.
D) a healthy course of action taken to counteract negative consequences of bingeing.
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ANSWER: A
Skill: Factual
36) Compared to those diagnosed with anorexia nervosa, patients with bulimia nervosa are more
likely to engage in
A) exhibitionistic behaviours.
B) high-risk sexual behaviour.
C) alcohol and drug abuse.
D) self-mutilating behaviours such as “cutting.”
ANSWER: C
Skill: Factual
37) Which of the following most accurately describes the use of laxatives as a compensatory
strategy in bulimia nervosa?
A) It is an ineffective strategy for avoiding weight gain.
B) It is a safe and effective means of maintaining one’s desired weight.
C) Few persons diagnosed with the disorder actually use them.
D) Research indicates that it leads to retention of electrolytes in one’s system.
ANSWER: A
Skill: Conceptual
38) It is estimated that ___% to ___% of Canadian women will develop bulimia nervosa.
A) 1% to 4%
B) 3% to 5%
C) 6% to 8%
D) 9% to 10%
ANSWER: A
Skill: Factual
39) Select the statement below that is TRUE of bulimia nervosa.

A) The incidence of the disorder has gradually declined over the last 10 years.
B) It is a more “modern” phenomenon than anorexia nervosa.
C) It is found more frequently in rural areas.
D) It does not appear to be a culture-bound phenomenon.
208
ANSWER: B
Skill: Factual
40) In 2013, with the publication of DSM-5, BED:

A) became an official diagnostic category.
B) prevalence rates were established.
C) female prevalence rates for geriatric cases are overestimated.
D) we have identified those needing treatment for an eating disorder.
ANSWER: A
Skill: Factual
41) Bulimia nervosa is more prevalent among females and tends to develop in
A) less industrialized countries.
B) families with more than 3 female children.
C) late childhood and early adolescence.
D) late adolescence or early adulthood.
ANSWER: D
Skill: Factual
42) In bulimia nervosa, erosion of dental enamel and callouses on the backs of the hands
A) is predictive of a suicide attempt among younger women.
B) are among some of the ways the disorder is hard on the body.
C) discriminates acute from chronic symptom expression of purging.
D) has been found to be an unreliable indicator of self-induced vomiting.
ANSWER: B
Skill: Factual
43) The use of laxatives in bulimia nervosa may lead to edema, dehydration, electrolyte
imbalances, and
A) chronic fluid retention.
B) severe intermittent bouts of gastritis.
C) irreversible bowel dysfunction.
D) permanent irregular heartbeats.
ANSWER: C
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Skill: Factual
44) Compared with anorexia nervosa patients, persons diagnosed with bulimia nervosa have
A) a higher risk of mortality.
B) a lower risk of mortality.
C) no risk of mortality.
D) an equal risk of mortality.
ANSWER: B
Skill: Factual
45) Outcome research estimates tell us that ______ percent of patients diagnosed with bulimia
nervosa achieve full or partial remission.
A) 10
B) 20
C) 50
D) 80
ANSWER: C
Skill: Factual
46) A common personality trait in both anorexia and bulimia nervosa is

A) rule-boundedness.
B) introversion.
C) perfectionism.
D) conscientiousness.
ANSWER: C
Skill: Factual
47) As compared to individuals with anorexia nervosa, individuals with bulimia nervosa are
more
A) rigid.
B) perfectionistic.
C) obsessive.
D) impulsive.
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ANSWER: D
Skill: Factual
48) Approximately _____ percent of those diagnosed with bulimia nervosa have another
psychiatric disorder at some point in their lives.
A) 20
B) 50
C) 70
D) 80
ANSWER: D
Skill: Factual
49) Monica Seles, whose story is presented in the text, suffered from
A) anorexia nervosa.
B) alcohol abuse.
C) binge eating disorder (BED).
D) drug abuse.
ANSWER: C
Skill: Factual
50) Select the statement below that is FALSE regarding binge eating disorder.
A) It was only recently accepted as a formal psychiatric diagnosis.
B) It lacks the compensatory behaviours of bulimia nervosa.
C) Little is known about associated mortality or morbidity rates.
D) It may be a chronic condition.
ANSWER: A
Topic: Binge Eating Disorder
Skill: Conceptual
51) Willie enjoys eating in the university cafeteria because it features an all-you-can-eat buffet.
He prefers to wait until most people have dined before entering the facility because he feels
awkward about the amount he consumes. Willie usually eats until he feels uncomfortable,
although he does not purge. He is most likely to have which of the following disorders?
A) Bulimia nervosa
B) Binge-eating disorder
C) Eating disorder not otherwise specified
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D) Anorexia nervosa—binge eating type
ANSWER: B
Skill: Applied
52) Obese people with binge eating disorder differ from obese persons without the disorder in
that the former
A) are more likely to have associated depression and anxiety disorders.
B) report more frequent purging episodes.
C) report a later onset of both obesity and dieting.
D) recall less fluctuation in weight throughout their lives.
ANSWER: A
Skill: Conceptual
53) The rates at which binge eating disorder occurs in the general population make it the
___________________________ of all eating disorders in DSM-5.
A) most frequently occurring
B) least frequently occurring
C) most dangerous
D) most socially acceptable form
ANSWER: A
Skill: Factual
54) Overeating behaviour without regular inappropriate compensatory behaviours are

characteristic of which of the following?
A) Bulimia nervosa
B) Anorexia nervosa
C) Binge eating disorder
D) Purge eating disorder
ANSWER: C
Skill: Conceptual
55) Yolanda has been diagnosed as having an eating disorder involving “chewing and spitting.”
Given this information, what is the most likely formal diagnosis for her?
A) Anorexia nervosa
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B) Bulimia nervosa
C) Rumination disorder
D) Restrictive eating disorder
ANSWER: C
Topic: Other Specified Feeding and Eating Disorders
Skill: Applied
56) Among men, the incidence of bulimia nervosa might be underestimated because
A) men are hesitant to admit having struggles with their weight.
B) little, if any, research has been conducted on men who have eating disorders.
C) the disorder is masked by alcohol and other substance abuse problems.
D) men prefer exercise to purging or other compensatory behaviours.
ANSWER: D
Topic: Sex, Race, Ethnicity, and Developmental Factors
Skill: Factual
57) Which of the following statements is FALSE regarding eating disorders among females?
A) They may result from increased pressure to attain the thin ideal.
B) They may result from the influence of hormones on appetite and weight regulation.
C) They may be diagnosed more frequently because of sex biases in the diagnostic criteria.
D) They are more likely than males to engage in binge eating disorders.
ANSWER: D
Skill: Factual
58) Epidemiologic data on eating disorders

A) suggest that eating disorders are more prevalent among black women than white women,
B) do not provide us with a clear picture of the racial and ethnic distribution of the disorders.
C) indicate that First Nation’s females have a disproportionately high rate of eating disorders
compared to Caucasian females.
D) suggest that anorexia nervosa among Sikh women is underreported.
ANSWER: B
Skill: Factual
59) For binge eating disorder, epidemiologic data indicate

A) increased risk for the disorder among members of the lower socioeconomic classes.
B) the same findings as revealed in the study of anorexia and bulimia nervosa.
213
C) children of women with binge eating disorders are not at higher risk for the disorder.
D) more differences in prevalence exist across racial and ethnic groups.
ANSWER: A
Skill: Factual
60) Jenna is a young adolescent and has been diagnosed with anorexia nervosa. Most likely, her
recovery and treatment will address issues related to independence, trust, and
A) separation anxiety.
B) emotional freedom.
C) establishing romantic relationships.
D) assertiveness.
ANSWER: C
Skill: Applied
61) Christina is a middle school student going through puberty before her female classmates.
Consequently, she may be at
A) lower risk for developing dissatisfaction with her body.
B) greater risk for developing an eating disorder.
C) less risk for being underweight.
D) greater risk for being sexually abused.
ANSWER: B
Skill: Applied
62) Sexual abuse histories among patients with bulimia nervosa are
A) more common than typically seen in the family histories of anorexic patients.
B) less common than one would expect from the histories of anorexic patients.
C) no more common than among other psychological disorders.
D) not documented well enough to be able to assess a prevalence rate.
ANSWER: A
Skill: Factual
63) Animal studies have revealed that one part of the brain influential in appetite and weight
control is the
A) hypothalamus.
214
B) adrenal glands.
C) pituitary gland.
D) olfactory epithelium.
ANSWER: A
Topic: The Etiology of Eating Disorders
Skill: Conceptual
64) In persons with anorexia nervosa, abnormalities in serotonin levels may contribute to the
expression of
A) introversion.
B) perfectionism.
C) passive-aggressive behaviour.
D) treatment resistance.
ANSWER: B
Skill: Factual
65) What structural brain abnormalities have researchers discovered in patients with anorexia
nervosa when they are ill?
A) Decreased hypothalamus size
B) Decreased ventricle size
C) Frontal lobe lesions
D) Loss of grey matter and reduced brain mass
ANSWER: D
Skill: Factual
66) Relatives of persons with anorexia nervosa or bulimia nervosa have an increased risk for
eating disorders _____ times that of persons with no familial history of these disorders.
A) 3
B) 5
C) 8
D) 10
ANSWER: D
Skill: Factual
67) The heritability of anorexia nervosa and bulimia nervosa indicates that there appears to be
A) a genetic component to both disorders.
215
B) no direct genetic link to the disorders.
C) genes that are solely responsible for the disorders.
D) genes that are dominant over environmental influences in producing the disorder.
ANSWER: A
Skill: Conceptual
68) Salvador Minuchin, who investigated patterns of family dysfunction among patients with
eating disorders, identified “enmeshment” as
A) a family’s willingness to maintain the sick status of the affected member.
B) familial attempts to cover up the family member’s illness.
C) the overidentification of family members with the therapist.
D) overinvolvement of all family members in the affairs of one member.
ANSWER: D
Skill: Conceptual
69) Overall, research indicates that the most effective approach in the treatment of anorexia
nervosa is
A) use of a multidisciplinary team.
B) nutritional counselling.
C) family systems counselling.
D) behaviour modification.
ANSWER: A
Topic: The Treatment for Eating Disorders
Skill: Conceptual
70) In approaching the treatment of anorexia nervosa, a multidisciplinary team first

A) opens family channels of communication.
B) addresses weight restoration.
C) confronts the patient about his/her denial.
D) identifies conflict areas in childhood.
ANSWER: B
Skill: Factual
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71) Inpatient treatment for anorexia nervosa may be required for persons at 75% of their
expected body weight. In addition, consideration is given to medical complications, failure to
improve with outpatient treatment, and
A) the person’s age.
B) the family’s willingness to engage with the multidisciplinary team.
C) suicide attempts or plans.
D) the chronicity of the disorder.
ANSWER: C
Skill: Factual
72) The only FDA-approved drug for an eating disorder is fluoxetine, and it is prescribed for
A) bulimia nervosa.
B) anorexia nervosa.
C) eating disorder not otherwise specified.
D) bingeing.
ANSWER: A
Skill: Factual
73) Select the cognitive-behavioural treatment element below that is most effective in promoting
behavioural change among persons with eating disorders.
A) training in diaphragmatic breathing
B) increasing self-esteem
C) altering thinking patterns
D) reducing family enmeshment.
ANSWER: C
Skill: Conceptual
74) With respect to the treatment of eating disorders, DBT is to CBT as _____ is to _____.
A) faulty thinking; emotional dysregulation
B) unconscious conflict; faulty thinking
C) emotional dysregulation; faulty thinking
D) emotional dysregulation; unconscious conflict
ANSWER: C
Skill: Conceptual
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75) A treatment that focuses on emotional dysregulation and sees problem eating behaviours as
attempts to manage unpleasant emotional states is
A) family therapy
B) dialectical behaviour therapy
C) interpersonal psychotherapy
D) supportive psychotherapy
ANSWER: B
Skill: Factual
True/False:
76) As early as the 19th century, Lasegue identified social and psychological factors associated
with anorexia nervosa.
ANSWER: TRUE
Skill: Factual
77) While anorexia nervosa is a disorder found before the 21st century binge eating disorder is a
disorder of fairly recent origin.
ANSWER: TRUE
Skill: Factual
78) Patients diagnosed as having the restricting subtype of anorexia nervosa control their weight
exclusively through dieting.
ANSWER: FALSE
Skill: Conceptual
79) Female anorexic patients may experience the loss of menstrual periods during the course of
the disorder.
ANSWER: TRUE
Skill: Factual
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80) Actors, dancers, models, and athletes are at greater risk of developing anorexia nervosa than
other groups .
ANSWER: TRUE
Skill: Factual
81) In recent times, more children and older persons are being diagnosed with the classic
symptoms of anorexia nervosa.
ANSWER: TRUE
Skill: Factual
82) Anorexia nervosa has the highest associated rate of mortality of any DSM-5 disorder.
ANSWER: TRUE
Skill: Factual
83) Research indicates that anxiety may predispose an individual for anorexia nervosa.
ANSWER: TRUE
Skill: Factual
84) A sense of loss of control over eating during binge episodes is not required for a diagnosis of
bulimia nervosa.
ANSWER: FALSE
Skill: Conceptual
85) A key diagnostic feature of bulimia nervosa is the consumption of a minimum of 20,000
calories during binge eating episodes.
ANSWER: FALSE
Skill: Factual
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86) Few people die from complications of bulimia nervosa.
ANSWER: TRUE
Skill: Factual
87) Both shoplifting and impulsive spending are psychological features associated with bulimia
nervosa.
ANSWER: TRUE
Skill: Factual
88) Persons diagnosed as having bulimia nervosa are different from persons labeled as having
anorexia nervosa in that the former are less impulsive.
ANSWER: FALSE
Skill: Conceptual
89) Bulimia nervosa as a disorder is characterized by more erratic and impulsive traits when
compared to anorexia nervosa.
ANSWER: TRUE
Skill: Conceptual
90) In almost all cases, BED appears to be time-limited and part of a passing phase.
ANSWER: FALSE
Skill: Factual
91) According to the text, the DSM-IV system did not accurately capture eating disorders as they
exist in the real world.
ANSWER: TRUE
Skill: Conceptual
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92) In those disorders included in the other specified feeding and eating disorders category,
patients may use chewing and spitting out food as a form of weight control.
ANSWER: TRUE
Skill: Conceptual
93) Anorexia nervosa is fairly prevalent in childhood but bulimia nervosa before puberty is
uncommon.
ANSWER: FALSE
Skill: Factual
94) Evidence from studies of eating disorders in humans reveals the presence of consistent
hypothalamic abnormalities.
ANSWER: FALSE
Skill: Factual
95) Research using animal models indicates that unlimited access to a physical activity and
scheduled feedings may lead to overactivity and emaciation.
ANSWER: TRUE
Skill: Conceptual
96) It is generally believed that abnormal serotonin levels contribute to the expression of some
personality features found in eating disorders.
ANSWER: TRUE
Diff: 1 Page Ref: 262 - 263
Skill: Factual
97) Structural brain abnormalities have been found in both anorexia and bulimia nervosa
patients; however, there is no research evidence that these differences were present before the
onset of the illness.
ANSWER: TRUE
221
Skill: Factual
98) The case of twins Michaela and Samantha Kendall presented in your text demonstrates that a
hostile environment may be a sole determinant of an eating disorder in some cases.
ANSWER: FALSE
Skill: Conceptual
99) Although initial promising research pointed to chromosome 10 as a “hot spot” in both
bulimia nervosa and obesity, subsequent research has failed to confirm this relationship.
ANSWER: FALSE
Skill: Factual
100) It is generally accepted that research has demonstrated that eating disorders are partially
influenced by genes.
ANSWER: TRUE
Skill: Factual
101) There is evidence to indicate a genetic predisposition makes an individual more vulnerable
to behaviours such as dieting, and that sociocultural exposure triggers the eating disordered
behaviour.
ANSWER: TRUE
Skill: Factual
102) Although there are some differences among approaches to treatment of each of the
categories of eating disorders, normalization of eating behaviour and weight is the primary goal
of treatment for all of the disorders.
ANSWER: TRUE
Skill: Conceptual
103) The most efficacious approach to the treatment of eating disorders involves the use of a
multidisciplinary team.
222
ANSWER: TRUE
Skill: Factual
104) Weight is the only real factor considered when someone with an eating disorder is
evaluated for inpatient treatment.
ANSWER: FALSE
Skill: Conceptual
105) Some medications have been identified as highly effective in the treatment of eating
disorders.
ANSWER: FALSE
Skill: Factual
106) Although essential, nutritional rehabilitation alone is not sufficient to help patients recover
from an eating disorder.
ANSWER: TRUE
Skill: Factual
107) Applying cognitive behavioural treatment to eating disorders means a focus on faulty
cognitions that reinforce eating and weight dysfunctions.
ANSWER: TRUE
Skill: Conceptual
108) During the acute stage of an eating disorder, a patient may not benefit from cognitive
behavioural treatment.
ANSWER: TRUE
Skill: Conceptual
109) Family-based treatments focus on changing the dysfunctional dynamics found in families of
eating disorder patients.
223
ANSWER: TRUE
Skill: Conceptual
110) The text case of Lisa, a student athlete diagnosed with anorexia nervosa, demonstrates the
effectiveness of medication as a primary means of successful treatment of an eating disorder.
ANSWER: FALSE
Skill: Factual
Essay:
Student answers will vary but should include elements of the suggested answers given below.
111) Provide an overview of DSM-5 diagnostic criteria for anorexia nervosa. Include a
discussion of associated features.
ANSWER: Anorexia nervosa is marked by weight loss (or failure to gain weight in youth
who are still growing) leading to a body weight of less than 85% of that expected.
Despite low weight, individuals with anorexia nervosa have an intense fear of gaining
weight or becoming fat. They may also have a disturbance in the way in which they
experience their body weight or shape, place extreme importance on their body weight or
shape as measures of self-evaluation, deny the seriousness of their low body weight,
and/or stop having menstrual periods as a consequence of low body weight. In the
restricting type, individuals do not engage in binge eating or purging behaviour. In the
binge eating/purging type, people do engage in regular binge eating or purging behaviour.
Skill: Conceptual
112) Phyllis and her husband were regulars at Annabelle’s Restaurant. Every Saturday night,
they arrived promptly at 7:00 PM to begin Phyllis’s first dinner meal of the evening. While she
ordered a complete dinner featuring prime rib, baked potato, vegetables and a house salad, her
husband nursed a cup of coffee. Following dinner, the wait staff cleared the table and replaced
the silverware before the couple joining Phyllis and her husband for an 8:30 PM dinner arrived.
Phyllis ordered a meal identical to the one she had eaten earlier and this dinner proceeded as if
this were her first evening meal. Following the second dinner, she routinely went to the ladies’
room for approximately one half hour. Upon her return, the couples left the restaurant. Despite
the large quantity of food she consumed every Saturday evening, Phyllis was rail thin, weighing
approximately 100 lbs. at a height of 5’10”. Several wait staff believed that this pattern was
repeated at least one other time each week at a neighboring restaurant.
224
On the basis of the information presented, what diagnosis would you expect would be most
likely to be given to Phyllis, and what other associated clinical features might you expect to find
in this case?
ANSWER: Phyllis is most likely suffering from anorexia nervosa, binge eating/purging
subtype. Her behaviour of bingeing dinners followed by lengthy visits to the restroom, as
well as her below average body weight, are suggestive of the disorder. It is most likely
that Phyllis has an intense fear of gaining weight and may commonly complain of
“feeling fat” despite the physical evidence that she is underweight. She may also
associate her weight with her sense of self-worth, and fluctuations in her weight may
result in a downward spiral of self-esteem. As a consequence of low body weight, Phyllis
may have amenorrhea, and she may be experiencing denial of her illness and resist
treatment.
Skill: Applied
113) There are many physical and psychological/behavioural features associated with anorexia
nervosa that are outlined in your text. Review four physical and four psychological/behavioural
features presented by the authors.
ANSWER: Physical Features: dehydration; electrolyte imbalance; osteoporosis; lanugo; dry

brittle hair; low body temperature; hypotension; bradycardia; growth retardation;
bloating; constipation; fidgeting; loss of tooth enamel and dentin.
Psychological/Behavioural Features: cognitive impairment; body-checking;
depression; anxiety; low self-esteem; self-absorption; ritualistic behaviours; extreme
perfectionism; self-consciousness.
Skill: Conceptual
114) Discuss the relationship between personality and risk for anorexia nervosa.
ANSWER: Some personality traits do seem to come before the eating disorder, get worse
during the eating disorder, and often persist after recovery. The most important is
perfectionism. People who develop anorexia nervosa are often described as model
children and model students who set extremely high standards for themselves. They also
apply that perfectionism to their pursuit of thinness and hold themselves to dieting
standards above what others could possibly attain. Other common personality factors are
obsessionality, neuroticism, and low self-esteem. This cluster of personality traits may
help explain why adolescence and young adulthood are typical risk periods for the
development of eating disorders. Many of the developmental tasks of this life period
involve substantial change and encounters with unfamiliar stimuli. Such transitions can
be challenging for healthy youth. People who are worriers, tend toward unwavering
perfectionism, and find change difficult may experience this period of life as a trigger for
an underlying predisposition for eating disorders.
225
Skill: Conceptual
115) What evidence exists to support the notion that bulimia nervosa may be more of a culture-
bound syndrome than anorexia nervosa?
ANSWER: Individuals born after 1960 are at greater risk for the disorder, suggesting that
bulimia nervosa is a more modern disorder than anorexia nervosa. Some believe it
reflects the trend beginning in the 1960’s toward thinner cultural ideals of beauty. It also
tends to be more common in urban areas, suggesting social learning, environmental
exposure, or information transfer may play a role in the development of the disorder.
Anorexia nervosa, by contrast, has been identified as existing even in ancient cultures and
psychologists are unsure as to whether or not we are seeing an actual increase in the rate
of cases or the incidence of the disorder is remaining stable. There is no mention in the
text that anorexia nervosa trends are reflective of a particular culture or that increases in
incidence rates are related to specific time period within a culture.
Skill: Conceptual
116) As disorders, bulimia and anorexia nervosa have significant commonalities and differences
in personality characteristics. Present an overview of key findings in this area.
ANSWER: People with bulimia nervosa share some personality features with those who have
anorexia nervosa, primarily perfectionism and low self-esteem, but differences also exist.
Unlike the classic restricting subtype of anorexia nervosa, people with bulimia tend to be
more impulsive and have higher novelty-seeking behaviour. These different personality
traits are intriguing and reflect the symptom profiles of the disorders. Individuals with the
restricting subtype of anorexia nervosa display more rigid and obsessional personalities-
congruent with their rigid eating patterns. By contrast, those with bulimia nervosa exhibit
more erratic and impulsive traits-consistent with the impulsive and fluctuating nature of
alternating starving, binge eating, and compensatory behaviours.
Skill: Conceptual
117) A friend’s 8-year-old son has just been diagnosed with pica after years of surgeries to repair
kidney and lung damage. Explain what causes pica and what factors could increase risk.
ANSWER:
Pica has many different causes. Iron and zinc deficiencies may result in the
urge to ingest certain foods or substances, but many people without these conditions
also engage in pica. Environmental factors (stress and impoverished living
environments) or developmental disorders are important causal factors. Among people without
psychological disorders, pica sometimes begins after
226
stressful events such as surgery or the loss of a family member.
Because it is so rare, the etiology of rumination disorder is unstudied and, therefore,
unknown. Diff: 3 Page Ref: 256-257
Skill: Conceptual
118) How, and in what ways, are the social and psychological effects of anorexia nervosa as
disruptive as the physical toll of the disorder?
ANSWER: When anorexia nervosa begins in early adolescence, social and emotional
development are clearly interrupted by its medical and psychological consequences. The
disorder itself and associated symptoms such as depression, anxiety, social withdrawal,
difficulty eating in a social situation, self-consciousness, fatigue, and medical
complications can lead to isolation from peers and family. Often recovery requires facing
challenges that would normally have been faced years before, such as establishing
independence from family, developing trust in relationships, and dating and establishing
romantic relationships. Anorexia nervosa has dramatic effects on the family both
emotionally and financially. Family meals are often a battleground marked by refusal to
eat, power struggles about food, and frustration and tears. Parents struggle to understand
as their child becomes increasingly unreachable and unable to think rationally about a
function, eating, that to them seems a simple fact of life. The needs of siblings and other
family members commonly become secondary to the demands of the eating disorder.
This, coupled with the enormous expense of treatment, can wreak havoc on the most
functional of families.
Skill: Conceptual
119) Compare and contrast the theoretical approaches of the cognitive-behavioural and
sociocultural perspectives on eating disorders.
ANSWER: The cognitive-behavioural model focuses on distorted cognitions about body

shape, weight, eating, and personal control that lead to and maintain unhealthy eating and
weight related behaviours. Proponents of the model emphasize the power of thoughts to
influence feelings and behaviours in eating disorders. By contrast, sociocultural models
emphasize the western cultural preoccupation with thinness as beauty. The sociocultural
model traces exposure to the ideal of thinness, to internalization of this ideal, observation
of a discrepancy between actual and ideal, body dissatisfaction, dietary restraint, and
restriction.
Skill: Conceptual
120) Provide an overview of the factors given consideration in choosing inpatient treatment for a
person suffering from anorexia nervosa.
227
ANSWER: Treatment of anorexia nervosa is best accomplished using a multidisciplinary
team. Psychotherapy is difficult to conduct when the patient is acutely ill because her
ability to think is impaired by starvation. Weight is not the only factor to consider when
deciding on inpatient care. Other important factors to consider include medical
complications, suicide attempts or plans, failure to improve with outpatient treatment,
comorbid psychiatric disorders, interference with school, work, or family, poor social
support, pregnancy, and the unavailability of other treatment options.
Skill: Conceptual
121) Describe the cognitive-behavioural approach to the treatment of eating disorders. Include
core elements of the paradigm.
ANSWER: Cognitive-behavioural treatment (CBT) focuses on patterns of thinking as they

influence eating patterns. The cognitive-behavioural model focuses on distorted
cognitions about body shape, weight, eating, and personal control that lead to and
maintain unhealthy eating and weight related behaviours. Proponents of the model
emphasize the power of thoughts to influence feelings and behaviours in eating disorders.
The therapist addresses both relatively easily accessible thoughts (automatic thoughts)
and deeper core beliefs. Treatment involves challenging distorted cognitions and
replacing them with health-promoting alternatives. The cognitive component of CBT
appears to be the most critical for behaviour change.
In the treatment of bulimia, self-monitoring is a primary focus. Patients keep track
of what they ate, whether it was a binge or purge episode, the situation they were in, who
else was present, and their thoughts and feelings. By analyzing the data, high risk
situations for binge eating and purging may be identified. Subsequent steps involve
mastering the language and concepts of CBT, including recognizing thoughts, feelings,
and behaviours that are associated with unhealthy eating behaviour; learning to recognize
cues for and consequences of disordered eating; learning to control automatic thoughts;
and learning to restructure distorted cognitions that perpetuate unhealthy eating
behaviours.
Topic: The Treatment of Eating Disorders
Skill: Conceptual
228
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Charles i of Anjou, 1282-1285.
Charles ii of Anjou, 1285-1309.
[Purg. v. 69. vii. 126; xx. 79; Par. vi. 106; viii. 72; xix. 127-
129; xx. 63; Conv. iv. 6; V. E. i. 12.]
Robert of Anjou, 1309-1343.
[Par. viii. 76-84, 147; Epist. vii. 7; perhaps the ‘Golias’ of
Epist. vii. 8.]
KINGS OF SICILY[42]
Peter iii of Aragon, 1282-1285.
James ii of Aragon, 1285-1296.
Frederick ii of Aragon, 1296-1337.
[Purg. iii. 116; vii. 119; Par. xix. 130; xx. 63; Conv. iv. 6; V.
E. i. 12.]
KINGS OF ARAGON
James i, 1213-1276.
Peter iii, 1276-1285. (Also King of Sicily after 1282.)
[Purg. vii. 112-129.]
Alfonso iii, 1285-1291.
[Purg. vii. 116.]
James ii, 1291-1327. (King of Sicily from 1285 to 1296.)
[Purg. iii. 116; vii. 119; Par. xix. 137.]
FOOTNOTES:
[42] The Angevin sovereigns of Naples retained the title “King
of Sicily and Jerusalem,” the Aragonese ruler of Sicily being “King
of Trinacria.”
INDEX OF NAMES
(See also Tables of Hell, Purgatory, Paradise, and Bibliographical
Appendix)
Alighieri, Dante, on the “Sicilian” poetry, 4, 5;

birth and family, 6, 7;
boyhood, 9, 10;
biographers, 11;
first love, 12, 13;
youth and friends, 14, 15;
probable visit to Bologna and military service, 15, 18, 19;
loss of Beatrice, 20;
philosophic devotion, 20;
moral aberrations, 21;
friendship with Forese Donati, 22, and with Betto Brunelleschi,
22;
supposed loves, 22, 23;
marriage, children, and debts, 23, 24;
first steps in political life, 25-27;
embassy to San Gemignano, 27;
possible visit to Rome, 29;
Priorate, 31;
subsequent political acts, 32-34;
embassy to the Pope, 34-35;
accusations and sentences against him, 36-38;
his undoubted innocence, 38;
first period of exile, 39-40;
at Gargonza and San Godenzo, 40;
breaks with the Bianchi, 41;
goes to Verona, 43;
probably at Bologna, 43;
possibly at Padua, 44;
in Lunigiana and the Casentino, 44, 45;
writes to the Florentine people, 45, 46;
possibly at Paris, 46, 47;
in the advent of Henry of Luxemburg, 48, 49;
letters and fresh sentence, 50, 51;
probably at Pisa, 52;
does not accompany the Emperor against Florence, 53;
renewed wanderings, 53;
admonishes the Italian cardinals, 54;
at Lucca, 55;
rejection of amnesty, 55;
new condemnation to death, 56;
at Verona, 57;
at Ravenna, 58, 59;
probable visit to Mantua and Verona, 58;
last days at Ravenna, 59;
his embassy to Venice, 59;
his death, 60;
his works, 61-63;
publication and diffusion of the Commedia, 64;
his commentators, 64, 65;
influence of Guido Guinizelli, 67, 68;
the Vita Nuova, 10-14, 20, 61, 67-81, 82-86, 88, 96, 98, 99, 111,
120, 181, 201;
the Rime or Canzoniere, 15, 21, 22, 35, 38, 45, 62, 82-93, 96-
98, 104, 107, 108, 122, 127;
the Convivio, 10, 20, 38, 39, 45, 48, 61, 62, 70, 72, 80, 81, 82,
85-88, 94-101, 102, 108, 114, 117n., 146, 155, 166, 167,
184, 192, 194, 195, 214;
De Vulgari Eloquentia, 4, 5, 21, 36, 38, 44, 62, 63, 81, 87, 88,
90-92, 102-109, 128, 152, 181;
the Monarchia, 62, 109-120, 142, 147, 167, 184, 189, 208, 210;
the Letters, 15, 19, 32, 46, 47-52, 53-55, 62, 110, 120-127, 147;
the Epistle to Can Grande, 58, 62, 127, 129, 136, 146, 167, 194;
the Eclogues, 59, 63, 128, 130-134, 144;
the Quaestio de Aqua et Terra, 58, 63, 134-135;
the Divina Commedia, its completion, 59, 60, 62-64;
publication and diffusion, 64, 65;
earliest commentators, 64;
language, 106;
ethical and mystical, 128, 129;
letter and allegory, 136-138;
title, 137;
metrical structure, 106, 138-139;
sources, 139-141;
symbolism of Virgil and Beatrice, 141-143;
date of composition, 143-145;
time, 145;
Inferno, 146-164;
Purgatorio, 164-192;
Paradiso, 192-221
Abati, Bocca degli, 161
—— Durante degli, 10, 24
Acquasparta, Cardinal Matteo da, 32-33, 36
Adam, 103, 191, 214, 219
Adam of Brescia, 160
Adimari (Florentine family), 23
Adolph of Nassau, 100
Adrian IV., Pope, 110
—— V., Pope, 178
Aeneas, 114, 147, 155, 169, 208
Agostino, 205
Aguglione, Baldo da, 51
Alberigo, Frate 144, 161
Albert of Austria, 30, 48, 100
Albertus Magnus, 1, 95, 141, 205
Aldobrandesco, Omberto, 173
Alexander the Great, 115
Alighieri, family, 6, 25
—— Alighiero di Bellincione (Dante’s father), 6, 9, 14
—— Antonia, 23n., 60n.
—— Beatrice, 23n., 60n.
—— Bella, 10
—— Brunetto di Bellincione, 7
—— Francesco, 10
—— Geri del Bello, 7
—— Giovanni, 23n.
—— Gemma Donati, 23, 58, 60n., 127, 132
—— Jacopo di Dante, 23, 56, 58, 60n., 64
—— Lapa Cialuffi, 10
—— Pietro di Dante, 12, 23, 56, 58, 60n., 64, 127.
—— Tana, 10
Alighiero (son of Cacciaguida), 7
Altoviti, Palmieri, 32, 36, 37, 52
Anastasius, Pope, 155
Anchises, 169, 208
Anne, St., 219
Anselm, St., 206
Antaeus, 161
Aquinas, St. Thomas, 1, 5, 80, 141, 150, 151, 152, 155, 172, 192,
205, 206
Argenti, Filippo, 154
Ariosto, 140
Aristotle, 1, 14, 39, 80, 89, 95, 97, 100, 141, 150, 152, 176, 214,
215
Arnaut, Daniel, 90, 107, 182
Augustine, St., 117, 129, 141, 172, 200, 219, 220
Augustus, 109, 113, 115
Averroës, 99, 152
Beatrice, traditionally identified with Bice Portinari, 12, 13, 14;

her brother, 15, 78;
her death, 20;
Cino’s canzone on, 21;
Dante’s wanderings from her, 21;
in Dante’s work, 61, 62;
in the Vita Nuova, 69-79;
reference to her in the Convivio, 81, 84, 86, 89, 93, 98, 99, 111;
her symbolism in the Divina Commedia, 141, 142;
sends Virgil, 148;
her part in the Earthly Paradise, 187-191;
guides Dante through the spheres of Paradise, 194, 199-216;
her glory in the Empyrean, 218-220
Bambaglioli, Graziolo dei, 65, 119
Bacci, O., 60n.
Barbadoro, B., 32n.
Barbi, M., 11, 23n., 56n., 82, 83, 93n., 127
Bardi, Simone dei, 12
Bartoli, A., 11
Battifolle, Countess of, 125
Bede, St., 205
Becchi, Lippo, 36
Belacqua, 168
Bella, Giano della, 24, 25, 28
Benedict, St., 212, 219
—— IX., Pope, 43, 122
Benvenuto da Imola, 15, 44, 65, 156, 187
Bernard, St., 129, 185, 187, 197, 198, 203, 207, 209, 217-221
Bertran de Born, 107
Biagi, V., 135
Biondo, Flavio, 48, 63, 121
Biscaro, G., 133n.
Blacatz, 169
Boccaccio, 11, 12, 14, 15, 23, 26, 35, 40, 44, 46, 47, 58, 60n., 63,
65, 69, 74, 83, 101, 102, 109, 112, 118, 121, 122, 127, 130,
132, 144, 151n.
Boëthius, 20, 94, 141, 205, 217
Bonagiunta, 181
Bonaventura, St., 1, 141, 206, 213, 220
Boncompagno, 102n.
Boniface VIII., Pope, 4, 24-26, 28, 29, 32-35, 36-38, 41-42, 46,
111, 159, 179, 217
Branca d’Oria, 144
Briareus, 160
Brunelleschi, Betto, 22
Brunetto di Bellincione. See Alighieri
—— Latini, 14, 89, 97, 157
Bruni, Leonardo, 12, 14, 18, 31, 34, 40, 43, 46, 53, 63, 74, 120,
121
Brutus, 163
Buondelmonte, 6
Buoso da Duera, 161
Buti, Francesco da, 65
Cacciaguida, 6, 7, 29n., 40, 208, 209

Caccianemico, Venedico, 133n., 145
Caesar, 109
Cain, 160
Calboli, Fulcieri da, 41, 133n.
Cammino, Gherardo da, 100
Cante de’ Gabrielli, 36
Capaneus, 157
Carducci, 132
Carlo Martello, 27, 204
Casella, 15, 21, 87, 167
Cassius, 163
Cato, 114, 167
Cavalcanti, Cavalcante, 155
—— Guido, 13, 15, 28, 31, 32, 58, 68, 73, 74, 76, 85, 104, 108,
155
Celestine V., St., Pope, 24, 168
Cerberus, 153
Cerchi, Vieri dei, 19, 27, 30, 40
Charlemagne, 110, 116, 209
Charles I. of Anjou, 3, 4, 8, 15, 16, 170, 178
—— II. of Naples, 18, 27, 32, 49, 178, 204
—— of Valois, 33-36, 178
Charon, 149, 154
Chaucer, 94
Christ, 115, 116, 147, 186, 213
Ciacco, 144
Cicero, 20, 150, 155
Cimabue, 6
Cincinnatus, 114
Cino da Pistoia, 15, 21, 53, 63, 85, 91, 93, 104, 107, 108, 123
Cipolla, C., 116n.
Clement IV., Pope, 3
—— V., Pope, 46, 48, 52, 54, 116n., 126, 143, 145, 179, 217
Clemenza, 204
Colet, J. (on Dionysius), 215
Colonna, Sciarra, 41
Compagni, Dino, 25, 34, 35, 43
Conrad III., Emperor, 7
Conradin of Suabia, 9
Constance, Empress, 2, 201
Constance of Aragon, 16
Constantine, 109, 116, 210
Corazza da Signa, 34
Croce, B., 137
Curio, 124
Cyprus, King of, 210
Daniel, 120, 129

Dante. See Alighieri
Dante da Maiano, 84
David, 120, 173, 210
Della Torre, A., 56n.
Del Lungo, I, 20n., 35n., 45n.
Diedati, Gherardino, 34, 36
—— Neri, 34
Dionysius, 141, 197, 205, 207, 211, 215, 216
Dominic, St., 205
Donati, Corso, 22, 25, 27, 28, 31, 33, 46, 145, 180, 201
—— Forese, 23, 85, 180, 201
—— Foresino, 127
—— Gemma, See Alighieri
—— Manetto, 23, 24
—— Nella, 180
—— Niccolò, 127
—— Piccarda, 201
—— Teruccio, 127
—— Ubertino, 23
Donatus, Aelius, 206
D’Ovidio, F., 139n.
Durante, author of the Fiore, 63
Elisei (family), 6
Ephialtes, 160
Eve, 219
Federzoni, G., 139n.

“Fioretta,” 84
Folco, 204
Francesca da Rimini, 58, 153, 161
Francis, St., 92, 205
Frangipani, Cardinal Latino, 16
Frederick I., Emperor, 2, 49, 110
—— II., Emperor, 2, 3, 4, 6, 8, 9, 48, 100, 104, 109, 155, 170, 201
—— of Aragon, 32
Gabriel, St., 203, 213, 219

Gambara, Gherardino da, 41
Gentucca, 55n.
Geryon, 158
Gherardini, Andrea, 33, 38
Gianni, Lapo, 15, 31, 85, 104
Giants, the, 160
Giotto, 6, 44, 58
Giovanna (“Primavera”), 71, 76
Giovanni del Virgilio, 56, 59, 63, 130-133
Giraut de Borneil, 92, 107
Godfrey de Bouillon, 209
Gratian, 205
Gregory I. (the Great), 99, 197
—— VII. (Hildebrand), Pope, 2, 110
—— X., Pope, 15
Griffin, the mystical, 187, 188, 190
Guarnerio, P. E., 139n.
Guidi, the Conti, 51, 125
Guido, Fra, of Pisa, 64, 127
—— Novello da Polenta, 58, 59, 64, 132
—— Novello (dei Conti Guidi), 8
—— del Duca, 174
Guinizelli, Guido, 5, 67, 68, 71, 76, 77, 85, 88, 104, 182
Guiscard, Robert, 209
Guittone d’Arezzo, 5
Hauteville, House of, 2, 16

Henry III., King of England, 170
—— VI., Emperor, 2
—— VII., Emperor, 47-53, 62, 100, 109, 112, 121, 123-125, 130,
143, 179, 217
Hezekiah, 210
Horace, 140
Hugh Capet, 42, 178
Hugh of St. Victor, 205
Ilario, Frate, 54
Illuminato, 205
Irnerius, 2
Isaiah, 92, 120, 127
Isidore, St., of Seville, 154, 205
Jacopone da Todi, 176

James, St., 214
Jeremiah, 20, 120, 127, 146, 215
Joachim of Flora, 206
John the Baptist, St., 219
—— Chrysostom, St., 206
—— of Damascus, St., 213
John the Evangelist, St., 186, 214, 219
—— XXI. (Peter of Spain), Pope, 206
—— XXII., Pope, 54, 118, 210
—— of Paris, 117n.
Joshua, 209
Judas Iscariot, 163
—— Maccabaeus, 209
Judith, 219
Justinian, Emperor, 59, 109, 202, 203
Juvenal, 140
Kipling, Rudyard, 107n.
Lacaita, J. P., 65
Lana, Jacopo della, 51
Leah, 183-186
Lippo de’ Bardi, 15
“Lisetta,” 93n.
Livi, G., 80n., 92n., 144n.
Livy, 141
Louis of Bavaria, 60, 118
—— St., of France, 3
Lucan, 140, 162, 163, 167, 169
Lucia (St. Lucy), 148, 171, 219
Lucifer, 149, 150, 160-164
Luzzatto, G., 35n.
Malaspina (family), 44
—— Alagia de’ Fieschi, 178
—— Currado, 170
—— Franceschino, 45
——Moroello, 123, 151n., 178
Malavolti, Ubaldino, 35
Manfred, 3, 4, 8, 16, 104, 168
Marco the Lombard, 175
Margaret, Empress, 125
Martin IV., Pope, 181
Mary the Blessed Virgin, 20;
Beatrice under her banner, 77;
symbolises Divine Mercy, 148;
the Queen of Mercy, 170;
examples of her life, 173, 177, 186, 201, 203;
her Assumption in the Stellar Heaven, 213;
her glory in the Empyrean, 219;
her intercession for Dante, 220
Matelda, 74, 184-188, 192, 218
Matilda, Countess of Tuscany, 8, 185
Mazzini, 104, 114
Medusa, 154
Mechthild of Hackeborn, 185
—— of Magdeburg, 185
Merlin, 85
Meuccio, 15
Milotti, Fiducio dei, 132
Minerbetti, Maso, 35
Moncetti, G. B., 134
Monferrato, Marquis Giovanni of, 108
Montefeltro, Buonconte da, 20, 168
—— Guido da, 99, 159, 168
Moore, E., 20n., 134, 145, 163n.
Moses, 219
Musaeus, 169
Musciatto Franzesi, 42
Mussato, Albertino, 132
Nathan, 206
Niccolò da Prato, Cardinal, 42, 122
—— Pisano, 6
Nicholas III., Pope, 15, 158
Nogaret, William of, 41
Oderisi, 174
Ordelaffi, Scarpetta degli, 41, 49
Orlandi, Orlanduccio, 37
Orlando, 209
Orosius, 141, 205
Orsini, Cardinal Napoleone, 46, 126
Ottimo Commento, the, 22, 35, 64, 185
Otto, Emperor, 109
Ottocar, 170
Ovid, 141
Palinurus, 169
Parodi, E. G., 63, 143, 191
Paul, St., 120, 129, 148, 180, 187
Pazzi, Carlino dei, 41, 145
Perini, Dino, 58, 131, 151n.
Peter, St., Apostle, 187, 213, 215
—— of Aragon, 16, 18, 170
—— Comestor, 206
—— Damian, 212
—— of Spain. See John XXI.
——the Lombard, 205
Petrarch, 47, 52, 125, 134
Philip the Fair, 32, 42, 178
Phlegyas, 154
“Pietra,” 22, 89
Plato, 94
Plotinus, 220
Poggetto, Bertrando del, 119
Poggi, Andrea, 11, 127, 151n.
—— Leone, 10
Portinari, Bice. See Beatrice
—— Folco, 12, 15
—— Manetto, 15, 57, 78
Pucci, Antonio, 134
Pythagoras, 85
Quirino, Giovanni, 144

Rabanus Maurus, 206
Rachel, 183, 185, 219
Rahab, 204
Rajna, P., 138n.
Ranieri di Zaccaria, 56
Rebecca, 219
Renoardo, 209
Rhipeus, 152, 210, 211
Ricci, C., 133n.
Riccomanni, Lapo, 10
Richard of St. Victor, 129, 141, 183, 205, 220
Robert the Wise, King of Naples, 49, 52, 56, 117n., 124, 130,
133n.
Romano, Cunizza da, 204
—— Ezzelino da, 3, 204
Romena, Alessandro da, 122
—— Oberto and Guido da, 122
Romeo, 203
Rossetti, 10, 57, 68, 76, 107, 181
Rudolph of Hapsburg, 16, 100, 170, 204
Ruggieri, Abp., 161
Rustico di Filippo, 85
Ruth, 219
Saladin, 152
Salterelli, Lapo, 37
Salvani, Provenzano, 9, 174
Sapia, 174
Sarah, 219
Scala, Albuino della, 44, 57
—— Bartolommeo della, 43
—— Can Grande della, 43, 57, 58, 62, 63, 121, 127, 130, 132,
144, 147, 208
Scartazzini, G. A., 11, 13, 21
Sennuccio del Bene, 53
Serravalle, Giovanni da, 47
Shakespeare, 26, 163
Shelley, 60, 96, 134, 210, 231
Siger, 205, 206
Signorelli, Luca, 155
Sinon, 160
Solomon, 119, 205, 207
Sordello, 169, 170
Spenser, 107n.
Spini (family), 29
Statius, 140, 179-183, 186, 189, 192
Swinburne, 107n.
Tiberius, 115
Torraca, F., 45n., 123n.
Tosa, Baschiera della, 43
Toynbee, P., 122n.
See Bibliographical Appendix
Trajan, 109, 173, 210
Tundal, 139, 170
Ubaldini, the, 41
Uberti, Farinata degli, 8, 155
—— Tolosato degli, 43
Ugolino, Count, 125, 161
Uguccione della Faggiuola, 46, 54-57
Ulysses, 160
Veltro, the, 93, 147, 191, 203

Vernani, Fra Guido, 119
Vernon, W. W., 65
Vigna, Piero della, 156
Villani, F., 11, 60, 127
—— G., 9, 11, 17, 29, 46, 102, 121, 125
Villari, P., 50
Vincent of Beauvais, 180
“Violetta,” 84
Virgil, 140-143, 147-149, 153-164, 169, 175-188, 211, 218
Visconti, Nino, 170
Wicksteed, P. H., 95, 98n.

William of Orange, 209
—— II., King of Sicily, 3, 210
Witte, K., 21, 98, 143, 157
Zeno, San, Abbot of, 177

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Abnormal Psychology Canadian 1st

Edition Beidel Test Bank

2) Among young women in today’s culture, anorexia nervosa is generally interpreted as

3) Select the statement that is FALSE regarding anorexia nervosa.

5) Body mass index (BMI) is a way of expressing

9) A particularly perplexing clinical feature of anorexia nervosa is the

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18) Psychological features often associated with anorexia nervosa include

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26) Unlike anorexia nervosa, bulimia nervosa is

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35) An inappropriate compensatory behaviour may be defined as

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39) Select the statement below that is TRUE of bulimia nervosa.

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40) In 2013, with the publication of DSM-5, BED:

46) A common personality trait in both anorexia and bulimia nervosa is

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54) Overeating behaviour without regular inappropriate compensatory behaviours are

58) Epidemiologic data on eating disorders

59) For binge eating disorder, epidemiologic data indicate

70) In approaching the treatment of anorexia nervosa, a multidisciplinary team first

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ANSWER: Physical Features: dehydration; electrolyte imbalance; osteoporosis; lanugo; dry

ANSWER: The cognitive-behavioural model focuses on distorted cognitions about body

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ANSWER: Cognitive-behavioural treatment (CBT) focuses on patterns of thinking as they

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Alighieri, Dante, on the “Sicilian” poetry, 4, 5;

Beatrice, traditionally identified with Bice Portinari, 12, 13, 14;

Cacciaguida, 6, 7, 29n., 40, 208, 209

Daniel, 120, 129

Federzoni, G., 139n.

Gabriel, St., 203, 213, 219

Hauteville, House of, 2, 16

Jacopone da Todi, 176

Kipling, Rudyard, 107n.

Quirino, Giovanni, 144

Veltro, the, 93, 147, 191, 203

Wicksteed, P. H., 95, 98n.

Zeno, San, Abbot of, 177

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