NIGHT EATING SYNDROME- SO COMPARE WITH OTHER DSM-5 EATING DISORDERS

Pick one of the other eating disorders (purging disorder, night eating syndrome, OSFED) and describe the key difference(s) between the disorder you chose and the eating disorders described in the DSM-5. How would you screen, assess, diagnosis, treat, and refer a patient with this diagnosis?

 

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NIGHT EATING SYNDROME- SO COMPARE WITH OTHER DSM-5 EATING DISORDERS

Night eating syndrome (NES) is an eating disorder, characterized by a delayed circadian pattern of food intake. Although there is some degree of comorbidity with binge eating disorder, it differs from binge eating in that the amount of food consumed in the night is not necessarily objectively large nor is a loss of control over food intake required. It was originally described by Albert Stunkard in 1955. According to the DSM-5, the category of other specified feeding or eating disorder (OSFED) is applicable to individuals who are experiencing distress due to symptoms that are similar to disorders such as anorexia, bulimia, and binge-eating disorder. In the first pharmacotherapy study of NES, Miyaoka et al. followed four NES patients throughout a treatment course of either paroxetine or fluvoxamine and found that each patient reported a significant decrease in several core night eating symptoms.

Singer fights against cruelty and inhumanity in general, but most specifically in relation to animals, who are unable to fight for themselves. His compassion for their condition has raised awareness in thousands, perhaps even millions, calling on everyone to be mindful of the suffering we inflict on our fellow creatures and to stand up and fight against it. Though Wollstonecraft and Nussbaum are both vocal and eloquent in conveying their philosophies to the world, Singer is perhaps the most active of the three in taking his fight to the streets. He also seems to inspire others to do the same, even if it is to rise up in protest against what they see as his outrageous views. I cannot say that I am giving up eating meat, or that I agree with him on all counts, but I do admire his courage, his intellect and his conviction in voicing his opinions even in the face of extreme and potentially violent opposition.

Still, Singer is the one of the three that I feel I have the least connection to or alignment with. Some of his views I find a little hard to swallow, others I simply am not ready to embrace (I tried vegetarianism for a while and that didn’t work out so well). Wollstonecraft and Nussbaum both inspire me as women, as writers and as philosophers. I firmly believe in education as a path for true equality, not only between the genders, but between nationalities, races and social classes as well. Nussbaum’s broad focus on justice and on the right of all to achieve certain “capabilities” is the most compelling framework for achieving equality that I have come across. All three demonstrate the qualities of conscience, integrity, compassion and courage and all three have or are contributing significantly to the evolution of peace on our planet. I can only hope that I can find some channel through which to make a similarly significant contribution, even if on a smaller scale.

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