无知是福?智障人群是否忽视了身体形象问题和饮食失调?

Jake M. Linnane, Kelly Rayner-Smith
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摘要

在心理学文献中,关于智障人士的身体形象问题和饮食失调的研究还远远不够。尽管饮食失调与身体形象问题密切相关,是神经正常人群中最常见、最致命的精神健康障碍之一。这篇文章将着眼于可能的原因,包括治疗和研究的蔑视。除此之外,还将讨论可能的后果,如冷漠致死。尽管这些问题在非智障人士中很常见,但关于智障人士的身体形象和饮食失调问题如何以及是否会影响到他们的研究却很少。这篇论文提出了一些可能的原因,比如人们假设智力残疾的人不会有身体形象问题,也不会因为他们的残疾而受到饮食失调的影响。另一个原因是,做研究的人也没有关注这些事情,正因为如此,治疗身体形象问题和饮食失调的指导方针可能不适合智障人士。这一点很重要,因为严重的精神健康状况可能会被忽视,智力残疾者可能没有得到他们需要或应得的护理。
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Ignorance is bliss? Are body image issues and eating disorders being ignored in intellectual disability populations?
The topics of body image issues and eating disorders among people with intellectual disabilities are significantly understudied and underrepresented in psychological literature. This is despite eating disorders, with which body image issues go hand-in-hand, being among the most common, and the deadliest mental health disorders in neurotypical populations. This piece will look at possible reasons for this, including therapeutic and research disdain. On top of this, the possible consequences, such as death by indifference, will be discussed.There is very little research about how and if people with intellectual disabilities are affected by issues about their body image and eating disorders, despite these things being very common in people who do not have intellectual disabilities.This paper suggests some reasons why this may be, such as it being assumed that people with intellectual disabilities are not able to have body image issues or be affected by eating disorders because of their disability.Another reason suggested is that people doing research also are not looking at these things and because of this the guidelines for treating body image issues and eating disorders may not be suitable for people with intellectual disabilities.This is important as serious mental health conditions may be missed and people with intellectual disabilities may not be receiving the care that they need or deserve.
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