Cognitive content and schema association in eating psychopathology

Abstract

The literature review paper of the thesis (Cognitive content and eating psychopathology), discusses the problem of moderate remission rates achieved by standard cognitive-behavioural (CBT) approaches to bulimia nervosa, and suggests that current CBT conceptualisation of bulimia nervosa require revision. New research that emphasises the importance of core beliefs, and a schema-focused understanding of bulimic psychopathology is discussed. However, research adopting a schema-focused approach to bulimia has yet to delineate the relative importance of different core beliefs in triggering bulimic behaviours, particularly because accessing such deep-rooted cognitions is problematic. The review emphasises the importance of core beliefs is bulimic psychopathology, and suggests strategies that may aid researchers and clinicians in accessing cognitive content and process.

The empirical paper (Schema association in eating psychopathology: A study of non-eating-disordered women using the Implicit Association Test) addresses the deficit in the literature as to the level of association different schemas have with dysfunctional assumptions related to food, weight and shape. The study used a new method - the Implicit Association Test - to assess whether abandonment schemas are more closely associated than depressive schemas with food, particularly in women with more bulimic attitudes. The results did not support this experimental model. The methodological and conceptual factors for the non-significant findings are discussed, along with clinical and research implications.

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