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Adjustment to Dietary Changes in Various Somatic Disorders
Pages 66-73

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From page 66...
... It was hoped that the endings might prove of help in evaluating the psychological factors involved in general nutritional changes due to wartime conditions. Although the reasons for the need of dietary changes are greatly different in a nation-wide rationing program and in an individualized prescription ire a medical office, the come-on factor is the circumstance that in both instances individuals, family groups or the whole nation, find themselves confronted with the problem of suddenly giving up customary eating habits, not because they have spontaneously changed their taste and appetite, but because they are being told to do so by some outside authority.
From page 67...
... Unwillingness and inability to change faulty eating habits and to accept therapeutic restrictions are present in the obese with such regularity that it seemed profitable to study other groups of patients in whom special and restricted diets are prescribed. The following observations were made in fifteen diabetic, six epileptic, and seven allergic children and their families.
From page 68...
... The obese children, and even more their mothers, raise objections against dietary restriction with such vehemence and regularity that one might be led to believe that eating habits during childhood are such an intimate aspect of the family life that any interference and necessary changes would prove impossible or exceedingly difficult. In contrast to the one-sided type of reaction of the obese, the patients in other groups showed various reaction patterns.
From page 69...
... In allergy, the elimination of the specific precipitating substance may bring about freedom from distressing symptoms, a relationship which can be experimentally verified by the patient by eating this food. In the diabetic, the dietary restrictions seem to stand in a direct relationship to the sugar excretion, and digression from the calculated diet may be followed by recurrence of serious symptoms.
From page 70...
... As in the obese, the whole issue centers around art unresolved dependent relationship to the mother, in which offering and receiving of food plays a paramount role. It is not astonishing that some of these patients had been frankly obese or showed tendencies in that direction.
From page 71...
... They may be sent to the psychiatrist for behavior disturbances w loch stand only in an indirect relationship to the diabetic condition. The third group has difficulties in accepting the diet from the start and makes an adequate control of the diabetic disturbance Tactically impossible.
From page 72...
... The study of non-obese patients with food problems was carried out for the purpose of gaining an understanding of the underlying personality structure in different organic diseases. By focusing on their adjustment to the dietary changes a very slanted picture was obtained, yet sufficient of a picture to show, e.g., that the diabetic patients are a different and less uniform group than the obese.
From page 73...
... 6 The family frame of obese children. (Together with G


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