Guide
Guide
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Reference
36 Predominant Eating and Feeding Prototypes
36.1 Summary
- Prototypes dominated by eating regulation problems, body image concerns, or avoidant feeding patterns.
36.2 Included Prototypes (Guide exemplars)
- Anorexia Pattern Prototype (exemplar).
- Binge-Eating Pattern Prototype (exemplar).
- Full catalog appears in the Clean Reference.
36.3 How to Use This Cluster
- Start with the Atlas entry for eating, appetite, and body image.
- Rate the Eating and Feeding Regulation domain.
- Apply a prototype label only when it improves communication or documentation.
36.4 Boundary Markers
- What it is: persistent dysregulation of intake or body image with impairment.
- What it is not: short-term diet changes without functional impact.
36.5 Common Overlap
- Mood and drive dysregulation.
- Compulsivity and perseveration.
36.6 Anorexia Pattern Prototype (Exemplar)
36.6.1 Summary
- A pattern of restrictive eating with weight/shape concern and significant nutritional or functional risk.
36.6.2 Prototype Features
- Persistent restriction of intake.
- Fear of weight gain or distorted body image.
- Weight loss or medical compromise.
36.6.3 Threshold Guidance
- Use when restriction is sustained and associated with medical or functional risk.
36.6.4 Expected Domain Profile
- Eating and Feeding Regulation: moderate to high.
- Compulsivity and Perseveration: variable.
36.6.5 Time-Course and Trajectory
- Chronic with episodic worsening.
36.6.6 Differential and Red Flags
- Medical causes of weight loss.
- Food insecurity or limited access.
- Anxiety-driven appetite suppression.
36.6.7 Specifiers
Specifiers: course + contributors + risk, as relevant; see Reference for full.
36.7 Binge-Eating Pattern Prototype (Exemplar)
36.7.1 Summary
- A pattern of recurrent binge episodes with loss of control, without regular compensatory behaviors.
36.7.2 Prototype Features
- Binge episodes with distress or loss of control.
- Eating faster, larger amounts, or beyond comfort.
- Guilt, shame, or distress after episodes.
36.7.3 Threshold Guidance
- Use when binge episodes are recurrent and impairing.
36.7.4 Expected Domain Profile
- Eating and Feeding Regulation: moderate to high.
- Mood and Drive Dysregulation: variable.
36.7.5 Time-Course and Trajectory
- Episodic with stress-linked spikes.
36.7.6 Differential and Red Flags
- Medication or substance effects on appetite.
- Medical conditions affecting appetite.
- Bulimia pattern with compensatory behaviors.
36.7.7 Specifiers
Specifiers: course + contributors + risk, as relevant; see Reference for full.