Early maladaptive schemas (EMS) are defined as unconditional, implicit, and irrefutable cognitive beliefs that result from unmet core needs and repeated negative experiences with significant others during childhood and adolescence .Schema modes are defined as the states or parts of the personality and coping mechanisms that manifest moment-to-moment.Schema Therapy may therefore be an appropriate treatment that can address developmental factors associated with parenting, alongside here-and-now maintaining factors, including core beliefs and coping style.].Given the limited efficacy of maintenance models such as CBT in the treatment of EDs, especially for those with higher comorbidity and severity, deeper level factors are now a focus of the ED literature .At the core of healthy development, however, remains the bonding experience with parents or primary caregivers.
The maladaptive coping mechanisms of perfectionism, avoidance, and compliance partially explained the relationship between perceived negative parenting experiences and restriction/purging/overexercising.
Self-induced vomiting was associated with paternal invalidation, while those who experienced an invalidating mother were less likely to report binge-eating.
Those who exercised excessively were more likely to have experienced a family style in which the focus is on remaining in control of one's emotions, success and achievement.
First, I would like to share some hypotheses developed with a colleague, Erin Hartzell, about how childhood abuse may lead to later symptoms of bulimia nervosa.
Next, I would like to share a hypothesis and some new data about how later sexual trauma experiences may affect BN symptom development.