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Simonetta Diena's presentation is impressive by its erudition and its capacity of synthesis concerning the different theoretical approaches of eating disorders.
We speak today about a multidimensional perspective that explores different factors that influence the apparition of bulimia like sociocultural factors, personality traits, family dynamics, genetic and biological factors. The researchers agree that the motivation to have an appearance that conforms to the present standards of thinness that drives these patients to follow restrictive diets which in their turn elicit bulimic behaviours cannot stand as the only cause of apparition of the onset of bulimia.
The sociocultural environment, the affective disorders (depressive disorders, dysthymia), the anxiety disorders, the premorbid personality disorders and genetics all contribute to the appearance of bulimia (S. O'Halloran, A. Milkavich, 2007). The personality traits that we could find as risk factors for bulimia are: impulsivity (Culbert & Clump, 2005), perfectionism and especially the fear of error and uncertainty in action as well as the association between the latter and the obsessional-impulsive