Topic > Eating Disorders Case Study: Chhaya - 1836

Chhaya is a high school senior whose personal identity issues began as a child due to her mixed ethnic background. She blames her parents' constant bickering (and threats of divorce) on her own behavior and, in turn, strives to become the perfect daughter. As a result, Chhaya dedicates himself to schoolwork where he repeatedly increases his goals despite the lack of disapproval from others. Social relationships and recreational activities are put aside because Chhaya feels guilty whenever he takes pleasure in non-goal-directed activities. Although Chhaya apparently tried to control many aspects of her life, this tendency developed into an eating disorder, anorexia nervosa, after two major life events: the discovery that she had not received a send-off and the end of her relationship with her his first male interest. These events occurred within a month of each other at the end of Chhaya's freshman year of high school. Aside from the collapse of her self-esteem and self-confidence, Chhaya also felt worthless and out of control of her life. When she discovered that she was very good at losing weight, she began to limit her diet to the extreme. She was hospitalized and is now receiving occupational therapy at the children's hospital. To learn more about Chhaya's roles, expectations, occupations, and the effect of these aspects of life on her eating disorder, the occupational therapist used the Adolescent Role Assessment (Black, 1976) to interview Chhaya. This assessment is intended for clients ages 13 to 17 and has demonstrated sufficient internal consistency reliability (0.75), test-retest reliability (0.91), and content validity (via a literature review of multiple areas study) (Burke & Lomba, 200......half of article......onal Therapy 2nd ed (pp. 277-285 Thorofare, NJ: Slack, Inc.Kazarian, SS & McCabe, SB (1991).Dimensions of social support in the MSPSS: Factor structure, reliability, and theoretical implications.Journal of Community Psychology, 19,150-160.Piers, E., Harris, D.B., & Herzberg, D.S. (2002). , CA: Western Psychological Services.Rigby, P., Cooper, B., Letts, L., Stewart, D., & Strong, S. (2005) Measuring Environmental Factors. Baum & W. Dunn (eds.) , Occupational Performance Measurement: Supporting Best Practices in Occupational Therapy 2nd Edition (pp. 315-344, Thorofare, NJ: Slack, Inc.Zimet, G.D., Dahlem, N.W., Zimet, S.G. & Farley, G.K. (1988). . The multidimensional scale of perceived social support. Journal of personality assessment, 52, 30-41.