Is Bingeing an Eating Disorder?

                
  The dictionary definition of bingeing is:

to be immoderately self-indulgent and unrestrained;
to engage in excessive or uncontrolled indulgence in food or drink.

I personally agree that Bingeing isn’t usually because of lack of self control and weakness.
We binge because of a complex interaction of habit, brain chemistry, and external cues that signal us to eat. This interaction can be overcome, but it's harder to do and takes longer to change than most of us realize.

In the 1960s the Health Profession began attributing psychological reasons, rather than physiological reasons to people who overeat to the point of obesity. Since that time, there has been a tendency on the part of Health Professionals to classify every kind of eating outside “moderate eating” as an “eating disorder”. There are many reasons for this…and one of them is financial motivation. Unless a behavior is labeled a “disorder” or and illness, health insurance won’t pay for treatment.

You may call me cynical, but since “Binge Eating Disorder” is far more common than anexoria and bulimia. It has a much larger population base. This means more patients to treat with Therapy, and/or Eating Disorder programs, and more money and more profit for that specific Health Industry field.

Binge eating disorder first appeared in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, or DSM, in 1994. Until recent times, “Binge Eating Disorder” has been categorized under the umbrella term 'eating disorders not otherwise specified”, or EDNOS for short. EDNOS includes a wide variety of disordered eating patterns.
It's often used for people who meet many of the symptoms of anorexia or bulimia but not all. For example, a woman who meets all of the symptoms for anorexia,  but still menstruates regularly -- a criteria for an anorexia diagnosis -- would be diagnosed with an eating disorder not otherwise specified.

Health professionals admit that a Binge Eating Disorder is more than simply eating too much food, and that many obese patients don't have it. However still they claim that up to 5 percent of obese patients and 30 percent of patients participating in weight loss programs meet the criteria for binge eating disorder.

"It is important that clinicians and the public be aware that there are
substantial differences between an eating disorder such as
binge eating disorder and the common phenomenon of overeating,"
says B. Timothy Walsh, chair of the DSM-V Eating Disorders Work Group,
in a press release. "While overeating is a challenge for many Americans, 
recurrent binge eating is much less common and far more severe and
is associated with significant physical and psychological problems."

Proposed changes in the upcoming DSM-V, to be released in May 2013, would categorize BED as a specific eating disorder.
The proposed criteria require that episodes of binge eating, defined as:

“the consumption of unusually large amounts of food,
accompanied by a sense of loss of control
and strong feelings of embarrassment and guilt”

occur a minimum of once a week over the last three months for a diagnosis.

Such a diagnosis would fit almost every obese person that I’ve even known.….I’ve been one myself and I’ve known many, many others… Almost every obese person…and some of those who are not obese… experiences a sense that they have lost control of their behavior, and has strong feelings of embarrassment and guilt after eating an “unusually large amount of food”.

Weekends come every week, vacations and holidays come rather frequently, other celebrations and special events happen frequently as well.  Plus, most of us experience times of sadness, anxiety, or crisis more frequently than we like. It is common for an obese person to engage in excess overeating on these occasions. In fact it is also a very common occurrence for an obese person to “binge out” at least once a week for months at a time.

The disgust and aversion that modern Society has for fat people pretty much guarantees that fat people will feel embarrassment and guilt due to their failure to keep from engaging in behavior that contributes to their fat condition.

It is my opinion that, despite the “conditions” that psychologists attach to the “Binge Eating Disorder”, by their proposed definition, almost everyone who engages in excessive or uncontrolled indulgence in food, which is the dictionary definition of Bingeing, could easily fall into thecurrent medical classification of having an “eating disorder”.

I find something really wrong with this reasoning, and it is one of the reasons I was drawn to Gary Taubes’
research and theories about obesity having a physiological cause, with the psychological problems being a RESULT of the condition, not a CAUSE of the condition.

Taubes makes a compelling argument. My own experience and my observation of the dismal long-term success rate
of “eating disorder” treatments, especially those that include the use of “Intuitive Eating” as a tool of recovery tend to support my belief that while Therapy is helpful to gain self-understanding of one’s behaviors, and can help one learn alternative behaviors, the underlying conditions causing obesity are not cured through that process.

So…my position is that, for those who are obese, bingeing is normal, and not abnormal, eating behavior.

Society’s current label of “eating disorder” and suggested “treatment” is simply another attempt to shame fat people into believing that they need not starve themselves to become thin and stay thin. This is a misplaced effort, because an obese body wants to maintain itself, and this is a survival instinct that will never leave, no matter how thin one becomes, or how much therapy one has.