Vignette A | ||
---|---|---|
Anorexia nervosa | Obesity | Skin cancer |
• 19-year-old psychology student who has AN | • 19-year-old psychology student who is obese | • 19-year-old psychology student who has melanoma |
• Extremely underweight | • Extremely overweight | • Most dangerous form of skin cancer that required chemotherapy |
• Very self-conscious about her body | • Very self-conscious about her body |  |
 |  | • Very self-conscious about her hair loss |
• Avoids social situations, especially those that require her to eat in public | • Avoids social situations, especially those that require her to eat in public |  |
 |  | • Avoids social situations due to embarrassment |
• Feels very sad and anxious about her body | • Feels very sad and anxious about her body | • Feels very scared and anxious about her recent health condition |
• Experiences irregular heartbeats and is at high risk of heart attack | • Experiences high blood pressure and is therefore at high risk of heart attack | • At risk of the cancer returning and spreading throughout her body |
Vignette B – Blameworthy version | ||
• Deliberately chooses to restrict eating and exercise excessively | • Deliberately chooses to overeat and avoid exercise | • Deliberately spent time in the sun to get a tan |
 | • Not willing to consider other ways to experience pleasure | • Not willing to consider other ways to feel good about herself |
• Not willing to consider other ways to feel good about herself |  |  |
 | • Chooses to focus solely on getting pleasure from eating | • Stuck to usual routine of spending time lying in the sun |
• Chooses to focus solely on continuing to lose weight |  |  |
• Gets annoyed with friends who provide unwanted advice | • Gets annoyed with friends who provide unwanted advice | • Chose to ignore advice from friends who encouraged her to use sunscreen and wear a hat |
• Ignores advice from doctor and dietitian | • Ignores advice from doctor and dietitian |  |
Vignette B – Non-blameworthy version | ||
• Driven by illness to restrict eating and exercise excessively | • Driven by strong appetite to engage in overeating | • Illness results in feeling self-conscious about hair-loss |
• History of AN within her family | • History of obesity within her family | • History of cancer within her family |
• Doctor has explained genetic contributions to the condition | • Doctor has explained genetic contributions to the condition | • Doctor has explained genetic contributions to the condition |
• Has made many personal attempts at gaining weight | • Has made many personal attempts at losing weight | • Has made many personal attempts at being cautious in the sun |
• Referred to clinical psychologist and actively participating in therapy | • Referred to clinical psychologist and actively participating in therapy | • Referred to cancer specialist and actively monitoring changes in skin |
• Trying to eat more even though it makes her anxious | • Trying to walk more even though it is physically uncomfortable | • Trying to keep out of the sun as much as possible |