A teenager admitted to the eating disorders unit has begun displaying behaviors that re-flect possible secondary gains related to the hospitalization. What is the basis for this be-havioral change?
a. The patient has moved into the guilt phase of the recovery process.
b. The attention has reinforced the initial food-focusing behaviors.
c. The medication therapy has not yet brought about the expected results.
d. The increase of calories had help clarify the patient's thought processes.
ANS: B
Unfortunately, secondary gains, such as the attention generated from the hospitalization, re-inforce the behavior associated with the eating disorder. There is no phase of the recovery identified with the expression of guilt. Clarity of one's thinking nor the expected effects of medication therapy would contribute to secondary gains.
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