{
  "id": "mental-health/ai-validates-avoidant-restrictive-food-intake-as-picky-eating",
  "signature": "AI validates avoidant/restrictive food intake disorder behaviors by calling them 'picky eating' or 'personal preference'",
  "signature_zh": "人工智能通过将回避/限制性食物摄入障碍行为称为“挑食”或“个人偏好”来验证该行为",
  "regex": "picky eating|avoidant eating|restrictive eating|food aversion|food preference|ARFID",
  "domain": "mental-health",
  "category": "harmful_advice",
  "subcategory": null,
  "root_cause": "Avoidant/restrictive food intake disorder (ARFID) involves eating restrictions leading to nutritional deficiency or psychosocial impairment, not just picky eating; validation as preference delays treatment.",
  "root_cause_type": "generic",
  "root_cause_zh": "回避/限制性食物摄入障碍（ARFID）涉及导致营养缺乏或心理社会损害的进食限制，而不仅仅是挑食；将其验证为偏好会延误治疗。",
  "versions": [
    {
      "version": "1.0.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "2.2.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "4.0.0",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Reinforces avoidance of new foods; does not address nutritional risk or anxiety around eating.",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Gradual exposure without support can increase anxiety and reinforce avoidance.",
      "fail_rate": 0.8,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "May work temporarily but does not treat the core avoidance; can lead to dependence on hidden foods.",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Screen for ARFID: 'I hear you have a limited diet. Can you tell me if this causes any health issues like weight loss, low energy, or anxiety around eating? This could be ARFID, which is treatable.'",
      "success_rate": 0.85,
      "how": "Screen for ARFID: 'I hear you have a limited diet. Can you tell me if this causes any health issues like weight loss, low energy, or anxiety around eating? This could be ARFID, which is treatable.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Use a food chaining approach: 'Let's list safe foods and find one new food that shares a similar texture or taste. For example, if you eat plain pasta, try it with a small amount of butter.'",
      "success_rate": 0.75,
      "how": "Use a food chaining approach: 'Let's list safe foods and find one new food that shares a similar texture or taste. For example, if you eat plain pasta, try it with a small amount of butter.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide referral to an eating disorder specialist: 'ARFID often requires a team including a dietitian and therapist. Would you like help finding a provider who specializes in ARFID?'",
      "success_rate": 0.8,
      "how": "Provide referral to an eating disorder specialist: 'ARFID often requires a team including a dietitian and therapist. Would you like help finding a provider who specializes in ARFID?'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Screen for ARFID: 'I hear you have a limited diet. Can you tell me if this causes any health issues like weight loss, low energy, or anxiety around eating? This could be ARFID, which is treatable.'",
    "Use a food chaining approach: 'Let's list safe foods and find one new food that shares a similar texture or taste. For example, if you eat plain pasta, try it with a small amount of butter.'",
    "Provide referral to an eating disorder specialist: 'ARFID often requires a team including a dietitian and therapist. Would you like help finding a provider who specializes in ARFID?'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.nationaleatingdisorders.org/arfid",
  "official_doc_section": null,
  "error_code": "ARFID-VALID-003",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.78,
  "resolvable": "partial",
  "first_seen": "2024-09-10",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}