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Diagnostic Classification of Eating Disorders: The Role of Body Image

  • Umberto Volpe
  • Alessio Maria Monteleone
  • Palmiero Monteleone
Chapter

Abstract

A disordered body image is retained as a hallmark feature of all major eating disorders (ED). However, its role in psychopathology and classification of these complex mental illnesses has varied throughout the centuries. Indeed, while in the first descriptions of anorexia nervosa, body image disturbances were not included into its psychopathological core, the early European transcendental phenomenological tradition has attributed a central importance to disturbances of the “embodiment” processes for ED psychopathology. Since the second half of twentieth century ED have been intimately linked to perceptual and conceptual body image disorders and current nosological criteria for major ED retain those aspects of body distortion and denial of thinness as key diagnostic features. However, several issues concerning the inclusion and meaning of such diagnostic criteria for other mental disorders within the “eating-feeding” spectrum have been raised along the past decades and are reviewed here, also in the light of recent socio-cultural and neurobiological empirical evidence. Finally, issues concerning the boundaries with other mental illnesses in which a disordered body image is typically present are also critically considered. In conclusion, the role and relevance of body image disturbances in the diagnosis and classification of ED still remain to be fully clarified, although they might be of great relevance for designing more tailored psychological interventions for ED.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Umberto Volpe
    • 1
  • Alessio Maria Monteleone
    • 1
  • Palmiero Monteleone
    • 1
    • 2
  1. 1.Department of PsychiatryUniversity of Campania “L. Vanvitelli”NaplesItaly
  2. 2.Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”University of SalernoSalernoItaly

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