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Perceptions of the Body in Anorexia Nervosa

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The Psychobiology of Anorexia Nervosa

Abstract

The clinical features of anorexia nervosa are fairly similar, whether one reads descriptions from Morton (1694) or Gull (1868) or one sees patients today. Because of this clinical similarity, people have erred in looking for a single pathogenesis to the illness. In the sense of shared symptomatology, anorexia nervosa is clearly a discrete psychiatric syndrome, but as for other syndromes this does not imply a single pathogenesis. Rather, in any population there will be a group of individuals at risk for anorexia nervosa because of the presence of a specific combination of predisposing factors. It is the interaction and timing of these phenomena within a given individual which are necessary for the person to become ill. In this sense, anorexia nervosa is a final common pathway, the product of a group of interacting forces.

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References

  • Beck AT (1978) Depression inventory. Center for Cognitive Therapy, Philadelphia

    Google Scholar 

  • Berscheid E, Walster E, Hohrnstedt G (1973) The happy American body: a survey report. Psychology Today November: 119–131

    Google Scholar 

  • Bruch H (1962) Perceptual and conceptual disturbances in anorexia nervosa. Psychol Med 24: 187–194

    CAS  Google Scholar 

  • Bruch H (1973) Eating disorders: obesity, anorexia nervosa and the person within. Basic Books, New York

    Google Scholar 

  • Cabanac M, Duclaux R (1970) Obesity: absence of satiety aversion to sucrose. Science 168: 496–497

    Article  CAS  PubMed  Google Scholar 

  • Campbell RG, Hashim SA, Vanltallie TB (1971) Studies of food intake regulation in man: responses to variations in nutritive density in lean and obese subjects. N Engl J Med 285: 1402–1407

    Article  CAS  PubMed  Google Scholar 

  • Cannon WB, Washburn AL (1912) An explanation of hunger. Am J Physiol 29: 441–454

    Google Scholar 

  • Casper RC, Halmi KA, Goldberg SC, Eckert ED, Davis JM (1979) Disturbances in body image estimation as related to other characteristics and outcome in anorexia nervosa. Br J Psychiatry 134: 60–66

    Article  CAS  PubMed  Google Scholar 

  • Chapman LJ, Chapman JP, Raulin ML (1976) Scales for physical and social anhedonia. J Abnorm Psychol 85: 374–382

    Article  CAS  PubMed  Google Scholar 

  • Coddington RD, Bruch H (1970) Gastric perceptivity in normal, obese and schizophrenic subjects. Psychosomatics 11: 571–579

    Article  CAS  PubMed  Google Scholar 

  • Crisp AH (1967) The possible significance of some behavioural correlates of weight and carbohydrate intake. J Psychosom Res 11: 117–131

    Article  CAS  PubMed  Google Scholar 

  • Crisp AH, Kalucy RS (1974) Aspects of the perceptual disorder in anorexia nervosa. Br J Med Psychol 47: 349–361

    Article  CAS  PubMed  Google Scholar 

  • Derogatis L, Lipman R, Rickeis K, Uhlenhuth EH, Covi L (1974) The Hopkins symptom checklist (HSCL): a self report symptom inventory. Behav Sci 19: 1–15

    Article  CAS  PubMed  Google Scholar 

  • Dubois A, Gross HA, Ebert MH, Castell DO (1979) Altered gastric emptying and secretion in primary anorexia nervosa. Gastroenterology 77: 319–323

    CAS  PubMed  Google Scholar 

  • Fisher S, Cleveland SE (1958) Body image and personality. Dover, New York

    Google Scholar 

  • Garfinkel PE (1974) Perception of hunger and satiety in anorexia nervosa. Psychol Med 4: 309–315

    Article  CAS  PubMed  Google Scholar 

  • Garfinkel PE, Garner DM (1982) Anorexia nervosa: a multidimensional perspective. Brunner Mazel, New York

    Google Scholar 

  • Garfinkel PE, Moldofsky H, Garner DM (1977) Prognosis in anorexia nervosa as influenced by clinical features, treatment and selfperception. Can Med Assoc J 117: 1041–1045

    CAS  PubMed Central  PubMed  Google Scholar 

  • Garfinkel PE, Moldofsky H, Garner DM, Stancer HC, Coscina DV (1978) Body awareness in anorexia: disturbances in body image and satiety. Psychosom Med 40: 487–498

    Article  CAS  PubMed  Google Scholar 

  • Garfinkel PE, Moldofsky H, Garner DM (1979) The stability of perceptual disturbances in anorexia nervosa. Psychol Med 9: 703–708

    Article  CAS  PubMed  Google Scholar 

  • Garfinkel PE, Kaplan AS, Garner DM, Darby PL (1983a) The differentiation of vomiting and weight loss as a conversion disorder from anorexia nervosa. Am J Psychiatry 140: 1019–1022

    CAS  PubMed  Google Scholar 

  • Garfinkel PE, Garner DM, Rose J, Darby PL, Brandes JS, O’Hanlon J, Walsh N (1983b) A comparison of characteristics in the families of patients with anorexia nervosa and normal controls. Psychol Med 13: 821–828

    Article  CAS  PubMed  Google Scholar 

  • Garner DM, Bemis K (1982) A cognitive-behavioral approach to anorexia nervosa. Cognitive Ther Res 6: 1–27

    Article  Google Scholar 

  • Garner DM, Garfinkel PE (1981) Body image in anorexia nervosa: Measurement, theory and clinical implications. Int J Psychiatry Med 11: 263–284

    Article  CAS  PubMed  Google Scholar 

  • Garner DM, Garfinkel PE, Stancer HC, Moldofsky H (1976) Body image disturbances in anorexia nervosa and obesity. Psychosom Med 38: 227–236

    Article  Google Scholar 

  • Garner DM, Olmsted M, Garfinkel PE (to be published a) A comparison between weight preoccupied women and anorexia nervosa. Int J Eating Disorders

    Google Scholar 

  • Garner DM, Garfinkel PE, O’Shaughnessy M (to be published b) A comparison between bulimia with and without anorexia nervosa. New directions in anorexia nervosa. Report of the fourth ross conference on medical research

    Google Scholar 

  • Glucksman ML, Hirsch J (1969) The response of obese patients to weight reduction. Psychosom Med 31: 1–7

    Article  CAS  PubMed  Google Scholar 

  • Gull WW (1868) The address in medicine delivered before the annual meeting of the BMA at Oxford. Lancet 2: 171

    Google Scholar 

  • Head H (1920) Studies in neurology. Hodder Stoughton, London

    Google Scholar 

  • Hermann CP, Polivy J (1975) Anxiety, restraint and eating behaviour. J Pers 84: 666–672

    Google Scholar 

  • Holt S, Ford MJ, Grant S (1981) Abnormal gastric emptying in primary anorexia nervosa. Br J Psychiatry 139: 550–552

    Article  CAS  PubMed  Google Scholar 

  • Hsu LK (1982) Is there a disturbance in body image in anorexia nervosa. J Nerv Ment Dis 170: 305–307

    Article  CAS  PubMed  Google Scholar 

  • Janis IL, Field PB (1959) Sex differences and personality factors related to persuasibility. In: Houland CI, Janis IL (eds) Personality and persuasibility. Yale University Press, New Haven, pp 55–68

    Google Scholar 

  • Kolb C (1975) Disturbances of body image. In: Arieti (ed) American handbook of psychiatry. Basic Books, New York, pp 810–831

    Google Scholar 

  • Lasègue (1873) De l’anorexie hystérique. Reprinted (1964) in: Kaufman RM, Heiman M (eds) Evolution of psychosomatic concepts. Anorexia nervosa: a paradigm. International Universities Press, New York

    Google Scholar 

  • Morton R (1694) Phthisiologica: or a treatise of consumptions. Smith and Wolford, London

    Google Scholar 

  • Nisbett RE (1972) Eating behaviour and obesity in men and animals. Adv Psychosom Med 7: 173–193

    CAS  PubMed  Google Scholar 

  • Penick SB, Smith GP, Wieneke K Jr, Hinkle LE Jr (1967) An experimental evaluation of the relationship between hunger and gastric motility. Am J Physiol 205: 421–426

    Google Scholar 

  • Reid DW, Ware EE (1974) Multidimensionality of internal versus external control: addition of a third dimension and nondistinction of self versus others. Can J Behav Sci 6: 131–142

    Article  Google Scholar 

  • Russell D McR, Freedman ML, Feiglin DHI, Jeejeebhoy KN, Swinson RP, Garfinkel PE (1983) Delayed gastric emptying in anorexia nervosa - improvement with domperidone. Am J Psychiatry 140: 1235–1236

    CAS  PubMed  Google Scholar 

  • Saleh JW, Lebwohl P (1980) Metoclopramide-induced gastric emptying in patients with anorexia nervosa. Am J Gastroenterol 74: 127–132

    CAS  PubMed  Google Scholar 

  • Schachter S (1971) Emotions, obesity and crime. Academic Press, New York

    Google Scholar 

  • Schilder P (1935) Image and appearance of the human body. Kegan, London

    Google Scholar 

  • Secord PF, Jourard SM (1953) The appraisal of body cathexis: body cathexis and the self. Consult Psychol 17: 343–347

    Article  CAS  Google Scholar 

  • Silverstone JT, Russell GFM (1967) Gastric hunger in contractions in anorexia nervosa. Br J Psychiatry 13: 257–263

    Article  Google Scholar 

  • Stunkard AJ, Fox S (1971) The relationship of gastric motility and hunger: a summary of the evidence. Psychosom Med 33: 123–134

    Article  CAS  PubMed  Google Scholar 

  • Traub AC, Orbach J (1964) Psychological studies of body image: an adjustable body distorting mirror. Arch Gen Psychiatry 11: 53–66

    Article  CAS  PubMed  Google Scholar 

  • Underwood PJ, Belton E, Hulme P (1973) Aversion to sucrose in obesity. Proc Nutr Soc 32: 94

    Article  Google Scholar 

  • Wylie R (1968) The present status of self-theory. In: Borgatta EG, Lambart WW (eds) Handbook of personality theory and research. Rand McNally, Chicago

    Google Scholar 

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Author information

Authors and Affiliations

  1. Toronto General Hospital and University of Toronto, 200 Elizabeth Street, Toronto, Ontario, M5G 1L7, Canada

    D. M. Garner

Authors
  1. P. E. Garfinkel
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  2. D. M. Garner
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Editor information

Editors and Affiliations

  1. Max-Planck-Institut für Psychiatrie, Kraepelinstraße 10, D-8000, München 40, Germany

    Karl Martin Pirke  & Detlev Ploog  & 

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© 1984 Springer-Verlag Berlin Heidelberg

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Garfinkel, P.E., Garner, D.M. (1984). Perceptions of the Body in Anorexia Nervosa. In: Pirke, K.M., Ploog, D. (eds) The Psychobiology of Anorexia Nervosa. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69594-0_13

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  • DOI: https://doi.org/10.1007/978-3-642-69594-0_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-13196-0

  • Online ISBN: 978-3-642-69594-0

  • eBook Packages: Springer Book Archive

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