PubMed · 5772981
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1969-03-01. Anorexia nervosa.. https://pubmed.ncbi.nlm.nih.gov/5772981/
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Although the pathogenesis and treatment of anorexia nervosa and bulimia nervosa have traditionally been discussed in psychological terms, these eating disorders are always accompanied by somatic symptoms, symptoms which may become very serious. Moreover, as the anorexic or bulimic patient seeking medical treatment does not as a rule reveal the self-inflicted nature of her symptoms to the doctor, it is vital that physicians recognize such symptoms as manifestations of eating disorders. The article consists in a review of somatic complications commonly accompanying anorexia and bulimia, and their relationship to different body systems.
A nation-wide survey of the organisation and efficiency of public health care services for Norwegian patients with eating disorders was conducted among the heads of medical and psychiatric units (N = 261). Only the number of patients treated predicted special clinical routines or measures to increase the clinical competence, and not geographical location of institutions or the national health authorities' distribution of treatment recommendations. To improve the quality of the health care services, the informants stressed the importance of increased clinical competence, more resources enabling more patients to be treated, as well as improved cooperation between the medical and psychiatric treatment units.
OBJECTIVE: To test the feasibility of the technique of "morphing" for body image assessment purposes and to investigate whether females with anorexia nervosa (AN) categorize other female's body sizes similarly to controls. METHOD: A morphing movie showing the transformation of a thin woman into an obese woman was presented. Females with AN and thin controls selected the sizes corresponding to the transitions between the body size categories thin, normal, fat, and obese. They were instructed to look at the woman in the movie as themselves (Self) versus someone else (Other). RESULTS: The AN group chose significantly lower transitions associated with the categories thin, normal, fat, and obese under the Self instruction than controls. Similarly, they selected lower settings for all but the obese category when looking at the body as someone else's. It was concluded that females with AN display a harsher judgment not only of their own body size and shape, but also of that of another woman, than women without an eating disorder. DISCUSSION: The morphing instrument was found to be sufficiently realistic, detailed, and sensitive for its intended purposes.