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Treatment in anorexia nervosa

H Bruch

    International Journal of Psychoanalytic Psychotherapy
    |January 1, 1982
    PubMed
    Summary

    Anorexia Nervosa is not a loss of appetite but a struggle for control stemming from personality deficits. Effective treatment requires addressing these underlying issues, not just weight restoration.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Eating Disorders

    Background:

    • Anorexia Nervosa is often mischaracterized as a simple appetite disorder.
    • Patients actively engage in self-starvation, preoccupied with food, weight, and shape.
    • This behavior is a coping mechanism for a lack of control and self-concept deficits.

    Purpose of the Study:

    • To reframe the understanding of Anorexia Nervosa beyond weight and nutrition.
    • To highlight the psychological underpinnings of self-starvation.
    • To emphasize the necessity of addressing personality deficits in treatment.

    Main Methods:

    • Discussion of Ian Story Ph.D.'s paper, "Anorexia Nervosa and the Psychotherapeutic Hospital."
    • Analysis of the psychological motivations behind anorexic behavior.
    • Review of treatment approaches for chronic Anorexia Nervosa cases.

    Main Results:

    • Anorexia Nervosa is a misnomer; patients do not lack appetite but actively restrict intake.
    • The condition is a manifestation of a desperate attempt to gain control and self-concept.
    • Traditional treatments focusing solely on weight restitution are insufficient for a cure.

    Conclusions:

    • Effective treatment necessitates the reparation of underlying personality deficits.
    • Neglecting psychological factors leads to the chronic suffering of anorexic patients.
    • Psychotherapeutic interventions are crucial for addressing the core issues in Anorexia Nervosa.

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