Twenty‐one percent of 246 consecutive female anorexics seen at a specialist clinic were married. Married and single adult anorexics (controlled for duration of illness) were compared on illness and personal and family background variables. Features of illness were similar in both groups, with only an equivocal excess of bulimic habits in married women. They differed, however, in age of onset of anorexia nervosa and in family background. Married women became anorexic significantly later than single women. The families of origin of married women showed a trend toward less conflict and less conflict avoidance. They were significantly less enmeshed than those of single women and there was a tendency for more married womens' parents to break up and remarry. We discuss how the family dynamics, which seem to differentiate the two groups, may determine whether or not the woman marries and the timing of the onset of her illness in relation to marriage.
There has been a steady growth in the number of community psychiatric nurses (CPNs) working in this country over the last few years. Despite this there are still relatively few community child psychiatric nurses (CCPNs) and those that there are often work in relative isolation. It is difficult to find any articles concerning community child psychiatric nursing, either anecdotal accounts of individual practice or evaluations of a particular service.
Recommendations in the White Paper Working for Patients will have a major influence in the field of child health. District consultants have been asked by colleagues and managers to explain and account for current practice in child and adolescent psychiatry, and to plan for the future against a background of serious financial constraint. Similarly, child and adolescent psychiatrists will need to evaluate current levels of use of regional services and consider a relationship where these services may have to be bought from a limited child and adolescent psychiatry budget.
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