Anorexia nervosa: Fact and theory

Nemiah, John C.

doi:10.1007/bf02232408

Cited by 31 publications

(8 citation statements)

References 71 publications

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“…Our finding that about 80% of the patients re cover or improve is the same as that reported by Nemiah [1958] and by Hsu et al [1979]. The mortality rate in our report is also the same as that reported by Nemiah [1958] and by Clauser [1964].…”

Section: Discussionsupporting

confidence: 81%

Statistical Studies on the Prognosis of Anorexia nervosa

Suematsu¹,

Kuboki²,

Itoh³

1985

Psychother Psychosom

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Statistical studies on the prognosis of anorexia nervosa were carried out by our research group. Subjects were 224 cases from 36 university hospitals throughout Japan. A questionnaire was mailed to each of the 224 patients in cooperation with their doctors. The outcome of 143 of the 224 cases was judged by their doctors as ‘good’ in 47 cases, ‘intermediate’ in 69 cases and ‘poor’ in 19 cases. 8 of the patients had died. The prognosis of typical cases was much poorer than that of atypical cases.

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Section: Discussionsupporting

confidence: 81%

Statistical Studies on the Prognosis of Anorexia nervosa

Suematsu¹,

Kuboki²,

Itoh³

1985

Psychother Psychosom

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“…Debate has also surrounded the numerous theories concerning the origin of the disorder; these have included: psychological theories (e.g. Nemiah, 1959;Bruch, 1978;Dally, Gomez and Isaacs, 1979;Kennedy, McVie and Katz, 1990; Torem, 1990); medical theories (e.g. Bhanji and Mattingly, 1988;J' imerson, Lesem, Kaye, Hegg and Brewerton, 1990;Jimerson, Lesem, Hegg and Brewerton, 1990); somatic theories (e.g.…”

Section: Introductionmentioning

confidence: 99%

Implications of neuropsychological test results of women in a new phase of anorexia nervosa

Thompson¹

1993

Euro Eating Disorders Rev

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A study involving 10 female anorectics who satisfied DSM‐III‐R (American Psychiatric Association, 1987) criteria in a new phase of outpatient treatment and 10 healthy female controls matched for age, education, social class, premorbid IQ and geographical habitation, were administered a battery of well‐known neuropsychological tests and rating scales. Personal details concerning subjects' weight history and parents' occupations were also recorded. Significant evidence was found to suggest a difference between the anorectics and the controls on a number of tests and scales. In particular, anorectics performed worse on the third trial of the Auditory Verbal Learning Test and on the Rey‐Osterreith Complex Figure Test (Delayed Recall Trial) possibly implying impairment of the right hemisphere considered to be responsible, in part, for visuospatial ability. This was believed to be one of the reasons for distortion of body image in anorexia nervosa. Strong evidence was also found in support of the coexistence of obsessionality and depression in anorexia nervosa. Since there is growing evidence implicating the caudate nucleus for the obsessionality in obsessive‐compulsive disorder, it was proposed that this association might also be likely to explain the obsessionality in anorexia nervosa, thus supporting hypotheses that propose an organic origin for the condition.

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“…In 1874, Lasegue in France reported a syndrome of self-starvation with extreme emaciation in young women which he called ' hysterical anorexia', while Gull in England described it and named it anorexia nervosa. Nemiah (1958), in a recent review of the literature, remarks that little has been added to Gull's clinical description. Some of the features Gull mentioned were forgotten and had to be rediscovered latere.g.…”

Section: Treatment Planmentioning

confidence: 99%

Regressive forces in anorexia nervosa

Jessner

Abse

1960

British Journal of Medical Psychology

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In the Studies on Hysteria (Breuer & Freud, 1893), Breuer gave a short description of a young boy and wrote of him as follows :. . .A twelve-year-old boy, who had previously suffered from pavor nocturnus and whose father was highly neurotic, came home from school one day feeling unwell. He complained of difficulty in swallowing and headache. The family doctor assumed that the cause was a sore throat. But the condition did not improve even after several days. The boy refused food and vomited when it was pressed on him. He moved about listlessly, without energy or enjoyment; he wanted to lie in bed all the time and was very much run down physically. When I saw him five weeks later, he gave the impression of being a shy and shut-in child, and I became convinced that his condition had a psychical basis. On being questioned closely, he brought up a trivial explanationa severe reproof given by his father-which had clearly not been the real cause of his illness. Nor could anything be learnt from his school. I promised that I would extract all the information later under hypnosis. This, however, turned out to be unnecessary. In response to strong appeals from his clever and energetic mother, he burst into tears and told the following story. While on his way home from school he had gone into a urinal, and a man had held out his penis to him and asked him to take it into his mouth. He had run away in terror, and nothing else had happened to him. But he was ill from that instant. As soon as he had made his confession he recovered completely. In order to produce the anorexia, the difficulty in swallowing and vomiting, several factors were required: the boy's innate neurotic nature, his severe fright, the irruption of sexuality in its crudest form into his childish temperament and, as the specifically determining factor, the

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Anorexia nervosa: Fact and theory

Cited by 31 publications

References 71 publications

Statistical Studies on the Prognosis of Anorexia nervosa

Statistical Studies on the Prognosis of Anorexia nervosa

Implications of neuropsychological test results of women in a new phase of anorexia nervosa

Regressive forces in anorexia nervosa

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