Die Altersverteilung der Anorexia nervosa

Mester, Horst

doi:10.1007/978-3-642-81618-5_6

Cited by 1 publication

(3 citation statements)

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“…Up-to-date there is a vast body of scien tific literature on anorexia nervosa which is characterized by controversial standpoints stipulated by conflicting and exclusive theo retical concepts [23], without a clear distinc tion between initial syndrome genesis and autochthonous development [5, 6, 14-16, 26, 28, 35]. There is agreement, however, on the fact that anorexia nervosa is a psychopa thological deviation with fundamental biopsychosocial characteristics and distinct chronobiological features.…”

Section: Time Of Onsetmentioning

confidence: 99%

“…Drive-related, personality-orientated and especially maturation-related aspects and familiar conflict constellations are best known prerequisites for an initial anorectic syndrome genesis [4,36,38]. But, there is strong evidence that the primary psychogen-etic anorexia nervosa is no neurosis or classi cal psychosomatic disorder or psychosis in the nosological sense of these denominations [23].…”

Section: Time Of Onsetmentioning

confidence: 99%

“…The pathological situ ation here highlights the mutual dependence of body and psyche as an integrative entity. Even though there is strong evidence for a psychogenesis, it seems that influenced by pathogenic and pathoplastic factors a sec ondary system-inherent dynamic is consti tuted which determines the clinical picture separated from the initial constellation [4,8,10,18,23,28], Psychopathological phenom ena which are originated by such complex conditions are the challenge to a 'nach alien Seiten hin offene' psychopathological inves tigation [12], This conception with its inte grative strategy gives up any possible meth odologically founded hypothesis and tries to view anorexia nervosa under a holistic head ing in disregard of one-sided biological mod els.…”

Section: Formulation Of the Problemmentioning

confidence: 99%

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Syndrome Metamorphoses in Anorexia nervosa – An Example of Integrative Psychopathology

Böning

Kachel²

1990

Psychopathology

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In connection with the current knowledge of interdisciplinary results of research, we discuss clinical syndrome transitions of psychotic and non-psychotic quality in the course of anorexia nervosa. According to its internal and external conditions, anorexia nervosa can in principle occur in any person and in any phase of life during a critical trial situation as an ontologically given possibility of specific psychosomatic reaction. In the course of a mainly neurobiologically determined protopathic change of psychologically initiated cross-sectional psychopathology, very heterogenous secondary syndromes (impulsive, phobic, obsessive-compulsive, addictive, autoaggressive, depressive and schizophreniform) may facultatively become manifest. The similarity of such anorexia nervosa metamorphoses with classical nosological disease entities is likely to be based on a common disturbance of biological feedback systems. As a touchstone of classical ‘intermediate area’ in psychiatry the changing clinical picture of anorexia nervosa provokes a unitarian view of mental disease. It exemplifies a hesitant change of paradigm in an up till now dualistic conception of organic/biological and psychological models. This complementary approach tries to integrate psychic phenomena into a holistic understanding of complex psychopathological realities on the basis of qualitative and dimensional aspects in order to counteract the nowadays threatening loss of information in psychiatric phenomenology.

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Section: Time Of Onsetmentioning

confidence: 99%

Section: Time Of Onsetmentioning

confidence: 99%