The Case of Ellen West: An Anthropological-Clinical Study.

Binswanger, Ludwig; Mendel, Werner M.; Lyons, Joseph

doi:10.1037/11321-009

Cited by 77 publications

(34 citation statements)

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“…It may be worthwhile pointing out that earlier on, Binswanger (1944), a Swiss existential phenomenologist, had also came to the conclusion that anorexia nervosa was a form of schizophrenia. Through the famous Ellen West's Being in the World he considered two salient features of West's psychopathology namely the patient's gluttony and the dread of becoming fat.…”

Section: Contributions From Clinicians Who Developed Specific Psychoamentioning

confidence: 99%

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

Caparrotta

Ghaffari

2006

Psychoanalytic Psychotherapy

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The objective of this paper is to give an historical overview of the development of psychodynamic theories and to acknowledge their contribution to the understanding of the aetiology of these complex disorders. Relevant psychodynamic and psychoanalytic papers on the historical development of eating disorders were identified through a search of (1) Medline and PsychoInfo, (2) the library of the London Institute of Psychoanalysis, (3) Psychoanalytic Electronic Publishing (PEP), and (4) a number of textbooks on eating disorders.The search revealed a dearth of psychoanalytic historical perspectives about the aetiology of eating disorders in general. Overall most psychoanalytic publications were based on single case studies and concerned primarily with anorexia nervosa. No single model was identified, but a number of psychoanalytic ideas remain consistent throughout. Several psychoanalysts and contemporary psychodynamicallyinformed authors refer to, apply and have further developed a number of these original ideas. This overview highlights the unique contributions of psychodynamic concepts towards a better understanding of the aetiology of eating disorders and how much they have influenced and informed modern thinking on the meaning of these complex conditions. A range of psychodynamic views has emerged and gradually evolved from concentrating solely on intra-psychic factors to a more comprehensive multi-modal model. This tendency has become a fertile ground for cross-fertilization which, along with the bio-social counterparts, remains the fundamental pillars on which modern understanding of eating disorders still rests.Psychoanalytic Psychotherapy ISSN 0266-8734 print/ISSN 1474-9734 online # 2006 The Association for Psychoanalytic Psychotherapy in the NHS

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Section: Contributions From Clinicians Who Developed Specific Psychoamentioning

confidence: 99%

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

Caparrotta

Ghaffari

2006

Psychoanalytic Psychotherapy

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“…The anorexia nervosa case that has reached the widest publicity is perhaps the diary of Ellen West, of whom Binswanger (1958) wrote in detail. Ellen West exhibited the unmistakable history of an anorectic young woman with the characteristic obsessive concentration on weight and food.…”

Section: Anorexia Nervosa As a Monoldelstlc Illnessmentioning

confidence: 99%

Anorexia nervosa in the Kibbutz: Factors influencing the development of a monoideistic fixation

Kaffman¹,

Sadeh²

1989

Int. J. Eat. Disord.

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Among the diverse psychiatric entities with stagnating monothematic thoughts, anorexia nervosa occupies a significant place as a typical example of a “monoideistic” illness. The dominant idea (about food, dieting, weight loss, and body shape), repeated mentally over and over again and deeply rooted in family and other interpersonal transactions, can engender an hyponotic‐like state. Our interest in anorexia nervosa as one of the most typical monoideistic diseases gained in strength as we noted that in the course of the past 15 years there was an ever‐growing stream of referrals to the Kibbutz Clinic of adolescent girls with anorexia nervosa. For this reason we opened an anorexia nervosa treatment unit and have been able to carry out prospective followups on 66 kibbutz anorectic patients (40 restricters and 26 bulimics) over periods from 4 to 10 years. We were particularly interested in the answer to the question of whether the nosogenesis of the monoideistic pattern, the family and sociocultural factors, and the course and the outcome of the illness are different in the kibbutz population as compared with other settings.

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“…Although early classical psychopathological reports on eating disordered phenomena conceived them as part of a psychotic way of being [1], the relationship between psychotic symptoms and eating disorders has remained largely understudied for years [2]. More recent surveys have shown that schizophrenia, paranoia and related features are not so rare in anorectic and bulimic patients [3].…”

Section: Introductionmentioning

confidence: 99%

Psychotic phenomena in Binge Eating Disorder: an exploratory MMPI-2 study

Aragona¹

2015

Arch Psych Psych

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SummaryAim of the study. To study putative psychotic phenomena in patients with Binge Eating Disorder (BED). Subject or material and methods: Sixty patients with a DSM-5 diagnosis of BED were studied. Scores at the Sc, Pa and other subscales of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were used to assess possible psychotic features. Eating phenomena were assessed by the Eating Disorder Inventory-2 (EDI-2). The relationship between them was studied. Results. Mean BMI was 38.24±8.43. The Sc and Pa scales of the MMPI-2 were above the cut-off in, respectively, 43.33% and 46.67% of patients. Regression analyses show that both Sc and Pa had a significant effect on EDI-2 scores, although only the Sc scale remained significant after adjusting for their possible interrelation. More than 40% of patients reported high scores (65 or more) at the following MMPI-2 "psychotic" subscales: Paranoia (Pa), Schizophrenia (Sc), Social Alienation (Sc1), Emotional Alienation (Sc2), and Lack of Ego Mastery, both cognitive and conative (Sc3 & Sc4). Perfectionism, Impulse Regulation, Ascetism, Social Insecurity, Interoceptive Awareness, Ineffectiveness, and Maturity Fears are the EDI-2 scales significantly influenced by the Sc and Pa MMPI-2 scores. Discussion. Several putative psychotic phenomena were reported in our sample of binge eaters, and they were related to higher scores on several dimensions of the EDI-2. Conclusions. At least in some patients, there might be an overlap between some psychotic basic phenomena (disordered sense of basic Self, of bodily experiences, and hyperreflectivity), and those basic disturbances in identity development and Self-schemas which are at the base of eating disorders. schizofrenia / phenomenology / psychosis / eiting disorders / binginng

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The Case of Ellen West: An Anthropological-Clinical Study.

Cited by 77 publications

References 0 publications

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

Anorexia nervosa in the Kibbutz: Factors influencing the development of a monoideistic fixation

Psychotic phenomena in Binge Eating Disorder: an exploratory MMPI-2 study

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