V.‐Anorexia Nervosa (Apepsia Hysterica, Anorexia Hysterica)

Activity-based anorexia: Ambient temperature has been a neglected factor

“…From accounts centuries ago of anorexia related to religious belief (Bell, 1985) to contemporary clinical studies, high levels of activity in anorexia are very commonly noted, as in the early case reports by Gull (1874) and Lasègue (1873). In his presentation to the Clinical Society of London in 1873, Gull stated:…”

“…This was recognized by Gull (1874) as a sign of anorexia nervosa in his first description of the illness: "I have observed that in the state of extreme emaciation,when the pulse and respiration are slow, the temperature is below the normal standard" (Gull, 1874, p. 24). Hypothermia is connected with another symptom of human anorexia nervosa, nocturnal activity and wakefulness in the second half of the night (Crisp, 1985).…”

Family functioning and maternal distress in adolescent girls with anorexia nervosa

“…[1][2][3] Research has supported a link between poor family relationships and AN, 4 further perpetuating this notion. Overall, these relationships have been characterized by poor communication, conflict, criticism, and hostility as well as a lack of supportive interactions.…”

Past, Current and Future of Anorexia Nervosa in Japan

“…It might be a better strategy to try not to treat these conditions aggressively." He described probable AN cases approximately 100 years before Gull's momentous paper [6,7]. It is impressive that AN was included as a psychiatric illness, and in particular, it is incredible that therapeutic approaches for family or relatives were considered.…”