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Body image disturbance in anorexia nervosa during the acute and recuperative phase

Published online by Cambridge University Press:  09 July 2009

Michael Strober ,
Irene Goldenberg ,
Jacqueline Green  and
Jennifer Saxon
Michael Strober*
Affiliation:
Neuropsychiatric Institute and Department of Psychiatry, University of California, Los Angeles, USA
Irene Goldenberg
Affiliation:
Neuropsychiatric Institute and Department of Psychiatry, University of California, Los Angeles, USA
Jacqueline Green
Affiliation:
Neuropsychiatric Institute and Department of Psychiatry, University of California, Los Angeles, USA
Jennifer Saxon
Affiliation:
Neuropsychiatric Institute and Department of Psychiatry, University of California, Los Angeles, USA
*
1Address for correspondence: Dr Michael Strober, Neuropsychiatric Institute, UCLA Center for Health Sciences, 760 Westwood Plaza, Los Angeles, California90024, USA.
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Synopsis

Perception of body size, subjective experience of body image distortions and differentiation of body concept in the human figure drawing were assessed in adolescent anorexia nervosa patients and controls shortly after hospital admission, and again 6 months later during the recuperative phase. Size estimation was not found to be a distinguishing variable, as both groups exhibited overestimation tendencies of comparable magnitude at both time periods. By contrast, experiences denoting estrangement from the body, insensitivity to body sensations, and weakness of body boundaries were more prevalent in anorexics, and persisted at high levels after frank symptoms of weight and eating disorder had subsided. Anorexics were also shown to depict the human figure with less differentiation relative to controls. Within the anorexic sample the presence of vomiting was linked to greater subjective experience of body image distortion, and such phenomena appear to be a more enduring feature in this subgroup. Overall, the results were viewed as lending support to the argument that defects in body image formation render the anorexic vulnerable to their manifest pathology, which is itself activated by maturational conflicts unique to adolescence.

Type
Research Article
Information
Psychological Medicine , Volume 9 , Issue 4 , November 1979 , pp. 695 - 701
Copyright
Copyright © Cambridge University Press 1979

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References

Askevold, F. (1975). Measuring body image. Psychotherapy and Psychosomatics 26, 71–77.CrossRefGoogle ScholarPubMed
Beumont, P. J. V., George, G. C. W. & Smart, D. E. (1976). ‘Dieters’ and ‘vomiters and purgers’ in anorexia nervosa. Psychological Medicine 6, 617–622.CrossRefGoogle ScholarPubMed
Bruch, H. (1973). Eating Disorders. Basic Books: New York.Google Scholar
Bruch, H. (1975). Anorexia nervosa. In American Handbook of Psychiatry vol. 4 (ed. Arieti, S.), pp. 787–809. Basic Books: New York.Google Scholar
Button, E. J., Fransella, F. & Slade, P. D. (1977). A reappraisal of body perception disturbance in anorexia nervosa. Psychological Medicine 7, 235–243.CrossRefGoogle ScholarPubMed
Crisp, A. H. & Kalucy, R. S. (1974). Aspects of the perceptual disorder in anorexia nervosa. British Journal of Medical Psychology 47, 349–361.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B. & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry 26, 57–73.Google Scholar
Fisher, S. (1970). Body Experience in Fantasy and Behavior. Appleton-Century-Crofts: New York.Google Scholar
Garfinkel, P. E., Moldofsky, H. & Garner, D. M. (1977). The outcome of anorexia nervosa: significance of clinical features, body image, and behavior modification. In Anorexia Nervosa (ed. Vigersky, R. A.), pp. 315–329. Raven Press: New York.Google ScholarPubMed
Garner, D. M., Garfinkel, P. E., Stancer, H. C. & Moldofsky, H. (1916). Body image disturbances in anorexia nervosa and obesity. Psychosomatic Medicine 38, 327–336.Google Scholar
Goldberg, S. C., Halmi, K. A., Casper, R., Eckert, E. & Davis, J. M. (1977). Pretreatment predictors of weight change in anorexia nervosa. In Anorexia Nervosa (ed. Vigersky, R. A.), pp. 31–41. Raven Press: New York.Google Scholar
Halmi, K., Brodland, G. & Loney, J. (1973). Prognosis in anorexia nervosa. Annals of Internal Medicine 78, 907–909.CrossRefGoogle ScholarPubMed
Halmi, K. A., Goldberg, S. C. & Cunningham, S. (1977). Perceptual distortion of body image in adolescent girls: distortion of body image in adolescence. Psychological Medicine 7, 253–257.CrossRefGoogle ScholarPubMed
Kay, D. W. K. & Leigh, D. (1954). The natural history, treatment and prognosis of anorexia nervosa, based on a study of 38 patients. Journal of Mental Science 100, 411–431.CrossRefGoogle ScholarPubMed
Kolb, L. C. (1975). Disturbances of body image. In American Handbook of Psychiatry vol. 4 (ed. Arieti, S.), pp. 810–837. Basic Books: New York.Google Scholar
Morgan, H. G. & Russell, G. F. M. (1975). Value of family background and clinical features as predictors of long- term outcome in anorexia nervosa: four year follow-up study of 41 patients. Psychological Medicine 5, 355–371.CrossRefGoogle ScholarPubMed
Palazzoli, M. S. (1978). Self-Starvation. Jason Aronson: New York.Google Scholar
Pierloot, R. A. & Houben, M. E. (1978). Estimation of body dimensions in anorexia nervosa. Psychological Medicine 8, 317–324.CrossRefGoogle ScholarPubMed
Shontz, F. C. (1969). Perceptual and Cognitive Aspects of Body Experience. Academic Press: New York.Google Scholar
Slade, P. D. (1977). Awareness of body dimensions during pregnancy: an analogue study. Psychological Medicine 7, 245–252.CrossRefGoogle ScholarPubMed
Slade, P. D. & Russell, G. F. M. (1973). Awareness of body dimensions in anorexia nervosa: cross-sectional and longitudinal studies. Psychological Medicine 3, 188–199.CrossRefGoogle ScholarPubMed
Society of Actuaries (1970). Average weight of adults. In Scientific Tables (ed. Diem, K. and Lentner, C.), p. 711. Geigy Pharmaceuticals: New York.Google Scholar
Theander, S. (1970). Anorexia nervosa, a psychiatric investigation of 94 female patients. Acta Psychiatrica Scandinavica Suppl. no. 214, 1–194.Google Scholar
Werner, H. (1957). Comparative Psychology of Mental Development. International Universities Press: New York.Google Scholar
Witkin, H. A., Lewis, H. B., Hertzman, M., Machover, K., Meissner, P. B. & Wagner, S. (1954). Personality Through Perception. Harper: New York.Google Scholar
Witkin, H. A., Dyk, R. B., Faterson, H. F., Goodenough, D. R. & Karp, S. A. (1962). Psychological Differentiation. Wiley: New York.Google Scholar