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‘Dieters’ and ‘vomiters and purgers’ in anorexia nervosa

Published online by Cambridge University Press:  09 July 2009

P. J. V. Beumont ,
G. C. W. George  and
D. E. Smart
P. J. V. Beumont*
Affiliation:
Department of Psychiatry, Groote Schuur Hospital and the University of Cape Town
G. C. W. George
Affiliation:
Department of Psychiatry, Groote Schuur Hospital and the University of Cape Town
D. E. Smart
Affiliation:
Department of Psychiatry, Groote Schuur Hospital and the University of Cape Town
*
1Address for correspondence: Professor P. J. V. Beumont, Department of Psychiatry, University of Sydney Medical School, New South Wales, 2006, Australia.
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Synopsis

Thirty-one females with primary anorexia nervosa were studied by means of a retrospective analysis of hospital notes. The patients were divided into 2 groups. The first group consisted of subjects who had become emaciated solely because of dieting, food refusal and excessive exercising (‘dieters’); the second of those who had used additional means to bring about weight loss such, as habitual vomiting and the abuse of purgatives (‘vomiters and purgers’).

Most ‘dieters’ were intense, introverted, socially withdrawn individuals whose anorexic behaviour had started in response to psychological stress. They had become completely preoccupied with thoughts of food, eating and losing weight. Several did well in treatment, and recovered fully from their anorexic symptoms. ‘Vomiters and purgers’, on the other hand, were more outgoing in respect to personality. Most had previously been obese and, as they had been unable to keep themselves thin by simply abstaining from food, they had learnt to use other means to control their weight. These latter patients did less well in treatment. They continued to experience difficulty in controlling their weight, and the majority persisted with their abnormal behaviour.

Type
Research Article
Information
Psychological Medicine , Volume 6 , Issue 4 , February 1977 , pp. 617 - 622
Copyright
Copyright © Cambridge University Press 1977

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References

REFERENCES

Beumont, P. J. V., Beardwood, C. J. & Russell, G. F. M. (1972). The occurrence of the syndrome of anorexia nervosa in male subjects. Psychological Medicine 2, 216–231.CrossRefGoogle ScholarPubMed
Beumont, P. J. V., George, G. C. W., Pimstone, B. L. & Vinik, A. I. (1976). Body weight and the pituitary response to hypothalamic releasing hormones in anorexia nervosa. Journal of Clinical Endocrinology and Metabolism (in the Press).CrossRefGoogle Scholar
Bliss, E. L. & Branch, C. H. H. (1960). Anorexia Nervosa. Hoeber: New York.Google Scholar
Bruch, H. (1974). Eating Disorders. Routledge and Kegan Paul: London.Google Scholar
Crisp, A. H. (1973). In Anorexia Nervosa and Obesity (ed. Robertson, R. F.). The Royal College of Physicians of Edinburgh, Publication No. 42.Google Scholar
Dally, P. J. (1969). Anorexia Nervosa. Heinemann: London.Google Scholar
Eysenck, H. J. & Rachman, S. (1965). The Causes and Cure of Neurosis, pp. 14–28. Routledge and Kegan Paul: London.Google Scholar
Gull, W. W. (1873). Anorexia Hysterica. British Medical Journal ii, 527–528.Google Scholar
Johanson, A. (1974). Critical body weight in anorexia nervosa. New England Medical Journal 291, 904–905.CrossRefGoogle ScholarPubMed
Kay, D. W. & Leigh, D. (1954). The natural history, treatment and prognosis of anorexia nervosa. Journal of Mental Science 11, 411–431.CrossRefGoogle Scholar
Laseque, C. (1873). On hysterical anorexia. Reprinted (1964) in Evolution of a Psychosomatic Concept: Anorexia Nervosa (ed. Kaufman, M. R. & Herman, M.), pp. 141–155. International Universities Press: New York.Google Scholar
Meyer, J. E. (1961). The anorexia nervosa syndrome – catamnestic research. Archiv für Psychiatrie und Nervenkrankheiten (Berlin) 202, 31–59.CrossRefGoogle ScholarPubMed
Russell, G. F. M. (1970). Anorexia nervosa: its identity as an illness and its treatment. In Modern Trends in Psychological Medicine (ed. Price, J. H.), pp. 131–164. Butterworths: London.Google Scholar
Scadding, J. G. (1967). Diagnosis: the clinician and the computer. Lancet ii, 877–881.CrossRefGoogle Scholar
Selvini, P. (1965). Interpretation of mental anorexia. In Anorexia Nervosa (ed. Meyer, J. E. & Feldmann, H.), pp. 96–103. Thieme: Stuttgart.Google Scholar
Slater, E. & Roth, M. (1969). Mayer-Gross, Slater & Roth's Clinical Psychiatry, pp. 110–130. Ballière, Tindall and Cassell: London.Google Scholar
Society of Actuaries (1959). Build and Blood Pressure Study, Vol. I. Society of Actuaries: Chicago.Google Scholar
Thoma, H. (1967). Anorexia Nervosa (trans. Brydone, G.). International Universities Press: New York.Google Scholar
Wolff, H. P., Vecsi, P., Kruck, F., Roscher, S., Brown, J. J., Dusterdieck, G. O., Lever, A. F. & Robertson, J. S. (1968). Psychiatric disturbance leading to potassium depletion, raised plasma renin concentrations and secondary hyperaldosteronism. Lancet i, 257–261.CrossRefGoogle Scholar