|Johnston, Craig -|
|Foreyt, John -|
Submitted to: Book Chapter
Publication Type: Book / Chapter
Publication Acceptance Date: June 1, 2012
Publication Date: July 22, 2013
Citation: Johnston, C.A., Foreyt, J.P. 2013. Eating disorders. In: Berdanier, C.D, Dwyer, J.,Heber, D., editors. Handbook of Nutrition and Food. 3rd edition. Boca Raton, FL: CRC Press. p. 793-818. Technical Abstract: The incidence of eating disorders is increasing, and health care professionals are faced with the difficult task of treating these refractory conditions. The first clinical description of anorexia nervosa (AN) was reported in 1694 and included symptoms such as decreased appetite, amenorrhea, food aversion, emaciation, and hyperactivity. As psychoanalytic theory spread in the 1940s and 1950s, AN became increasingly differentiated from the medically based "Simmonds disease" and was reconceptualized as a psychiatric disorder characterized by an excessive drive for thinness, including purgative behaviors, body image disturbance, and denial of illness rooted in unconscious conflicts around oral-sadistic impulses, oral impregnation, and regressive fantasies. The primary goal of this chapter is to provide a thorough description of eating disorders. This chapter also covers treatment, treatment difficulties, and prevention.