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Contemporary psychoanalytic perspectives on gorge‐vomiting. A case illustration
Author(s) -
Lerner Howard D.
Publication year - 1983
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(198323)3:1<47::aid-eat2260030105>3.0.co;2-k
Subject(s) - psychoanalytic theory , psychodynamics , psychology , object relations theory , psychotherapist , vomiting , presentation (obstetrics) , developmental stage theories , anorectic , psychoanalysis , medicine , food intake , surgery , radiology
The purpose of this paper is to bring recent formulations derived from different lines of conceptual development within psychoanalytic theory to bear on the anorectic and bulimic/gorge‐vomiting syndromes. A brief review of major trends and conceptual advances in psychoanalytic theory is followed by a clinical case presentation of a hospitalized anorectic and gorge‐vomiting adolescent girl. Her chaotic history, vexing clinical picture, and turbulent course of treatment are reviewed. Finally, a comprehensive formulation derived from self‐psychology, psychodynamic developmental theory, and object relations theory is advanced with a view toward titrating clinical manifestations to their developmental origin, providing a more comprehensive understanding of symptomatology, and securing the formation of a more accurate treatment program.