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The anxiety reduction model of bulimia nervosa: Contrary case reports
Author(s) -
Steere Jane,
Cooper Peter J.
Publication year - 1988
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(198805)7:3<385::aid-eat2260070310>3.0.co;2-3
Subject(s) - bulimia nervosa , vomiting , anxiety , psychology , psychiatry , psychotherapist , clinical psychology , developmental psychology , eating disorders , medicine , anesthesia
It has been suggested that the anxiety‐reduction function of purgation is of fundamental importance in the maintenance of bulimia nervosa, and that bulimic episodes would cease if the escape response of vomiting were removed. Five case histories are presented in which patients ceased vomiting while continuing to experience bulimic episodes. If the anxiety‐reduction model is to be retained, at least for some patients, an analysis is required of the conditions under which it is not applicable.