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About a particular type of oral perversion in the female: Hyperphagia followed by vomiting
Author(s) -
DoerrZegers Otto
Publication year - 1994
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(199409)16:2<117::aid-eat2260160203>3.0.co;2-6
Subject(s) - perversion , dieting , temptation , psychology , vomiting , anorexia nervosa , eating disorders , developmental psychology , constipation , psychiatry , psychotherapist , psychoanalysis , medicine , obesity , social psychology , weight loss , surgery
We present a case (from a series) of a young woman suffering from a particular abnormality in her behavior with regards to food: She ingests large quantities of food to immediately vomit it. This behavior becomes progressively the central activity and concern of the patients. Both the desire of eating food and of vomiting it are imperious, but they are not experienced as foreign to the self, are considered as an “irresistible temptation.” Among the secondary symptoms we find pertinacious constipation and dysthymic states each time more intense and prolonged. (2) The clinical picture evolves toward a narrowing of existence and a greater limitation of social and work abilities. (3) A phenomenological analysis of the major symptom is attempted, in order to establish essential differences with regards to hysteric, obsessive, and delusional phenomena. A special place is granted to the differential diagnosis with regards to anorexia nervosa and psychogenic obesity. (4) The clinical picture presented by these patients is considered as constituting an independent syndrome. This syndrome can be subordinated to the broader group of addictions. © 1994 by John Wiley & Sons, Inc.