Academic journal article American Journal of Psychotherapy

Book Reviews -- Medical Issues and Eating Disorders: The Interface Edited by Allan S. Kaplan and Paul E. Garfinkel

Academic journal article American Journal of Psychotherapy

Book Reviews -- Medical Issues and Eating Disorders: The Interface Edited by Allan S. Kaplan and Paul E. Garfinkel

Article excerpt

In their introduction to this volume, the editors evoke the need "for a comprehensive clinically oriented medical text on the eating disorders for clinicians." Without question, there is a need for a text that would address psychiatrists' (and nonmedical therapists') concerns regarding medical complications, and also answer internists' and pediatricians' questions regarding the optimal medical management of patients with eating disorders. However, this book fails to fulfill this promise.

Certain chapters are adequate--concerning the medical and nutritional assessment of anorexic and bulimic patients, the differential diagnosis of weight loss, dental complications of eating disorders, reproductive function in the eating disorders, and the interaction between chronic medical illness and eating disorders. Other chapters, while of intrinsic interest, seem misplaced in a clinical volume--concerning neurotransmitter, neuropeptide and neuroendocrine disturbances, genetic contributions to eating disorders, binge eating in obese patient and alterations in metabolism and energy expenditure in eating disorders.

But the fatal deficiency of this volume is the absence of systematic, coherent, and clinically savvy guidelines for managing critical, common medical complications in bulimic and anorexic patients. …

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