Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within

By Hilde Bruch | Go to book overview
compulsions" but rather as an inability to function appropriately when the necessary tools and inner guides are inadequately conceptualized and developed.I find it difficult to compare my concepts to the one or other schools of psychoanalytic thought, except to say that most of the differences appear to be more theoretical constructs than based on factual events. Controversies between libidinal or interpersonal theories have no realistic basis, since biological development requires close and continuous interaction with another person. It is a mere abstraction which neglects the facts of human development to speak of "drives" without relation to the interpersonal environment, or of "interpersonal relations" without a biological body attached to them.My emphasis on early feeding experiences as a pacesetter for infant- mother interaction does not imply an effort to revive the old psychoanalytic hypothesis that the gratification of oral drives foreshadows in a deterministic way later personality traits and emotional health or sickness. On the contrary, all modern evidence speaks against any concept that may still linger on of innate instincts, sex, hunger, or otherwise, which in a preformed way would carry their own messages to the conscious or unconscious mind. Such a view is incompatible with modern concepts of early development.
BIBLIOGRAPHY
1. Ainsworth, S. M. D., and Bell, S. M., Some contemporary patterns of mother- infant interaction in the feeding situation, pp. 133-170, in Stimulation in Early Infancy, Academic Press, New York, 1969.
2. Bruch, H., "Conceptual confusion in eating disorders", J. Nerv. Ment. Dis., 133:46- 54, 1961.
3. Bruch, H., "Transformation of oral impulses in eating disorders: A conceptual approach", Psychiat. Quart., 35:458-481, 1961.
4. Bruch, H., "Falsification of bodily needs and body concept in schizophrenia", Arch. Gen. Psychiat. ( Chicago), 6:18-24, 1962.
5. Bruch, H., "Hunger and instinct", J. Nerv. Ment. Dis., 149:91-114, 1969.
6. Bruch, H., "Instinct and interpersonal experience", Comp. Psychiat., 11:495-506, 1970.
7. Cabanac, M., and Duclaux, R., "Obesity: Absence of satiety aversion to sucrose". Science, 168:496-497, 1970.
8. Coddington, R. D., and Bruch, H., "Gastric perceptivity in normal, obese and schizophrenic subjects", Psychosomatics, 11:571-579, 1970.
9. Hamburger, W. W., "Emotional aspects of obesity", Med. Clin. N. Amer., 33:483- 499, 1951.
10. Harlow, H. F., and Harlow, M., "Learning to love", Amer. Sci., 54:244-272, 1966.
11. Hebb, D. O., The Organization of Behavior, Wiley, New York, 1949.
12. Henry, J., The naturalistic observation of the families of schizophrenic children, pp. 119-137, in Recent Research Looking Toward Preventive Intervention, R. H. Ojemann , ed., State University of Iowa, Iowa City, 1961.

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Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within
Table of contents

Table of contents

  • Title Page iii
  • Acknowledgments vii
  • Contents ix
  • Part I - General Aspects 1
  • 1 - Orientation and Point of View 8
  • 2 - Historical and Sociocultural Perspectives 23
  • 3 - Biological Basis of Eating Disorders 42
  • 4 - Hunger Awareness and Individuation 64
  • 5 - Family Frame and Transactions 86
  • 6 - Body Image and Self-Awareness 104
  • Part II - Obesity 107
  • 7 - Diversity of Clinical Pictures 132
  • 8 - Obesity in Childhood 150
  • 9 - Obesity in Adolescence 174
  • 10 - Obesity and Schizophrenia 193
  • 11 - Thin Fat People 208
  • Part III - Anorexia Nervosa 209
  • 12 227
  • 13 250
  • 14 - Primary Anorexia Nervosa 284
  • 15 - Anorexia Nervosa in the Male 304
  • Part IV - Treatment 307
  • 16 - The Practical and Psychological Aspects of Weight Change 333
  • 18 - Outcome and Outlook 387
  • Index 389
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