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Logo of procrsmedFormerly medchtJournal of the Royal Society of MedicineProceedings of the Royal Society of Medicine
Proc R Soc Med. 1977 July; 70(7): 464–470.
PMCID: PMC1543128

Diagnosis and outcome of anorexia nervosa: the St George's view.


Anorexia nervosa has been viewed here as a defensive biologically regressed posture pivoting around the events of puberty and reflecting primary gain. There is rarely any secondary gain - on the contrary life is miserable though still usually possible. The disorder is rooted in psychobiological mechanisms within the individual and in individual and family psychopathology concerning the meaning of body weight and fatness, evoked by the proband's adolescence and its maturational challenges. There are many identifiable 'risk factors' that can influence the evolution of the condition. Treatment requires a combined behavioural and psychotherapeutic approach involving special medical and nursing and psychotherapeutic skills.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Crisp AH, Harding B, McGuiness B. Anorexia nervosa. Psychoneurotic characteristics of parents: relationship to prognosis. A quantitative study. J Psychosom Res. 1974 Jun;18(3):167–173. [PubMed]
  • CRISP AH, ROBERTS FJ. A case of anorexia nervosa in a male. Postgrad Med J. 1962 Jun;38:350–353. [PMC free article] [PubMed]
  • Crisp AH, Stonehill E. Relation between aspects of nutritional disturbance and menstrual activity in primary anorexia nervosa. Br Med J. 1971 Jul 17;3(5767):149–151. [PMC free article] [PubMed]
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