Table of Contents
Acknowledgments v
Preface to the Second Edition 1
Introduction 7
Part 1 Anorexia
1 The Paradox of Self-Annihilation in Service of Self-Preservation 11
2 What is Anorexia and What Causes it? 16
What Is Anorexia Nervosa? 16
How Prevalent Is Anorexia Nervosa? 17
What Causes Anorexia Nervosa? 17
Is Anorexia an Addiction? 23
3 Uses and Misuses of the Internet 25
4 Disorders That May Accompany Anorexia 28
Depression 28
Anxiety and Anxiety Disorders 29
Body Dysmorphic Disorder 31
Bulimia Nervosa 32
Alcohol or Drug Addiction 32
Personality Disorders 33
5 Some Attributes of Anorexia 34
Perfectionism 34
Competition 38
Unresolved Grief 43
Immature Sexuality and Relationships 50
Distortion of Body Image 61
Part 2 Treatment and Recovery
6 Understanding Recovery 75
What Constitutes Cure? 75
Challenges in Evaluating Recovery 76
The Foundation of Recovery: Development of a Coherent Sense of Self 81
My Journey Towards Self-Development 83
7 Approaching Treatment 89
Essential Components in the Treatment of Anorexia Nervosa 89
Considerations in Treatment 90
Aspects of Treatment 91
8 Therapy for an Anorexic 98
Psychotherapeutic Modalities 98
Experiential Modalities 113
Psychopharmacology 137
9 Therapy for Families and Family Members 143
Family Therapy 143
Therapy for Individual Family Members 148
10 12-Step Programs 155
11 Intervention 161
Epilogue 167
Appendix A Treatment Centers for Eating Disorders 169
Appendix B Resources for Information and Referral 176
Bibliography 179
Internet References 186
Index 187
