Lege Artis Medicinae

[Dissociation hypothesis of the disorders of eating behaviour]

TÚRY Ferenc1, SZABÓ Pál2

MARCH 31, 1993

Lege Artis Medicinae - 1993;3(03)

[The two basic types of disordered eating behaviour are anorexia nervosa and bulimia nervosa. However, obesity can be inserted in the continuum between them, as well. Many ideas of the pathogenesis of these psychosomatic disorders have been suggested (biological models, relationship between eating disorders and the affective or obsessive compulsive spectrum, family dynamic, addictive and cognitive models). The authors – emphasizing the need for a multidimensional etiopathogenetic approach – discuss the data supporting a dissociation model of eating disorders. The dissociative disorder often develops after traumatic experiences (e. g. sexual abuse). This mechanism may be characteristic mainly of a subgroup of bulimic patients, but it sometimes seems to be valid in anorexia, obesity, or other types of eating disorders. The dissociation model is supported by the enhanced hypnotic susceptibility of bulimic patients, corroborated in several studies. On the basis of these data, for patients with eating disorders and suspected dissociative pathomechanism, hypnotherapy seems to be an advantageous therapeutic strategy.]

AFFILIATIONS

  1. Borsod-Abaúj-Zemplén Megyei Kórház, I. Pszichiátriai Osztály, Miskolc
  2. Egyetemi Adjunktus Kossuth Lajos Tudományegyetem, Pszichológiai Intézet, Debrecen

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