Anorexia nervosa: Valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice

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714 Citations (Scopus)

Abstract

Anorexia nervosa. (AN) is highly valued by people with the disorder It is also a highly visible disorder, evoking intense emotional responses from others, particularly those closest to the person. A maintenance model of restricting anorexia. nervosa, combining intra- and interpersonal factors is proposed. Four main maintaining factors (perfectionism/cognitive rigidity, experiential avoidance, pro-anorectic beliefs, response of close others) are suggested and the evidence supporting these is examined. These factors need to be integrated with what is known about starvation-related maintenance factors. This model departs from other models of AN in that it does not emphasize the role of weight and shape-related factors in the maintenance of AN; that is, it is culture-free. Implications for clinical practice and research are discussed
Original languageEnglish
Pages (from-to)343 - 366
Number of pages24
JournalBritish Journal of Clinical Psychology
Volume45
Issue number3
Publication statusPublished - Sept 2006

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