Die Therapie der Nahrungsverweigerung und der Anorexia nervosa in deutschsprachigen Psychiatrie-Lehrbüchern der vergangenen 200 Jahre

Translated title of the contribution: Therapy of Food Refusal and Anorexia Nervosa in German-Language Psychiatry Textbooks of the Past 200 Years

Lukas Bergner, Hubertus Himmerich, Holger Steinberg*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
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Abstract

The aim of this study was to describe how the therapy of anorexia nervosa (AN) and food refusal have been discussed in leading textbooks used in German-speaking academic psychiatry over the past 200 years. For this purpose, 18 textbooks of important school psychiatrists were selected. These were analyzed in a structured way to determine the content of the subject taught at universities in German-speaking countries at a given period. We found that AN was not taught as a distinct disorder until the end of the 20th century, although great at-tention had been paid to food refusal as a symptom and manifold therapeutic concepts had been developed much earlier. Whereas at the beginning of the 19th century forced feeding using feeding tubes was established, in the following years pharmacotherapies and special diets were developed. It is noteworthy that since the beginnings of academic psychiatry, some early forms of psychotherapy have been developed; for instance, special kinds of behavior were recommended when dealing with the patient, as the therapist was supposed to serve as a role model to encourage patients to eat. Treatment of food refusal by means of structured psychotherapeutic approaches were not established before AN was generally accepted as a distinct disease entity. The understanding of etiological factors that might lead to AN as well as potential psychotherapeutic interventions have changed fundamentally over the past decades.

Translated title of the contributionTherapy of Food Refusal and Anorexia Nervosa in German-Language Psychiatry Textbooks of the Past 200 Years
Original languageGerman
JournalFortschritte der Neurologie Psychiatrie
Early online date7 Sept 2022
DOIs
Publication statusE-pub ahead of print - 7 Sept 2022

Keywords

  • Anorexia nervosa
  • Essstörungen
  • Geschichte der Psychiatrie
  • Nahrungsverweigerung

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