Cottrell D J, Crisp A H
Br J Psychiatry. 1984 Aug;145:195-6. doi: 10.1192/bjp.145.2.195.
A case is described of anorexia nervosa arising in a mentally-handicapped 35-year old person with Down's syndrome. The late onset is accounted for on the grounds that adolescent challenges had only recently arisen in this instance. Removal of the patient from the provocative situation, coupled with some effective psychotherapeutic 'grief work' with the family, was associated with restoration of normal body weight and menstrual function, following the patient's acceptance of the usual re-feeding treatment programme.
本文描述了一例患有唐氏综合征的35岁智力障碍患者出现神经性厌食症的病例。之所以发病较晚，是因为在这种情况下，青春期的挑战最近才出现。在患者接受常规的重新喂养治疗方案后，将患者从诱发情境中移除，并与家人进行了一些有效的心理治疗“悲伤处理”，这与患者恢复正常体重和月经功能有关。
