Humphries L L, Wrobel S, Wiegert H T
Am Fam Physician. 1982 Nov;26(5):199-204.
Anorexia nervosa typically occurs in a "model child" of a family that values achievement, appearance and nonconflictual interactions. Three diagnostic criteria are weight loss of at least 25 percent of ideal body weight, physiologic changes (including amenorrhea) and a distorted body image in which the patient, even when cachectic, insists she is fat. Therapy must involve the entire family, focusing not on pounds gained but on learning to handle conflict.
神经性厌食症通常发生在一个重视成就、外表和无冲突互动的家庭中的“模范孩子”身上。三个诊断标准是体重减轻至少达到理想体重的25%、生理变化(包括闭经)以及身体形象扭曲,即患者即使消瘦,仍坚称自己很胖。治疗必须涉及整个家庭,重点不是增加体重,而是学习如何处理冲突。