Bruch H
Int J Psychoanal Psychother. 1982;9:303-12.
A discussion of "Anorexia Nervosa and the Psychotherapeutic Hospital," by Ian Story Ph.D. "Anorexia Nervosa" is a misnomer. "Anorexic" patients do not suffer from loss of appetite but actively pursue self-starvation and are frantically preoccupied with food, and even more with their size and shape. It is not an illness of weight and nutrition but a desperate effort to establish a sense of control to counteract deficits in the sense of effectiveness and the self-concept. After a childhood of overconformity, these patients are ill prepared to meet the demands for independence and self-assertion that growing up implies. Traditional treatment has emphasized the restitution of weight, which, however, is insufficient for cure. For effective treatment, reparation of the underlying personality deficits is essential. Story's paper on the therapeutic hospital describes the desperate plight of chronic anorexic patients in whose early treatment this important factor had been neglected.
伊恩·斯托里博士所著《神经性厌食症与心理治疗医院》的讨论。“神经性厌食症”是个误称。“厌食症”患者并非食欲不振，而是主动追求自我饥饿，且疯狂地执着于食物，更执着于自己的身材和体型。这不是一种关于体重和营养的疾病，而是一种不顾一切地建立控制感以抵消效能感和自我概念缺失的努力。在经历了童年的过度顺从之后，这些患者没有做好准备去应对成长所意味着的独立和自我主张的要求。传统治疗一直强调恢复体重，然而，这对于治愈来说是不够的。为了进行有效的治疗，修复潜在的人格缺陷至关重要。斯托里关于治疗医院的论文描述了慢性厌食症患者的绝望困境，在他们的早期治疗中，这个重要因素被忽视了。
