Garner D M
Can J Psychiatry. 1981 Jun;26(4):224-31. doi: 10.1177/070674378102600404.
Despite much recent interest in the objective measurement of body image in anorexia nervosa, many questions remain regarding basic mechanisms responsible for the findings as well as their meaning in the disorder. It is unclear if "whole body" measures assess the same underlying phenomena as the "body part" method, and it is unclear if body image disturbances are etiologic or a byproduct of anorexia nervosa. The possible association between self-esteem and body satisfaction and the relationship of the latter variable to actual size estimation supports the hypothesis that size perception may be closely tied to satisfaction with non-physical aspects of self. Finally it must be determined if overestimation is a function of a general psychological disturbance or of a deficit of specific interest in this disorder. Despite these questions, the way in which anorexic patients see themselves as well as the cognitive and affective responses to this perception remains an interesting and potentially fruitful area of study with this disorder.
尽管最近人们对神经性厌食症患者身体意象的客观测量颇感兴趣，但对于这些研究结果背后的基本机制及其在该疾病中的意义，仍存在诸多疑问。目前尚不清楚“全身”测量方法与“身体部位”测量方法所评估的是否为同一潜在现象，也不清楚身体意象障碍是神经性厌食症的病因还是其副产品。自尊与身体满意度之间可能存在的关联，以及后一变量与实际体型估计之间的关系，支持了这样一种假设，即体型感知可能与对自我非身体方面的满意度密切相关。最后，必须确定高估是一般心理障碍的作用，还是该疾病中特定兴趣缺失的结果。尽管存在这些问题，但厌食症患者看待自己的方式以及对这种认知的认知和情感反应，仍然是对该疾病进行研究的一个有趣且可能富有成果的领域。
