Anorexia nervosa: valued and visible. A cognitive-interpersonal maintenance model and its implications for research and practice

Br J Clin Psychol. 2006 Sep;45(Pt 3):343-66. doi: 10.1348/014466505x53902.

Abstract

Anorexia nervosa (AN) is highly valued by people with the disorder. It is also a highly visible disorder, evoking intense emotional responses from others, particularly those closest to the person. A maintenance model of restricting anorexia nervosa, combining intra- and interpersonal factors is proposed. Four main maintaining factors (perfectionism/cognitive rigidity, experiential avoidance, pro-anorectic beliefs, response of close others) are suggested and the evidence supporting these is examined. These factors need to be integrated with what is known about starvation-related maintenance factors. This model departs from other models of AN in that it does not emphasize the role of weight and shape-related factors in the maintenance of AN; that is, it is culture-free. Implications for clinical practice and research are discussed.

Publication types

  • Review

MeSH terms

  • Anorexia Nervosa / psychology*
  • Body Image
  • Body Weight
  • Culture*
  • Defense Mechanisms
  • Humans
  • Interpersonal Relations*
  • Models, Psychological
  • Obsessive-Compulsive Disorder / psychology
  • Reinforcement, Social*
  • Risk Factors
  • Self Concept*
  • Social Values*