Abstract
A multidimensional psychotherapy is described which selectively integrates existing approaches with those which we have found to be useful in the management of patients with anorexia nervosa. General principles for facilitating the development of trust in the therapeutic relationship as well as factors contributing to the patient's ambivalence toward treatment are outlined. The interaction between psychopathology and starvation symptoms or other sequelae is emphasized. Specific clinical strategies for promoting cognitive, affective and behavioral change within the individual are proposed. Recommendations are made for dealing with issues such as weight, eating, body-image misperception, bulimia, self-concept deficiencies and the development of autonomy commonly encountered with the anorexic patient. Family therapy is advised for some patients.
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