The rise and fall of body size estimation research in anorexia nervosa: A review and reconceptualization

Journal/Book: European Eating Disorders Rev. 1997; 5: Baffins Lane, Chichester, W Sussex, England PO19 1UD. John Wiley & Sons Ltd. 75-95.

Abstract: Research on body image in anorexia nervosa is seriously deadlocked, characterized by impenetrable concepts and unacceptable methodology. In this review the problems associated with the Body Size Estimation (BSE) methods generally used are discussed and it is investigated how the research in this area can be revitalized. It is concluded that there is clear evidence that anorexic patients overestimate their own body she, and that this implies a disturbance of the body image rather than of body (size) perception. This disturbance is probably best explained by the influence of thoughts or feelings to be fat on the visual body image. It is recommended that future research departs from a theory that emphasizes the top-down influence of thoughts and feelings on basic visual processes. Much can be expected from the field of the cognitive neurosciences, and an example of such a theory is provided.

Note: Article Smeets MAM, Pennington Biomed Res Ctr, 6400 Perkins Rd, Baton Rouge,LA 70809 USA

Keyword(s): BULIMIA-NERVOSA; IMAGE DISTURBANCES; EATING DISORDERS; DISTORTION; SHAPE; PERCEPTION; AWARENESS; OBESE

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