The variability of phenomenology in anorexia nervosa

Author(s): Lee, S., Lee, A. M.

Journal/Book: Acta Psychiat Scand. 2000; 102: 35 Norre Sogade, PO Box 2148, Dk-1016 Copenhagen, Denmark. Munksgaard Int Publ Ltd. 314-317.

Abstract: Objective: To study the variability of phenomenology in Chinese patients with anorexia nervosa in Hong Kong. Method: Longitudinal case studies of four patients. Results: The anorexic illness was not uniformly about the fear of fatness. Rather, patients' explanations for food refusal could change over time. A typology of anorexic phenomenology emerged; namely, fat phobic type I (fat phobia consistently present), fat phobic type II (fat phobia changing to non-fat phobic presentation), non-fat phobic type I(consistently nonfat phobic) and non-fat phobic type II (non-fat phobic initially, but fat phobic later). Conclusion: The variability of anorexic phenomenology challenges the current fat phobia paradigm and has implications on the diagnosis, treatment and psychometric assessment of eating disorders.

Note: Article Ngai ESW, Prince Wales Hosp, Dept Psychiat, 11-F, Shatin, Hong Kong, PEOPLES R CHINA

Keyword(s): variability; anorexia

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