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Blood-letting in anorexia nervosa: A case study

✍ Scribed by Morgan, John Farnill ;Lacey, J. Hubert

Publisher: Wiley (John Wiley & Sons)
Year: 2000
Tongue: English
Weight: 119 KB
Volume: 27
Category: Article
ISSN: 0276-3478
DOI: 10.1002/(sici)1098-108x(200005)27:4<483::aid-eat15>3.0.co;2-y

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✦ Synopsis

Background: Deliberate blood-letting has been characterized as an alternative to purging behavior in bulimia. Method: We describe a female healthcare worker with an 8-year history of restrictive anorexia nervosa, who initially presented with anemia, using blood-letting, cold baths, and starvation to control her mental state. Results: In contrast with the previous cases of bulimia, the aim of blood-letting in this case of anorexia nervosa was to achieve anemia. She compared the psychic correlates of anemia to emaciation, rather than to deliberate self-harm or purging. Discussion: We note that mainstream 19th century psychiatry prescribed "baths, blood-letting and diet" as a treatment of "madness."

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