Originally published in 1986, Sara Gilbert provided the first
systematic and comprehensive coverage of the psychological aspects
of eating disorders and their treatment. The book begins with an
account of normal eating behaviour and the problems of explaining
its control in the individual in the context of social and cultural
influences. It describes cross-cultural differences in attitudes to
being overweight or underweight, and the current western dilemma of
pressures towards slimness on the one hand and the increasing
demand for choice and fast food on the other. In Part II, the
author describes the phenomena of overeating and undereating, both
in relation to people with systemic disease and in people suffering
from obesity, anorexia nervosa and bulimia. She examines the
psychological causes of overeating and undereating, and the
problems of drawing a line between purely medical and purely
social-psychological explanations. In Part III of the book, the
author provides a summary of treatments for overeating and
undereating, with emphasis on the psychological approaches. She
describes new developments, in particular in the use of behavioural
techniques, and their significance as a means of allowing
individual sufferers some choice in the course of their own
treatment.
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