British Journal of Clinical Psychology

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Volume 45 Issue 3 (September 2006), Pages 279-438

Anorexia nervosa: Valued and visible. A cognitive‐interpersonal maintenance model and its implications for research and practice (pages 343-366)

Anorexia nervosa (AN) is highly valued by people with the disorder. It is also a highly visible disorder, evoking intense emotional responses from others, particularly those closest to the person. A maintenance model of restricting anorexia nervosa, combining intra‐ and interpersonal factors is proposed. Four main maintaining factors (perfectionism/cognitive rigidity, experiential avoidance, pro‐anorectic beliefs, response of close others) are suggested and the evidence supporting these is examined. These factors need to be integrated with what is known about starvation‐related maintenance factors. This model departs from other models of AN in that it does not emphasize the role of weight and shape‐related factors in the maintenance of AN; that is, it is culture‐free. Implications for clinical practice and research are discussed.

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