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\nApproachesBulimiaNervosa  \nEdited byLJ Downey&JC Malkin  \ndupharmedical relations  \n   \n◎ 1986 Duphar Laboratories Limited  \nCONTENTS  \nEditor's Foreword  \niv  \nPart I- Chairman:GF Russell  \nDiagnostic CriteriaCG FairburnClinical Features7P CooperEpidemiology13R PalmerPathogenesis17J H LaceyDiscussion26  \n1  \nPart IⅡ- Chairman: A Wakeling  \nCognitive Behaviour Therapy28CG Fairburn  \nDrug Treatment35CP Freeman  \nAn Integrated Behaviouraland Psychodynamic Approach43J H Lacey  \nDiscussion on Treatment Approaches51A Wakeling  \n55  \nList of Delegates  \nEDITORS FOREWORD  \nDuphar Medical Relations is a group within Duphar Laboratories Limiteddedicated to the organization of medical meetings with high educationalcontent.The group was set up in June 1985 with the intention of arrangingseveral meetings each year covering a wide range of subjects.  \nThis publication forms the procedings of a meeting held at The RoyalSociety,London,on May 16th 1986.  \nThis meeting was attended by approximately 190 delegates and was thefirst meeting on Bulimia Nervosa to be held in the United Kingdom.As such itwas indeed appropriate that Professor GFRussell should chair the morningsession.  \nI would like to thank all the contributors for their help in preparing thepublication.  \nLJ Downey,EditorDuphar Medical RelationsGaters Hill,West EndSouthampton SO33JD  \nDIAGNOSTIC CRITERIA FOR BULIMIA NERVOSA  \nCG Fairburn  \nWellcome Trust Senior Lecturer andHonorary Consultant PsychiatristWarneford Hospital,Oxford  \n# Introduction\n\nThe first reports concerning bulimia nervosa as an entity appeared in the1970's.These described an eating disorder principally characterised by boutsof uncontrolled over-eating.People with this disorder closely resembledpatients with anorexia nervosa,i.e.the sub-group of anorectics who binge-eat.However,there was one major difference which was that their weight wasgenerally within the normal range.This disorder was given various namesincluding bulimarexia(Boskind-Lodahl,1976),the dietary chaos syndrome(Palmer,1979),bulimia nervosa(Russell,1979),and bulimia,the DSM IIIterm(American Psychiatric Association,1980).The terms which havesubsequently gained most acceptance are Russell's terms 'bulimia nervosa'and the DSM III term 'bulimia',both of which are associated with a specificset of diagnostic criteria and both of which appear to be designed to define thesame group of patients.  \nThe diagnostic criteria for bulimia nervosa and for DSM II bulimia areshow in Table I and II respectively.Throughout the paper the term bulimianervosa will be used to denote this recently described syndrome.  \n# The Clinical features of Bulimia Nervosa\n\nIn order to examine the diagnostic criteria for bulimia nervosa,one first has toreview carefully the clinical features of the disorder since non-organicpsychiatric disorders are defined in terms of their clinical symptoms.  \nPeople who fulfill either one of these two sets of diagnostic criteria forbulimianervosa have certain features in common.First,they have a subjectiveloss of control over eating which is associated with episodes of bulimia.(Theword'bulimia',as used in this context,refers to gross over-eating.This is theconventional medical use ofthe term,as opposed to the DSM IIl use of theword to denote a specific clinical syndrome.The use of the one word bulimiato refer both to a behaviour,gross over-eating,and to a syndrome inevitablyresults,at times,in the two getting confused.)The second clinical feature ofbulimia nervosa is behaviour designed to control body weight,which includesextreme dieting,vigorous exercising,and the taking of purgatives or diuretics.The third feature is certain characteristic extreme concerns about shape andweight.These closely resemble those found in anorexia nervosa.They consist  \n\n| RUSSELLS ORIGIN   | AL DIAGNOSTIC CRITERIA FOR BULIMIA NERVOSA   |\n| --- | --- |\n|  | (Russell,1979)   |\n\n1.The patie","cbCaikqbMBiKts26","https://ap.wps.com/l/cbCaikqbMBiKts26","pdf",4064758,68,"English","# Editor's Foreword\n# Diagnostic Criteria for Bulimia Nervosa\n## Introduction\n## The Clinical features of Bulimia Nervosa\n## Diagnostic Criteria Table I\n## Diagnostic Criteria Table II\n# Treatment Approaches\n## Cognitive Behaviour Therapy\n## Drug Treatment\n## An Integrated Behavioural and Psychodynamic Approach\n# Discussion on Treatment Approaches\n# List of Delegates","[{\"question\":\"When did the meeting on Bulimia Nervosa take place, and who attended it?\",\"answer\":\"The publication is based on a meeting held at The Royal Society, London, on May 16th 1986, attended by approximately 190 delegates.\"},{\"question\":\"What core clinical feature distinguishes bulimia nervosa regarding eating behavior?\",\"answer\":\"The disorder includes subjective loss of control over eating with episodes of bulimia (gross over-eating), along with behavior aimed at controlling body weight.\"},{\"question\":\"What are the DSM III diagnostic criteria components for bulimia?\",\"answer\":\"DSM III criteria include recurrent binge-eating episodes, at least three specified associated features, awareness of the abnormal eating pattern with fear of not being able to stop, depressed mood/self-deprecating thoughts after binges, and exclusion of anorexia nervosa or any known physical disorder.\"}]","Current Approaches - Bulimia Nervosa | PDF",1791874637,171]