Early onset Anorexia Nervosa

Abstract

Two consecutive referrals of early onset (symptom onset at 11 years) anorexia nervosa (restricting sub-type) to an inpatient eating disorders unit in a psychiatric hospital, will be described. Within both cases, there was a history of sequential mother-daughter dieting prior to the daughter's onset of anorexic symptoms. This pattern will be viewed from the perspective of systemic theory, with reference to the cybernetic processes implicated in the onset and maintenance of symptoms. Structural systemic interpretations, in terms of exchangeable senses of self within the mother-daughter pairs, will also be considered. A brief comment will be made about the symmetry which underlies the choreography of anorexia nervosa when viewed from the perspective of communication theory. The implications for intervention will be addressed. In conclusion, the nature of the intergenerational transmission of disordered eating behaviours, will be considered with reference to the nature-nurture debate.