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Anorexia Nervosa is defined in the Gale Encyclopedia of Alternative Medicine as "an eating disorder characterized by unrealistic fear of weight gain, self-starvation, and conspicuous distortion ***** body image. The fourth edition of ***** Diagnostic ***** Statistical Manual of Mental Disorders, or DSM-IV (1994), defines two subtypes of anorexia nervosa--a restricting type, characterized by strict dieting and exercise without binge eating--and a *****-e*****ting/purging *****, marked by episodes ***** compulsive eating with or without self-induced vomiting and the use of laxatives ***** enem*****. DSM-IV defines a binge as a time-limited (usually under ***** hours) episode of compulsive ***** in which the *****dividual consumes a significantly larger amount of food than most people would eat in similar circumstances."

***** *****cidence of eating disorders, especially anorexia, is increasing at a worrisome r*****e. During ***** past three decades the prevalence has increased dramatically. (Tenore) reports an overall incidence of approximately five percent of the population of ***** United States.

Although eating disorders generally occur in adolescents, they are now seen much more *****ten in children ********** adults, including the elderly. Also, it was originally thought that only 5% of anorexics are male, but that estimate is being revised upward. The peak age range for onset of the disorder is 14-18 years, although there are patients who develop anorexia as late as their 40s. In the 1970s and 1980s, ***** was regarded as a ***** of upper- and middle-cl*****s women, but ***** generalization is also changing. More recent studies indicate that anorexia is increasingly common among women of all races and social classes in the ***** States.

Anorexia nervosa combines pathological thoughts and behaviors about food ***** weight with negative emotions concerning appearance, eating and food. ********** thoughts, feelings ***** behaviors lead to changes in body composition and function*****g ***** are the direct result of starvation. As a result, among ***** the illness severely effects physical, emotional and social development. In addition, there ***** a f*****ir amount ***** evidence that suggests that anorexia nervosa often co-*****s ***** other psychiatric ***** ***** depression, anxiety disorders, and obsessive-compulsive disorder. (Lock). This makes not only diagnosing ***** nervosa, ***** also treating it a serious difficulty.

***** is important therefore ***** study ***** understand some of the causes of anorexia nervosa and the displayed ***** in order to provide help and support for ***** many people, ***** adolescent girls afflicted w*****h this condition.

There is no one simple answer ***** the causes of anorexia. Some or all ***** the following could be woven toge*****r to produce starving, stuffing ***** purging in *****one. There are biological factors ********** are ********** with psychological factors. Some personality types, such as Obsessive-Compulsive and Sensitive-Avoidant, are ***** vulnerable to eating d**********s. Anorexics gener*****y were described as good children- eager to ple*****e, hard working and good students. Typically they ***** people pleasers who seek approval ***** avoid conflict. It is felt that it is this striving ***** perfection that leads to feeling inadequate and defective. ***** often leads to stress and ***** which leads to

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