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Anorexia Nervosa in a Black Zimbabwean

Published online by Cambridge University Press:  29 January 2018

T. Buchan
Affiliation:
St Giles Rehabilitation Centre, Harare, Zimbabwe
L. D. Gregory
Affiliation:
Godfrey Huggins School of Medicine, University of Zimbabwe, Harare, Zimbabwe

Summary

In spite of the comparative rarity of anorexia nervosa in African patients, the case of a young black Zimbabwean woman which fulfils Feighner's diagnostic criteria is presented. Special reference is made to several unusual features which include the social and psychological conflicts engendered by changes of culture, the clinical symptoms, and the role of a traditional healer in her recovery. A speculative hypothesis concerning aetiology is suggested.

Type
Research Article
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Boskind-Lodahl, M. (1976) Cinderella's step-sisters: a feminist perspective on anorexia nervosa and bulimia. Signs: Journal of Women in Culture and Society, 2;2, 342–56.Google Scholar
Bruch, Hilde (1965) Anorexia nervosa and its differential diagnosis. Journal of Nervous and Mental Disease, 141, 555–66.CrossRefGoogle Scholar
Buchan, T. (1971) Emotional handicaps to learning in two cultures. South African Medical Journal, 45, 261–4.Google ScholarPubMed
Crisp, A. H. (1980) Anorexia nervosa: Let me be. London: Academic Press.Google Scholar
Crisp, A. H. (1983) Regular reviews: Anorexia nervosa. British Medical Journal, 287, 855–8.Google Scholar
Duddle, May (1973) An increase in anorexia nervosa in a university population. British Journal of Psychiatry, 123, 711–2.Google Scholar
Eckert, Elke D., Goldberg, S. C., Halmi, Katherine A., Caspar, Regina C. & Davis, J. M. (1982) Depression in anorexia nervosa. Psychological Medicine, 12, 115–22.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic Criteria for Use in Psychiatric Research. Archives of General Psychiatry, 26, 5763.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1979) The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–9.CrossRefGoogle ScholarPubMed
Garner, D. M. & Garfinkel, P. E. (1980) Socio-cultural factors in the development of anorexia nervosa. Psychological Medicine, 10, 647–56.Google Scholar
Garner, D. M. & Garfinkel, P. E., Schwartz, D. & Thompson, M. (1980) Cultural expectations of thinness in women. Psychological Reports, 47, 483–91.Google Scholar
Grounds, A. (1982) Transient psychoses in anorexia nervosa: a report of 7 cases. Psychological Medicine, 12, 107–13.Google Scholar
Hall, Anne (1978) Family structure and relationship of 50 female anorexia nervosa patients. Australia and New Zealand Journal of Psychiatry, 12, 263–8.Google Scholar
Hsu, L. G. K. (1983) The aetiology of anorexia nervosa. Psychological Medicine, 13, 231–8.Google Scholar
Norris, D. L. (1979) Clinical diagnostic criteria for primary anorexia nervosa. South African Medical Journal, 56, 987–93.Google Scholar
Nwaefuna, A. (1981) Anorexia nervosa in a developing country. British Journal of Psychiatry, 138, 270.Google Scholar
Selvini-Palazzoli, M. P. (1974). Anorexia Nervosa. London: Chaucer.Google Scholar
Warren, M. P. & Vande Wiele, R. L. (1973) Clinical and metabolic features of anorexia nervosa. American Journal of Obstetrics and Gynaecology, 117, 435–49.Google Scholar
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