Covert multiple personality underlying eating disorders

Frequently, MPD patients present themselves to the clinician with a variety of psychophysiological symptoms. Eating-disorder symptoms may be one of these, and may include the following: binge eating, self-induced vomiting, laxative abuse, excessive exercising, body image distortion, self-starvation,...

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Bibliographic Details
Published inAmerican journal of psychotherapy Vol. 44; no. 3; pp. 357 - 368
Main Author TOREM, M. S
Format Journal Article
LanguageEnglish
Published Bronx, NY Association for the Advancement of Psychotherapy 01.07.1990
American Psychiatric Association
Subjects
Adult
Adult and adolescent clinical studies
Anorexia Nervosa - diagnosis
Anorexia Nervosa - psychology
Biological and medical sciences
Bulimia - diagnosis
Bulimia - psychology
Diagnosis, Differential
Dissociative Disorders - diagnosis
Dissociative Disorders - psychology
Eating behavior disorders
Female
Humans
Medical sciences
Multiple Personality Disorder - diagnosis
Multiple Personality Disorder - psychology
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Human
Case study
Dissociative syndrome
Treatment
Adolescent
Young adult
Review
Alimentary behavior disturbance
Personality disorder
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Summary:Frequently, MPD patients present themselves to the clinician with a variety of psychophysiological symptoms. Eating-disorder symptoms may be one of these, and may include the following: binge eating, self-induced vomiting, laxative abuse, excessive exercising, body image distortion, self-starvation, fluctuations in body weight, and nausea. Following are five cases in whom the pathological eating behavior was a manifestation of an underlying multiple personality disorder. The pathological eating behavior was so severe that some patients matched DSM-III-R diagnostic criteria for an eating disorder. Clinicians dealing with eating disorders should be aware that some patients may represent a subgroup in whom the underlying cause for the eating disorder may be MPD. These patients seldom respond to conventional treatment modalities used in eating-disorders programs, and only when the underlying multiplicity is identified and treated by a trained clinician, will the patient's eating-disorder symptoms improve.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0002-9564
2575-6559
DOI:10.1176/appi.psychotherapy.1990.44.3.357