The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Managing the chronic, treatment-resistant patient with anorexia nervosa
Abstract
OBJECTIVE: To describe the psychopathology of chronic, treatment-resistant anorexia nervosa, as well as a paradigm for its clinical management. METHOD: The foundation of the approach integrates clinical experience, empirical psychological findings, and a conceptual understanding of developmental and phenomenologic aspects of the illness. RESULTS: Elements of the management paradigm take account of the compensatory nature of illness chronicity. The inherent risks of treating these patients in the customary way are described, along with therapist countertransference that must be anticipated and effectively considered. DISCUSSION: The chronically ill patient requires a unique approach to care, one that minimizes the risk of iatrogenic effects of rapid weight restoration or failure to appraise the deleterious influences of therapist countertransference.
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“Terms such as “treatment resistant” (120 p. 247), “treatment refractory” (121 p. 372), “recalcitrant” (122), and “severe and intractable” (123) have appeared frequently in ED research and commentaries, often within sweeping statements suggesting patients who have not recovered within a number of years are unlikely to improve with further treatment.”
From Assisted death in eating disorders: a systematic review of cases and clinical rationales (2024) · cites this paper as [120]
In the citing paper
“Management of transference and countertransference are important features of how we experience ED care and how clinicians respond to us, particularly in enduring EDs, and must be effectively managed to reduce iatrogenic harms in treatment of SE-AN [175].”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [175]
Citations
Cites
Handbook of treatment for eating disorders
(1997) · Choice Reviews Online · doi:10.5860/choice.35-2151 · Cited by 1,074
Textbook of psychopharmacology
Edwards, G. (1975) · Nature · doi:10.1038/258648b0 · Cited by 583
Personality variables and disorders in anorexia nervosa and bulimia nervosa.
Vitousek, K. M., & Manke, F. P. (1994) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.103.1.137 · Cited by 451
Temperament and Character in Women with Anorexia Nervosa
Klump, K. L., Bulik, C. M., Pollice, C., Halmi, K. A., Fichter, M. M., Berrettini, W. H., Devlin, B., Strober, M. A., Kaplan, A. S., Woodside, D. B., et al. (2000) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200009000-00001 · Cited by 212
Psychodynamic treatment of anorexia nervosa and bulimia
Dominiak, G. M. (1991) · General Hospital Psychiatry · doi:10.1016/0163-8343(91)90112-a · Cited by 163
Karwautz, A. F. K., Rabe‐Hesketh, S., Collier, D. A., & Treasure, J. L. (2002) · European Eating Disorders Review · doi:10.1002/erv.476 · Cited by 32
Strober (1997) · doi:10.1002/(sici)1098-108x(199712)22:4
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Severe and Enduring Anorexia Nervosa
Lacey, J. H., & Sly, R. (2015) · Wiley eBooks · doi:10.1002/9781118574089.ch12 · Cited by 3
O’Connell, L. (2020) · Open Access at Essex (University of Essex) · Cited by 2
Chartonas, D., John-Kamen, A., Freudenthal, R., & Gibbons, R. (2020) · Psychoanalytic Psychotherapy · doi:10.1080/02668734.2020.1750051 · Cited by 1
Assessment and treatment of chronic medical complications
Kreipe, R. E. (2001) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543890.017 · Cited by 1
Shahar, G., & Ziv‐Beiman, S. (2020) · Psychotherapy · doi:10.1037/pst0000337 · Cited by 1
Severe and Enduring Anorexia Nervosa
Grave, R. D., Sartirana, M., & Calugi, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-69341-1_9 · Cited by 1
Ghosts at the banquet: moving towards aliveness: the anorexic client
Ewen, S. (2009) · Tuwhera (Auckland University of Technology) · Cited by 1
Working with Special Populations and Service‐Related Issues
Fox, J. R. E., & Goss, K. (2012) · doi:10.1002/9781118328910.ch22 · Cited by 1
Refractory Eating Disorders in Youth: An Examination of Predictors, Profiles and Growth Trajectories
Obeid, N. (2013) · uO Research (University of Ottawa) · doi:10.20381/ruor-6310 · Cited by 1
Mealtimes in the context of eating disorders: working towards evidence-based protocol
Long, S. J. (2011) · Loughborough University Institutional Repository (Loughborough University) · Cited by 1
Anastasiadou, D. T. (2014) · Biblos-e Archivo (Universidad Autónoma de Madrid)
Mogelijkheden tot behandeling bij langdurige anorexia
Reinders, M., van de Craats, I., & Panders, I. (2008) · Directieve therapie · doi:10.1007/bf03076432
Desirable possible selves and depression in adult women with eating disorders
Erikson, M. G., Hansson, B., & Lundblad, S. (2014) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-014-0122-7
Jones, W. R., & Morgan, J. F. (2014) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.114.012757
Depression, anxiety and related disorders
Mancuso, S. G., Phillipou, A., Rossell, S. L., & Castle, D. J. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107045132.017
Procedure and MeasuresPreprint
Miske, O., & Horne, Z. (2018) · OSF Preprints (OSF Preprints) · doi:10.17605/osf.io/y5tf7
Specific Challenges Working with Eating Disorders
Robinson, P. H., Skårderud, F., & Sommerfeldt, B. (2018) · Springer eBooks · doi:10.1007/978-3-319-95121-8_5
Enduring anorexia: A multi-storied counter document of living and coping with anorexia over time
Lainson, K. (2020) · Minerva Access (University of Melbourne)
Spektrum postaw wobec śmierci u osób z anoreksją
Starzomska, M. (2009) · Kultura i Społeczeństwo · doi:10.35757/kis.2009.53.1.9
McCallum, L. (2019) · TSpace (University of Toronto)
Nilsson, T., & Sandström, J. (2011) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
The Explanation of Disordered Eating: A Metatheoretical Approach
Hawkins-Elder, H. (2021) · doi:10.26686/wgtn.16895614.v1 · Cited by 3
Severe and Enduring Eating Disorders
Morris, J., & Nahman, C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781911623588.012
Anorexies et boulimies à l'adolescence
Alvin, P. (2013) · Collection Conduites · doi:10.3917/jle.alvin.2013.01.0181
Breithaupt, L. E., Fischer, S. F., Marino, J. M., & Gaydusek, D. L. (2017) · Wiley eBooks · doi:10.1002/9781118877142.ch14
Weissman, R. S. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22126
Pareja, B. P., Marcos, Y. Q., Sebastián, M. J. Q., & Pamies-Aubalat, L. (2018) · INFORMACIO PSICOLOGICA · doi:10.14635/ipsic.2019.116.3
Is a Gradualist Approach to Clinical Training Helpful or Necessary?
Joiner, T. E. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10405-5
Bulik, C. M., Barnhart, W. R., Feusner, J. D., Flatt, R. E., Munn‐Chernoff, M. A., Ortiz, S. N., Pisetsky, E. M., Presskreischer, R., Thornton, L. M., & Yılmaz, Z. (2024) · International Journal of Eating Disorders · doi:10.1002/eat.24327
Severe and Enduring Eating Disorders (SEED)
Kiely, L., Hay, P., & Robinson, P. H. (2024) · Springer eBooks · doi:10.1007/978-3-031-46096-8_104
Morsa, M., Pelz, L., Bockstal-Fieulaine, K., Dereux, A., de Pontual, L., & Gagnayre, R. (2025) · International Journal of Qualitative Methods · doi:10.1177/16094069251385435
Domain-General Affect: Neural Mechanisms and Clinical Implications
Winecoff, A. (2014) · DukeSpace (Duke University)
Kotilahti, E., Ruusunen, A. A., Lindstedt, K., & Isomaa, R. (2026) · European Eating Disorders Review · doi:10.1002/erv.70132
Beschreibung der Störungsbilder
Legenbauer, T., & Vocks, S. (2014) · Springer eBooks · doi:10.1007/978-3-642-20385-5_1
Metadata
- Authors
- Strober, M.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Strober, Michael
- ORCID
- Strober, Michael
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2004-10-11
- Volume
- 36
- Issue
- 3
- Pages
- 245-255
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W1969029698
- Cited by
- 137
- References
- 7
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 1 · 2021: 10 · 2020: 16 · 2019: 5 · 2018: 8 · 2017: 4 · 2016: 5 · 2015: 10 · 2014: 9 · 2013: 15 · 2012: 6
- FWCI
- 1.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, chronic disease, psychopathology, clinical management, iatrogenic disease
- MeSH terms
- Adult, Anorexia Nervosa, Chronic Disease, Countertransference, Female, Hospitalization, Humans, Professional-Patient Relations, Treatment Failure
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