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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Treasure, J., Stein, D., & Maguire, S. (2015) · Early Intervention in Psychiatry · doi:10.1111/eip.12170 · Cited by 353
Fassino, S., Pierò, A., Tomba, E., & Daga, G. A. (2009) · BMC Psychiatry · doi:10.1186/1471-244x-9-67 · Cited by 380
Treating severe and enduring anorexia nervosa: a randomized controlled trial
Touyz, S., Le Grange, D., Lacey, H., Hay, P., Smith, R., Maguire, S., Bamford, B., Pike, K. M., & Crosby, R. D. (2013) · Psychological Medicine · doi:10.1017/s0033291713000949 · Cited by 291
Graves, T. A., Tabri, N., Thompson‐Brenner, H., Franko, D. L., Eddy, K. T., Bourion‐Bedes, S., Brown, A., Constantino, M. J., Flückiger, C., Forsberg, S., et al. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22672 · Cited by 196
(2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.09.007 · Cited by 179
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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