The Role of Emotional Abuse in the Eating Disorders: Implications for Treatment
Abstract
This paper addresses the clinical links between emotional abuse and the eating disorders. It is argued that the core feature of a range of abusive experiences is emotional invalidation. Emotional abuse is associated with problems in the development of emotional skills, manifesting as alexithymia, poor distress tolerance, and emotional inhibition. Cognitive-behavioral approaches are outlined for work with eating-disordered patients with a history of emotional abuse. As well as addressing the central concerns about eating, weight, and shape (using existing evidence-based methods), the focus of treatment is on addressing the conditional assumptions about the acceptability of emotions and the core beliefs that underpin the emotional difficulties.
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Emotional abuse correlates with difficulties in the formation of emotional abilities, leading to challenges such as alexithymia, limited capacity to handle distress, and suppression of emotions.
“Emotional abuse correlates with difficulties in the formation of emotional abilities, leading to challenges such as alexithymia, limited capacity to handle distress, and suppression of emotions (Waller et al., 2007).”
From Systematic review on the treatment of emotional abuse victimization in women by an intimate partner (2025) · cites this paper as Waller et al., 2007
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- Authors
- Waller, G., Corstorphine, E., & Mountford, V.
- Affiliations
- King's College London (GB)
- St George's, University of London (GB)
- Corresponding author
- Waller, Glenn
- Venue
- Eating Disorders
- Publisher
- Informa UK Limited
- Published
- 2007-08-10
- Volume
- 15
- Issue
- 4
- Pages
- 317-331
- ISSN
- 1064-0266 (ISSN-L)
- 1532-530X
- OpenAlex
- W2083856283
- Cited by
- 86
- References
- 31
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 10
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- emotional abuse, emotional invalidation, alexithymia, distress tolerance, emotional inhibition, cognitive behavioral therapy, core beliefs, childhood abuse, therapeutic implications
- MeSH terms
- Adult, Affective Symptoms, Feeding and Eating Disorders, Child, Child Abuse, Humans, Inhibition, Psychological, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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