Anorexia Nervosa as a Disorder of Emotion Regulation: Theory, Evidence, and Treatment Implications
Article first published online: 14 SEP 2011
© 2011 American Psychological Association. Published by Wiley Periodicals, Inc., on behalf of the American Psychological Association
Clinical Psychology: Science and Practice
Volume 18, Issue 3, pages 208–214, September 2011
How to Cite
Merwin, R. M. (2011), Anorexia Nervosa as a Disorder of Emotion Regulation: Theory, Evidence, and Treatment Implications. Clinical Psychology: Science and Practice, 18: 208–214. doi: 10.1111/j.1468-2850.2011.01252.x
- Issue published online: 14 SEP 2011
- Article first published online: 14 SEP 2011
- Received April 26, 2011; accepted May 11, 2011.
- anorexia nervosa;
- contemporary behavior therapy (DBT, ACT);
- emotion regulation;
- symptom function
[Clin Psychol Sci Prac 18: 208–214, 2011]
This is a commentary on Haynos and Fruzzetti (2011). The commentary begins with a discussion of how emotion has been included in the conceptualization of anorexia nervosa (AN) for some time, although this has not culminated into an experimental science on somatic-affective arousal in this patient population. Important gaps in our knowledge of how individuals with AN experience signals from the body (including emotion) are highlighted, as is the lack of attention in the Haynos and Fruzzetti model to differences in emotional experience in the acute and chronic stages of the illness. Final comments are made about the focus of AN intervention, specifically how the functional significance of the symptoms can be an afterthought because of the need to restore nutrition, and the utility of identifying common and distinct processes across eating disorder diagnoses.