Historical Perspectives and Diagnostic Considerations

Abstract

From its first clear description in the late 17th century, the concept of anorexia nervosa has undergone numerous descriptive and ideologic changes, culminating in the present diagnostic classification which includes weight loss, disturbed body image, fear of obesity and refusal to maintain body weight in the absence of physical illness. Numerous associated clinical features are described, thereby aiding the assessment of the magnitude of the disorder and the development of an integrated treatment program. A differential diagnosis is presented.