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Harm minimization in severe and enduring anorexia nervosa.

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Title: Harm minimization in severe and enduring anorexia nervosa.
Authors: Russell, Janice, Mulvey, Bridget, Bennett, Hayley, Donnelly, Brooke, Frig, Elizabeth
Source: International Review of Psychiatry. Jun2019, Vol. 31 Issue 4, p391-402. 12p.
Subjects: Anorexia nervosa, Regulation of body weight, Convalescence, Psychotherapy, Search engines, Affinity groups, Peers, Social support, Harm reduction, Early medical intervention, Early diagnosis, Psychoeducation
Abstract: For many sufferers of anorexia nervosa, the time course is long, and the prospect of disability and family burden great. This is all too often the case, even with early diagnosis and treatment. The term severe and enduring anorexia nervosa has been applied to these survivors. Yet, a majority of patients do eventually recover and, even where this is not the case, adaptive medical stability and function can be maintained despite alarming dilapidation. Managing the years of illness so as to have the best outcome physically and psychologically, even where full weight recovery does not occur, or has not yet occurred, is the topic of this article. Literature pertaining to harm minimization in chronic, severe, enduring, and long-standing anorexia nervosa was selectively reviewed using an Ovid data base and Google Scholar. The authors' own clinical experience over almost four decades in public and private hospital and community settings has also informed much of what has been written. The authors would like to think that it is possible to do better than the familiar injunction (variously attributed to Hippocrates, Galen, and others) of 'primum non nocere'—although this is a good place to start. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Harm minimization in severe and enduring anorexia nervosa.
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  Data: <searchLink fieldCode="AR" term="%22Russell%2C+Janice%22">Russell, Janice</searchLink><br /><searchLink fieldCode="AR" term="%22Mulvey%2C+Bridget%22">Mulvey, Bridget</searchLink><br /><searchLink fieldCode="AR" term="%22Bennett%2C+Hayley%22">Bennett, Hayley</searchLink><br /><searchLink fieldCode="AR" term="%22Donnelly%2C+Brooke%22">Donnelly, Brooke</searchLink><br /><searchLink fieldCode="AR" term="%22Frig%2C+Elizabeth%22">Frig, Elizabeth</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Review+of+Psychiatry%22">International Review of Psychiatry</searchLink>. Jun2019, Vol. 31 Issue 4, p391-402. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Regulation+of+body+weight%22">Regulation of body weight</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Search+engines%22">Search engines</searchLink><br /><searchLink fieldCode="DE" term="%22Affinity+groups%22">Affinity groups</searchLink><br /><searchLink fieldCode="DE" term="%22Peers%22">Peers</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Early+diagnosis%22">Early diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoeducation%22">Psychoeducation</searchLink>
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  Data: For many sufferers of anorexia nervosa, the time course is long, and the prospect of disability and family burden great. This is all too often the case, even with early diagnosis and treatment. The term severe and enduring anorexia nervosa has been applied to these survivors. Yet, a majority of patients do eventually recover and, even where this is not the case, adaptive medical stability and function can be maintained despite alarming dilapidation. Managing the years of illness so as to have the best outcome physically and psychologically, even where full weight recovery does not occur, or has not yet occurred, is the topic of this article. Literature pertaining to harm minimization in chronic, severe, enduring, and long-standing anorexia nervosa was selectively reviewed using an Ovid data base and Google Scholar. The authors' own clinical experience over almost four decades in public and private hospital and community settings has also informed much of what has been written. The authors would like to think that it is possible to do better than the familiar injunction (variously attributed to Hippocrates, Galen, and others) of 'primum non nocere'—although this is a good place to start. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
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      – Type: doi
        Value: 10.1080/09540261.2019.1601073
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 391
    Subjects:
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Regulation of body weight
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Search engines
        Type: general
      – SubjectFull: Affinity groups
        Type: general
      – SubjectFull: Peers
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Harm reduction
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Early diagnosis
        Type: general
      – SubjectFull: Psychoeducation
        Type: general
    Titles:
      – TitleFull: Harm minimization in severe and enduring anorexia nervosa.
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            NameFull: Russell, Janice
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            NameFull: Mulvey, Bridget
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            NameFull: Bennett, Hayley
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            NameFull: Donnelly, Brooke
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              Text: Jun2019
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              Y: 2019
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              Value: 31
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