Showing papers by "Stephen Touyz published in 1984"
TL;DR: A lenient and a strict operant conditioning programme in refeeding patients with anorexia nervosa were compared: it was more economical of nursing time, and patients were more accessible to psychotherapy.
Abstract: The present paper compares a lenient and a strict operant conditioning programme in refeeding patients with anorexia nervosa. Sixty-five consecutive in-patients participated in the study. We found no significant difference in the rate of weight-gain between the two treatments. There were, however, a number of practical advantages in using the more lenient programme: it was more economical of nursing time, and patients were more accessible to psychotherapy. The programme was also more acceptable to the patients.
106 citations
TL;DR: Patients' desired body shape was significantly thinner than that of controls, as was their estimation of what constitutes a normal body shape, and it is suggested that they may have important implications for treatment.
Abstract: The perception of body shape was studied in 15 female patients with anorexia nervosa and 15 age matched controls. A lens was used which could be manipulated to cause a horizontal distortion of an image projected onto a video monitor. The patients showed a greater tendency to over- and under-estimate their present body shape than did the controls. Further, the patients' desired body shape was significantly thinner than that of controls, as was their estimation of what constitutes a normal body shape. These findings are discussed in relation to the literature and it is suggested that they may have important implications for treatment.
80 citations
TL;DR: The present study attempted to trace 49 patients with primary anorexia nervosa, all of whom had been managed by refeeding and supportive psychotherapy, and found that one patient had died by accident.
Abstract: The majority of patients with anorexia nervosa regain a normal body weight after appropriate treatment, but the relapse rate is high, and the long-term outcome remains uncertain. The present study attempted to trace 49 patients (47 female, 2 male) with primary anorexia nervosa, all of whom had been managed by refeeding and supportive psychotherapy. The patients were contracted on two occasions. At the 22-month follow-up, 46 (94%) of the patients responded to a questionnaire. At the 102-month follow-up, 34 (69%) were interviewed by telephone. The outcome was reported as "good" by 18 patients (37%), as "intermediate" by 9 patients (18%); it was "poor" in 5 patients (10%), including one who had killed herself. No information was available for 16 patients (33%) who either could not be contacted or refused to cooperate. One patient had died by accident.
22 citations