My research and that of my colleagues in the psychodynamic cause, structure and treatment of patients with bulimic anorexia nervosa correlates with and confirms the hypotheses presented by Levin ( 1) that bulimic symptoms may represent a masturbatory equivalent.
In our recently published book, Fear of Being Fat: The Treatment of Anorexia Nervosa and Bulimia (2) we confirmed Sperling's findings (3) that unresolved preoedipal fixations to the mother contribute to difficulties in psychosexual development and that anorexic girls and boys displace sexual and masturbatory conflicts from the genitals to the mouth.
Wilson, MD, C. Philip
"In Response: A Discussion of "Bulimia as a Masturbatory Equivalent","
Jefferson Journal of Psychiatry:
1, Article 15.
Available at: http://jdc.jefferson.edu/jeffjpsychiatry/vol4/iss1/15