The recent papers in the Jefferson J ournal of Psychiatry by Drs. Levin ("Bulimia as a Masturbatory Equivalent, " July, 1985) and Wilson ("A Discussion of 'Bulimia as a Masturbatory Equivalent'," Winter, 1986) contain a number of theories and recommendations about the etiology and treatment of bulimia which should be addressed. In large measure, both papers present a dynamic view of this disorder. However, psychodynamic formulations are but one of many theories put forward to explain this disorder. Other theories of etiology include notions that bulimia arises from cultural factors and an increased attention to body image, from disorders with in the family as a whole, or from assorted behavioral factors which somehow reinforce binge-eating and purging.
Jonas, MD, Jeffrey M.
"In Response: The Biological Basis and Treatment of Bulimia,"
Jefferson Journal of Psychiatry:
2, Article 13.
Available at: http://jdc.jefferson.edu/jeffjpsychiatry/vol4/iss2/13