Anorexia and Causation

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Acepted symptoms, published by J.P.Feighner and associates in 1972

1. Onset prior to the age of twenty-five
2. Lack of appetite accompanied by loss of at least 25 percent of original body weight. 3. A distorted, implacable attitude to eating, food, or weight that overides hunger, admonitions, reassurance, and threats; for example, (a) denial of illness with a failure to recognise nutritional needs, (b) apparent enjoyment in losing weight with overt manifestation that refusing food is a pleasurable indulgence, (c) a desired body image of extreme thiness with overt evidence that is rewarding to the patient to achieve and maintain this state, and (d) unusual handling or hoarding of food. 4. No known medical illness that could account for the anorexia and weight loss. 5. No other known psychiatric disorder, particularly primary affective disorders, schizophrenia, obsessive-complusive disorder, and phobic neurosis. (The assumpltion is made that even though it may appear phobic or obsessional, food refusal alone is not sufficient to qualify for obsessive-compulsive or phobic disease.

- Pretty useless symptoms. They are not necessarily
symptoms but more overly observations of the people they would like to classify as anorexic. "The symptoms he listed are derived from empirical observation and statistcal frequency rather than from a rational ordering of causal mechanisms. The criteria for age and for weight loss merely reflect what has been observed most of the time; they are not arbitrary, but neither are they part of a logical chain of reasoning. The third symptom obviously is difficult to define in practice since it so heavily involves the observer's subjectivity, while the fourth and fifth conditions merely state what the disease is not."

They do not allow for the older anorexic either of which there are, even though less in number.

Is it therefore possible to exactly clarify what anorexia is? Having stemmed from Greek, ‘anorexia'...
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