Chapter 13

Structuring a Nurturant-Authoritative Psychotherapeutic Relationship with the Anorexic Patient

Steven Levenkron

PREMORBID AND PERSONALITY FEATURES

Who is most vulnerable to developing anorexia nervosa? As can be surmised from the title of my first book (Levenkron, 1978), it would be “the best little girl” in the family. She was the girl who, from outward appearances, seemed to be working very hard to please everyone, to achieve success, to be a positive influence, and, in fact, to assist her family so that they might be proud of her. She has been characterized as perfectionistic and mistrustful, while alternately compliant and rebellious. Superficially adult, she has never been especially relaxed about receiving support. She inferred ...

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