Talking Cures
Because Pain illness and fatigue are destructive to our
Health, Wealth and Well being...

Anorexia Nervosa Explored Explained Understood?

One may term this as hiding from the truth as we all appear to do - when mysterious illness strikes.

This Paper is as much of what is reasonable to consider - as it is a matter of fact...

It is also combined information from Wikipedia and a number of professional sources.

Therefore it may contain a number of repeats - giving rise to different opinions and or conflicting information; perhaps therefore, this particular set of mysterious and distressing symptoms, demands such scrutiny.

Moreover, for a Medically qualified Person considered as. Anecdotal - a posh word for storytelling.

If in reading this paper my writing appears to be like a foreign language or even rambling.

Consider reading this paper - not as a book; take some time to comprehend the contents.

Where I would like to think and feel sure, it will make sense?

So often, we read or hear in detail. "What" (description or symptoms) of an illness - but rarely if ever does anyone take the time to truly explain...

"...WHY," or how it is really caused...

...this paper is designed to answer many of the questions - we are so often left with.

Where many times we have the questions and no answers - or the answers and not the questions.

If I have unwittingly left anything out or not satisfactorily answered, please email (address at the end of this page) and I will include it in this Paper at the earliest opportunity.

Please include item number or a copy and paste if possible - of the item that is not clear.

Did we not all struggle as a Child to learn many things we now through the experience of life - are now extremely competent with.

No apology if offered if discussions are repeated within this paper.

The understanding for this, nothing is more repeating than illness that is there every day of one's life and - despite treatments not only does not get better or have a satisfactory explanation/understanding.

Moreover often becomes worse, as Medical Science continues to write Scientifically Proven Papers about illness; in a confusing, repeating strange to many language/words or description in a manner that confuses everyone - and ultimately even themselves!

The first thing in the process of answering this is, for any one suffering, it is clear...

"...New understandings are required about illness..."

Far too many times I have heard from People. "If Doctors cannot Cure me how can a Person not medically qualified."‏

...making it appear the existing quality medical education is the same worldwide?..

...Non-existent.

If on reading this or any of Talking Cures understanding of illness one gets the impression...

....I am angry...

...then please believe it; because in 2017. People are not only not recovering from any illness - so often the treatments make them worse and no one knows why or it appears. Cares.

One could also be forgiven for thinking I am against:

1. Doctors.

2. The Medical Profession.

3. Medical Scientists.

4. Medical Researchers.

5. Alternative Medicine.

6. Complimentary medicine.

7. Religion.

The reality is I am a staunch supporter of any Person or Institution that helps People through tough emotional and physical concerns.

I am I confess most seriously against Bad Medical Science that has never once in real terms demonstrated the cause is truly known of any illness and as a result created a cure...

= ...no more illness and no more medications.

From Talking Cures point of view and therapeutic practice - names of illness especially Medically Diagnosed recognised and Scientifically proven, are of no real value in the understanding and treatment of any illness - the only Name we should use or symptom we may label is...

"A Person is unable to achieve a Healthy and satisfactory lifestyle...”

...Or never allowed to become the Person they should have been...

Thus requires. “Specialised assistance,” in order to make sense of the presenting symptoms, the cause and reason for them - enabling automatic resolution via the Persons own immune systems and Body replication process - referred to as, the Entire Body Chemistry. 

...Surely if a Person cannot be in control of self-repair when can they be in control!

To a trained Medical Mind these questions and answer updates may well appear or feel patronising - it is hoped not, as their structure is at the very. "Heart" of the success of Talking Cures as a therapeutic application and may well be a serious asset and improvement in Medical Treatment outcome success.

In order to fully appreciate this, it is helpful to consider and accept;

All of the information as to why a Person became ill in the first place and as a consequence - all of the information required for them to automatically create immune response repair is - not only contained within the confines of their Mind - it is the only information required to bring about the required Automatic Cure using their own immune systems and Body replication processes. As designed by the Mind and Body.

By creating very cleverly constructed questions - Knowing the Person is able to answer them with their own knowledge of themselves of which they are a Master and if they are unable to with my interpretations, accepted as re-education of their own information, that continues/completes on an ongoing bases; the process either returning to well-health or well-health for the very first time in their lives.

Based on the secure knowledge. "The only Person with the Integrity and Wisdom to fully Understand their illness and its cause - is the Person themselves."

There are most serious considerations as to why this process as with all illness treatment interventions - appears not to succeed...

...when the Protection created in response to early Childhood Emotional and or Physical traumas is so great the Person is unable to see the Protection and therefore unable to lower the Protection - allowing a Person to observe in a safe therapeutic environment the cause and consequences of such Protection, is the only safe way to resolve illness.

And. As a result, to gently - if one dare uses such words, lower the Protection, which will allow an immune response and an automatic alteration in ones thinking process, leading to a natural life - with comfort of Mind and Body.

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These explanations are from a collection of Scientifically Proven papers in the public domain and discussion forums and are in a Question and Answer forum style.

It is important to accept I am both the Questioner, on behalf of interested Person's - as well as the Person supplying the Answers, or Responding thus in many ways, my own best critic.

Leaving one to choose the Questions and Answers that are important for a better or individual understanding of this seemingly mysterious illness.

Furthermore it is imperative one recognises; I have no medical qualifications to make such assertions as contained within my answers.

This should leave one in no doubt - it is only written because the entire medical profession since its creation, have never once produced a cure for any illness.

A life time of medication - is not to be considered a cure, only management of an ever changing and most times ever growing list of symptoms and medications.

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Question. 1: Given the understanding you have no medical qualifications - are you able to explain how you can present this information regarding perhaps an illness you have no real prior knowledge of; in the way that you seem very able and comfortable with?

Answer. 1: Good question and thank you.

A. First may we understand it is the ability to work - using only the Persons Mind, with as many and constantly changing set of symptoms a Person is able to present; is at the very foundation from which I work.

B. My understanding and acceptance - everyone in the Medical Profession is doing the very best they are able with Management techniques, yet fail to truly comprehend the enormity of the constantly repeated statement. "Of the 100,000 illness recognised and diagnosed," still in 2016 there is not one definitive cure for any illness.

C. Thus I start from a piece of information where a Person - say on Facebook or LinkedIn posts a question about an illness and collect from the available sources, as much information as I am able, regarding the latest information known about the illness.

D. I then create a new web page and copy and past the information into the page.

E. From here I start the edit process of this information - yet do not attempt to understand it, in much the same way a Person with the illness may in pursuit of answers and questions.

F. Part of the edit process is to convert words that appear are used only to confuse - by research many medical publications or dictionaries, into a readable format, by providing the meaning of the word. This sometimes proves to be quite a time consuming task.

G. I then go through every word and edit out the grammatical parts that I feel could read better IE. Don't - do not. Doesn't - does not or isn't - is not and at the same time apply reference numbers to each sentence as well as colour highlights of information I feel deserves such treatment.

H. Finely - once the page is in a presentable format. I then start to comprehend the enormity of the message and make responses as required, ending with why Talking Cures feels or has proven if only to my own satisfaction, how the illness is caused.

I. Once the creation process is complete I use a number of ways to spell check the entire document - often confused by different ways of spelling the word from country to country.

J. Some forty to sixty hours later, or more depending on the amount of information - having read the document more times than I am able to count. having finely checked for best level of continuity. I take the decision it is ready to publish free of any sign up - no collection of saleable contact information or fees for all to use at their desire, or desecration.

1. After all of this there are still times when an error jumps out at me.

2. Usually at this time with a final read/edit - I am reminded; I have no Medical Qualifications and often breath a sigh of relief.

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Anorexia Nervosa Explored Explained Understood?

Courtesy of Wikipedia, the free encyclopaedia:

This article is about making 2016 sense of this Individually Symptom Presented disorder, using perhaps for the first time in history...

THE MIND.

Regarding Person's having Anorexia Nervosa with many interrelated symptoms - all with unknown cause and no known cure.

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Question. 1. 

So often I see Scientific Medical papers written with sincerity - yet it appears with nearly every paper the History is at, or near the end. May we start with this first?

Answer. 1. 

Yes of course, often the history give important clues that enable the connection between the available Science and the lack of Scientific understanding of the Mind and its interrelated connection with the biological Body.

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Section. 1.

History.

History of Anorexia Nervosa.


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History - continued.

Section 2.

A. The term Anorexia Nervosa was coined in 1873 by Sir William Gull, one of Queen Victoria's personal physicians.

B. The history of Anorexia Nervosa begins with descriptions of religious fasting, dating from the Hellenistic   and continuing into the Medieval Period.

C. The medieval practice of self-starvation by Women, including some young Women, in the name of religious piety and purity also concerns Anorexia Nervosa; it is sometimes referred to as Anorexia Mirabilis.

1. Mirabilis is a Latin adjective meaning "amazing, wondrous, remarkable" and is used to refer to:

2. Annus Mirabilis, a Latin phrase meaning "wonderful year" or "year of wonders" or "year of miracles."

3. Anorexia Mirabilis, is religious fasting to the point of starvation, particularly of Women and Girls of the Middle Ages.

D. The earliest medical descriptions of Anorexic illnesses are generally credited to English physician Richard Morton in 1689.

E. Case descriptions fitting Anorexic illnesses continued throughout the 17th, 18th and 19th centuries.

F. In the late 19th century Anorexia Nervosa became widely accepted by the medical profession as a recognized condition.

G. In 1873, Sir William Gull published a seminal paper which coined the term Anorexia Nervosa and provided a number of detailed cases and treatments.

H. In the same year, French Physician Enerst Charles Lasegue published details of a number of cases in a paper entitled (see link) De l'Anorexie Hystérique.

1. Ernest Charles Lasegue - although no longer with us to argue his case having been recognised as a physician, psychiatrist, neurologist and epidemiologist.

2. Published over 100 papers covering: internal medicine, psychiatry, neurology, the history of medicine and has been justifiably dubbed; ‘the universal specialist.' 

3. Today, perhaps because of specialisation, clinicians and researchers focus on much narrower fields and it would not be unfeasible for them to attempt to contribute significantly to such a wide range of disciplines in the same manner as Lasègue.

4. Disturbingly, it may also reflect a loss of the art of observation and clinical acumen.

Conclusion.   Is it not a sad state of affairs that an illness as described in Item D. that has been recognised since at least 1689 it has to come down as item H 4. describes to a professions low-self-worth or estimation and profit.  

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History Continued.

Section. 3.

1. Awareness of the condition was largely limited to the Medical Profession until the latter part of the 20th Century, when German-American Psychoanalyst Hilde Bruch Published.

"The Golden Cage: the Enigma of Anorexia Nervosa in 1978."

Despite major advances in neuroscience.

Abstract...

1. Although Anorexia Nervosa is diagnosed with increasing frequency, a casual survey of books written for families of chronically ill Paediatric and Psychiatric Patients uncovers very little information on this striking condition.

2. Hilde Bruch, MD, whose articles on the subject are cited in every bibliography, has written a highly readable monograph on Anorexia Nervosa, addressed according to its jacket: "to physicians, teachers, school counselors and Parents - or to all who are in a position of observing youngsters before a chronic and often irreversible state develops."

3. It is not a detailed scientific review, but a compendium of her impressive experience and a summary of her therapeutic philosophy.

4. Practitioners who consider it for its designated audience should review the text themselves to see if it reflects their own views and to decide how useful it might be for its intended purpose.

J. Despite the above Bruch's theories still appear to dominate popular Scientific Medical thinking.

K. The term Anorexia is of Greek origin and orexis - ὄρεξις, "appetite," translating literally to a nervous loss of appetite.

L. Etymology = the study of the origin of words and the way in which their meanings have changed throughout history.

M. A further important event was the death of the popular singer and drummer Karen Carpenter in 1983, which prompted widespread ongoing media coverage of eating disorders.

Question. 2. I think I am able to see what you mean?

Answer. 2. Indeed perhaps we can incorporate - as we proceed, discussing the information contained in the pictures above although fairly up to date Circa 2016 - yet, already I am able to see with the possibility of further picture evidence to come, items in Section 2 H and 3 J has the possibility of opening the discussion wide,  as I feel sure we will find out.   

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History Continued.

Section 4.

1. Is often referred to simply as Anorexia, an eating disorder characterised by low weight, fear of gaining weight and food restrictions.  

2. Many People with Anorexia see themselves as overweight even though they are in fact underweight.

3. If asked they usually deny they have a problem with low weight.

4. Often they weigh themselves frequently, eat only small amounts and only eat certain foods.

5. Some will exercise excessively, force themselves to vomit, or use laxatives to produce weight loss.

6. Complications may include Osteoporosis, infertility and Heart damage, among others.

7. Women will often stop having Menstrual Periods.

8. There appears to be some genetic components with identical twins more often affected than non-identical twins.

9. Cultural factors also appear to play a role with societies that value thinness having higher rates of disease.

10. Additionally, it occurs more commonly among those involved in activities that value thinness such as high-level athletics, modelling and dancing.

11. Anorexia often begins following a major life change or stress-inducing event.  

12. The diagnosis requires a significantly low weight.

13. The severity of disease is based on Body mass index (BMI) in Adults with mild disease having a BMI of greater than 17, moderate a BMI of 16 to 17, severe a BMI of 15 to 16 and extreme a BMI less than 15.

14. In Children a BMI for age percentile of less than the 5th percentile is often used.

A. “Percentile” is in everyday use, yet there is no universal definition for it.

B. The most common definition of a percentile is a number where a certain percentage of scores fall below that percentile.

15. Treatment of Anorexia involves restoring a healthy weight, treating the underlying psychological problems and addressing behaviours that promote the problem.

16. While medications do not help with weight gain, they may be used to help with associated Anxiety or Depression.

17. A number of types of therapy may be useful including an approach where Parents assume responsibility for feeding their Child, known as Maudsley Family Therapy and Cognitive Behavioural Therapy.

18. Sometimes People require admission to hospital to restore weight.

19. Evidence for benefit from Nasogastric Tube feeding, however, is unclear.

A. A nasogastric tube is a narrow bore tube passed into the stomach via the nose.

B. It is used for short- or medium-term nutritional support and also for aspiration of stomach contents - e.g., for decompression of intestinal obstruction.

20. Some People will just have a single episode and recover while others may have many episodes over years.

21. Many complications improve or resolve with regaining of weight.

22. Globally; Anorexia is estimated to affect two million People as of 2013.

23. It is estimated to occur in 0.9% to 4.3% of Women and 0.2% to 0.3% of Men in Western countries at some point in their life.

24. About 0.4% of young Females are affected in a given year and it is estimated to occur ten times less commonly in Males.

25. Rates in most of the developing world are unclear.

26. Often it begins during the teen years or young adulthood.

27. While Anorexia became more commonly diagnosed during the 20th century - it is unclear if this was due to an increase in its frequency or simply better diagnosis.

28. In 2013 it directly resulted in about 600 deaths globally up from 400 deaths in 1990.

29. Eating disorders also increase a Person's risk of death from a wide range of other causes including Suicide.

30. About 5% of People with Anorexia die from complications over a ten-year period, nearly a Six times increased risk.

31. The cause is not known.

Question. 3.  If one reviews this section with a critical eye - what does it tell us?

Answer. 3. If one reviews this with a critical eye - it tells us nothing of value, one has to see this with the Mind and then items 6, 8, 11, 15, 19, 20, 29, 30 and 31 begin to make some sense.

Question. 4. I am able to makes sense of this with item 31 - but not able to make the connection with the other items?

Answer. 4.  All items only tell the "What" of the illness, information any Person with the illness would be able to explain, no attempt is made to answer. "Why." 

A. Whilst item 20 - holds a most serious clue. "Some People will just have a single episode and recover while others may have many episodes over years."

B. This explains - whilst Symptom Management holds short to medium term benefits, the Mind will always seek to express the. "WHY."

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Signs and symptoms.

Section. 5.

A. Anorexia Nervosa is an eating disorder characterized by attempts to lose weight, to the point of starvation.

B. A Person with Anorexia Nervosa may exhibit a number of signs and symptoms, the type and severity of which may vary and may be present but not readily apparent.

C. Anorexia Nervosa and the associated malnutrition that results from self-imposed starvation, can cause complications in every major organ system in the body.

D. Hypokalaemia, a drop in the level of potassium in the Blood, is a sign of Anorexia Nervosa.

E. A significant drop in potassium can cause abnormal: Heart Rhythms, constipation, fatigue, muscle damage and paralysis.

F. Some individuals may lack awareness that they are ill.

Question. 5. Interesting point you raise in Answer. 4. B.  Is it fair to suggest this section hold similar clues?

Answer. 5. Indeed it does. Items B and F - readily explain the presence of Dormant yet highly active symptoms waiting the opportunity through inappropriate treatment to prove their existence. 

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Symptoms may include:

Section. 6. 

A. A low body mass index for: age, height and weight.

B. Amenorrhea, a symptom that occurs after prolonged weight loss; causes menstruation to stop, hair becomes brittle and skin becomes yellow and unhealthy looking.

C. Fear of even the slightest weight gain; by taking all precautionary measures to avoid weight gain or becoming "overweight."

D. Rapid, continuous weight loss.

E. Lanugo: soft, fine hair growing over the face and body.

F. An Obsession with counting calories and monitoring fat contents of food.

G. Preoccupation with food, recipes, or cooking; may cook elaborate dinners for others, but not eat the food themselves or consume a very small portion.

H. Food restrictions despite being underweight or at a healthy weight.

I. Food rituals, such as cutting food into tiny pieces, refusing to eat around others and hiding or discarding of food.

J. Purging. May use laxatives, diet pills, ipecac syrup, or water pills to flush food out of their system after eating or may engage in self-induced vomiting - although this is a more common symptom of bulimia.

K. Excessive exercise including micro-exercising, for example making small persistent movements of fingers or toes.

L. Perception of self as overweight, even though they might not be.

M. Intolerance to cold and frequent complaints of being cold; body temperature may lower - hypothermia in an effort to conserve energy due to malnutrition.

O. Hypotension or orthostatic hypotension.

P. Bradycardia or tachycardia.

Q. Depression, anxiety disorders and insomnia.

R. Solitude: may avoid friends and family and become more withdrawn and secretive.

S. Abdominal distension.

T. Halitosis - from vomiting or starvation-induced ketosis.

U. Dry hair and skin, as well as hair thinning.

V. Chronic fatigue.

W. Rapid mood swings.

X. Being protective of ones social media accounts due to eating disorder content.

Y. Having feet discoloration causing an orange appearance.

Z. Having severe muscle tension, aches and pains.

Question. 6.  Need I ask?

Answer. 6. Precisely. Again a lot more of the. "What" and none of the. "Why." Again serious clues if one were able to read them and more importantly employ them in an effective non management treatment process.

Question. 7. Are the clues contained in items: C, E, J, L and V?

Answer. 7. Certainly are; Items C is without doubt the very foundation this illness stands firmly on, whilst item L explains the value item C became the negative foundation and items J and V are no more than the biological expression of Items L, C and E. 

Question. 8. Is there an explanation as to why you appear to make the answers so complex?

Answer. 8. Good point, if only it were the truth.

1. The realism is I make thing abundantly clear after the years of Medical Science confusion of not knowing what they are saying, yet do not have the self-estimation to own up.

2. Thus my explanations are best seen as - a Completely new Science and therefore a New language we all must learn if we are to survive as a race.        

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Associated Problems.

Section. 7.

A. A. Other psychological issues may factor into Anorexia Nervosa; some fulfill the criteria for a separate Axis 1 diagnoses or a personality disorder which is coded Axis 11 and thus are considered comorbid to the diagnosed eating disorder.

1. Comorbid, relating to or denoting a medical condition that co-occurs with another.

Conclusion... 

A. How can the Medical Profession continue to ignore the clues items A and A. 1. provide.

B. A clear demonstration of an illness either created by or made worse by feeble efforts to ensure this disorder is of biological creation and is therefore food is the problem.

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Axis 1 and Axis.

Section. 8.

2. The Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA), offers a common language and standard criteria for the classification of Mental Disorders.

3. It is used, or relied upon, by clinicians, researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, the legal system and policy makers together with alternatives such as the International Statistical Classification of Diseases and Related Health Problems (ICD), produced by the World Health Organization (WHO).

4. The DSM is now in its fifth edition, DSM-5, published on May 18, 2013.

5. It evaluated the Patient on five Axes or dimensions rather than just one broad aspect of; 'Mental Disorder.'

6. These dimensions relate to biological, psychological, social and other aspects.

7. The DSM evolved from systems for collecting census and psychiatric hospital statistics and from a United States Army manual.

8. Revisions since its first publication in 1952 have incrementally added to the total number of mental disorders, although also removing those no longer considered to be mental disorders.

Question. 9.  Interesting aspect - leaves me to ponder is there more to this than meets the eye?

Answer. 9... 

A. It is imperative in 2017; the Manual for understanding Mental and indeed any illness in the face of constant failure to cure any illness is updated.

B. As year by year - despite advances in Medical Science that should blow ones Brain, it appears  more People are ill in every country of the world than ever.

C. Let us see what is on offer. 

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Main article: DSM-5.

Section. 9.

A. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the DSM-5, was approved by the Board of Trustees of the APA on December 1, 2012.

B. Published on May 18, 2013,

C. The DSM-5 contains extensively revised diagnoses and, in some cases, broadens diagnostic definitions while narrowing definitions in other cases.

D. The DSM-5 is the first major edition of the manual in twenty years.

E. A significant change in the fifth edition is the deletion of the subtypes of schizophrenia: paranoid, disorganized, catatonic, undifferentiated and residual.

F. The deletion of the subsets of autistic spectrum disorder; namely: Asperger's syndrome, classic autism, Rett syndrome, Childhood disintegrative disorder and pervasive developmental disorder not otherwise specified, was also implemented, with specifiers with regard to intensity: mild, moderate and severe.

G. Severity is based on social communication impairments and restricted, repetitive patterns of behaviour, with three levels:

1. Requiring support.

2. Requiring substantial support. 

3. Requiring very substantial support.

H. During the revision process, the APA website periodically listed several sections of the DSM-5 for review and discussion.

I. Future revisions and updates (2013 and beyond)

J. Beginning with the fifth edition, it is intended that diagnostic guidelines revisions will be added more frequently to keep up with research in the field.

K. It is notable that the DSM-5 is identified with Arabic rather than Roman numerals.

L. Beginning with DSM-5, the American Psychiatric Association will use decimals to identify incremental updates (e.g., DSM-5.1, DSM-5.2) and whole numbers for new editions (e.g., DSM-5, DSM-6), similar to the scheme used for software versioning.

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Axis 1 and Axis 11.

Section. 10.

Question. 10...


A. Interesting and necessary diversion?

B. Is there more to the Axis 1 and 11 we best consider?  

Answer. 10. Whilst we may recognise continuity of a subject is not the best attribute of Medical writers - we must also consider I also have a responsibility for this - for inserting information pertinent to the full and secure understanding of any illness being discussed. 

A. The presence of Axis 1 or Axis 11 psychiatric comorbidity has been shown to affect the severity and type of Anorexia Nervosa symptoms in both Adolescents and Adults.

B. Obsessive Compulsive Disorder (OCD) and  Obsessive Compulsive Personality Disorder (OCPD) are highly comorbid with Anorexia Nervosa, particularly the restrictive subtype.

C. Obsessive-compulsive personality disorder is linked with more severe symptomatology and worse prognosis.

D. The causality between personality disorders and eating disorders has yet to be fully established.

E. Other comorbid conditions include Depression, Alcoholism, Borderline and other Personality Disorders, Anxiety Disorders, Attention Deficit Hyperactivity Disorder and Body Dysmorphic Disorder BDD.

F. Depression and Anxiety are the most common comorbidities and Depression is associated with a worse outcome.

G. Autism Spectrum disorders occur more commonly among People with eating disorders than in the general population.

Question. 11. How can this be further demonstrated?

Answer. 11. By People being:

A. Seeming on edge more often than usual.

B. Having teary eyes and suicidal tendencies.

C. Evidence of habits of self harming or self-loathing.

D. Admiration of thinner People.

E. Some People have a previous disorder which may increase their vulnerability to developing an eating disorder and some develop them afterwards.

Question. 12. Why is it or better said - how is it you are able to make the process appear simple and medical Science always makes it so complicated.

Answer. 12. Shush let I will let you into a secret - I only use their own words.

Question. 13...

A. Sadly it is for if one extracts the questions and answers the rest is the words of Medical Science - sadly, nothing make much sense when the magic words. "The cause in not known and there  is no known cure" are used.

B. Coupled with a Name and the ultimate; Management of symptoms that does not last as long as it takes for the heat to leave boiled water. 

Question. 14. No come on be serious?

Answer. 14...

A. I was - like most of Medical Science real successes - Dead ly serious.

B. The real truth of it is as Steve Davis the snooker player once said. "Unless absolutely necessary - Why put spin on the Ball, is not the game of snooker difficult enough already."

C. Thus for the past Thirty Five years near I have self funded all of my writing and research.

1. The only funds I have ever received is for treatment applied.

D. Working under the remit. "No one, not even myself can order Talking Cures how to think, write and react to any given situation.

E. Moreover it appears - from the presenting worldwide evidence,  there has never been a therapeutic application using only a Person's Mind in order to resolve long-standing Mind and Biological Symptoms.

F. In addition; There has never been a therapeutic application created as to how to treat symptoms without any form of a - Symptom management program. 

F.  Of course we must not forget throughout the history of illness. No One has had the courage knowledge or integrity and wisdom, nor perhaps been allowed to say...

 "The Body is no more than a Piece of Meat - an organ of the Body, without instructions from the Mind."

G. All illness is created by the Mind and is no more than an unpleasant memory. 

H. For the first time in history it appears someone has taken the time to understand we Humans have a Mind.

I. In so doing - taken the time to understand; how via the Mind the entire Body chemistry creates the symptoms we call illness.

J. Thereby - allowing discovering how to treat all of the ever-changing symptoms a Person is able to express, without the requirement of a Symptom Name and all within the same-single-treatment regimen.  

K. As well as personally shield oneself from the  sustained the barrage from many People within a close relationship - including well meaning medically educated People who have a subconscious desire to suppress New and Innovative understandings of The Mind and how it works, as indeed I not only have but continue to do so. "I would rather live my life on my own, than wish I was," following giving up what I know to be absolutely the truth, than concede to others truth regarding illness and it cause and required treatment. The world is bursting to overflow of. "The cause is not known - so why should I concede.

L. All of this means; If one does not accept and understand the Mind then one gives up the Fundamental Right to have a Mind - thus the brain that shows only pretty lights under the very latest electronic scans to which no one really knows what to do with the information the lights offer, will have to suffice.

Question. 15.  Not so sure I deserved all that, however let us ask - what other revelations have the medical profession dreamt up?

Answer. 15...

A. I make no apologies for us as a race of People becoming Mind Blind and the Medical Profession Mind Absent, for; "If the truth hurts, then so it should, that is what the truth is for - Lies never ever show the damage they cause unless it is within illness - then they are soon buried or cremated.

B. Zucker et al. (2007) proposed that conditions on the Autism Spectrum make up the Cognitive Endo phenotype  underlying Anorexia Nervosa and appealed for increased interdisciplinary collaboration.

Question. 16. What is. "Cognitive Endo Phenotype."

Answer. 16...  Cognitive Endo Phenotype...

A. Cognitive. Of or relating to cognition; concerned with the act or process of knowing, perceiving, etc: cognitive development; cognitive functioning.

B.  Of or relating to the mental processes of perception, memory, judgment and reasoning, as contrasted with emotional processes.

C. "Endo." indicating within, inner, absorbing, or containing.

D. Phenotype. From Greek phainein, meaning; "to show" and typos, meaning "type" is the composite of an organism's observable characteristics or traits, such as its morphology, development, biochemical or physiological properties, behaviour and products of behaviour.

Conclusion. Cognitive Endo Phenotype... A Person; as. "Creativity is the Brakes on Madness," long since learnt how to fool everyone with their Minds thought processes via hyper activity and body symptoms.

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Endophenotype.

Section.11.

This is what the experts say it is.


From Wikipedia, the free encyclopaedia.

A. Endophenotype is a genetic epidemiology term which is used to separate behavioural symptoms into more stable phenotypes with a clear genetic connection.

B. The concept was coined by Bernard John and Kenneth R. Lewis in a 1966 paper attempting to explain the geographic distribution of grasshoppers.

C. They claimed that the particular geographic distribution could not be explained by the obvious and external, "exophenotype" of the grasshoppers, but instead must be explained by their microscopic and internal, "endophenotype."

D. The next major use of the term was in psychiatric genetics, to bridge the gap between high-level symptom presentation and low-level genetic variability, such as single nucleotide polymorphisms.

E. It is therefore more applicable to more heritable disorders, such as bipolar disorder and schizophrenia.

F. Since then, the concept has expanded to many other fields, such as the study of ADHD, addiction, Alzheimer's disease obesity and Cystic Fibrosis.

G. Some other terms which have a similar meaning but do not stress the genetic connection as highly are: "intermediate phenotype," "biological marker," "sub clinical trait," "vulnerability marker" and "cognitive marker."

H. The strength of an endophenotype is its ability to differentiate between potential diagnoses that present with similar symptoms.

Question. 17. Ok smarty makes some sense of that?

Answer. 17. Yes it is no more that Idiopathic Nonsense in order to ensure all illness is of Biological creation - thereby the Mind and in this case not even the Brain have anything to do with it.

A. Idiopathic An idiopathy is any disease with unknown pathogenesis of apparently spontaneous origin.

1. From Greek ἴδιος idios; "one's own" and πάθος pathos; "suffering." idiopathy means approximately; "a disease of its own kind."

B. Demonstrated rather nicely by the term in item D. "Psychiatric Genetics," I ask you how can this be scientific, the two-terms are about as contradictory as they come.

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Exophenotype.

Section. 12.

Question. 18. Point taken.  Are there any extensions to this idiom of scientific understanding?

Answer. 18. Yes it appears there is and it is referred too as. "Exophenotype." Let us explore.

A. Mendelian genetics - published 1866, of Humans exophenotype, deals only with properties in the domain of qualitative variations and or that quantitative properties that can be described in arbitrary categories, such as Mendel’s variety of low and high pea stalks.

1. It appears Mendelian Genetics was created by Mendal  and these are the principles of Mendel?

A. The recessive trait will only result if both factors are recessive.

B. Mendel's observations and conclusions are summarized in the following two principles, or laws.

1. The Law of Segregation states that for any trait, each Parent's pairing of genes - alleles split and one gene passes from each Parent to an offspring

C. Therefore, this area classical genetics covers only those properties that behave according to the model monogenic inheritance, i.e. simple gene inheritance.

D. According to the model Mendelian inheritance, if a Child, at least from one of the Parents gets a dominant Allele they will have a dominant phenotype variant of observed properties.  

E. Only those who get a recessive allele from both Parents exhibit the recessive phenotypes.

F. Those who get dominant allele from one Parent and recessive than the other, will be the dominant variant features.

G. Among the infinitely large number of potentially describable features, very few that can be introduced in a purely Mendelian trait, because most of the phenotypic expression of the exophenotypic traits is the showpiece of incomplete dominance, codominance and quantitative contributions from smaller or larger number of genes.

H. Theoretically, the recessive phenotype can skip any number of generations, remaining "dormant" in heterozygous "carriers," until they have Children with someone who has one or both recessive alleles, which will transfer to his/her Child.

I. If the second partner is a recessive homozygote, the chance for expression of recessive phenotype is 50% and if, as mentioned a holder, the heterozygote, in their offspring will appear in 25% of individuals with recessive phenotype.

J. The studies of the morphological - anatomical, undoubtedly inherited properties, faces particular difficulties because of incomplete gene expressiveness or penetrance which control them, regardless of their affiliation to any of the described models of inheritance.

K. Most of those traits that exhibit a high heritability degree was listed in hardcover McKusick's Mendelian Inheritance in Man until the 10's editions.

L. Many of them are still included in today's OMIM's edition. Online Mendelian Inheritance in Man. 

M. Before the discovery of DNA identification, many of these features were worldwide used as the genetic markers in medicolegal practice, including the cases of disputed paternity.

N. Human traits with probably or uncertain simple inheritance patterns.

Question. 19. So in 1863 did Mendel have his finger on the pulse or was he just mendeling?

Answer. 19. Sadly he was, however, he can be excused and still is the same today as time will tell. Item I makes that clear with 50% - toss a coin and you can only be 50% wrong or right at any one time.

Question. 20. All very interesting but does not really explain Anorexia does it now?

Answer. 20. No that is true as does the long history behind the ever changing symptoms - tells a lot of "What" but not a lot of "Why."

Question. 21. How are you going to do that when the evidence suggests no one else has?

Answer. 21. That sadly is true - so is not time we got the really big guns out and showed their metal.

A. Although I fell there is a mile or so to travel before we are able to really able to fill the breeches.

B. I mean it is not as though we desire to get our powder damp is it.

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Cause.

Section. 13.

There is evidence for biological, psychological, developmental and sociocultural risk factors, but the exact cause of eating disorders is unknown.

Question. 22. I see what you mean - please continue?

Answer. 22. Is it not fair to suggest this one sentence self-destroys all of the history of Medical Science - but do they know that.  

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Biological.

Section. 14.

A. Genetics: Anorexia Nervosa is highly heritable.

B. Twin studies have shown a heritability rate of between 28 and 58%.

C. Association studies have been performed, studying 128 different polymorphisms related to 43 genes including genes involved in regulation of eating behaviour, motivation and reward mechanics, personality traits and emotion.

D. Consistent associations have been identified for polymorphisms associated with agouti-related peptide, brain derived neurotrophic factor, catechol-o-methyl transferase, SK3 and opioid receptor delta-1.

E. Epigenetic modifications, such as DNA methylation, may contribute to the development or maintenance of anorexia nervosa, though clinical research in this area is in its infancy.

F. Obstetric complications: prenatal and perinatal complications may factor into the development of Anorexia Nervosa, such as maternal anaemia, diabetes mellitus, preeclampsia, placental infarction and neonatal cardiac abnormalities.

G. Neonatal complications may also have an influence on harm avoidance, one of the personality traits associated with the development of Anorexia Nervosa.

H. Neuroendocrine Dysregulation: altered signalling of peptides that facilitate communication between the gut, brain and adipose tissue, such as ghrelin, leptin, neuropeptide Y and orexin, may contribute to the pathogenesis of Anorexia Nervosa by disrupting regulation of hunger and satiety.

Question. 23. Surely this is laughable - not in the slightest of scientific value?

Answer.  23... Sad but true and in this particular illness so poorly understood and treated is this the or part of the reason...

A. Nervosa has no real definition in the English language. In Latin, it means, "Nervous."

B. For contextual purposes, it mean; "the psychological addiction to a behaviour, belief, or habit" that effects the body via the nervous system, or the Mind.

C. It is also a word commonly used in reference to botany.

D. Nervosa, when used in botany, describes a trunk or tree like pattern of veins within the leaves.

E. Do you not as I find it difficult to comprehend Medical Science can continue to ignore these aged words. 

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Gastrointestinal Diseases.

Section. 15.

A. People with gastrointestinal disorders may be more risk of developing eating disorders practices than the general population, principally restrictive eating disturbances.

B. An association of Anorexia Nervosa with Celiac Disease has been found.

C. The role that gastrointestinal symptoms play in the development of eating disorders seems rather complex.

D. Some authors report that unresolved symptoms prior to gastrointestinal disease diagnosis may create a food aversion in these Persons, causing alterations to their eating patterns.

E. Other authors report that greater symptoms throughout their diagnosis led to greater risk.

F. It has been documented that some People with Celiac Disease, irritable bowel syndrome or inflammatory bowel disease who are not conscious about the importance of strictly following their diet, choose to consume their trigger foods to promote weight loss.

G. On the other hand, individuals with good dietary management may develop anxiety, food aversion and eating disorders because of concerns around cross contamination of their foods.

H. Some authors suggest that medical professionals should evaluate the presence of an unrecognized Celiac Disease in all People with eating disorders, especially if they present any gastrointestinal symptom - such as decreased appetite, abdominal pain, bloating, distension, vomiting, diarrhoea or constipation, weight loss, or growth failure; and also routinely ask Celiac Patients about weight or body shape concerns, dieting or vomiting for weight control, to evaluate the possible presence of eating disorders, specially in Women.

Answer. 24. Now before you ask the question let me answer - "Now this section is truly laughable."

Question. 24. Why?

Answer. 24...

A. I could use the old cliché "If you do not know or cannot see; I am not going to tell you." However that is not my way as it is clear - my and a very patient education is the only way.

B. The answer to this conundrum is in Medical Science own words as item D demonstrates. Thus the question is what caused the. "Unresolved Symptoms" and why were they not cured earlier.    

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Studies - Hypothesize or Guesswork.

Section. 16.

A. Studies have hypothesised the continuance of disordered eating patterns may be epiphenomena of starvation.

B. Epiphenomena. In the more general use of the word, a causal relationship between the phenomena is implied; the epiphenomenon is a consequence of the primary phenomenon.

1. This is the sense that is related to the noun epiphenomenalism.

2. However, in medicine, this relationship is typically not implied and the word is usually used in its second sense: an epiphenomenon may occur independently and is called an epiphenomenon because it is not the primary phenomenon under study or because only correlation, not causation, is known or suspected.

3. In this sense, saying that X is associated with Y as an epiphenomenon is preserving an acknowledgment that correlation does not imply causation.

4. Signs, symptoms, syndromes - groups of symptoms and risk factors can all be epiphenomena in this sense.

5. For example, having an increased risk of breast cancer concurrent with taking an antibiotic is an epiphenomenon.

6. It is not the antibiotic that is causing the increased risk, but the increased inflammation associated with the bacterial infection that prompted the taking of an antibiotic.

7. The metaphor of a tree is one way of helping to explain the difference to someone struggling to understand...

8. If the infection is the root of the tree and the inflammation is the trunk, then the Cancer and the antibiotic are two branches; the antibiotic is not the trunk.

C. The results of the Minesota Starvation Experiment showed normal controls exhibit many of the behavioural patterns of Anorexia Nervosa (AN) when subjected to starvation.

D. This may be due to the numerous changes in the Neuroendocrine system, which results in a self-perpetuating cycle.

E. Another hypothesis is that Anorexia Nervosa is more likely to occur in populations in which obesity is more prevalent and results from a sexually selected evolutionary drive to appear youthful in populations in which size becomes the primary indicator of age.

F. Anorexia Nervosa is more likely to occur in a Person's pubertal years.

G. Some explanatory hypotheses for the rising prevalence of eating disorders in adolescence are; "increase of adipose tissue in girls, hormonal changes of puberty, societal expectations of increased independence and autonomy that are particularly difficult for anorexic adolescents to meet; and increased influence of the peer group and its values."

1. Adipose tissue. From Wikipedia, the free encyclopaedia.

2. In biology, adipose tissue, body fat, or simply fat is a loose connective tissue composed mostly of adipocytes.

3. In addition to adipocytes, adipose tissue contains the stromal vascular fraction (SVF) of cells including preadipocytes, fibroblasts, vascular endothelial cells and a variety of immune cells such as adipose tissue macrophages.

4. Adipose tissue is derived from preadipocytes.

5. Its main role is to store energy in the form of lipids, although it also cushions and insulates the body.

6. Far from being hormonally inert, adipose tissue has in recent years, been recognized as a major endocrine organ, as it produces hormones such as leptin, estrogen, resistin and the cytokine TNFα.

7. The two types of adipose tissue are white adipose tissue (WAT), which stores energy and brown adipose tissue (BAT), which generates body heat.

8. The formation of adipose tissue appears to be controlled in part by the adipose gene.

9. Adipose tissue - more specifically brown adipose tissue - was first identified by Gessner in 1551.

10. Fat is one of the three main macronutrients, along with carbohydrate and protein.

A. Fats, also known as triglycerides, are esters of three fatty acid chains and the alcohol glycerol.

11. The terms "oil," "fat" and "lipid" are often confused. "Oil" normally refers to a fat with short or unsaturated fatty acid chains that is liquid at room temperature, while "fat" may specifically refer to fats that are solids at room temperature.

12. "Lipid" is the general term, as a lipid is not necessarily a triglyceride.

13. Fats, like other lipids, are generally hydrophobic and are soluble in organic solvents and insoluble in water.

14. Fat is an important foodstuff for many forms of life and fats serve both structural and metabolic functions.

15. They are a necessary part of the diet of most heterotrophs - including Humans.

16. Some fatty acids that are set free by the digestion of fats are called essential because they cannot be synthesized in the body from simpler constituents.

17. There are two essential fatty acids (EFAs) in human nutrition: alpha-linolenic acid - an omega-3 fatty acid and linoleic acid - an omega-6 fatty acid.

18. Other lipids needed by the body can be synthesized from these and other fats.

19. Fats and other lipids are broken down in the body by enzymes called lipases produced in the pancreas.

Question. 25. I have to confess when I read the title of this section I thought; "that is a bit harsh" as it did not appear to be Medical Science words. And then I read it and thought "Is it time to bring out the big guns."

Answer. 25...

A. Yes I now it was a bit cheeky but having read through to edit the section - I felt it appropriate.

B. As to the big guns it appears the time is getting closer.

Question. 26. I am able to make some sense of your adding the word; "Guesswork," to the title? However are you able to expand on it a little as to what it or you mean?

Answer. 26. Yes of course in principle there are two answers to this...

1. It is acceptable for medical science to hypothesis on a given thesis relating to the ever changing Mind and or Body symptoms a Person is able to present and then to continue to study the outcome and advise Doctors to put this into practice.

2. However if we are to accept this - is it not right and proper we all work with the same protocols; as the Mind and Body in every individual are exactly the same, just different shapes, one does not need to be a scientists to observe...

3. For if we do not - all of the above and indeed in ay illness study amounts to little more than Scientifically Proven nonsense.

4. The protocol I work too is...

A. Always tell the Patient the clear truth but in question style.

B. An ill Person is the ONLY Person that knows anything of value regarding their illness, do not pretend or try to scientifically kid you know better, by big obfuscating words spoken only to the Bedside Medical Students.

C. Do not under any circumstances speak to significant others and in so doing ignore the Person, this is especially so in young Children - do not pretend they do not understand.

D. Explain not lecture what you are doing and why, this is education not management therapy.

E. I believe everything I hear and I do not believe a word. this keeps my feet firmly on the floor and in so doing disallows me from listening to the illness; best known as the Emotional Phenotype expression, of the Person behind the illness or the illness is protecting.

F. Of course there are may more; always delivered on a just in time bases.

G. However if we come back to the main thrust of the question. Predicting the future is like thinking you know yet failing to take note of the outcome is for fools - as is guessing.

H. Guessing or Hypothesising is Acceptable whilst creating the protocol to work with, but if one feels the time has arrived to put the guesswork to paper and practise and seek Peer review consent to publish - one is not only fooling the funders, one is most seriously fooling oneself.

I. Do not ever - unless clearly stated to a Patient; "I am theorising." Thus one either knows or does not, thinking or guessing one knows is not even of novel interest - let alone scientific.

J. It is absolutely acceptable to say to a Patient. "I do not know," it is not acceptable to continue this post the acquisition of a Noble Prize or the pressing of the "Print Now" button without first asking. "WHY."

Question. 27.  Are there items within this worthy of debate or further understanding from the Minds point of view.

Answer. 27. Item. G.  7 contains interesting information. "The two types of adipose tissue are white adipose tissue (WAT), which stores energy and brown adipose tissue (BAT), which generates body heat."

Question. 28. But what does it say?

Answer. 28. It explains "Why." People become obese.

Question. 29. How did it do that?

Answer. 29. If one stores fuel as Fat to become obese, then it is a clear sign there is a requirement to increase or sustain heat in the body - which in turn tells they are in Fear which lowered the core temperature, causing Anxiety as part of the process of increasing the Core heat. 

Question. 30. How did you get all of that information - to which I must suspect there is more - just from those few words.

Answer. 30. When one understands the Mind and its activity with and in the Body - one would or should be able to gather sufficient information to treat an Obese Person.

Question. 31. How did this discussion on Anorexia Nervosa become entangled with Obesity?

Answer. 31. One might be pressed to suggest. "Is there in reality any difference."         

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Psychological.

Section. 17.

A. Early theories of the cause of Anorexia linked it to Childhood Sexual Abuse or dysfunctional families; evidence is conflicting and well-designed research is needed.

B. The Fear of food is also known as sitiophobia, cibophobia, or, sitophobia and is part of the differential diagnoses.

C. Other psychological causes of Anorexia includes low self-esteem, feeling like there is lack of control, depression, anxiety and loneliness.

D. Peer pressure and constant pressure media and others around can lead to low self-esteem and other psychological symptoms and causes eating disorders like Anorexia.

Question. 32. Surely this must be an invitation to bring to bear the big guns into the discussion?

Answer. 33. As the essence of the discussion appears to be right up my street, on the face of it I could not agree more.

A. Surely when one evaluates the amount of information in the section - all scientifically proven of course there is hardly sufficient to cover a postage stamp.

B. There one is however one word that self-destroys everything contained in this scientific paper. FEAR.

C. For if Medical Science does not understand this - then this section clearly demonstrates they have accepted they know nothing of any value; not even Novel. 

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Sociological.

Section. 18.

A. Anorexia Nervosa has been increasingly diagnosed since 1950; the increase has been linked to vulnerability and internalization of body ideals.

B. People in professions where there is a particular social pressure to be thin - such as models and dancers were more likely to develop Anorexia and those with Anorexia have much higher contact with cultural sources that promote weight loss.

C. This trend can also be observed for People who partake in certain sports, such as jockeys and wrestlers.

D. There is a higher incidence and prevalence of Anorexia Nervosa in sports with an emphasis on aesthetics, where low body fat is advantageous and sports in which one has to make weight for competition.

E. Family dynamics can play big part in the cause of Anorexia.

F. When there is a constant pressure from People to be thin, teasing, bullying can cause low self-esteem and other psychological symptoms.

Question. 34. Is this not the same as always - if the Medical Profession after some 1500 years cannot makes sense of an illness - then there is a propensity to blame anyone but themselves? 

Answer. 34. sadly this is the well documented truth - yet for all their Sciense they are so Mind Blind they  miss - or is that just too convenient, important clues as item E demonstrates.    

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Media Effects.

Section. 19.

A. Constant exposure to media including social media that presents body ideals, may constitute a risk factor for body dissatisfaction and Anorexia Nervosa.

B. The cultural ideal for body shape for Men versus Women continues to favour slender Women and athletic, V-shaped muscular Men.

C. A 2002 review found that, of the magazines most popular among People aged 18 to 24 years, those read by Men, unlike those read by Women, were more likely to feature ads and articles on shape than on diet.

D. Body dissatisfaction and internalization of Body ideals are risk factors for Anorexia Nervosa that threaten the health of both Male and Female populations.

E. Websites that stress the importance of attainment of Body ideals extol and promote Anorexia Nervosa through the use of religious metaphors, lifestyle descriptions, "thinspiration" or "fitspiration" inspirational photo galleries and quotes that aim to serve as motivators for attainment of Body ideals.

F. Pro-Anorexia websites reinforce internalization of Body ideals and the importance of their attainment.

G. The media gives Men and Women a false view of what People truly look like.

H. In magazines, movies and even on billboards most of the actors/models are photo shopped in multiple ways.

I. People then strive to look like these; "perfect" role models, when in reality they are not any where near perfection themselves. 

Question. 35. Surely you must accept the Media like our governments are the biggest terrorist organisations on the planet - where there is never the desire to let the truth stand in the way of a good story . therefore there is a sad truth in this section?

Answer. 35.  Indeed I do, may I remind you of one my protocols Item Answer. 26. E.

A. Using this I am able to say and mean - this is absolute nonsense.

B. Are we really to believe any Media social or otherwise is able to exert sufficient influence to control a Person to such a degree they will destroy their life.

C. Not even Torture will do that without the input of Fear into a Mind, usually regarding the safety and well being of the close family of the Person undergoing the torture.

D. Therefore this is blackmail or Mind Torture not biological inference.   

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Mechanisms.

Section. 20.

Question. 36. Surely, now we are deep in to the mechanisms of Anorexia Nervosa it really is time to bring out the big guns?

Answer. 36. Let us not beat about the "scientific tree of misinformation,"  let us go for the juggler.

A. Anorexia Nervosa is a name given to a set of symptoms the Person or Doctor that named them, did so because they did not understand the cause and did not - as now, have a cure.

B. Thus the description is no more than a symptom - often caused or aggravated by improper  medical guesswork/hypotheses and or advise/applications, is not now or ever will be a symptom described as a Psychological disorder.

C. Although one may wish to  argue - there is a contributory factor, however  it is not now or ever will be caused by any form of Media, Social pressure, websites, Facebook or magazines - although the emotional phenotype may well demand this is so.

D. It has never been nor will it be in the future - a Biological Disorder, although to look at a Person one may well desire to argue this point.

E. Whether we as a race of People like this or not - we all know it to be the truth we will not face up too...

1. There is only one real cause of Anorexia Nervosa and that is at a time when the sufferer left the Parental home or reached the age of 21 which ever came first.

2. Now if a Person is born ill then they never had a Parental Home. only a place to live.  

F. Let us truly for the very first time in history - like it or not understand the real cause of Anorexia Nervosa.

In simple terms.

 1. Parents upbringing and later at conception Body Chemistry. 

2. During confinement the Childs reaction to Mothers Body Chemistry.

3. During or post birth the Child is placed in Fear - causing Anxiety that is now and to become - unresolved and unresolvable conflict requiring very deep and profound understanding, via a lifetime of biological presentations (symptoms) diagnosed by many People that only see with their Eyes and are therefore Mind Blind.

4. Let us now for once and for all settle this point about the very distressing disorder of Anorexia Nervosa.

A.  A disorder - no one from; the Person with the disorder - as the social ripple spreads out to the Doctors, Therapists, Professors of medicine and even the Research Scientists escapes the ravages of the disorder..;

...it has never been in the long distant past, the present for all to see and the future no one can see - anything whatsoever to do with...

FOOD.

Question. 37. Big Guns indeed - if we accept this is the first time in history of the illness this has been said with such certainty - is there a way we can demonstrate at least a modicum of truth in your statement.

Answer. 37...

A. Of course, bearing in Mind I never say anything of this nature just to be vexations or purposely hurt anyone - However unlike the National and International news and the available medical findings. I work on the protocol - the truth MUST stand in the way of a good profit.

B. For one day I may need assistance with health issues of my own and I like everyone else would in real-terms have no one to turn too.

C. Other than a lifetime of ever increasing multiple side-effect management medications.  

Let us proceed... 

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Serotonin Dysregulation.

Section. 21.   

A. Brain imaging studies implicate alterations of 5-HT1A and 5-HT2A receptors and the 5-HT transporter.

B. Alterations of these circuits may affect mood and impulse control as well as the motivating and hedonic aspects of feeding behaviour.

D. Starvation has been hypothesized to be a response to these effects, as it is known to lower tryptophan and steroid hormone metabolism, which might reduce serotonin levels at these critical sites and ward off anxiety.

E. Addiction to the chemicals released in the Brain during starving and physical activity: People affected with Anorexia Nervosa often report getting some sort of high from not eating.

F. The effect of food restriction and intense activity causes symptoms similar to Anorexia in Female rats, though it is not explained why this addiction affects only Females.

G. Resting state fMRI has identified the insular cortex and corticolimbic circuitry as likely Brain areas responsible for the symptomology of Anorexia Nervosa.

Question. 38. I know, I know, you may rest your case. But why?

Answer. 38. There are numerous explanation for this...

1. I have always understood from medical science there are some 2000 chemicals in the body - recent information has come to hand there are some 4000 although I have never sought to prove or disprove this; I am content in accepting the possibility exists.

A. Thereby confirming no matter what number I use - there is no way just one chemical - serotonin,  of the body can be implicated as the cause of any illness let alone Anorexia Nervosa.

B. This is like a Singer pleasing an audience with the Song they have all been screaming out for throughout the concert.

2. If one looks at items B, C, D and E they all refer to items of the Minds emotional activity not Brain - thereby leaving the question what causes this chemical to be over or under activated.

3. Whilst item F holds extremely interesting clues if one is not too Mind Blind to see them.  

4. Meanwhile Item G just completes the circle - as expected with back to front Biological thinking of the Cause always and only being of Biological creation.

Question. 39. What is the process you are able to make such affirmative statements and where do we go from here?

Answer. 39...

A. It is a sad indictment one has to say such things - however,  the evidence from around the world regarding the satisfactory outcome of any treatments is not as Long-Term and mostly Short-term successful as desired by all of our dedicated clinicians - no matter what doctrine they practice.

B.  Having dedicated the past Thirty Five Years in understanding the Human Mind and if I could speak any Animal language it would be much the same - as today more than ever I understand the Mind and its interaction via the Organ of the Body - the Brain and how the Mind uses; based on its entire memory store, the entire Body Chemistry to construct what is known as illness symptoms. 

C. Yet Symptoms are no more than an expression of a memory and the Mind constantly moves them around the Body - in order to either confuse any clinician; yet in reality gather the Understanding the Memories demand, whilst any treatment persists in any form of management of symptoms.

D. Let us now explore and examine the available evidence of the disorder in order to explain with a New Science.              

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Diagnosis.

Section. 22.

A. A diagnostic assessment includes the Person's current circumstances, biographical history, current symptoms and family history.

B. The assessment also includes a Mental State examination, which is an assessment of the Person's current mood and thought content, focusing on views on weight and patterns of eating.

DSM-5.

C. Anorexia Nervosa is classified under the Feeding and Eating Disorders in the latest revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM 5).

D. Relative to the previous version of the DSM (DSM-IV-TR), the 2013 revision (DSM5) reflects changes in the criteria for Anorexia Nervosa, most notably that of the Amenorrhea Criterion being removed.

E. Amenorrhea was removed for several reasons: it does not apply to Males, it is not applicable for Females before or after the age of menstruation or taking birth control pills and some Women who meet the other criteria for Anorexia Nervosa still report some menstrual activity.

Question. 40. Is this information really all the available information clinicians have to work with, in order to make a scientifically proven diagnoses?

Answer. 40. One would like to think there is more but this is what popped up during my research for this paper.

Question. 41. What then does this section have to offer by way of clues?

Answer. 41.  Few but none the more as they say in Medical Circles - there are a few Clinical Pearls to consider.

A.  I see so often dedicated clinicians approach a Patient pass them and then turn around and follow them.

1. Asking them as they go; what symptoms are you experiencing  as item  B clearly demonstrates. This is rather like shouting into a very high wind and expecting the Person you are shouting at the hear.

B. Meanwhile with Item A with or without the answers I could create an effective treatment program with a Person that has the drive to return to the Person they should have been without the illness.

C. Finely Items D and E; I would like to see the medical studies that lead to this change in the DMC 5; for this appears to be for saving Private Ryan only and nothing to do with the wellbeing of any Patient with the disorder.

1. More just the information contained in items D and E once again is sufficient to create a therapeutic application leading to a recovery - working on the assertion the Persons subconscious Mind is able to keep up.   

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Subtypes.

Section. 23.

There are two subtypes of Anorexia Nervosa:

A. Binge-eating/purging type:

1. The individual utilizes binge eating or displays purging behaviour as a means for losing weight.

2. It is different from Bulimia Nervosa in terms of the individual's weight.

3. An individual with binge-eating/purging type Anorexia does not maintain a healthy or normal weight but is significantly underweight.

4. People with Bulimia Nervosa on the other hand can sometimes be overweight.

B. Restricting type:

1. The individual uses restricting food intake, fasting, diet pills, or exercise as a means for losing weight; they may exercise excessively to keep off weight or prevent weight gain and some individuals eat only enough to stay alive.

Question. 42. Comment please?

Answer. 42. I find it extremely sad when a profession that only works on Scientific Proof have to result to Sub Types in order to hide how little they knew regarding the original symptom presentation thus can only be considered as meaningless jargon.

A. A Person either has Anorexia Nervosa or they do not - make up your MIND Medical Science.     

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Levels of severity.

Section. 24.  

A. Body mass index (BMI) is used by the DSM-5 as an indicator of the level of severity of Anorexia Nervosa.

B. The DSM-5 states these as follows:

1. Mild: BMI of greater than 17.

2. Moderate: BMI of 16–16.99

3. Severe: BMI of 15–15.99

4. Extreme: BMI of less than 15.

Question. 43.  It is clear the DSM gives great credence to the BMI Index as do the attending clinicians; Is there really a benefit within this scientific test?

Answer. 43...

A. No it is nonsense, the Person already knows by looking in a mirror or even with their Minds Eye the severity of their disorder, so why should a clinician desperate to make some sense of the available science  use it.

B. Thus we can conclude taking a BMI measurement is to relieve the clinicians anxiety only and nothing of any therapeutic value for the Patient.    

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Investigations.

Section. 25.  

A. Medical tests to check for signs of physical deterioration in Anorexia Nervosa may be performed by a general physician or psychiatrist, including:

B. Complete Blood Count (CBC): a test of the white blood cells, red blood cells and platelets used to assess the presence of various disorders such as leukocytosis, leukopenia, thrombocytosis and Anaemia which may result from malnutrition.

C. Urinalysis: a variety of tests performed on the urine used in the diagnosis of medical disorders, to test for substance abuse and as an indicator of overall healthChem-20: Chem-20 also known as SMA-20 a group of twenty separate chemical tests performed on blood serum.

D. Tests include cholesterol, protein and electrolytes such as potassium, chlorine and sodium and tests specific to liver and kidney function.

E. Glucose tolerance test: Oral glucose tolerance test (OGTT) used to assess the body's ability to metabolize glucose.

F. Can be useful in detecting various disorders such as diabetes, an insulinoma, Cushing's Syndrome, hypoglycaemia and polycystic ovary syndrome.

G. Serum cholinesterase test: a test of liver enzymes - acetylcholinesterase and pseudocholinesterase, useful as a test of liver function and to assess the effects of malnutrition.

H. Liver Function Test: A series of tests used to assess liver function some of the tests are also used in the assessment of malnutrition, protein deficiency, kidney function, bleeding disorders and Crohn's Disease.

I. Lh response to GnRH: Luteinizing hormone (Lh) response to gonadotropin-releasing hormone (GnRH):

J. Tests the pituitary glands' response to GnRh a hormone produced in the hypothalamus.

K. Hypogonadism is often seen in Anorexia Nervosa cases.

1. Hypogonadism means diminished functional activity of the gonads - the testes in Males or the Ovaries in Females, that may result in diminished sex hormone biosynthesis.

2. In layman's terms, it is sometimes called interrupted stage 1 puberty.

L. Creatine Kinase Test (CK-Test): measures the circulating blood levels of creatine kinase an enzyme found in the heart (CK-MB), brain (CK-BB) and skeletal muscle (CK-MM).

M. Blood Urea Nitrogen (BUN) test: urea nitrogen is the by-product of protein metabolism first formed in the liver then removed from the body by the kidneys.

N. The BUN test is primarily used to test kidney function.

O. A low BUN level may indicate the effects of malnutrition.

P. BUN-to-creatinine ratio: A BUN to creatinine ratio is used to predict various conditions.

Q. A high BUN/creatinine ratio can occur in severe hydration, acute kidney failure, congestive heart failure, and intestinal bleeding.

R. A low BUN/creatinine ratio can indicate a low protein diet, celiac disease, rhabdomyolysis, or cirrhosis of the liver.

S. Electrocardiogram (EKG or ECG): measures electrical activity of the heart.

T. It can be used to detect various disorders such as hyperkalemia

U. Electroencephalogram (EEG): measures the electrical activity of the brain.

V. It can be used to detect abnormalities such as those associated with pituitary tumours.

W. Thyroid Screen TSH, t4, t3 :test used to assess thyroid functioning by checking levels of thyroid-stimulating hormone (TSH), thyroxine (T4), and triiodothyronine (T3)

Question. 44.  Surely you cannot argue against the many tests mentioned here?

Answer. 44...

A. No of course not, in the absence of solid scientific knowledge we must not stop looking.

B. However one must be able to see with the cause not known and no known cure - these tests are no better than looking for the Needle in Haystack one placed earlier.

Question. 45. For you to make the comment as in Item Answer. 38. B. It is clear there must be some serious clues within this section?

Answer. 46. This is so - It must be said if Medical Science has to make the comment as in item K and K-1 then they understand nothing of value now, ever have, nor ever will. All is confirmed in Item K 2.

Question. 47. Explanation please?

Answer. 47. May we continue with this exploration and then if the question is not inadvertently answered by medical science themselves - we will review it later.      

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Differential diagnoses.

Section. 26.

Main article: Anorexia nervosa - differential diagnoses.

A. A variety of medical and psychological conditions have been misdiagnosed as Anorexia Nervosa; in some cases the correct diagnosis was not made for more than ten years.

B. The distinction between the diagnoses of Anorexia Nervosa, Bulimia Nervosa and eating disorders not otherwise specified (EDNOS) is often difficult to make - as there is considerable overlap between People diagnosed with these conditions.

C. Seemingly minor changes in a People's overall behaviour or attitude can change a diagnosis from Anorexia: binge-eating type to Bulimia Nervosa.

D. A main factor differentiating binge-purge Anorexia from Bulimia is the gap in physical weight.

E. Someone with Bulimia Nervosa is ordinarily at a healthy weight, or slightly overweight.

F. Someone with binge-purge Anorexia is commonly underweight.

G. People with the binge-purging subtype of Anorexia Nervosa may be significantly underweight and typically do not binge-eat large amounts of food, yet they purge the small amount of food they eat.

H. In contrast, those with Bulimia Nervosa tend to be at normal weight or overweight and binge large amounts of food.

I. It is not unusual for a Person with an eating disorder to, "move through" various diagnoses as their behaviour and beliefs change over time.

Question. 48. I often see this. "Differential Diagnoses;" does it really have and deserve Scientific Merit?

Answer. 48.  If one just takes the items in Red it is clear to see Medical Science is just bumbling from one disaster to the next all created by their much used term. "The cause is not known, there is no known cure" which in Layman's Terms means. "We do not know."

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Treatment.

Section. 27.

A. There is no conclusive evidence that any particular treatment for Anorexia Nervosa works better than others; however, there is enough evidence to suggest that early intervention and treatment are more effective.

B. Treatment for Anorexia Nervosa tries to address three main areas.

C...

1. Restoring the Person to a healthy weight.

2. Treating the psychological disorders related to the illness;

3. Reducing or eliminating behaviours or thoughts that originally led to the disordered eating.

D. Although restoring the Person's weight is the primary task at hand, optimal treatment also includes and monitors behavioural change in the individual as well.

E. There is some evidence that hospitalisation might adversely affect long-term outcome.

F. Psychotherapy for individuals with Anorexia Nervosa is challenging as they may value being thin and may seek to maintain control and resist change.

G. Some studies demonstrate that Family based therapy in adolescents with Anorexia Nervosa is superior to individual therapy.

H. Treatment of People with Anorexia Nervosa is difficult because they are afraid of gaining weight. Initially developing a desire to change may be important.

Question. 49. Is it me or is it the Medical Profession that gets so confused?

Answer. 49...

A. The depth of this section clearly demonstrates no matter what they do it is of little benefit to the Person.

B. This must surely be and again this section confirms - they see only with their eyes and are thus Mind Blind to the reality; this disorder is not a Biological Disorder at all and indeed it is not even a social disorder, no more than it is  Psychological.

C. In addition. If one can indeed see with ones Mind then Item G clearly demonstrates; Family Therapy may well bring short-term relief, however if there were indeed long-term relief then the problem of Anorexia Nervosa with no known cure is solved. However the evidence tells this is not so.   

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Diet.

Section. 28.

A. Diet is the most essential factor to work on in People with Anorexia Nervosa and must be tailored to each Person's needs.

B. Food variety is important when establishing meal plans as well as foods that are higher in energy density.

C. People must consume adequate calories, starting slowly and increasing at a measured pace.

D. Evidence of a role for zinc supplementation during refeeding is unclear.

Question. 50. Not much to go on here is there?

Answer. 50. On the contrary - enough to explain why Scientific Treatment is such a failure.

Question. 51. I do not desire to question the validity of your answer but would care to the content?

Answer. 51. There is a wealth of information contained in item A and D as to why Medical Science is in real term such a miserable failure in the understanding and treatment of this disorder.

Item A. If a Person does not know their own Body and its Dietary requirements then one can rest assured no one else ever will.

1. Moreover if a clinician does not hear with their Mind what a Person is saying with  their Dietary intake then one is not even listening.

Item D. If the very best Medical Science with all of its tests can come up with and still be unclear as to whether a Person requires Zinc or not then they demonstrate to the Person they know nothing and faster than the speed of light will dismiss forever the clinical efforts and teams. 

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Therapy.

Section. 29.

A. Family-based treatment (FBT) has been shown to be more successful than individual therapy for adolescents with Anorexia Nervosa.

B. Various forms of Family-Based Treatment have been proven to work in the treatment of adolescent Anorexia Nervosa  including conjoint family therapy (CFT), in which the Parents and Child are seen together by the same therapist and separated family therapy (SFT) in which the Parents and Child attend therapy separately with different therapists.

C. Proponents of Family therapy for adolescents with Anorexia Nervosa assert that it is important to include Parents in the adolescent's treatment.

D. A four - to five-year follow up study of the Maudsley family therapy, an evidence-based manualised model, showed full recovery at rates up to 90%.

E. Although this model is recommended by the NIMH, critics claim that it has the potential to create power struggles in an intimate relationship and may disrupt equal partnerships.

F. Cognitive behavioural therapy (CBT) is useful in adolescents and adults with Anorexia Nervosa; acceptance and commitment therapy is a type of CBT, which has shown promise in the treatment of Anorexia Nervosa.

G. Cognitive remediation therapy (CRT) is used in treating Anorexia Nervosa.

Question. 52.  This section appears to be extremely encouraging, may we take this at face value or is there more than meets the eye.

Answer. 52...

A. Being a supporter of any therapeutic application that works with the Mind and its emotive responses I feel there is tremendous value in this approach and essential we take it at face value.

B. This should not stop us offering a Critique of the information contained.

1.  Item B advocates; Parents and Child are seen together, being of a firm belief this should never be.

2. Whilst on the one hand I would wish to challenge; Item D explains all to be well at four/five year follow up.

3. This I would find easier to accept if the Childs Medical records prior to start of the treatment only demonstrated this symptom and at five years and more; the symptoms and no other existed.

4. I would add when Parents bring a Child to my surgery - which is not very often and for that matter when a Person seeking treatment is accompanied, I only ever greet the Person seeking treatment never the chaperone until inside the surgery, then all discussions are made with the Person the treatment is for - never the chaperone.

C. I find Item E to have validity - yet at the same time I am reminded Medical Science has a long-standing habit of attempting to steal the thunder of other therapies, only to establish because they cannot make it work they Publish the soon to become Gold Standard. "We evaluated this treatment and found it of Novel but no scientific value.   

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Medication.

Section. 30.

Pharmaceuticals have limited benefit for Anorexia Nervosa itself.

Admission to hospital.

A. Anorexia Nervosa  has a high mortality and Patients admitted in a severely ill state to medical units are at particularly high risk.

B. Diagnosis can be challenging, risk assessment may not be performed accurately, consent and the need for compulsion may not be assessed appropriately, refeeding syndrome may be missed or poorly treated and the behavioural and family problems in Anorexia Nervosa may be missed or poorly managed.

C. The MARSIPAN guidelines recommend that medical and psychiatric experts work together in managing severely ill People with Anorexia Nervosa.

Question. 53. I am able to see there is a question and answer here but am unable to express it - are you able to assist?

Answer. 53. Yes I am able to see your dilemma both are contained in Item A.

A. The reason for the dilemma is they are both the same - answer and question both at the same time.

B. Question. Why are People admitted to hospital when it is scientifically known there are no effective treatments or medications.

B. Answer. Why has it take so long - often taking some Ten Years for a diagnoses, that a Person is at the Hospitalization stage for it to be recognised Medical Science does not know what to do.

1. Yet still continues to believe it is doing good; when all the time the Person is being subversively ushered into hospital - the revolving door of medicine all for profit.     

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Nutrition.

Section. 31.

A. The rate of refeeding can be difficult to establish, because the fear of refeeding syndrome (RFS) can lead to underfeeding.

B. It is thought that RFS, with falling phosphate and potassium levels, is more likely to occur when BMI is very low and when medical comorbidities such as infection or cardiac failure, are present.

C. In those circumstances, it is recommended to start refeeding slowly but to build up rapidly as long as RFS does not occur.

D. Recommendations on energy requirements vary, from 5–10 kCal/Kg/day in the most medically compromised Patients, who appear to have the highest risk of RFS to 1900 Kcal/day

Question. 54. Do not answer this as I can see the answer. "Having spent some ten years making a diagnoses and still have no idea as to the cause and have nothing to offer by way of a treatment - then give it a new name and hope no one notices." 

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Prognosis.

Section. 32.

Prognosis - Greek: πρόγνωσις "fore-knowing, foreseeing" is a medical term for predicting the likely outcome of one's current health situation or standing.

1. When applied to large statistical populations, prognostic estimates can be very accurate: for example the statement "45% of Patients with severe septic shock will die within 28 days" can be made with some confidence, because previous research found that this proportion of Patients died.

2. However, it is much harder to translate this into a prognosis for an individual Patient: additional information is needed to determine whether a Patient belongs to the 45% who will die, or to the 55% who survive.

3. A complete prognosis includes the expected duration, function and description of the course of the disease, such as progressive decline, intermittent crisis, or sudden, unpredictable crisis.

A. Anorexia Nervosa has the highest mortality rate of any psychological disorder.

B. The mortality rate is 6 to 12 times higher than expected and the suicide risk is 56 times higher; half of Women with Anorexia Nervosa  achieve a full recovery, while an additional 20-30% may partially recover.

C. Not all People with Anorexia Nervosa recover completely: about 20% develop Anorexia Nervosa as a chronic disorder.

D. If Anorexia Nervosa is not treated, serious complications such as heart conditions and kidney failure can arise and eventually lead to death.

E. The average number of years from onset to remission of Anorexia Nervosa  is Seven for Women and Three for Men.

F. After Ten to Fifteen years, 70% of People no longer meet the diagnostic criteria, but many still continue to have eating-related problems.

G. Alexithymia influences treatment outcome.

1. Alexithymia is considered to be a personality trait that places affected individuals at risk for other medical and psychiatric disorders while reducing the likelihood that these individuals will respond to conventional treatments for the other conditions.

2. Alexithymia is not classified as a mental disorder in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders.

3. It is a dimensional personality trait that varies in severity from Person to Person.

4. A Person's alexithymia score can be measured with questionnaires such as the Toronto Alexithymia Scale (TAS-20), the Bermond-Vorst Alexithymia Questionnaire (BVAQ),[8] the Online Alexithymia Questionnaire (OAQ-G2)[9] or the Observer Alexithymia Scale (OAS).

5. It is distinct from the psychiatric personality disorders, such as antisocial personality disorder or borderline personality disorder, with which it shares some characteristics and is likewise distinct from the abnormal conditions of sociopathy or psychopathy.

6. Alexithymia is defined by...

7. Difficulty identifying feelings and distinguishing between feelings and the bodily sensations of emotional arousal.

8. Difficulty describing feelings to other People.

9. Constricted imaginal processes, as evidenced by a scarcity of fantasies.

10. A stimulus-bound, externally oriented cognitive style.

H. Recovery is also viewed on a spectrum rather than black and white.

I. According to the Morgan-Russell criteria, individuals can have a good, intermediate, or poor outcome.

J. Even when a Person is classified as having a "good" outcome, weight only has to be within 15% of average and normal menstruation must be present in Females.

K. The good outcome also excludes Psychological Health.

L. Recovery for People with Anorexia Nervosa is undeniably positive, but recovery does not mean a return to normal.

Question. 55. When one considers just Item K and L, even I have to question is there a validity in having a Prognosis in ill Health - or is it no more than guessing?

Answer. 56.  The number crunching gave me the shivers until the word Alexithymia popped up.

A. I have to confess Mathematics is not my greatest asset, however I was able to see the number crunching  was no more than Magic Roundabout excitement. 

B. Now again I have to confess the word. "Alexithymia," has never appeared on my Radar so it took me by surprise until I looked into it. When I read Item 9 in the explanation I knew then, all of this was just scientific nonsense in order to hide up yet profit from failure.

C. Moreover item E and F hold clues medical science may never grasp.

Item E. If one does not understand this then all is lost - the gestation period of illness.

Item F. Why after Ten to  fifteen years although outside of the Anorexia Nervosa diagnoses - People still have eating disorders.   

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Complications.

Section. 33.

A. Anorexia Nervosa can have serious implications if its duration and severity are significant and if onset occurs before the completion of growth, pubertal maturation, or the attainment of peak bone mass.

B. Complications specific to Adolescents and Children with Anorexia Nervosa can include the following: Growth retardation may occur, as height gain may slow and can stop completely with severe weight loss or chronic malnutrition.

C. In such cases, provided that growth potential is preserved, height increase can resume and reach full potential after normal Food intake is resumed.

D. Height potential is normally preserved if the duration and severity of illness are not significant or if the illness is accompanied with delayed bone age - especially prior to a bone age of approximately 15 years, as Hypogonadism may negate the deleterious (causing harm or damage) effects of under nutrition on stature by allowing for a longer duration of growth compared to controls.

E. In such cases, appropriate early treatment can preserve height potential and may even help to increase it in some Post-Anorexic subjects due to the aforementioned reasons in addition to factors such as long-term reduced oestrogen-producing adipose tissue levels compared to premorbid levels.

F. In some cases, especially where onset is pre-pubertal, physical consequences such as stunted growth and pubertal delay are usually fully reversible.

G. Anorexia Nervosa causes alterations in the Female reproductive system; significant weight loss, as well as psychological stress and intense exercise, typically results in a cessation of menstruation in Women who are past puberty.

H. In Patients with Anorexia Nervosa, there is a reduction of the secretion of gonadotropin releasing hormone in the central nervous system, preventing ovulation.

I. Anorexia Nervosa can also result in pubertal delay or arrest.

J. Both height gain and pubertal development are dependent on the release of growth hormone and gonadotrophins (LH and FSH) from the pituitary gland.

K. Suppression of gonadotrophins in People with Anorexia Nervosa has been documented.

L. Typically, growth hormone (GH) levels are high, but levels of IGF-1, the downstream hormone that should be released in response to GH are low; this indicates a state of “resistance” to GH, due to chronic starvation.

M. IGF-1 is necessary for bone formation and decreased levels in Anorexia Nervosa contribute to a loss of bone density and potentially contribute to osteopenia or osteoporosis.

1. Osteopenia: is a medical condition in which the protein and mineral content of bone tissue is reduced, but less severely than in osteoporosis

N. Anorexia Nervosa can also result in reduction of peak bone mass.

O. Build-up of bone is greatest during adolescence and if onset of Anorexia Nervosa occurs during this time and stalls puberty, low bone mass may be permanent.

P. Hepatic Steatosis, or fatty infiltration of the liver, can also occur and is an indicator of malnutrition in Children.

Q. Neurological disorders that may occur as complications include seizures and tremors.

R. Wernicke Encephalopathy, results from vitamin B1 deficiency and has been reported in Patients who are extremely malnourished; symptoms include confusion, oculomotor dysfunction and abnormalities in walking gait.

S. The most common gastrointestinal complications of Anorexia Nervosa are delayed stomach emptying and constipation, but also include elevated liver function tests, diarrhoea, acute pancreatitis, heartburn, difficulty swallowing and, rarely, superior mesenteric artery syndrome.

1. Superior mesenteric artery (SMA) syndrome is a gastro-vascular disorder in which the third and final portion of the duodenum is compressed between the abdominal aorta (AA) and the overlying superior mesenteric artery.

2. This rare, potentially life-threatening syndrome is typically caused by an angle of 6°-25° between the AA and the SMA, in comparison to the normal range of 38°-56,° due to a lack of retroperitoneal and visceral fat - mesenteric fat.

3. In addition, the aortomesenteric distance is 2-8 millimeters, as opposed to the typical 10-20.

4. However, a narrow SMA angle alone is not enough to make a diagnosis, because Patients with a low BMI, most notably Children, have been known to have a narrow SMA angle with no symptoms of SMA syndrome.

T. Delayed stomach emptying, or gastroparesis, often develops following food restriction and weight loss; the most common symptom is bloating with gas and abdominal distension and often occurs after eating.

U. Other symptoms of Gastroparesis include early satiety, fullness, nausea and vomiting.

Question. 57. Much is made of Stomach empting or not as the case may be - are you able to explain this for me?

Answer. 57. From the Minds point of view they are in essence both the same. 

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Satiety.

Section 34.

1. The quality or state of being fed or gratified to or beyond capacity and fullness.

2. The revulsion or disgust caused by overindulgence or excess.

V. The symptoms may inhibit efforts at eating and recovery, but can be managed by limiting high-fiber foods, using liquid nutritional supplements, or using Metoclopramide to increase emptying of food from the stomach.

W. Gastroparesis generally resolves when weight is regained.

Question. 49. Would it be fair to say since the mid Fifteen Hundred's when this condition was first described it appears all roads lead around in a circle?

Answer. 49.  Sadly I fear your question is valid and correct, furthermore one word in Item V as described in the next two sections - appears to confirm so...

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Metoclopramide.

Section 35.

Metoclopramide increases muscle contractions in the upper digestive tract.

1. This speeds up the rate at which the stomach empties into the intestines.

2. Metoclopramide is also used to treat slow gastric emptying in People with diabetes - also called diabetic gastroparesis, which can cause nausea, vomiting, heartburn, loss of appetite and a feeling of fullness after meals.

3. NEVER TAKE METOCLOPRAMIDE IN LARGER AMOUNTS THAN RECOMMENDED, OR FOR LONGER THAN 12 WEEKS.

4. High doses or long-term use of metoclopramide can cause a serious movement disorder that may not be reversible.

5. Symptoms of this disorder include uncontrollable muscle movements of the lips, tongue, eyes, face, arms, or legs.

6. Long term taking of metoclopramide means the more chances there are to develop a serious movement disorder.

7. The risk of this side effect is higher in Women, diabetics and older adults.

8. Taking this medication is not advisable if a Person is allergic to metoclopramide, or if or have bleeding or blockage in the stomach or intestines, epilepsy, other seizure disorders, or an adrenal gland tumor - pheochromocytoma.

9. Before taking metoclopramide, the attending physician  should be advised doctor if there is a pre existing kidney or liver disease, congestive heart failure, high blood pressure, diabetes, Parkinson's disease, or a history of depression.

10. Stop using metoclopramide and call a doctor at once of the appearance of: tremors or uncontrolled muscle movements, fever, stiff muscles, confusion, sweating, fast or uneven heartbeats, rapid breathing, depressed mood, thoughts of suicide or self hurting, hallucinations, anxiety, agitation, seizure or jaundice - yellowing of the skin or eyes.

11. if one is allergic to metoclopramide, Do not take this medication...

Or if there are pre existing:

12. Bleeding or blockage in the stomach or intestines.

13. A perforation - hole in the stomach or intestines;

14. To make sure it is  safe to take metoclopramide,  The  Doctor should be advised if any of these other conditions exist:

15. Kidney disease.

16. Liver disease - especially cirrhosis.

17. Congestive heart failure.

18. A Heart rhythm disorder. 

19. High blood pressure.

20. Breast Cancer.

21. Parkinson's disease.

22. Diabetes - insulin dose may need adjusting.

23. Depression or mental illness.

24. The metoclopramide orally disintegrating tablet (ODT) may contain phenylalanine.

25. Phenylalanine is an essential amino acid - a building block for Proteins in the body, meaning the body needs it for health but cannot make it. It has to be consumed as food. Phenylalanine is found in 3 forms.

26. Talk to a Doctor before using this form of metoclopramide if you have phenylketonuria - PKU.

27. Phenylketonuria - PKU is an inborn error of metabolism that results in decreased metabolism of the amino acid phenylalanine.

28. Metoclopramide should not be given to a Child.

29. NEVER TAKE METOCLOPRAMIDE IN LARGER AMOUNTS THAN RECOMMENDED, OR FOR LONGER THAN 12 WEEKS.

30. High doses or long-term use of metoclopramide can cause a serious movement disorder that may not be reversible.

31. Symptoms of this disorder include uncontrollable muscle movements of the lips, tongue, eyes, face, arms, or legs.

32. The longer metoclopramide is taken, it is more likely there will be  development of a serious movement disorder.

33. The risk of this side effect is higher in Women, diabetics and older adults.

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Metoclopramide side effects.

 Section 36.

1. Following any of these signs of an allergic reaction to metoclopramide - Get emergency medical assistance: hives; difficulty breathing; swelling of the face, lips, tongue, or throat.

2. Stop taking metoclopramide and call a Doctor at once if there are any of these SIGNS OF A SERIOUS MOVEMENT DISORDER, which may occur within the first 2 days of treatment:

3. Tremors or shaking in your arms or legs.

4. Uncontrolled muscle movements in the face - chewing, lip smacking, frowning, tongue movement, blinking or eye movement.

5. Any new or unusual muscle movements that cannot be controlled.

6. Stop taking metoclopramide and call a Doctor at once if there is a development of any of these other serious side effects:

7. Slow or jerky muscle movements.

8. Problems with balance or walking.

9. Mask-like appearance of the face.

10. Very stiff - rigid muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feelings of  passing out.

11. Depressed mood, thoughts of suicide or Self hurting.

12. Hallucinations, anxiety, agitation, jittery feeling, trouble staying still.

13. Swelling, feeling short of breath, rapid weight gain. 

14. Jaundice - yellowing of the skin or eyes.

15. Seizure - convulsions.

16. Less serious metoclopramide side effects may include:

17. Feeling restless, drowsy, tired, or dizzy.

18. Headache, sleep problems - insomnia.

19. Nausea, vomiting, diarrhea. 

20. Breast tenderness or swelling. 

21. Changes in your menstrual periods. 

22. Urinating more than usual.

Question. 50. I understand the intention in your answer to my question 49. Please explain how it confirms my question?

Answer. 50...  

A. Yes of course. If we accept the premise this condition is in fact according to the Scientific research and treatments - Food related, then is not reasonable to consider; there will be some form of intestine and or Bowel inflammation-movement disorder, leading to the food becoming compacted or the inflammation causing a blockage.

B. Thus with infinite Scientific Wisdom - although the cause has never been found and no known cure exists, deemed right and proper to give medication that has a known record of possibly causing many of the symptoms that are scientifically proven to accompany the disorder given time; or are they only caused by inappropriate medications and or treatments, clearly demonstrating as in item V Section 33. Food and consumption is nothing to do with the disorder what so ever.     

Question. 51. I know you read information differently to most if not all others - be they clinicians or not, however please explain what you read to be able to explain in such a manner as our answer. 50 B?

Answer. 51. Yes of course.

A. I feel we have adequately explained, but let us confirm - everyone and there are it appears just one exception, myself, although we all do it without realising; automatically.

B. Listen to the witting statement. What we say based on what we think is the correct expression of our thoughts and our or the - required reaction.

C. This is our. Emotional Phenotype,  our window to the world, based on what is termed our conscious knowledge - of which there is no such thing.        

D. I never listen to this information as it is only a distraction for the Subconscious Mind to declare if only as a  thought, creating non compliance of medical or others instruction - by declaring "You do not now and never will - because I will not let you understand." 

E. Thus this extract for the item you refer. "The symptoms may inhibit efforts at eating and recovery, but can be managed by limiting high-fiber foods, using liquid nutritional supplements, or using Metoclopramide to increase emptying of food from the stomach." Explains. "The clinician has only listened to the Emotional Phenotype and responded with instructions that for the Person are as contradictory as they come.

F... 

1. Managed by limiting high-fiber foods,

2. Increase emptying of food from the stomach.

3. Demonstrated by F. 1. Increases Anxiety. F2. Is to relieve Anxiety.

Conclusion. 51. By and from the Person is "No one will ever have the integrity, wisdom and patience to fully understand and release me from this prison I have been forced to protect myself with.

A. So my symptoms are there just to confuse these People and my Mind will change them quicker than a heartbeat.

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Cardiac Complications.

Section. 37.

A. Anorexia Nervosa increases the risk of sudden cardiac death, though the precise cause is unknown.

B. Cardiac complications include structural and functional changes to the Heart.

C. Some of these cardiovascular changes are mild and are reversible with treatment, while others may be life-threatening.

D. Cardiac complications can include Arrhythmias, abnormally slow Heart beat, low blood pressure, decreased size of the Heart muscle, reduced Heart volume, Mitral valve prolapse, Myocardial Fibrosis and Pericardial Effusion.

E. Abnormalities in conduction and repolarization of the Heart that can result from Anorexia Nervosa include QT prolongation, increased QT dispersion, conduction delays and junctional escape rhythms.

F. Electrolyte abnormalities, particularly hypokalemia and hypomagnesemia can cause anomalies in the electrical activity of the Heart and result in life-threatening Arrhythmias.

G. Hypokalemia most commonly results in Anorexic Patients when restricting is accompanied by purging - induced vomiting or laxative use.

H. Hypotension - low blood pressure is common and symptoms include fatigue and weakness.

I. Orthostatic Hypotension, a marked decrease in blood pressure when standing from a supine position, may also occur.

J. Symptoms include light-headedness upon standing, weakness, cognitive impairment and may result in fainting or near-fainting.

K. Orthostasis in Anorexia Nervosa indicates worsening cardiac function and may indicate a need for hospitalization.

L. Hypotension and orthostasis generally resolve upon recovery to a normal weight.

M. The weight loss in Anorexia Nervosa also causes atrophy of cardiac muscle.

N. This leads to decreased ability to pump blood, a reduction in the ability to sustain exercise, a diminished ability to increase blood pressure in response to exercise and a subjective feeling of fatigue.

O. Some individuals may also have a decrease in cardiac contractility.

P. Cardiac complications can be life-threatening, but the heart muscle generally improves with weight gain, and the heart normalizes in size normalizes over weeks to months, with recovery.

Q. Atrophy of the heart muscle is a marker of the severity of the disease and while it is reversible with treatment and refeeding, it is possible that it may cause permanent, microscopic changes to the heart muscle that increase the risk of sudden cardiac death.

R. Individuals with Anorexia Nervosa may experience chest pain or palpitations; these can be a result of mitral valve prolapse.

S. Mitral valve prolapse occurs because the size of the heart muscle decreases while the tissue of the mitral valve remains the same size.

T. Studies have shown rates of mitral valve prolapse of around 20 percent in those with Anorexia Nervosa, while the rate in the general population is estimated at 2-4 percent.

U. It has been suggested that there is an association between mitral valve prolapse and sudden cardiac death, but it has not been proven to be causative, either in Patients with Anorexia Nervosa or in the general population.

Question. 51. Is the comment in Item A suggestive of any more than what is said?

Answer. 51...  

A. Yes for me it clearly says coming from the attending Doctors on behalf of Scientific Medicine - "The Person died of an unrelated disorder."

B. Thus it was nothing to do with the fact as Item A demonstrates "though the precise cause is unknown." And we do not have a clue as to how to offer treatment for the ever changing symptoms of the disorder whether we caused them or not.

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Relapse.

Section. 38.

Relapse occurs in approximately a third of People in hospital and is greatest in the first six to eighteen months after release from an institution.

Question. 52. In their own words explains all one is required to hear? 

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Epidemiology.

Section. 39.

A. Anorexia Nervosa is estimated to occur in 0.9% to 4.3% of Women and 0.2% to 0.3% of Men in Western countries at some point in their life.

B. About 0.4% of young Females are affected in a given year and it is estimated to occur three to ten times less commonly in Males.

C. Rates in most of the developing world are unclear.

D. Often it begins during the teen years or young adulthood.

E. The lifetime rate of atypical Anorexia Nervosa, a form of ED-NOS in which not all of the diagnostic criteria for Anorexia Nervosa  are met, is much higher, at 5-12%.

F. While Anorexia Nervosa become more commonly diagnosed during the 20th century it is unclear if this was due to an increase in its frequency or simply better diagnosis.

G. Most studies show that since at least 1970 the incidence of Anorexia Nervosa in adult Women is fairly constant, while there is some indication that the incidence may have been increasing for Girls aged between 14 and 20.

Question. 53. Is there a real Scientific Value is studies as this?

Answer. 52. Rather depends how one views this...

A. If one were Patient looking to the Medical Researchers for answers - NOT even of Novel Value.

B. If one were a Medical Researcher or Scientists desperate for funding of a new project - then there is a serious possibility research as this would garner the necessary funds as it demonstrates. Need.

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Under Representation.

Section. 40.

A. Eating disorders are less reported in preindustrial, non-westernized countries than in Western countries.

B. In Africa, not including South Africa, the only data presenting information about eating disorders occurs in case reports and isolated studies, not studies investigating prevalence.

C. Data shows in research that in westernized civilizations, ethnic minorities have very similar rates of eating disorders, contrary to the belief that eating disorders predominantly occur in Caucasian People.

D. Due to different standards of beauty for Men and Women, Men are often not diagnosed as Anorexic.

E. Generally Men who alter their bodies do so to be lean and muscular rather than thin.

F. In addition, Men who might otherwise be diagnosed with Anorexia may not meet the DSM IV criteria for BMI since they have muscle weight, but have very little fat.

G. Men and Women athletes are often overlooked as Anorexic.

H. Research emphasizes the importance to take athletes' diet, weight and symptoms into account when diagnosing Anorexia, instead of just looking at weight and BMI.

I. For athletes, ritualized activities such as weigh-ins place emphasis on weight, which may promote the development of eating disorders among them.

J. While Women use diet pills, which is an indicator of unhealthy behaviour and an eating disorder, Men use steroids, which contextualizes the beauty ideals for genders.

K. This also shows Men having a preoccupation with their body, which is an indicator of an eating disorder.

L. In a Canadian study, 4% of Boys in grade nine used anabolic steroids.

M. Anorexic Men are sometimes referred to as Manorexic.

Question. 53. Ok over to you I thought we had covered this in the last section?

Answer. 53. One could if one desired to be vexatious - which is not my way I always seek to say the truth as I see it and Make the Complicated as simple as I am able - unlike Medical Science, although this is their mantra the reality is they only seek to make the Simple so Complex and complicated even they do not understand what they have written. 

Question. 54. Explain your comments please?

Answer. 55. Yes of course...

A. For hundreds of years now the difficult to understand presentation of symptoms has been recognised by Medical Science as Anorexia, still in the year 2017 the True Cause is not known and there in no known cure.

B. Yet the Scientific Brain has developed the Integrity and Wisdom despite all of this accolade of success to rename the mystery disorder now called. Anorexia Nervosa, to; if a Man instead of a Woman has it -  Manorexic. What next I ask Womorexic.        

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Eating Recovery.

Section. 41.

From Wikipedia, the free encyclopaedia

A. Eating recovery refers to the full spectrum of care that acknowledges and treats the multiple aetiologies of Anorexia Nervosa and Bulimia, including the biological, psychological, social and emotional causes of the disorder, through a comprehensive, integrated treatment regimen.

B. When successful, this regimen restores the individual to a healthy weight and arms him or her with the skills and resources needed to maintain a sustainable recovery.

C. Although there are a variety of treatment options available to the eating disorders Patients, the intensive and multi-faceted program followed in eating recovery is the appropriate option for individuals who require intensive support and are able to commit to treatment in an inpatient, residential or full-day hospital setting.

D. Eating recovery has been associated with increased likelihood of a sustained post-treatment recovery.

E. This carefully orchestrated treatment curriculum incorporates the following tenets to help Patients cultivate an understanding of disease-management skills and how to implement those lessons into their post-treatment lives.

Question. 56. When one considers how serious this disorder is and how the medical profession major on eating as a recovery - they do not appear to have to much to say on the subject if one takes into consideration this section? 

Answer. 56.  Sadly this appears to be so, made clear if one takes the items in red and strings them into a sentence, with an addition of a few words they read:   With all of the biological, psychological, social and emotional causes not known.  When trying to maintain a sustainable recovery or an eating recovery this has been associated with increased likelihood of a sustained post-treatment recovery via a necessity to cultivate an understanding of disease-management skills and how to implement those lessons into post-treatment lives.

Question. 57. I see your point - but what does it really say?

Answer. 57. Yet another Medical Profession get out of jail card waiting to be played, for when the Person dies, "they died of an unrelated disorder." Not the one we were treating them for.

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Biological-Medical Treatment.

Section. 42. 

A. Eating disorders are physically and emotionally destructive.

B. Most individuals with an eating disorder require ongoing medical treatment throughout their recovery.

C. According to the Eating Disorder Foundation, early diagnosis and intervention significantly enhance chances of recovery, while eating disorders that are not identified or treated in their early stages can become chronic, debilitating and life-threatening.

D. For most People with eating disorders, the medical complications associated with the disease can be successfully treated with a combination of ongoing medical care and monitoring, nutritional counselling and medication.

E. The Eating Disorder Foundation recommends People with eating disorders seek a recovery option that involves clinicians from different health disciplines, such as nursing, nutrition and mental health, a treatment philosophy consistent with the tenets of eating recovery.

F. Medical issues associated with eating disorders.

G. Extremely medically compromised Patients who are at a very low-weight will require a more intensive medical intervention.

H. Anorexia Patients with a very low body weight (BMI < 13) may need to be stabilized due to medical complications caused by starvation, including liver failure or heart problems.

I. Bulimia Patients may need to manage edema, hypokalemia or esophagitis.

1. Esophagitis is any inflammation or irritation of the esophagus.

2. The esophagus is the tube that sends food from the throat down to the stomach.

3. Common causes include acid reflux, side effects of certain medications and bacterial or viral infections

J. Poor nutrition affects the brain’s chemicals and functionality.

K. As a result, extremely low weight Patients will have difficulty responding to cognitive therapy without first gaining weight.

L. Medically supervised weight restoration is necessary before psychotherapy as many pharmaceuticals can affect the Patient’s Behavioural health.

M. Misdiagnosis of the medical complications of eating disorders is common due to the unique physiology of these Patients.

N. Eating disorders can slow a resting heart rate and lower a "normal" body temperature range.

O. For this reason, Patients should seek specialized care from a Doctor experienced in treating eating disorders.

Question. 58. It strikes me this is what the medical profession label as. "The revolving door syndrome," I would be happy to ignore this if you can explain what I think is a relationship between item I-3 and  Item J?

Answer. 58. Sadly if one does not understand the implications of just these two medically provided pieces of information - there is not a lot of hope for a satisfactory and long-term recovery.

A. The suggestion is.  The side effects of certain medications, bacterial or viral infections are common causes of acid reflux and poor nutrition affects the brain’s chemicals and functionality.

B. This could not be further from the truth.

C. Moreover it is all as usual back to front medical science thinking.

D. If we really have to use brain in the absence of a Mind - the brain  not nutrition altered the Body Chemistry and in so doing forced on the Person alterations in the way they functioned as a Person.

E. This In turn created health care symptoms - the dedicated Doctors attempt to makes sense of the symptoms and in so doing make a diagnoses; thereby relieving, once named; if only temporarily - everyone's anxiety is relieved.

F. These symptoms in the long-term whilst are perhaps made worse by the medications, do not cause the Acid reflux, thus any attempt to treat these now multiple of symptoms will only end in tears for everyone; as the Mind - the creator of all, will, faster then the speed of light create other symptoms even more mysterious than those listed.

Question. 59. How long may I ask did it take you to answer this apparent complex question?

Answer. 59.  The reality is it took longer to type and edit than make the response - for, if one understands the Mind as our master keeper of al life's information and its interaction with the Body all the answers are in the information provided. 

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Mindfulness.

Section. 43.

A. During the process of eating recovery, Patients integrate Mindfulness into every area of their treatment.

B. Mindfulness is a mental state, characterized by concentrated awareness of one's thoughts, actions or motivations.

C. Being "present" in every element of treatment, including meals, therapy sessions, classes or medical treatment helps Patients become more receptive to different points of view.

D. It also helps them become less reactive to emotions, instead focusing only on activities occurring in the present moment.

E. Mindfulness training focused on eating, body image and body awareness can lead the way to health and recovery by enabling individuals to consciously experience and observe their internal mental and bodily events as well as those external events that are perceived directly through the senses.

F. In eating recovery, Mindfulness helps Patients calm their minds and understand their self-defeating emotions or mood-dependent Behaviours and instead cultivate healthy coping skills.

G. Mindfulness facilitates two key techniques - mentalizing and building self-awareness.

1. Mentalizing; is the process by which we make sense of each other and ourselves, implicitly and explicitly, in terms of subjective states and mental processes.

2. It is a profoundly social construct in the sense that we are attentive to the mental states of those we are with, physically or psychologically.

H. Mentalization in eating recovery takes the concept of mindfulness one step further, often thought of as mindfulness of mind.

I. Mentalization describes a Person's ability to understand the mental state of him or herself and others based on overt behaviour.

J. Mentalization is a core challenge among People with eating disorders and its lack can result in severe emotional fluctuations, impulsivity and vulnerability to interpersonal and social interactions, particularly in the midst of emotional interaction.

K. In eating recovery, Patients work with their therapists to mentalize, or identify, their own emotions while understanding that others may hold differing points of view.

L. The ability to understand emotions and see situations from more than one viewpoint reduces anxiety and minimizes the need to rely on an eating disorder as a coping mechanism.

M. Self-awareness refers to an individual's ability to become aware of their own subconscious thinking.

N. Absence of self-awareness is frequently seen in eating disorder Patients, causing them to react to situations, feelings and other stimuli emotionally rather than rationally.

O. By practicing mindful self-awareness, eating recovery People learn to examine their thoughts, feelings, memories and bodily sensations from an objective point of view.

P. Patients are encouraged to let go of self-centered thinking to achieve a state wherein individuals are able to observe their thoughts and understand their subconscious motivations - sexual, material, emotional, intellectual and spiritual.

Q. This comprehension builds calmness and patience, minimizing the need to rely on an eating disorder as a coping mechanism.

Question. 60. This sounds like a wonderful and well intentioned medical intervention to this still mysterious as to its real cause multi faceted illness - do you share the same opinion?

Answer. 60.  There can be no question in my Mind any intervention that does not involve any form of medication is a worthy intervention - should that stop us presenting different viewpoints;; is that not what Mindfulness Proclaims at its therapeutic heart. 

Question. 61. Agreed - nice point, fits with your protocol. "The truth hurts and so it should that is why it is the truth - lies never stop hurting nor fully show the damage they cause. What then is the message we can take home from this?

Answer. 61...  

A. Let us not concern ourselves with the not so well known possibility. Medical Science does not have a very good record of taking over what is in essence a Complimentary or even Alternative form of medicine - in reality Buddhist.

B. They take it over study it to extreme and then declare it of novel but no scientific value.

C. Let us concern ourselves with the content presented here...  

1. How can we truly accept a Patient with Anorexia Nervosa is able to fully integrate Mindfulness, are they not already in a mental state and very aware of their thoughts,  thus are "present" in every element including meals, therapy sessions, classes or medical treatment that should assist Patients to become more receptive In a manner that helps them become less reactive to emotions, when the "present" moment is always so painful.

2. With training focused on eating, body image and body awareness - can a Person really observe their internal mental and bodily events other than all is a process of  the Mind decided and based on previous history, therefore, nothing is wrong as perceived directly through their senses.

3. Can Patients under these circumstance really - calm their Minds and understand their self-defeating emotions and in so doing make sense of each and every other Person, implicit in their illness.

4. Can Mentalization in recovery take the concept of mindfulness one step further, as mindfulness of mind.

5. In addition Does Mentalization really describe a Person's ability to understand the mental state of him or herself as well as others based on individual behaviour.

6. Within illness - is there really an ability for a Person to understand emotions and see situations from more than one viewpoint and in so doing, reduce their Anxiety.

7. Is it really possible for anyone to become aware of their own subconscious thinking - when medical science still in truth does not accept we have a Mind.

8. Is it not this causing them to react emotionally rather than rationally and having an objective point of view.

9. Is it really possible to encouraged another to let go of self-centered thinking to be able to observe their thoughts and understand their subconscious motivations are not - sexual, material, emotional, intellectual and spiritual thoughts - that are any more than symptoms, if they are a concern.

10. Thus is it really possible to  build calmness and patience for long-term relief.

Question. 63. Please explain in simple terms what this is all saying?

Answer. 63.  If we may remember my Answer 60. Everything becomes clear; If the Person does not truly know the cause of their illness, nor does the entire medical profession - whereby having an immune system designed to self-repair that has constantly been on Self-Aware-alert yet has been unable to self-repair then no amount of coercing, ego boosting or symptom management will ever produce a satisfactory outcome, as the evidence suggests/presents if only with Karen Carpenter - yes I know that was a very long time ago I cannot find any encouragement anything has changed in the meantime...

It works along the lines of.

"Do not take my illness away from me I will not know how to protect myself without it."     

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Motivation.

Section. 44.  

A. Motivation is the set of reasons that determines why and how individuals engage in particular behaviours.

B. In eating recovery, the goal is to shift Patients from emotion-motivated behaviour to values-motivated behaviour through self-directedness and the construction of values awareness.

C. Patients learn to identify their own core values and direct themselves in behaviours that align with their value systems, while limiting behaviours that do not.

D. Driving self-directedness.

E. Self-directedness is a dimension of a Person's character which has to do with the ability of an individual to control, regulate and adapt their behaviour to the situation at hand in accordance with their own goals, purposes and values.

F. An individual's inability to curtail eating disorder behaviours stems from low self-directedness.

G. Eating recovery focuses on helping Patients engage in self-directed behaviour by giving their actions meaning within a values context.

Question. 64. When one is set in an eating Patten as described - in Anorexia Nervosa can a therapist actually achieve a self Motivation improvement of a Person.

Answer. 64. If one as a therapeutic application believes in the principle; Motivation is a set of "Reasons" Item 1. then one would have no option but to believe and indeed coerce the Patient into believing the process was doing good and then fail to take the forward timeline into consideration when other symptoms arise, moreover to believe an eating disorder stems from Low Self-Directedness for the Patient that knows the disorder in not even anything to do with Food is laughable.  

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Building Values Awareness.

Section. 45.  

A. Self-directedness is difficult, if not impossible, without awareness of core values.

B. Values provide the context for actions and feelings.

C. Without awareness of values, People are often swayed by their emotional responses which may or may not serve their long-range goals and purposes.

D. Under the sway of emotions, eating disorder behaviour may become impulsive, "automatic" and mindless.

E. In eating recovery, clinicians and therapists assist Patients in identifying their core values.

F. This approach allows Patients to see the "big picture" and engage in behaviours that align with their core values while avoiding behaviours of a conflicting nature.

Question. 64. This section majors a lot on "Values." Is there truly anything for secure long-term therapeutic outcome in this, or is there more to it than meets the eye?

Answer. 64... 

A.  Sadly like so much of Medical Sciense - it is no more than back to front thinking.

B. As the very Values of a Person's Mind set - are the very illness under discussion.

C. Therefore  although described in item D: "impulsive, "automatic" and "mindless." Impulsive and automatic they may well be considered - Mindless; never as they are a purposely driven response on instructions from the Mind.

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Mood Management.

Section. 46.

A. Chronic anxiety is a key trait of individuals with eating disorders, their lives consumed with coping with the emotions that result from anxiety.

B. These emotion-driven moods often elicit negative coping behaviours and narrow the Patient's awareness of coping options.

C. These impulsive behaviours can drive mindless, rigid, stereotyped responses such those seen with eating disorders.

Question. 65. Is there really anything in Management of Anxiety?

Answer. 65...

A. We must always remember our earlier discussion; in the absence of better knowledge and treatment applications - management is the only option available.

B. When one takes into consideration People with this and any Anxiety driven disorder where their lives consumed with coping with the Anxiety - let alone the emotions that result from Anxiety.

C. Is there - in the absence of the real driving force any possibility of the true Cause being Understood and thus resolved; any possibility of long-term, a Person taking on new instructions as to how to run their life.  

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Types of Therapy.

Section. 47.

A. In eating recovery, cognitive behavioural therapy and dialectical behavioural therapy are employed to interrupt negative cycles of behaviour and replace them with positive, purposeful coping mechanisms.

B. Cognitive behavioural therapy' or CBT is a psychotherapeutic approach utilized in eating recovery that aims to influence dysfunctional emotions, behaviours and cognitions through a goal-oriented, systematic procedure.

C. Cognitive-behavioural therapy is used to treat the mental and emotional elements of an eating disorder, helping Patients change their attitudes about food, eating, body image, correct poor eating habits and prevent relapse.

Question. 66. It is very clear there is a powerful drive to ensure this is recognised as a and eating disorder and although emotions are mentioned the drive remains the same why so you think this is?

Answer. 66.  As much as the Medical Profession today talk about the brain - it is clear they are extremely reluctant to consider the Mind, thus illness is no longer biological as to its cause, indicating the have never been correct in their assertions. Failing to recognise it is acceptable to change ones mind in the light of later and better knowledge and  information.

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Dialectical Behavioural Therapy.

Section. 48.

A. DBT combines standard cognitive-behavioural techniques for emotion regulation and reality-testing with concepts of mindful awareness, distress tolerance and acceptance in the treatment of eating disorders.

B. Influenced by Buddhist meditative practice, DBT includes the following key elements: behaviorist theory, dialectics, cognitive therapy and, DBT's central component, mindfulness.

Question. 67. A Rose by any other name is still a Rose appears to fit here rather nicely do you agree?

Answer. 67. Sad to say I do.

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Section 49.

Psychological Interventions.

Question. 1. Are there any other or what one may consider new treatment approaches back by studies we can explore?

Answer. 1.  It appears there are some being evaluated at the moment called Psychological Interventions. I would question as to them being new though - but let us explore and see.

A. it appears there is talk and indeed some studies of what is termed Simpler Therapy, that  may successfully treat Adolescents with Anorexia Nervosa.

Question. 2. When one considers the long history of Scientific Medicine and factor in the lack of success - it is not to difficult to consider, there is an unwitting intention to make the Simple - Complex. So how can this process work today?

Answer. 2. through what is termed a "Randomized clinical trial of:

A. Parent-focused treatment.

2. Family-based treatment...

A. ...for Adolescent Anorexia Nervosa Patients and Child Adolescence Anorexia. 

Question. 3.  What is already known on this topic.

Answer. 4. It is suggested; Family-based treatment (FBT) is an effective evidence-based therapy for Adolescent Anorexia Nervosa (AN) and is the recommended approach of treatment at the present time.

Question. 5. However if we use the Gold Standard Evidenced based medicine how is this revelation rated?

Answer. 5... 

1. The effectiveness of other treatments such as individual psychotherapy was assessed...

A. Ego-oriented therapy.

B. Generic family therapy - systemic family therapy is based on less evidence and such treatments are not as effective as Family Based Therapy.

C. Whether treatment involving the whole family, or a simpler treatment involving Parents only differ in effectiveness; is not known.

Question. 6.  Have we or have we not just gone around in circles?

Answer. 6. Sadly it appears so.

Question. 7. What were or are the methods of study?

Answer. 7... 

A. This was a single-site study conducted at a Children's Hospital.

B. A total of 107 adolescents aged 12–18 years with Anorexia Nervosa were randomly allocated to two treatments:

1. FBT-involving the whole family in treatment together with a family meal.

2. Parent-focused treatment - PFT, involving only the Parents in treatment.

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Seeking Recovery.

Section. 50.

A. According to the Eating Disorder Foundation, eating disorders are serious and complex illnesses that require the attention of trained professionals.

B. Although those with the disease may have the desire, it is almost impossible for "self treatment" to be effective; in fact, trying to go it alone will likely result in repeated failures.

C. Early detection and intervention has been proven to increase the chance of full recovery.

D. It is essential for the Person with the illness to get a professional assessment first, from a practitioner trained in eating recovery.

Question. 68. Would I be correct in asking.  "Do People really seek recovery from eating disorders and more importantly do they ever long-term achieve it?

Answer. 68...

A. On the face of it one may be obliged to say yes to both.

B. However it would I feel sure be wise not to bet to heavily on the outcome - there may be more to it and again I feel sure if you were able to follow the Karen Carpenter story one may well come away with the impression; it was the Family that forced her to seek help and we all know where the assistance albeit 1980 left her.

C. Sadly the evidence does not appear to be any different today as the Medical profession still insist it is food related where I can see not the slightest connection.

D. Is it possible Karen Carpenter as well as every Person with the disorder know this as well, but are not able to Motivate themselves with the necessary Driving Force to say so and be believed - so they say nothing.

E. Thus every one is right and the Person with the disorder is wrong by default - just because they say nothing.

Question. 69. So where do we go from here or are there other versions of Anorexia Nervosa?

Answer. 69. Sadly we know what the medical profession is like when they do not understand or can no longer manage an illness as well as they did, or are required to obtain fresh financial backing - they change the name or create a new one...       

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...Orthorexia Nervosa.

Section. 51.

From Wikipedia, the free encyclopaedia.

A. Orthorexia Nervosa /ˌɔːrθəˈrɛksiə nɜːrˈvoʊsə/ (also known as orthorexia) is a proposed distinct eating disorder characterized by extreme or excessive preoccupation with eating food believed to be healthy.

B. The term was introduced in 1997 by American physician Steven Bratman, M.D.

C. Who suggested that in some susceptible People, dietary restrictions intended to promote health may paradoxically lead to unhealthy consequences, such as social isolation, anxiety, loss of ability to eat in a natural, intuitive manner, reduced interest in the full range of other healthy human activities and, in rare cases, severe malnutrition or even death.

D. In 2009, Ursula Philpot, chair of the British Dietetic Association and senior lecturer at Leeds Metropolitan University, described People with Orthorexia Nervosa to The Guardian as being "solely concerned with the quality of the food they put in their bodies, refining and restricting their diets according to their personal understanding of which foods are truly 'pure.'"

E. This differs from other eating disorders, such as Anorexia Nervosa and Bulimia Nervosa, whereby People focus on the quantity of food eaten.

F. Orthorexia Nervosa is not recognized as an eating disorder by the American Psychiatric Association and is not mentioned as an official diagnosis in the widely used Diagnostic and Statistical Manual of Mental Disorders (DSM) or any other such authoritative source.

Question. 70.  It is clear to me there is a message in this but I am unable to see just what the message is - are you ale to see this for me?

Answer. 70. I could go into serious detail, however will for the moment restrict it to the name; Orthorexia Nervosa.

A. Orthorexia is the term for a condition that includes symptoms of obsessive behavior in pursuit of a healthy diet.

B. Orthorexia sufferers often display signs and symptoms of Anxiety Disorders that frequently co-occur with Anorexia Nervosa or other eating disorders.

Question, 71. You can be so frustrating at times - tells me the "What" but not the "Why." Please explain?

Answer. 72. That was the whole point of my answer. Tells us once again Medical Sciense has very eloquently told us they have a new name. Sadly that is where it stops.

Question. 73. So please start?

Answer. 73.  Whatever diagnoses a Person may be saddled with one thing one can be assured of - if the very best in the field anywhere of Dieticians were to create a perfect diet for a Person with either disorder - if we are to use such names. Then be safely assured the Person's Mind will swop the emotional phenotype places as the understanding required for the first disorder had not been met.

A. In other words whatever the name - it is only ever the pot calling the kettle black, as neither can ever be right or wrong.

Question. 74. Is there a way this can be explained in simple terms?

Answer. 74. Yes there is but let us use the words of wisdom offered by Medical Sciense and within this section. 

A. As always all the information required to make a better understanding of any illness is almost always contained in the so called scientific proof, as this repeat of Item. B. demonstrates. "Orthorexia sufferers often display signs and symptoms of Anxiety Disorders that frequently co-occur with Anorexia Nervosa or other eating disorders."

B. With this information I challenge any - Worldwide: Medical Scientist, Doctor, Specialist or even a well informed member of the public.

C. "Demonstrate you know anything of real value regarding Anxiety, then we can talk serious."

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History.

Section. 52.

A. In a 1997 article in the magazine Yoga Journal, the American physician Steven Bratman coined the term "Orthorexia Nervosa" from the Greek ορθο- (ortho, "right" or "correct") and όρεξις (orexis, "appetite"), literally meaning 'correct appetite', but in practice meaning 'correct diet.'

B. The term is modelled on Anorexia, literally meaning "without appetite," as used in the definition of the condition Anorexia Nervosa.

C. In both terms, "Nervosa" indicates an unhealthy psychological state.

D. Bratman described Orthorexia as an unhealthy fixation with what the individual considers to be healthy eating.

E. Beliefs about what constitutes healthy eating commonly originate in one or another dietary theory such as raw foods vegans or macrobiotics, but are then taken to extremes, leading to disordered eating patterns and psychological and/or physical impairment.

F. Bratman based this proposed condition on his personal experiences in the 1970s, as well as behaviours he observed among his Patients in the 1990s.

G. In 2000, Bratman, with David Knight, authored the book Health Food Junkies, which further expanded on the subject.

H. In 2015, responding to news articles in which the term Orthorexia is applied to People who merely follow a non-mainstream theory of healthy eating,

I. Bratman specified the following: "A theory may be conventional or unconventional, extreme or lax, sensible or totally wacky, but, regardless of the details, followers of the theory do not necessarily have Orthorexia.

J. They are simply adherents of a dietary theory.

K. The term 'Orthorexia' only applies when an eating disorder develops around that theory."

L. Bratman elsewhere clarifies that with a few exceptions, most common theories of healthy eating are followed safely by the majority of their adherents; however, "for some People, going down the path of a restrictive diet in search of health may escalate into dietary perfectionism."

M. Karin Katrina, PhD, writing for the National Eating Disorders Association, summarizes this process as follows: "Eventually food choices become so restrictive, in both variety and calories, that health suffers - an ironic twist for a Person so completely dedicated to healthy eating."

N. Although Orthorexia is not recognized as a mental disorder by the American Psychiatric Association and it is not listed in the DSM-5, as of January 2016, four case reports and more than 40 other articles on the subject have been published in a variety of peer-reviewed journals internationally.

O. According to a study published in 2011, two-thirds of a sample of 111 Dutch-speaking eating disorder specialists felt they had observed the syndrome in their clinical practice.

P. According to the Macmillan English Dictionary, the word is entering the English lexicon.

Q. lexiconˈlɛksɪk(ə)n/noun : lexicon; plural noun: lexicons the vocabulary of a person, language, or branch of knowledge. "the size of the English lexicon"a dictionary, especially of Greek, Hebrew, Syriac, or Arabic. "a Greek–Latin lexicon"

Question. 75.  So does item K suggest all of this is no more than guesswork?

Answer. 75. Shush must not say that. "Hypothesis" is the Scientifically Proven word. Means guesswork...

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Hypothesis.

Section 53.

A. A supposition or proposed explanation made on the basis of limited evidence as a starting point for further investigation.

B. A theory, theorem, thesis, conjecture, supposition, speculation, postulation, postulate, proposition, premise, surmise, assumption, presumption, presupposition, concept, idea, contention, opinion, view, belief.

C. Philosophically - a proposition made as a basis for reasoning, without any assumption of its truth.

Question. 76. When one has spent a lifetime of listening to the Scientific Proof about illness and then one includes the word that is used so much in medical research and then as above examines the meaning behind the word what - does it tell us about the Science itself.

Answer. 77. Sadly all is confirmed when one considers the use of the word management as a treatment option to work with the descriptive word of any illness - then all Medical Science and thus treatments are not at all proven as evidenced based medicine they are no more than an opinion or as the very last word above tells a, belief.    

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Diagnostic Criteria.

Section. 54.

A. In 2016, formal criteria for Orthorexia were proposed in the peer-reviewed journal Eating Behaviours by authors: Dr Thom Dunn of the University of Northern Colorado and Steven Bratman.

B. These criteria are as follows:

C...

Criterion A. Obsessive focus on "healthy" eating, as defined by a dietary theory or set of beliefs whose specific details may vary; marked by exaggerated emotional distress in relationship to food choices perceived as unhealthy; weight loss may ensue, but this is conceptualized as an aspect of ideal health rather than as the primary goal.

B. As evidenced by the following:

C. Compulsive behaviour and/or mental preoccupation regarding affirmative and restrictive dietary practices believed by the individual to promote optimum health.

D. Dietary practices may include use of concentrated "food supplements."  

E. Exercise performance and/or fit body image may be regarded as an aspect or indicator of health. 

F. Violation of self-imposed dietary rules causes exaggerated fear of disease, sense of personal impurity and/or negative physical sensations, accompanied by anxiety and shame. 

G. Dietary restrictions escalate over time and may come to include elimination of entire food groups and involve progressively more frequent and/or severe "cleanses" (partial fasts) regarded as purifying or detoxifying.  

H. This escalation commonly leads to weight loss, but the desire to lose weight is absent, hidden or subordinated to ideation about healthy food.

I. Criterion B. The compulsive behaviour and mental preoccupation becomes clinically impairing by any of the following:

J. Malnutrition, severe weight loss or other medical complications from restricted diet Intrapersonal distress or impairment of social, academic or vocational functioning secondary to beliefs or behaviours about healthy diet Positive body image, self-worth, identity and/or satisfaction excessively dependent on compliance with self-defined "healthy" eating behaviour.

K. A diagnostic questionnaire has been developed for Orthorexia sufferers, similar to questionnaires for other eating disorders, named the ORTO-15.

L. However, the above cited article by Dunn and Bratman critiques this survey tool as lacking appropriate internal and external validation.

Question.76. This illness "Orthorexia Nervosa" has never before been on my radar of understanding? Therefor in trying to understand the illness I have to request an answer to this extract from above. "I. Criterion B. The compulsive behaviour and mental preoccupation becomes clinically impairing by any of the following:"

Answer. 76...

A.  Good question and yes it tells all there is to know about the terms used to describe this particular branch of illness. 

B. Moreover. It is interesting and even Novel in its expression but as answer 75 above demonstrates it is of no real value and most certainly in their own words of Scientific Value, for if the use of the word compulsive has no deeper or even sensible understanding then it clearly demonstrates nothing is known.  

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Symptoms.

Section. 55.

A. Symptoms of Orthorexia Nervosa include: "obsessive focus on food choice, planning, purchase, preparation and consumption.

B. Food regarded primarily as source of health rather than pleasure.

C. Distress or disgust when in proximity to prohibited foods.

D. Exaggerated faith that inclusion or elimination of particular kinds of food can prevent or cure disease or affect daily well-being.

E. Periodic shifts in dietary beliefs while other processes persist unchanged.

F. Moral judgment of others based on dietary choices.

G. Body image distortion around sense of physical "impurity," rather than weight.

H. Persistent belief that dietary practices are health-promoting despite evidence of malnutrition.

Question. 77. Surely you cannot see any negative in this?

Answer. 77...

A. As a description of the Emotional Phenotype a Person presents with what is cutely called an eating concern - no not at all.

B. However this is not Sciense - it is no more than the Patient themselves would tell if given the chance instead of the researcher taking the credit.

C. However if one was to attempt to offer a treatment for the above one would not only be adding to ones profit and short term kudos one in the long term would be creating another branch of this illness.

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Epidemiology.

Section. 56.

A. Results across scientific findings have yet to find a definitive conclusion to support whether nutrition students and professionals are at higher risk than other population subgroups, due to differing results in the research literature.

B. There are only a few notable scientific works that, in an attempt to explore the breadth and depth of the still vaguely-understood illness, have tried to identify which groups in society are most vulnerable to its onset.

C. This includes a 2008 German study, which based its research on the widespread suspicion that the most nutritionally-informed, such as university nutrition students, are a potential high-risk group for eating disorders, due to a substantial accumulation of knowledge on food and its relationship to health; the idea being that the more one knows about health, the more likely an unhealthy fixation about being healthy can develop.

D. This study also inferred that Orthorexic tendencies may even fuel a desire to study the science, indicating that many within this field might suffer from the disorder before commencing the course.

E. However the results found that the students in the study, upon initial embarkation of their degree, did not have higher Orthorexic values than other non-nutrition university students and thus the report concluded that further research is needed to clarify the relationship between food-education and the onset of Orthorexia Nervosa.

F. Similarly, in a Portuguese study on nutrition tertiary students, the participants' Orthorexic scores - according to the ORTO-15 diagnostic questionnaire; actually decreased as they progressed through their course, as well as the overall risk of developing an eating disorder being an insignificant 4.2 percent.

G. The participants also answered questionnaires to provide insight into their eating behaviours and attitudes and despite this study finding that nutrition and health-science students tend to have more restrictive eating behaviours, these studies however found no evidence to support that these students have "more disturbed or disordered eating patterns than other students"

H. These two aforementioned studies conclude that the more understanding of food one has is not necessarily a risk factor for Orthorexia Nervosa, explaining that the data gathered suggests dietetics professionals are not at significant risk of it.

I. However, these epidemiologic studies have been critiqued as using a fundamentally flawed survey tool that inflates prevalence rates.

Question. 78. Surely if within any Medial research paper as Item I above demonstrates - "flawed survey tools are used," would anyone know, what, if and when, whether all of the other research tools were flawed or not?

Answer. 78. Sad but true - there is the serious possibility this process was created by the manner in which funding was garnered and used, as per instructions from the fund supplier in Universities and Medical Schools.   

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Media Reaction.

Section. 57.

The concept of Orthorexia Nervosa as a newly developing eating disorder has attracted significant media attention.

Question. 79. Knowing this illness is new on your radar are you able to comment on this?

Answer. 79.  Indeed I am. 

A. To see this one has to recall the outcome of 2016 and the increasing use of the internet.

B. Leading up to including and since. The United Kingdom seeking its independence from the eu.

C. On the face of it one would care to suggest - there is no connection.

D. however if one looks at and accepts rather than just believe the information reaching the publics ears as to the Misinformation we have been fed over the years

E. Surely one must at least consider the world will never be the same again, ultimately for the better - thus in the meantime are we able to consider any information coming from the medical press in the light of medical science long-term failure to understand illness and create a cure. Anything other than medical and medical profession hype and speculation.     

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Biology.

Section. 58.

A. There has been no investigation into whether there may be a biological cause specific to Orthorexia Nervosa.

B. It may be a food-cantered manifestation of obsessive-compulsive disorder, which has a lot to do with control.

C. A 2013 study of college students found that Orthorexia severity was negatively associated with self-reported executive functioning.

D. This means that the better the student did with cognitively complex tasks, including planning and decision-making, the less likely the student was to have Orthorexia.

Question. 80. Whilst on the one hand; I feel the part you have played in making sense of this set of ever changing symptoms - what appears to be after all of these years; still a mysterious illness. I somehow get the feeling you have somewhat held back? Is this true and if so. "Why."

Answer. 80. Again I have to give credit to our dedicated front line medical staff but must ask a question my self. "Why is in thirty five years never once have I heard a Doctor or Medical body ask. "Why are we such a failure in everything we do and what can we do to improve it."

Question. 81. That is not what I asked?

Answer. 81...   

A. This is true and we must not forget this, no more than we must forget the introduction I made. "Leaving one to choose the Questions and Answers that are important for a better or individual understanding of this seemingly mysterious illness."

B. The Mind knows with pinpoint accuracy the cause of the Mental and if we have to - Biological illness. 

C. Sadly over time and subsequent traumas, the Mind has forgotten how to remember and update the information at todays values and in so doing update the entire body chemistry.

D. The desire to forget was created at the time of an emotional and or physical trauma in Childhood that in turn altered irrevocably the entire body chemistry - causing it to become both Toxic and Caustic. 

E. This in turn caused the symptoms called mental and or physical ill health, where the toxic caustic nature of the body chemistry is in direct proportion to the Minds perceived value of the trauma, the instant it happened. 

F. Thus the symptoms are just an aid memoire - or better said a reminder something went wrong, but with no real updated memory of what, thereby creating the desire to gather understanding from the Parent or significant Person in the Childs life was created and when such times as this does not happen, either with a friend partner or very close loved one...

G. ...The memory of the trauma now acts as a chemical stimulator and if not addressed properly will cause what is called: Childhood Illness, Congenital illness or even worse; Genetic illness - to which the Mind knows; this is most certainly not the case.

Question. 82. If that answers the question I am sure I am unable to see it?

Answer. 82...

A. Exactly - again in the introduction I explained all of the answers to any illness symptom are contained within a Persons Mind and my job is to get the Person to answer their own questions, not by patronising more by prompting supporting - no matter what and never ever change course or symptom manage.

B. In addition to not only listen carefully to the Person, their conversation and symptoms but more importantly the conversation unwittingly provided by their Subconscious Mind.

C. Always at time of trauma the Mind will leave a way out of the illness - if it did not the illness would cause their death without any or very little treatment, often before their life has had the opportunity to gather speed.

D.  Thus if one reads the above; it provides. Questions but no Answers and Answers but not the Questions.

E. Thereby leaving the highly Intelligent Mind of a Person with the illness to create from their own information store - the Answers or the Questions, it does not matter which, as both will alter in a slow but positive manner the entire body chemistry.

F. There is only one word in the therapeutic dictionary of any value. "Why" for if one never asks "Why" then surely one will never know "Why."

Question. 83. A very detailed answer but I still have that sinking feeling it has not answered my question, please help.

Answer. 83...

A. Well observed and quite correct.

B. Whilst this paper is designed as an assistance to our dedicated medical practitioners in order for them to understand the illness better that they do at the moment.

C. I have to remember in the absence of any sound medical knowledge People with the disorder will search the internet looking for answers.

D. Thus this paper is not for those Mind blinded by the glare of the truth they know very little.

E. No more than it is for any one so interested, but has never had the disorder

F. Much more importantly; does not accept we Humans have a Mind that is implicated in illness.

G. No more than they Understand the Mind and the most serious possibility the disorder is not in the slightest anything to do with Food.      

H. Thus Talking Cures conversations has but one purpose - to guide push coerce force a Person into the areas of their Mind they cannot remember or do not want to remember, in a long-term safe manner.

Question. 84. All of this is accepted - surely there is one snippet of information contained in all of these words one can take home as a guide to understanding the true cause?

Answer. 84. May we first recall this information from the very beginning. "All of the information as to why a Person became ill in the first place and as a consequence - all of the information required for them to automatically create immune response repair is - not only contained within the confines of their Mind (Symptoms) - it is the only information required to bring about the required Automatic Cure using their own immune systems and Body replication processes. As designed by the Mind and Body." And add one word to it "Symptoms."

A. When such times as Medical Science is able to comprehend the beauty of this piece of information described in; Item. Section. 6.  E. Lanugo: soft, fine hair growing over the face and body. Then they can proudly call themselves - if only but in this field of illness symptoms: Medical Scientists, Researchers and Doctors.

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Section. 59...

Question 1. I feel you have successfully made the case that Anorexia Nervosa and the other names it has been labelled with is nothing to do with food and indeed the body.

A. Are there any - what do they call them in the Medical Profession. "Clinical Pearls," you feel would be contributory to the completion of your points of view?

Answer. 1. Thank you and yes there are a few.

A. Any name other than a nervousness is only scientific medical dreaming.

B. If medical science still does not understand this; Section. 6. B. Amenorrhea, a symptom that occurs after prolonged weight loss; causes menstruation to stop, hair becomes brittle and skin becomes yellow and unhealthy looking. Is only a Process of the Mind and nothing to do with food or biologically caused illness - then - they not only know nothing, they never will.

C. The information contained in; Section 6. item E.  "Lanugo: soft, fine hair growing over the face and body." Is possibly the only important piece of information in the entire Scientifically Proven part of this document.

D. Items in Section. 7 - copied below. Can surely only be considered as a clear demonstration of an illness either created by or made worse by feeble efforts to ensure this disorder is of biological creation and it is therefore scientifically proven - food is the problem.

1. Other psychological issues may factor into Anorexia Nervosa; some fulfill the criteria for a separate Axis 1 diagnoses or a personality disorder which is coded Axis 11 and thus are considered comorbid to the diagnosed eating disorder.     

E. Further confirmation of the above is to be found in. Section. 9. item E. "A significant change in the fifth edition is the deletion of the subtypes of schizophrenia: paranoid, disorganized, catatonic, undifferentiated and residual."

1. The word "deletion;" sums things up rather nicely. Must not let a good name stand in the way of a good profit for more failure.

F. Finely under the heading Diagnosis. Section. 22. B. "The assessment also includes a Mental State examination, which is an assessment of the Person's current mood and thought content, focusing on views on weight and patterns of eating." This like a cat chasing its own tail - good fun but only a dream one can never poses.

Question. 2. You may rest your case - the rest is surely up to those who care to challenge the overall message in this document.

Answer. 2. Thank you and yes the blog below is there for exactly that reason - all that is requested in polite but harsh debate - no ones comments are considered as unimportant and for my part I am not sufficiently intelligent to be able to Moderate the comments for publishing; thus it is automatic. 

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Conclusion; This paper  is as much or more so - for People affected by and being the reason. "WHY." Anorexia Nervosa is so elusive as to a Cure and why it keeps moving to different parts of the Mind, Body or Both.

"No apologies are made if this paper is seen as simplistic, for too long Scientific Medical Papers have been written in a manner no one truly understands, if this were not so, cures would have long since been found making this paper and Talking Cures unnecessary or redundant.

Whilst it must be recognised, the framework - part of the content, for this paper is in the public domain and credit given to the authors;

Peter Smith Talking Cures asserts the right to be recognised as author and Intellectual

©Copyright holder of his contribution to this document...

"Anorexia Nervosa Explored Explained Understood."

Author Peter Smith Talking Cures Copyright 22nd February 2017.

Thus, this document is free to use as an Education or Patient led assistance in its entirety.       

Talking Cures is a Twenty First Century Medicine...

...able to treat multiple symptoms of Mind and Body in a Person.

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