Is anorexia nervosa a disorder of the self? A psychological approach

Federico Amianto, Georg Northoff, Giovanni Abbate Daga, Secondo Fassino, Giorgio A. Tasca

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The debate concerning the pathogenesis and the maintaining factors of eating disorders, anorexia nervosa in particular, is ongoing especially since therapeutic interventions do not result in satisfactory and enduring rates of remission. This paper presents a model for the pathogenesis of eating disorders, based on the hypothesis of a deficiency in the development of the self. We present the theory in light of new evidence concerning the role of attachment insecurity in the development and maintenance of eating disorders. In particular, we define the self in eating disorders in a comprehensive way by taking into account recent evidence from experimental psychology and neurobiology. The paper considers the development of the self in terms of its synchronic (i.e., experienced in the moment) and diachronic (i.e., experienced as continuous over time) aspects. Both synchronic and diachronic aspects of the self are relevant to the expression of eating disorder symptoms. Further, the maturation of the self is interwoven with the development of attachment functioning from infancy to adolescence. This interplay between these developmental processes of the self and of attachment could be crucial in understanding the pathogenesis of eating disorders. The final part of the paper suggests a neurobiological link between the theory of the self in the eating disorders and the spatiotemporal functioning of the brain. Disturbances in spatiotemporal functioning may represent the neurobiological pathway by which deficiencies in the self is related to attachment functions in individuals with eating disorders.

Original languageEnglish
Article number849
JournalFrontiers in Psychology
Volume7
Issue numberJUN
DOIs
Publication statusPublished - Jun 14 2016
Externally publishedYes

Fingerprint

Anorexia Nervosa
Psychology
Experimental Psychology
Neurobiology
Feeding and Eating Disorders
Maintenance
Brain

Keywords

  • Anorexia nervosa
  • Attachment
  • Eating disorders
  • Neurobiological pathway
  • Self

ASJC Scopus subject areas

  • Psychology(all)

Cite this

Is anorexia nervosa a disorder of the self? A psychological approach. / Amianto, Federico; Northoff, Georg; Daga, Giovanni Abbate; Fassino, Secondo; Tasca, Giorgio A.

In: Frontiers in Psychology, Vol. 7, No. JUN, 849, 14.06.2016.

Research output: Contribution to journalArticle

Amianto, Federico ; Northoff, Georg ; Daga, Giovanni Abbate ; Fassino, Secondo ; Tasca, Giorgio A. / Is anorexia nervosa a disorder of the self? A psychological approach. In: Frontiers in Psychology. 2016 ; Vol. 7, No. JUN.
@article{1cd483c8f0624efa884c4b4d331e88f7,
title = "Is anorexia nervosa a disorder of the self? A psychological approach",
abstract = "The debate concerning the pathogenesis and the maintaining factors of eating disorders, anorexia nervosa in particular, is ongoing especially since therapeutic interventions do not result in satisfactory and enduring rates of remission. This paper presents a model for the pathogenesis of eating disorders, based on the hypothesis of a deficiency in the development of the self. We present the theory in light of new evidence concerning the role of attachment insecurity in the development and maintenance of eating disorders. In particular, we define the self in eating disorders in a comprehensive way by taking into account recent evidence from experimental psychology and neurobiology. The paper considers the development of the self in terms of its synchronic (i.e., experienced in the moment) and diachronic (i.e., experienced as continuous over time) aspects. Both synchronic and diachronic aspects of the self are relevant to the expression of eating disorder symptoms. Further, the maturation of the self is interwoven with the development of attachment functioning from infancy to adolescence. This interplay between these developmental processes of the self and of attachment could be crucial in understanding the pathogenesis of eating disorders. The final part of the paper suggests a neurobiological link between the theory of the self in the eating disorders and the spatiotemporal functioning of the brain. Disturbances in spatiotemporal functioning may represent the neurobiological pathway by which deficiencies in the self is related to attachment functions in individuals with eating disorders.",
keywords = "Anorexia nervosa, Attachment, Eating disorders, Neurobiological pathway, Self",
author = "Federico Amianto and Georg Northoff and Daga, {Giovanni Abbate} and Secondo Fassino and Tasca, {Giorgio A.}",
year = "2016",
month = "6",
day = "14",
doi = "10.3389/fpsyg.2016.00849",
language = "English",
volume = "7",
journal = "Frontiers in Psychology",
issn = "1664-1078",
publisher = "Frontiers Research Foundation",
number = "JUN",

}

TY - JOUR

T1 - Is anorexia nervosa a disorder of the self? A psychological approach

AU - Amianto, Federico

AU - Northoff, Georg

AU - Daga, Giovanni Abbate

AU - Fassino, Secondo

AU - Tasca, Giorgio A.

PY - 2016/6/14

Y1 - 2016/6/14

N2 - The debate concerning the pathogenesis and the maintaining factors of eating disorders, anorexia nervosa in particular, is ongoing especially since therapeutic interventions do not result in satisfactory and enduring rates of remission. This paper presents a model for the pathogenesis of eating disorders, based on the hypothesis of a deficiency in the development of the self. We present the theory in light of new evidence concerning the role of attachment insecurity in the development and maintenance of eating disorders. In particular, we define the self in eating disorders in a comprehensive way by taking into account recent evidence from experimental psychology and neurobiology. The paper considers the development of the self in terms of its synchronic (i.e., experienced in the moment) and diachronic (i.e., experienced as continuous over time) aspects. Both synchronic and diachronic aspects of the self are relevant to the expression of eating disorder symptoms. Further, the maturation of the self is interwoven with the development of attachment functioning from infancy to adolescence. This interplay between these developmental processes of the self and of attachment could be crucial in understanding the pathogenesis of eating disorders. The final part of the paper suggests a neurobiological link between the theory of the self in the eating disorders and the spatiotemporal functioning of the brain. Disturbances in spatiotemporal functioning may represent the neurobiological pathway by which deficiencies in the self is related to attachment functions in individuals with eating disorders.

AB - The debate concerning the pathogenesis and the maintaining factors of eating disorders, anorexia nervosa in particular, is ongoing especially since therapeutic interventions do not result in satisfactory and enduring rates of remission. This paper presents a model for the pathogenesis of eating disorders, based on the hypothesis of a deficiency in the development of the self. We present the theory in light of new evidence concerning the role of attachment insecurity in the development and maintenance of eating disorders. In particular, we define the self in eating disorders in a comprehensive way by taking into account recent evidence from experimental psychology and neurobiology. The paper considers the development of the self in terms of its synchronic (i.e., experienced in the moment) and diachronic (i.e., experienced as continuous over time) aspects. Both synchronic and diachronic aspects of the self are relevant to the expression of eating disorder symptoms. Further, the maturation of the self is interwoven with the development of attachment functioning from infancy to adolescence. This interplay between these developmental processes of the self and of attachment could be crucial in understanding the pathogenesis of eating disorders. The final part of the paper suggests a neurobiological link between the theory of the self in the eating disorders and the spatiotemporal functioning of the brain. Disturbances in spatiotemporal functioning may represent the neurobiological pathway by which deficiencies in the self is related to attachment functions in individuals with eating disorders.

KW - Anorexia nervosa

KW - Attachment

KW - Eating disorders

KW - Neurobiological pathway

KW - Self

UR - http://www.scopus.com/inward/record.url?scp=84980021602&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84980021602&partnerID=8YFLogxK

U2 - 10.3389/fpsyg.2016.00849

DO - 10.3389/fpsyg.2016.00849

M3 - Article

VL - 7

JO - Frontiers in Psychology

JF - Frontiers in Psychology

SN - 1664-1078

IS - JUN

M1 - 849

ER -