Is inpatient treatment the best place for the individual with Anorexia?
Not necessarily. Inpatient treatment for the individual suffering from Anorexia often makes the problem worse, since the experience of being forced to eat large amounts of food, in short time periods is quite traumatic. Recent studies suggest that hospitalization for anorexia nervosa changed between the 1970s and 1990s in ways that have negatively affected outcome. Patients in the 1970s stayed in the hospital longer and gained weight more slowly, and although they left at a lower discharge body mass index, they were less likely to be re-hospitalized. By the 1990s, managed care was beginning to have it’s characteristically negative impact, i.e. patients were forced to be at a lower weight prior to admission and (which means that they were probably more chronic) and were forced to be out in shorter periods of time, necessitating more rapid weight gain. Rapid weight gain can be quite traumatic for the individual resistant to the idea of gaining weight, which represents all but a small per
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