A woman aged 58 who has been blind since the age of nine months presented with major depression and a 40 year history of an eating disorder characterized by a restriction of food intake and body disparagement. The case is additional evidence that a specifically visual body image is not essential for the development of anorexia nervosa and supports the view that the concept of body image is unnecessary and unproductive in eating disorders. Greater emphasis should be placed on attitudes and feelings toward the body, and the possibility of an eating disorder should be considered in cases of older women with an atypical presentation.
References
1.
VandereyckenW.Anorexia nervosa and visual impairment.Compr Psychiatry1986; 27: 545–548.
2.
YagerJ., HattonC.A., MaL.Anorexia nervosa in a woman totally blind since the age of two.Br J Psychiatry1986; 149: 506–509.
3.
TouyzS.W., O'SullivanB.T., GertlerR.Anorexia nervosa in a woman totally blind since birth.Br J Psychiatry1988; 153: 248–250.
4.
McFarlaneA.C.Blindness and anorexia nervosa.Can J Psychiatry1989; 34(5): 431–433.
5.
GarnerD.M., GarflnkelP.E.The Eating Attitudes Test: an index of the symptoms of anorexia nervosa.Psychol Med1979; 9: 273–279.
6.
BeckA.T., WardC.H., MendelsonM.An inventory for measuring depression.Arch Gen Psychiatry1961; 4: 561–571.
7.
HendersonM., FreemanC.P.L.A self-rating scale for bulimia, the BITE.Br J Psychiatry1987; 150: 18–24.
8.
KinsbourneM., LempertH.Human figure representation by blind children.J Gen Psychol1980; 102: 33–37.
9.
FahyT.A., DeSilvaP., SilverstoneP.The effects of loss of taste and smell in a case of anorexia nervosa and bulimia nervosa.Br J Psychiatry1989; 155: 860–861.
10.
HsuL.K.G., SobkiewiczT.A.Body image disturbance: time to abandon the concept for eating disorders?Int J Eating Disord1991; 10: 15–30.
