The Anorexic’s World in Psychoanalysis: Internal Drama and External Corruption

This powerful book, a multifaceted examination of anorexia nervosa explores the anorexic’s internal experience as well as the key role that specific family dynamics play in the development, experience, and treatment of anorexia. Drawing from her experience as both a psychoanalytic practitioner and a former sufferer, this book builds on Krestow’s personal history and her clinical experience providing psychoanalytic therapy to anorexics. Presented in three parts, this book first explores the inner psychic drama experienced by people with anorexia: incessant thoughts, the inner torment, and the ongoing internal battle for agency and independence from the family. Part II examines the theme of corruption in the family, which often involves a view of the world as dangerous, and their need to keep the child close and attached. Finally, this book considers treatment implications and argues for the thoughtful and collaborative treatment stance of the therapist, including recognition of the anorexic’s poor level of mentalization, and the therapist’s respect for the anorexic’s intense need for agency that had been thwarted developmentally. Drawing on clinical material, and the author’s own experiences, The Anorexic’s World in Psychoanalysis will be essential reading for psychoanalysts in practice and in training, other clinicians working with anorexic patients, anorexics and their families, and the interested general public.