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Eating Disorders and the Narcissist
By Sam Vaknin

Patients suffering from eating disorders binge on food and sometimes are both anorectic and bulimic. This is an impulsive behavior as defined by the DSM (particularly in the case of BPD and to a lesser extent of Cluster B disorders in general). Some patients develop these disorders as a way to self-mutilate. It is a convergence of two pathological behaviors: self-mutilation and an impulsive (rather, compulsive or ritualistic) behavior.

The key to improving the mental state of patients with dual diagnosis (a personality disorder plus an eating disorder) lies in concentrating upon their eating and sleeping disorders.

By controlling their eating disorders, patients assert control over thei...
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