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Cognitive behavior therapy (CBT) is an effective treatment for bulimia nervosa (BN). However, among patients with BN, symptom improvement is more pronounced for behavioral eating symptoms (i.e., bingeing and purging) than for body image disturbance, and the persistence of body image disturbance is associated with relapse. The need for more effective body image interventions led to the development of mirror exposure, which focuses on encouraging patients to view themselves in a holistic, nonjudgmental, mindful fashion. Behavioral manifestations of body image disturbance--body checking and avoidance--are also targeted in order to reduce and eliminate such behaviors and their associated preoccupation and distress. A preliminary trial of Body Image Exposure has shown promise, but it has not yet been tested in the context of CBT for BN. The case of "Sara" illustrates the application of this targeted treatment for body image disturbance. Central clinical issues around the perceptual, cognitive, and behavioral components of body image are delineated as they arose in treatment, as are issues of motivation and compliance. Treatment was associated with improvement in eating symptoms, body image, and mood. (Contains 1 table.)

This study compares patients with restricting anorexia nervosa (ANR) to patients with binge/purge anorexia nervosa (ANBP) and concludes that ANR is a stage in anorexia nervosa and not a distinct subtype, as previously considered. Of 136 women involved in the study, 62% crossed over from ANR to ANBP within eight years of follow-up.

This article examines the relationship between bulimic symptoms with sociotropy, a cognitive-personality factor in which social dependency, need for approval, and fear of rejection are symptoms. The authors, assessing two groups of women, conclude sociotropy is significantly related to bulimic symptoms.