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A condensed version of a manual for two-year psychoanalytic psychotherapy for bulimia nervosa, developed for a clinical trial comparing psychoanalytic psychotherapy and cognitive behaviour therapy, is presented. The conceptualization of the psychopathology is outlined followed by a presentation of the specific principles of psychoanalytic psychotherapy for bulimia nervosa. The phases of the therapy and the adaptation of the therapy to different patterns of personality are described, and principles for training and supervision are outlined.