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Although many cases of Anorexia Nervosa have of late been reported in the literature, the following case is presented here in view of the fact that the patient displayed mechanisms rarely attrib-buted to this disease. Thisreport may, moreover, be significant, since the literature on this topic indicates marked differences in the personality structure of patients to whom the diagnosis of Anorexia Nervosa has been applied.
Only some of the symptoms will be discussed, since the patient had not been subjected to psychoanalytic therapy, and since much material therefore remained undiscovered. The patient, is representative of a group which is not encountered frequently, and. distinct from the majority of those patients presenting Anorexia Nervosa as a mere symptom within a well known neurosis. The somatic aspects will be merely sketched.* Observations are discussed in terms of psychiatry without reference to pathological physical conditions. The psychiatric mechanisms and the structure of some psychic functions were the main point of study. A discussion on two different meanings of the term Anorexia Nervosa will follow and the attempt be made to classify the disorder among psychiatric entities.
Case History: The patient, now aged 30, was under observation at the University of Chicago Clinics since August 1934. She was examined