Causes of Anorexia and Effects of Mistreatment

Not believing the patient, and assuming abuse, can make matters worse.

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Hadley Freeman’s “Good Girls” (Bookshelf, May 1) is the most insightful book I have ever read as to the causes of anorexia. Most anorexics aren’t part of the prison system that a psychiatrist references in his assumption that sexual abuse and PTSD are behind anorexia “until proven otherwise” (Letters, May 9 and 18).

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