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The eating attitudes and behavior, psychological functioning, and family dynamics of 25 women with bulimia (binge-purge syndrome) were examined by comparing their responses on self-report measures to those of a normal control group. As expected, the bulimic clients displayed many more problems in their eating attitudes and behavior and a disturbingly high level of behavioral-emotion distress. Responses to the family assessment measures suggested possible familial factors that may contribute to the syndrome. The implications of the results for current treatment approaches and conceptualizations of bulimia are discussed.
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