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He is usually right in emphasizing them over his personality disorders. They indicate the strong combined activity of an underlying sense of lack of personal autonomy and an underlying sense of lack of self control. The patient feels inordinately, paralyzingly helpless and ineffective. His eating disorders are an effort to exert and reassert mastery over his own life...
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The patient feels inordinately, paralyzingly helpless and ineffective. His eating disorders are an effort to exert and reassert mastery over his own life. At this stage, he is unable to differentiate his own feelings and needs from those of others. His cognitive and perceptual distortions (for instance, regarding body image) only increase his feeling of personal ineffectiveness and his need to exercise even more self control (of his diet, the only thing left)...
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