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January 6, 1999

Clinical Crossroads: A 24-Year-Old Woman With Anorexia Nervosa

Author Affiliations

Margaret A.Winker, MDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor

JAMA. 1999;281(1):35-36. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-1-jbk0106

To the Editor: Dr Halmi's1 discussion of a 24-year-old woman with anorexia nervosa illustrates the risk that psychiatry, as it cleaves to a certain kind of "remedicalization," may lose the patient as a person. This loss would reflect what has been decried as the shift from a "brainless" to a "mindless" psychiatry.2 The loss of the voice of the patient would be ironic as medicine rediscovers the place in clinical care of the patient's experience and the patient-physician relationship.3

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