Directives in anorexia nervosa: Use of the “Ulysses Agreement”

Case Report


The course of anorexia nervosa frequently has episodes of exacerbation during which motivation and insight are reduced, cognition is impaired and treatment resistance is increased. Formalizing a directive to be used during these episodes when the patient has greater motivation and insight is one way of reducing treatment resistance. We describe a form of directive, called the “Ulysses Agreement”.

Key words

Eating disorders anorexia nervosa relapse contract treatment 


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Copyright information

© Editrice Kurtis 2003

Authors and Affiliations

  1. 1.Eating Disorders ClinicSt. Paul’s HospitalVancouverCanada

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