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The drive for muscle leanness: A complex case with features of muscle dysmorphia and eating disorder not otherwise specified

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Abstract

Muscle dysmorphia has been described as a subtype of body dysmorphic disorder in which an individual experiences severe body image disturbance related to muscularity. The current case is of a 20-year-old man who describes a history of muscle dysmorphia in which the nature of the body image concern is related to leanness (i.e., muscularity in the absence of body fat), as opposed to increasing muscle mass, which is how muscle dysmorphia has typically been characterized in the literature. The case illustrates the need to consider this additional facet of body image when diagnosing muscle dysmorphia.

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References

  1. Pope H., Gruber A., Choi P., Olivardia R., Phillips K.: An underrecognized form of body dysmorphic disorder. Psychosomatics, 38, 548–557, 1997.

    Article  PubMed  Google Scholar 

  2. Thompson J.K., Cafri G. (Eds.): The muscular ideal: Social, psychological and medical perspectives. Washington, DC, American Psychological Association, in press.

  3. Pope H., Katz D., Hudson J.: Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Compr. Psychiatry, 34, 406–409, 1993.

    Article  PubMed  Google Scholar 

  4. Olivardia R., Pope G., Hudson J.: Muscle dysmorphia in male weightlifters: A case-control study. Am. J. Psychiatry, 157, 1291–1296, 2000.

    Article  PubMed  CAS  Google Scholar 

  5. First M.B., Spitzer R.L., Gibbon M., Williams J.B.: Structured clinical interview for DSM-IV axis I disorders. New York, NY, Biometrics Research Department, New York State Psychiatric Institute, 2001.

    Google Scholar 

  6. Phillips K.A.: The Broken Mirror. New York, NY, Oxford Press, 1996.

    Google Scholar 

  7. Haller C.A., Benowitz N.L.: Adverse cardiovascular and central nervous system events associated with dietary supplements containing ephedra alkaloids. N. Engl. J. Med., 343, 1833–1838, 2000.

    Article  PubMed  CAS  Google Scholar 

  8. Korzenik J.R.: Past and current theories of etiology of IBD: Toothpaste, worms and refrigerators. J. Clin. Gastroenterol., 39, S59–S65, 2005.

    Article  PubMed  Google Scholar 

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Correspondence to Guy Cafri M.A..

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Cafri, G., Blevins, N. & Thompson, J.K. The drive for muscle leanness: A complex case with features of muscle dysmorphia and eating disorder not otherwise specified. Eat Weight Disord 11, e117–e118 (2006). https://doi.org/10.1007/BF03327575

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  • DOI: https://doi.org/10.1007/BF03327575

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