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Photography for Anorexia Nervosa

SIR: Body image problems have long been recognised as a major factor in anorexia nervosa (Bruch, 1962). The inability to perceive the degree of weight loss or emaciation in these patients has made treatment difficult, as patients who cannot see themselves as underweight are less likely to agree to hospital admission and treatment. We report the case of an anorexic patient who found that serial photographs of her frame provided sufficient evidence of emacia tion to convince her to continue with treatment. This idea stemmed primarily from an observation of the attitudes of people to their appearance in photo graphs, and this was used in a particularly resistant case of anorexia to gauge her reaction to a photo graphic image.