Table of Contents Acknowledgments Contributors Introduction Tom Wooldridge, PsyD, CEDS PART I. Conceptualization of eating disorders 1. Psychodynamic improvement in eating disorders: welcoming ignored, unspoken, and neglected concerns in the patient to foster development and resiliency Kathryn J. Zerbe, MD, FAED and Dana A. Satir, PhD, CEDS 2. Invisibility and insubstantiality in an anorexic adolescent: phenomenology and dynamics Mary Brady, PhD 3. Primary interactions and eating disorders:a psychoanalytic perspective Antonella Granieri, PhD 4. An island entire of itself: narcissism in anorexia nervosa Anthony P. Winston, PhD 5. The dead third in the treatment of an adolescent with anorexia nervosa Lorraine Caputo, LCSW PART II: Treatment of eating disorders 6. From knowing to discovering: some suggestions for work with an anorexic patient Yael Kadish, PhD 7. Heathen talk: psychoanalytic considerations of eating disorders and the dissociated self Judith Brisman, PhD 8. To know another inside and out: linking psychic and somatic experience in eating disorders Danielle Novack, Ph.D. 9. On targeting emotion regulation deficits in eating disorders through defense analysis Timothy Rice, M.D. 10. Eating disorders, impaired mentalization, and attachment: implications for child and adolescent family treatment Starr Kelton-Locke, PhD PART III: Contemporary issues related to eating disorders 11. The low spark of high-heeled 'girls': hyperdeadness and Hyperawareness witheating-disordered patients Jean Petrucelli, PhD 12. Psychodynamic importance of "cyber" and "in the flesh" friends in psychotherapy with college-aged adolescents with eating disorders F. Diane Barth, LCSW 13. The enigma of ana:a psychoanalytic exploration of pro-anorexia Internet forums Tom Wooldridge, PsyD, CEDS 14. Towards social justice: the continuum of eating and body image problems: how social and psychological realities converge into an embodied epidemic Susan Gutwill, MSW, LCSW 15. Enduring perfectionism: seeing through eating disorder recovery and America’s cultural complex Kim L. Grynick, LPC