OBJECTIVE: The aim of the present paper is to review the available
literature on abusive experiences and the development of eating
disorders, with particular reference to the theoretical basis of the
possible links between them. METHOD: The review covers the literature
of both interpersonal violence and eating disorders, with special
reference to that linking the two fields. Brief case reports and
clinical experience from a specialised eating disorders unit are also
described. RESULTS: Despite much theoretical speculation of a causal
relation between abuse and eating dysfunction there is a lack of
empirical research to confirm such theories, and a dearth of treatment
suggestions to deal with the comorbid problems of the patient with an
eating disorder and a history of abuse. CONCLUSIONS: There is a need
for more clinical and experimental focus in this area, particularly in
the study of aetiology and the management of dually affected
individuals.