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Golden Cage: The Enigma of Anorexia Nervosa [Mass Market Paperback]

Hilde Bruch
5.0 out of 5 stars  See all reviews (7 customer reviews)


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Book Description

March 12, 1979
One of the world's leading authorities offers a vivid and moving account of the causes, effects, and treatment of this devastating disease.


Editorial Reviews

Review

The story of the disorder itself is beautifully written, presented with a deftness, lightness, and accuracy that make the reader yearn to turn the page, to watch the unfolding of this very enigmatic disorder. This is the single most important professionally written book for laypersons and parents.
--Shervert H. Frazier, M.D., McLean Hospital

The Golden Cage is eminently readable and generously spiced with vivid illustrations from Bruch's own clinical case material. Her discussion of and generalization from this material are wonderfully astute. (Contemporary Psychology )

The chief symptom is shocking: self-starvation leading to a devastating weight loss. The treatment is difficult, the cure elusive, and facts about the disease are not well known. Yet anorexia nervosa, an illness that was once quite rare, now afflicts increasing numbers of adolescents.

In The Golden Cage, a renowned psychiatrist-recognized as one of the world's leading authorities on anorexia nervosa-relates her experience and discoveries in dealing with this baffling disorder. It is not, as the name implies, simply a loss of appetite. Rather, it involves a relentless pursuit of excessive thinness, undertaken despite continual hunger, acute pain, and occasionally fatal consequences. Dr. Bruch uses numerous examples from her own case studies to give a vivid picture of the causes, effects, and possible treatment of the disease. Her main concern: how can the symptoms be detected before they become entrenched as anorexia?

The victims of anorexia are mostly adolescent and preadolescent girls who have otherwise been model children from "good homes." Often they feel trapped by unattainable goals and expectations-a golden cage of privilege where they feel they do not belong and cannot survive. Dr. Bruch's experience has convinced her that early diagnosis is essential to any treatment of anorexia, and her book is addressed "to physicians, teachers, school counselors, and parents-to all who are in a position of observing these youngsters before a chronic and often irreversible state develops."

Hilde Bruch is Professor of Psychiatry at Baylor College of Medicine and is the author of numerous articles and books, including Eating Disorders. Her latest book, Learning Psychotherapy: Rationale and Ground Rules, was published by Harvard University Press.



An extraordinary achievement...Bruch wrote with clarity, insight and compassion of her cases during the anorexia outbreak of the early '70s, an epidemic that seemed to arise out of nowhere, with no official diagnosis.
--Holly Brubach (New York Times Style Magazine 20070501) --This text refers to the Paperback edition.

From the Inside Flap

One of the world's leading authorities offers a vivid and moving account of the causes, effects, and treatment of this devastating disease.

Product Details

  • Mass Market Paperback: 176 pages
  • Publisher: Vintage (March 12, 1979)
  • Language: English
  • ISBN-10: 039472688X
  • ISBN-13: 978-0394726885
  • Product Dimensions: 6.7 x 4.1 x 0.6 inches
  • Shipping Weight: 4.8 ounces
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (7 customer reviews)
  • Amazon Best Sellers Rank: #1,388,675 in Books (See Top 100 in Books)

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20 of 24 people found the following review helpful
Format:Mass Market Paperback|Amazon Verified Purchase
A remarkable description of the basic personality and family mechanisms involved in teenage mental disorders and their anorectic expression.
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3 of 3 people found the following review helpful
5.0 out of 5 stars Not just September 5, 2005
Format:Paperback
This book was extremely informative about the underlying causes of eating disorders. It gave me a better understanding for how they can develop in the home, how parental pressures at a young age can have a huge influence, and also supports the fact that you don't have to have a tragic up bringing to be subject to an eating disorder.
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4 of 5 people found the following review helpful
5.0 out of 5 stars descriptive account of anorexia nervosa November 30, 2005
Format:Mass Market Paperback
empathic portrayal of anorexia nervosa by a pioneer in the field; it has human descriptives of everything characterized scientifically in textbooks and journals.
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