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Psychosomatics 29: 81-84, 1988
Copyright © 1988 Academy of Psychosomatic Medicine

Chewing and Spitting Out Food as a Clinical Feature of Bulimia

JAMES E. MITCHELL M.D.1, RICHARD PYLE M.D.1, DOROTHY HATSUKAMI PH.D.1, , and ELKE ECKERT M.D.1

1 From the Department of Psychiatry, University of Minnesota Medical School

Patients with bulimia may engage in a variety of behaviors designed to prevent calorie absorption or to promote weight loss, including self-induced vomiting, laxative abuse, diuretic abuse, and prolonged fasting. Another eating-related behavior that is prevalent in this population but practiced intermittently or at a low frequency is chewing and spitting out food without swallowing it. The authors present detailed information on a series of 25 patients who practice this behavior.

Submitted on March 9, 1987
Accepted on June 12, 1987







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