Beruflich Dokumente
Kultur Dokumente
Write Up:
A Literature Review on Handwriting, Anorexia, and Body-Oriented Therapy
Miriam Goldstein
Vanderbilt University
Author Note
This paper was prepared for Psychology 352: Body and Self in the Brain, taught by
Professor Sohee Park.
WRITE UP
2
Abstract
The purpose of this paper is twofold. Firstly, it aims to investigate the existing research on bodyoriented therapies, body size distortion in anorexia nervosa, and the relationship between ones
handwriting and ones sense of self in space, with special interest in studies where these areas
overlap. Secondly, the paper proposes new studies that can be developed to further investigate
the aforementioned phenomena and to develop treatments for anorexia nervosa an eating
disorder for which there are currently few truly effective treatment options based on this
increased understanding of how manipulations of the body can influence the mind and ones
sense of self. The available literature in this area of study is minimal, but the studies proposed in
this paper should help to carry the research into its next phase.
Keywords: eating disorders, anorexia nervosa, autism spectrum disorder (ASD),
Parkinsons disease (PD), peripersonal space, proprioception, interoception, embodiment,
handwriting, graphology, micrographia, macrographia, body-oriented therapy, mindfulness
WRITE UP
WRITE UP
& Ramachandran, 2012; Feeny, Zoellner, Fitzgibbons, & Foa, 2000; Kaplan, Enticott, Hohwy,
Castle, & Rossell, 2014; McNamara, Durso, & Harris, 2006; Soffer-Dudek, 2014; Thakkar,
Nichols, McIntosh, & Park, 2011). Although the research in this area is sparse, a number of these
disorders appear to afflict their sufferers with abnormal handwriting size (Beversdorf et al., 2001;
Johnson et al., 2013; Oliveira, Gurd, Nixon, Marshall, & Passingham, 1997). Among them is
anorexia nervosa, an eating disorder that is notoriously difficult to treat and has a greater
mortality rate than any other mental illness (Insel, 2012; Sekar, Arcelus, & Palmer, 2010). For
this reason alone, mental health professionals and researchers should always be on the lookout
for new potential therapies that can help combat this devastating disorder.
Considering the increased understanding of the bodys ability to influence ones
cognitions and self-concept, the experimentation with various treatments based on this
awareness, and the need to develop more effective therapies for anorexia, it makes sense to
explore treatment options that focus on altering the distorted body image that accompanies this
eating disorder. If power poses allow individuals to increase their confidence and decrease
their stress levels, it is possible that a therapy requiring patients with anorexia nervosa to enlarge
their handwriting could make a difference in how they perceive their body size, and in turn, may
help alleviate other symptoms of anorexia. To that end, this literature review will examine
studies that focus on how anorexia affects awareness of body size, how body-oriented therapies
have already been tested on anorexia nervosa and other eating disorders, how handwriting affects
anorexia and other disorders that involve a distorted sense of self, and how it is possible to
compel individuals to alter their handwriting size. Ultimately, this paper will also propose new
research studies that should be conducted in order to test the feasibility and efficacy of
handwriting-based therapies for eating disorders and beyond.
WRITE UP
5
Review of Literature
WRITE UP
In the last five years, research on distorted body image in anorexia has shifted back into
the realm of perceptual distortions. Guardia et al.s (2010) study involving patients with anorexia
nervosas ability to judge whether or not they could pass through an aperture of a certain size
concluded that, because participants overestimation of body size correlated with duration of
illness and degree of body dissatisfaction, anorexia may involve a deficit in neural processing of
body dimensions, such as a central nervous system that has not updated the patients body
schema after rapid weight loss. Case et al. (2012) returned to a proposal of deficits in visual
processing. In their study, they found that patients with anorexia nervosa demonstrate a reduced
ability, as compared to the normal population, to perceive the smaller of two objects of equal
weight but different sizes as heavier. They attributed these findings to decreased integration of
visual and proprioceptive information in individuals with anorexia and proposed the possibility
of visual or visuo-tactile integration therapies to reconfigure the perception of body weight and
size in patients with anorexia nervosa. Keizer, Smeets, Postma, van Elburg, and Dijkermans
(2014) recent study involving the rubber hand illusion (through which simultaneous stroking of
an individuals own hidden hand and a fake hand produces the sensation of ownership of the
artificial hand) determined that because individuals with anorexia appear to be more responsive
to the rubber hand illusion (more readily incorporating the rubber limb into their body schema),
those patients who underwent the rubber hand illusion experience showed a decrease in size
estimation of the width of their own hands, decreasing their overestimation of body size (at least
peripherally). This is only one of a number of studies that provide hope for body-oriented
therapies for anorexia.
Body-Oriented Therapies for Anorexia
WRITE UP
WRITE UP
improving their overall attitude about their bodies and their mental health, although there is no
evidence that this particular therapy altered the participants perception of their body size
(Catalan-Matamoros, Helvik-Skjaerven, Labajos-Manzanares, Martnez-de-Salazar-Arboleas, &
Snchez-Guerrero, 2011). With an increasing emphasis on meditation and mindfulness in
psychology and society in general, it seems likely that investigation into body-oriented therapies
for anorexia and other disorders will continue to be tested. However, as of now, the findings on
the ability for such therapies to alter body size assessment in individuals with anorexia are
inconclusive. In addition to performing more studies in the area of exercise, yoga, meditation,
and awareness, other types of body-oriented therapies should also be explored.
Handwriting and Sense of Self in Space in Other Disorders
As noted above, there are a number of disorders aside from anorexia that involve a
distorted sense of body and/or self. Only in a very few of these disorders has instances of size
variability of handwriting been examined. In even fewer has any connection been made between
handwriting and ones sense of self in space.
Autism Spectrum Disorder (ASD). Simply observing the behavior of individuals with
autism reveals one common feature of the disorder: a tendency to violate the personal space of
others (Kennedy & Adolphs, 2014). This invasion of others personal space is likely attributable
to the fact that individuals with ASD appear to have a very tight, difficult to alter sense of
themselves in space, and because of this, they do not need to stand as far away from people in
order to differentiate themselves from others (Cascio et al., 2012).
Among the sparse articles written on the relationship between handwriting and ASD,
none as of yet seem to make the connection between the altered sense of personal space that is a
part of autism and macrographia (abnormally large handwriting), another frequent component of
WRITE UP
the disorder. One study by Beversdorf et al. (2001) suggested that macrographia could be a result
of motor coordination impairments in individuals on the spectrum. Another study, by Johnson et
al. (2013), also looked to a disruption of the motor control network (as well as the possibility of
delayed handwriting skills) as the cause of macrographia in individuals on the autism spectrum.
However, this was pure speculation, with none of the studies actually proving motor deficits to
be the definitive or singular cause of macrographia in those with autism. Abnormal sense of self
in space should also be considered as a possible explanation for this increased handwriting size.
If individuals with autism are not uncomfortable with invading the personal space of others
because their sense of the space around themselves, their peripersonal space, is more compact,
perhaps their larger handwriting is another means of expressing their tendency to ignore the
normal boundaries of space.
Parkinsons disease (PD). With Parkinsons disease, a degenerative disorder affecting
the central nervous system, sufferers may have an experience of peripersonal space that is
opposite of that of those with autism. Lee and Harris (1999) cited evidence that people with
Parkinsons disease have difficulty estimating gaps and moving through narrow spaces. Citing a
study by Sacks (1990), the researchers also referred to anecdotal evidence for some Parkinsons
sufferers experience of the outside world as fluid, with doorways appearing too small for them
to fit through. This suggests that those with Parkinsons disease might have much less rigid
peripersonal spaces than individuals with autism. At the same time, Lee and Harris (1999) noted
that, although Parkinsons patients difficulty with spatial skills may result from an alteration in
self-perception, it may actually just be the product of a change in the way patients perceive their
extrapersonal space. This returns to the question above about whether the distorted body image
of patients with anorexia comes from perceptual deficits or is more attitudinal in nature.
WRITE UP
10
As might be expected if those with Parkinsons disease have a more fluid, larger
peripersonal spaces, the disease often produces micrographia (exceptionally small handwriting)
in its sufferers. In fact, micrographia is frequently the earliest sign of Parkinsons (Ondo &
Satija, 2007; Sandyk, 1994). There is some evidence that this small handwriting can in part be
corrected for. Ondo and Satija (2007) were able to significantly increase the writing size of
Parkinsons disease patients simply by getting them to close their eyes while writing (suggesting
that micrographia in Parkinsons disease may be due, at least in part, to sensory-motor deficits).
Oliveira et al. (1997) also succeeded in helping Parkinsons disease sufferers increase their
handwriting size. They found that if patients with Parkinsons disease are forced to attend to their
writing either with visual cues (dots on paper that the participants must reach with their writing
instrument) or auditory cues (saying big repeatedly) their handwriting size could be
increased. Oliveira et al. (1997) also failed to investigate differences in peripersonal space as a
possible factor behind the small handwriting found in Parkinsons patients, so much research still
remains to be conducted in this area. However, the study did demonstrate that it is possible to get
individuals to alter their handwriting size, and such evidence provides encouraging support for
the possibility that other individuals experiencing micrographia, namely patients with anorexia,
may also be able to alter their handwriting.
Handwriting and Anorexia
Very little research exists in the area of anorexia and its effects on handwriting. Only one
study, a case study conducted by Sekar et al. (2010), is readily available. Sekar et al. (2010)
followed a 22-year-old female patient with anorexia, accompanied by micrographia and
hypophonia (low volume speech). The researchers considered the possibility that, because
anorexia is often associated with reduced social interaction (as part of conflict avoidance), the
WRITE UP
11
patients micrographia and hypophonia may have resulted from a desire to make herself smaller
in every way as to avoid conflict. Sekar et al. (2010) did not discuss any implications that the
link between anorexia and micrographia might have for adding to the knowledge base about
sense of self and body in anorexia nervosa. Future studies should examine why patients with
anorexia, who tend to overestimate the amount of space occupied by their bodies, produce such
small handwriting. Perhaps, because they perceive themselves to be larger than they actually are,
they feel a desire to shrink themselves, and handwriting is another way in which they can do so.
Embodiment and Signature Size
Ondo and Satija (2007) and Oliveira et al. (1997) are not the only ones to show that
techniques can be employed to force individuals to alter their handwriting size. In a very recent
study exploring how a sense of embodiment is reflected in signature size, Rawal, Harmer, Park,
OSullivan, and Williams (2014) were able to force their participants to increase their signature
size, using a number of methods. In the first phase of the experiment, implicit affective stimuli
increased the signature size of the participants. In a second phase, participants completed selffocus inductions that were either conceptual (thinking about reasons and implications or
experiential (sustained attention to sensory-perceptual features). Those in the experiential
condition had a significant increase in their signature size relative to those assigned to the
conceptual condition. This is consistent with the notion that processing stimuli in a way that
increases experiential self-focus increases signature size. Moving in a direction that will
hopefully pick up momentum in the coming years, Rawal et al. (2014) also included some
participants with anorexia nervosa in their signature size manipulation study. The anorexia
groups results did not differ from the non-anorexia group, but the former group, like the latter,
did experience increased signature size after receiving the treatment. This study shows that
WRITE UP
12
increased attention to embodiment does have the power to increase signature size, and, most
likely, handwriting more generally.
Future Directions
Handwriting and Other Disorders
There is still very little known about the relationship between handwriting size and
psychological and physical disorders that affect perception of the body and/or self. A simple
awareness of handwriting size variability among different disorders needs to be established
before exploring treatments that intend to alter the handwriting size of individuals suffering from
such illnesses.
Method 1.
Participants. One way to derive information about the handwriting size of individuals
suffering from different psychological illnesses is to use the evidence that already exists. In order
for an individual to be diagnosed with one of the disorders mentioned in the introduction to this
paper, he or she had to have sought the services of a mental health professional. This generally
requires the patient to fill out forms and/or sign documents, unless he or she is deemed incapable
of doing so. In addition, there are a number of individuals who participate in psychological
studies that are designed to acquire information about specific disorders. The handwriting of
study participants or those seeking mental health care would be very easy to study, as there is a
wealth of handwriting samples, and individuals are already classified according to disorder. It
would also be necessary to have a control group of individuals who do not suffer from any
psychological disorders, or at least not those known to interfere with perception of the body
and/or self.
WRITE UP
13
WRITE UP
14
Many famous people, especially those involved in the government or academia, have personal
paper collections, located at university or national libraries, which can generally be accessed by
researchers with ease. It may also be possible to find the autographs of famous people and
analyze them as well.
Procedure. This method of studying change in handwriting size would involve locating
eligible participants, going through their paper collections (or finding their autographs) from
around the time of their diagnoses, and measuring their handwriting to see if there are any
changes in size. If enough evidence can be gathered, it may also be possible to, as in Method 1,
take an average of the handwriting size of individuals with a specific disorder and compare this
average to the average handwriting size of people with a different disorder. This method of study
would have the same goals as Method 1 but would allow for a before-and-after picture of
handwriting size, which should increase confidence in the direction of the results by taking the
study from a correlational one to a natural experiment.
Effects of Forced Changed to Handwriting
Ondo and Satija (2007), Oliveira et al. (1997), and Rawal et al. (2014) have all already
shown that is possible to compel individuals to increase their handwriting size. However, a
number of questions about this process still exist. First of all, it is unclear how long the
observable effects of such interventions last, let alone if there are any benefits beyond the
physical increase in handwriting size. Additionally, given that the researchers all employed
different methods of getting their participants to increase their writing size, it is unclear which
method or methods are the most effective and long-lasting. A study needs to be devised that both
examines the potential psychological benefits of increasing ones handwriting size and
determines how to best cause this increase.
WRITE UP
15
Method.
Participants. Because the focus of this paper is on finding a treatment for anorexia
nervosa, the participants recruited for this study would be those who suffer from the disorder. An
ideal study would include a control group of those who do not have anorexia nervosa nor a
predisposition to it, those who may be at risk for anorexia because of the prevalence of the
disorder in their family or other predisposing factors but who do not yet suffer from the disorder,
those who have had anorexia for only a short while, those who have had it for a number of years
and are still struggling with the disorder, and those who are in the recovery phase and who may
or may not still exhibit micrographia. It is likely that not all of the recruited participants (perhaps
not even the majority) would suffer from micrographia, but this could actually be beneficial
because it would allow the researchers to examine the factors that may have caused the decrease
in handwriting size or, alternatively, protected against it.
Procedure. A complete history of the participants illness would be collected from them.
The participants would also be assessed on their current level of well-being, the number and
severity of any symptoms of anorexia they are currently experiencing, their current handwriting
size, and their current perception of their body size. As in Guardia et al.s (2010) study, this latter
measure could be collected by asking the participants to determine whether or not they would be
able to pass through apertures of varying sizes. All of these factors would need to be reassessed
after the treatment phase.
Before ever carrying out a more formal study, a trial phase should examine the
effectiveness of different methods of compelling individuals to increase their handwriting size.
The blindfolding employed by Ondo and Satija (2007) would probably have little effect on
anorexia, especially if body size misperception in anorexia derives from attitudinal differences
WRITE UP
16
rather than perceptual ones. Oliveira et al.s (1997) use of visual cues to increase handwriting
size may also have some merit for individuals suffering from anorexia, but using the same
auditory cues saying big repeatedly may actually make anorexia worse, as people with
anorexia may be at a risk of attributing this word to themselves. Rawal et al.s (2014) emphasis
on self-focus seems promising, but more research would need to be conducted in this area to see
how long-lasting the results are. An additional treatment method that could be explored includes
having the experimenter guide the participants hands and physically forcing them to write
bigger. Increase in handwriting size may also be made possible by providing clunky writing
instruments that only allow the participants the option of writing larger.
Once the most effective treatment (or several most effective treatments) is decided upon,
all of the different groups of participants can go through the treatment phase of the experiment.
Following treatment, the same measurements taken at the beginning of the study well-being,
presence of anorexia symptoms, handwriting size, and perception of body size will be taken
again. The post-treatment results will be compared to the pre-treatment measures, both within
individuals and between them. With all hope, not only will the treatment increase the
handwriting size of those experiencing micrographia, but it will relieve some of the symptoms of
anorexia and increase the overall well-being of those suffering from the disorder. By bringing
their handwriting size closer to normal size, perhaps individuals with anorexia can be convinced
that their bodies are closer to normal size than they had previously thought.
Conclusion
Much research still remains to be done in the area of psychological disorders and their
ability to distort their sufferers perception of their body size. The current research in the area,
especially those studies that have found body-oriented therapies to be effective, is very
WRITE UP
17
promising and provides hope that additional, perhaps disorder-specific, treatments could be
devised based on the same principles. This is truly a new realm of science that offers great hope
for the future. Only time will tell whether or not this current direction that research and treatment
is taking will find an important and lasting place in the world of psychology.
WRITE UP
18
References
Beversdorf, D. Q., Anderson, J. M., Manning, S. E., Anderson, S. L., Nordgren, R. E., Felopulos,
G. J., & Bauman, M. L. (2001). Brief report: macrographia in high-functioning adults
with autism spectrum disorder. Journal of Autism and Developmental Disorders, 31(1),
97101.
Carney, D. R., Cuddy, A. J. C., & Yap, A. J. (2010). Power posing: brief nonverbal displays affect
neuroendocrine levels and risk tolerance. Psychological Science: A Journal of the
American Psychological Society, 21(10), 1363-1368.
Cascio, C. J., Foss-Feig, J. H., Burnette, C. P., Heacock, J. L., & Cosby, A. A. (2012). The rubber
hand illusion in children with autism spectrum disorders: delayed influence of combined
tactile and visual input on proprioception. Autism, 16(4), 406-419.
Case, L. K., Wilson, R. C., & Ramachandran, V. S. (2012). Diminished size-weight illusion in
anorexia nervosa: Evidence for visuo-proprioceptive integration deficit. Experimental
Brain Research, 217(1), 79-87.
Cash, T. F., & Deagle, E. a. (1997). The nature and extent of body-image disturbances in
anorexia nervosa and bulimia nervosa: A meta-analysis. International Journal of Eating
Disorders, 22(2), 107125. doi:10.1002/(SICI)1098-108X(199709)22:2<107::AIDEAT1>3.0.CO;2-J
Catalan-Matamoros, D., Helvik-Skjaerven, L., Labajos-Manzanares, M. T., Martnez-de-SalazarArboleas, A., & Snchez-Guerrero, E. (2011). A pilot study on the effect of Basic Body
Awareness Therapy in patients with eating disorders: a randomized controlled trial.
Clinical Rehabilitation, 25(7), 617626. doi:10.1177/0269215510394223
WRITE UP
19
Davis, J. I., Senghas, A., Brandt, F., & Ochsner, K. N. (2010). The effects of BOTOX injections
on emotional experience. Emotion, 10(3), 433-440.
Epstein, J., Wiseman, C. V., Sunday, S. R., Klapper, F., Alkalay, L., & Halmi, K. a. (2001).
Neurocognitive evidence favors top down over bottom up mechanisms in the
pathogenesis of body size distortions in anorexia nervosa. Eating and Weight Disorders,
6(3), 140147.
Feeny, N. C., Zoellner, L. A., Fitzgibbons, L. A., & Foa, E. B. (2000). Exploring the roles of
emotional numbing, depression, and dissociation in PTSD. Journal of Traumatic
Stress, 13(3), 489-498.
Garner, D. M., Garfinkel, P. E., Stancer, H. C., & Moldofsky, H. (1976). Body image
disturbances in anorexia nervosa and obesity. Psychosomatic Medicine, 38(5), 327336.
doi:10.1097/00006842-197609000-00005
Guardia, D., Lafargue, G., Thomas, P., Dodin, V., Cottencin, O., & Luyat, M. (2010).
Anticipation of body-scaled action is modified in anorexia nervosa. Neuropsychologia,
48(13), 39613966. doi:10.1016/j.neuropsychologia.2010.09.004
Heilbrun, A. B., & Friedberg, L. (1990). Distorted body image in normal college women:
Possible implications for the development of anorexia nervosa. Journal of Clinical
Psychology, 46(4), 398-401.
Herbert, B. M., & Pollatos, O. (2012). The body in the mind: On the relationship between
interoception and embodiment. Topics in Cognitive Science, 4(4), 692-704.
Insel, T. (2012, February 24). Directors blog: Spotlight on eating disorders. Retrieved from
http://www.nimh.nih.gov/about/director/2012/spotlight-on-eating-disorders.shtml.
WRITE UP
20
Johnson, B. P., Phillips, J. G., Papadopoulos, N., Fielding, J., Tonge, B., & Rinehart, N. J. (2013).
Understanding macrographia in children with autism spectrum disorders. Research in
Developmental Disabilities, 34(9), 29172926. doi:10.1016/j.ridd.2013.06.003
Jostmann, N. B., Lakens, D., & Schubert, T. W. (2009). Weight as an embodiment of
importance. Psychological Science, 20(9), 1169-1174.
Kaplan, R. A., Enticott, P. G., Hohwy, J., Castle, D. J., & Rossell, S. L. (2014). Is body
dysmorphic disorder associated with abnormal bodily self-awareness? A study using the
rubber hand illusion. PLoS ONE, 9(6). Public Library of Science.
Keizer, A., Smeets, M. A. M., Postma, A., Elburg, A. van, & Dijkerman, H. C. (2014). Does the
experience of ownership over a rubber hand change body size perception in anorexia
nervosa patients? Neuropsychologia, 62(1), 26-37. Elsevier Ltd.
Kennedy, D. P., & Adolphs, R. (2014). Violations of personal space by individuals with autism
spectrum disorder. PloS One, 9(8), e103369. doi:10.1371/journal.pone.0103369
Kraft, T. L., & Pressman, S. D. (2012). Grin and bear it: The influence of manipulated facial
expression on the stress response. Psychological Science, 23(11), 1372-1378.
Laird, J. D., & Lacasse, K. (2013). Bodily influences on emotional feelings: Accumulating
evidence and extensions of William Jamess theory of emotion. Emotion Review, 6(1),
27-34. Retrieved from http://emr.sagepub.com/cgi/doi/10.1177/1754073913494899
Lee, A. C., & Harris, J. P. (1999). Problems with perception of space in Parkinsons disease: A
questionnaire study. Neuro-Ophthalmology, 22(1), 1-15.
McNamara, P., Durso, R., & Harris, E. (2006). Life goals of patients with Parkinsons disease: A
pilot study on correlations with mood and cognitive functions. Clinical
Rehabilitation, 20(9), 818-826.
WRITE UP
21
Oliveira, R. M., Gurd, J. M., Nixon, P., Marshall, J. C., & Passingham, R. E. (1997).
Micrographia in Parkinsons disease: The effect of providing external cues. Journal of
Neurology, Neurosurgery, and Psychiatry, 63(4), 429433. doi:10.1136/jnnp.63.4.429
Ondo, W. G., & Satija, P. (2007). Withdrawal of visual feedback improves micrographia in
Parkinsons disease. Movement Disorders, 22(14), 21302131. doi:10.1002/mds.21733
Penner, L. A., Thompson, J. K., & Coovert, D. L. (1991). Size overestimation among anorexics:
much ado about very little? Journal of Abnormal Psychology, 100(1), 9093.
doi:10.1037/0021-843X.100.1.90
Probst, M., Vandereycken, W., Van Coppenolle, H., & Pieters, G. (1998). Body size estimation in
anorexia nervosa patients: The significance of overestimation. Journal of Psychosomatic
Research, 44(3-4), 451456. doi:10.1016/S0022-3999(97)00270-5
Rawal, A., Harmer, C. J., Park, R. J., OSullivan, U. D., & Williams, J. M. G. (2014). A sense of
embodiment is reflected in peoples signature size. PLoS ONE, 9(2). Public Library of
Science.
Sandyk, R., & Iacono, R. P. (1994). Reversal of micrographia in Parkinsons disease by
application of picoTesla range magnetic fields. The International Journal of
Neuroscience, 77(1-2), 77-84.
Sekar, M. K., Arcelus, J., & Palmer, R. L. (2010). Micrographia and hypophonia in anorexia
nervosa. International Journal of Eating Disorders, 43(8), 762765.
doi:10.1002/eat.20768
Skrzypek, S., Wehmeier, P. M., & Remschmidt, H. (2001). Body image assessment using body
size estimation in recent studies on anorexia nervosa. A brief review. European Child &
Adolescent Psychiatry, 10(4), 215221. doi:10.1007/s007870170010
WRITE UP
22
Slade, P. (1985). A review of body-image studies in anorexia nervosa and bulimia nervosa.
Journal of Psychiatric Research, 19(2-3), 255265. doi:10.1016/0022-3956(85)90026-3
Smeets, M. A., Smit, F., Panhuysen, G. E., & Ingleby, J. D. (1997). The influence of
methodological differences on the outcome of body size estimation studies in anorexia
nervosa. The British Journal of Clinical Psychology, 36 (Pt 2), 263277.
Smeets, M. A., Ingleby, J. D., Hoek, H. W., & Panhuysen, G. E. (1999). Body size perception in
anorexia nervosa: a signal detection approach. Journal of Psychosomatic Research, 46(5),
465477.
Soffer-Dudek, N. (2014). Dissociation and dissociative mechanisms in panic disorder, obsessive
compulsive disorder, and depression: A review and heuristic framework. Psychology of
Consciousness: Theory, Research, and Practice, 1(3), 243270. doi:10.1037/cns0000023
Thakkar, K. N., Nichols, H. S., McIntosh, L. G., & Park, S. (2011). Disturbances in body
ownership in schizophrenia: Evidence from the rubber hand illusion and case study of a
spontaneous out-of-body experience. PLoS ONE, 6(10).
Vancampfort, D., Vanderlinden, J., De Hert, M., Soundy, A., Admkova, M., Skjaerven, L. H.,
Probst, M. (2014). A systematic review of physical therapy interventions for patients with
anorexia and bulemia nervosa. Disability and Rehabilitation, 36(8), 62834.
doi:10.3109/09638288.2013.808271
Wallin, U., Kronovall, P. and Majewski, M.-L. (2000), Body awareness therapy in teenage
anorexia nervosa: outcome after 2 years. Eur. Eat. Disorders Rev., 8:1930. doi:10.1002/
(SICI)1099-0968(200002)8:1<19::AID-ERV329>3.0.CO;2-K
Williams, L. E., & Bargh, J. A. (2008). Experiencing physical warmth promotes interpersonal
warmth. Science, 322(5901), 606-607.
WRITE UP
23