title: Self-harm and bulimia nervosa: a complex connection.
abstract: There is some evidence to suggest that eating disordered individuals are unusually likely to engage in self-harm behavior. However, the nature of the relationship among self-harm, bulimia nervosa, and related constructs such as borderline personality disorder and multi-impulsive bulimia nervosa remains unclear. This article briefly addresses the nature of this relationship and discusses two possible mechanisms for self-harm behavior in bulimia nervosa. Additionally, a protocol for managing such behavior in the treatment of eating disordered individuals is presented.
authors.affiliation: University of North Dakota School of Medicine & Health Sciences, Fargo, USA. stephenw@medicine.nodak.edu
authors.forename: Stephen
authors.initials: S
authors.lastname: Wonderlich
authors.forename: Tricia
authors.initials: T
authors.lastname: Myers
authors.forename: Margo
authors.initials: M
authors.lastname: Norton
authors.forename: Ross
authors.initials: R
authors.lastname: Crosby