The treatment of bulimia from a self psychological perspective

This paper examines concepts from self psychology which contribute to the understanding of bulimia. A case example from the author's work illustrates the significance of the sense of self both in the development of bulimic symptoms and also in the therapeutic process. Painful feelings of shame and humiliation over who and what one is are often part of the bulimic experience. The author suggests that therapist's role is not so much to change the bulimic person, but to accept and understand who the person is and how he or she came to be that way. Change often follows such understanding.