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We may be witnessing a convergence of two criteria: self-mutilation and an impulsive (rather, compulsive or ritualistic) behaviour.
The key to improving the mental state of patients with dual diagnosis (a personality disorder plus an eating disorder) lies in concentrating upon their eating and sleeping disorders. In my view, these disorders are a blessing in disguise.
It is very rarely, even in the lives of normal human beings, that they are faced with a veritable, identifiable enemy. By controlling their eating disorders, patients can assert control over their lives. This is bound to reduce their depression (even eliminate it altogether as a constant feature of their mental life)...
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