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talks explaining the facts about eating disorders, their physical risks and psychological side-effects, etc, but more often informally, as part of general group discussions is an important component of the programme Lunch is in many respects the central event of the day at least in the initial stages of MFDT In London families go shopping to the local supermarket and here major confrontations may ensue between the teenager and her parents as to what is nutritious food Once the food has been bought, families are in charge of preparing and serving it The situation is different in Dresden where food is provided by the hospital, with a xed menu within which there are a few choices Each family decides what and how much their daughter or son should eat.

H, Kreitzer, P, Jacobson, MS, Chasalow, FI, Schebendach, J, Freedman, SM & Shenker, IR (1994) Disturbances in growth hormone secretion and action in adolescents with anorexia nervosa J Pediatr, 125 (4), 655 660 Grandison, L & Guidotti, A (1977) Stimulation of food intake by muscimol and beta endorphin Neuropharmacology, 16 (7 8), 533 536 Grignaschi, G, Sironi, F & Samanin, R (1996) Stimulation of 5-HT2A receptors in the paraventricular hypothalamus attenuates neuropeptide Y-induced hyperphagia through activation of corticotropin releasing factor Brain Res, 708, (1 2), 173 176 Grinspoon, S, Gulick, T, Askari, H, Landt, M, Lee, K, Anderson, E, Ma, Z, Vignati, L, Bowsher, R, Herzog, D & Klibanski, A (1996) Serum leptin levels in women with anorexia nervosa J Clin Endocrinol Metab, 81 (11), 3861 3863.

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Hall, A, Leibrich, J, Walkey, FH & Welch, G (1986) Investigation of weight pathology of 58 mothers of anorexia nervosa patients and 204 mothers of schoolgirls Psychol Med, 16 (1), 71 76 Halmi, KA & Sunday, S R (1991) Temporal patterns of hunger and fullness ratings and related cognitions in anorexia and bulimia Appetite, 16 (3), 219 237 Hanson, L (1999) Olanzepine in the treatment of anorexia nervosa (letter) Br J Psychiat, 175 (592) Harris, RB, Kasser, TR & Martin, RJ (1986) Dynamics of recovery of body composition after overfeeding, food restriction or starvation of mature female rats J Nutr, 116 (12), 2536 2546 Hebebrand, J, Blum, WF, Barth, N, Coners, H, Englaro, P, Juul, A, Ziegler, A, Warnke, A, Rascher, W & Remschmidt, H.

(1997) Leptin levels in patients with anorexia nervosa are reduced in the acute stage and elevated upon short-term weight restoration [see comments] Mol Psychiat, 2 (4), 330 334 Hebebrand, J & Remschmidt, H (1995) Anorexia nervosa viewed as an extreme weight condition: genetic implications Hum Genet, 95 (1), 1 11 Heisler, LK, Chu, HM & Tecott, LH (1998) Epilepsy and obesity in serotonin 5-HT2C receptor mutant mice , Ann NY Acad Sci, 861, 74 78 Herpertz, S, Albers, N, Wagner, R, Pelz, B, Kopp, W, Mann, K, Blum, WF, Senf, W & Hebebrand, J (2000) Longitudinal changes of circadian leptin, insulin and cortisol plasma levels and their correlation during refeeding in patients with anorexia nervosa Eur J Endocrinol, 142 (4), 373 379 Herpertz, S, Wagner, R, Albers, N, Blum, WF.

Needless to say, soon familiar battles will are up, with the anorectic making out the best possible arguments for not eating anything, and with the parents determined to impose their will The staff s role is to comment on and, if appropriate, challenge these interactions around food in vivo and to question the parents tolerance and their willingness to compromise Sometimes this is videotaped so that parent child interactions can be viewed and analysed in subsequent video-feedback sessions Group discussions of the lunch time sessions is a useful time for families to re ect on the possibles and impossibles of managing eating Other sessions are also videotaped with the families permission so that there is opportunity to record interactions which can then be reviewed jointly by families and staff later that day or at some other suitable time.

, Pelz, B, Langkafel, M, Kopp, W, Henning, A, Oberste-Berghaus, C, Mann, K, Senf, W & Hebebrand, J (1998) Circadian plasma leptin levels in patients with anorexia nervosa: Relation to insulin and cortisol Horm Res, 50 (4), 197 204 Herve, C & Fellmann, D (1997) Changes in rat melanin-concentrating hormone and dynorphin messenger ribonucleic acids induced by food deprivation Neuropeptides, 31 (3), 237 242..

their positions The location- nding system uses trilateration and speed-of-sound to estimate the distance between the objects and reference points from TOA measurements Ubisense is another location- nding systems used for creating smart spaces Ubisensors mounted on walls use UWB signals to communicate with Ubitags carried by objects in the environment As a result, the Ubisensors locate those objects [21] CORTEX s Smart room [5] is an EU project When someone enters the sentient room, her identity is captured by a device in the room and it starts to behave intelligently in her preferred way EasyLiving [34] is a ubiquitous computing project developed by Microsoft Research It aims at developing architecture and technologies for building intelligent environments Smart Surroundings [11, 26] is an EU project and the aim is to investigate, de ne, develop and demonstrate the core architectures and frameworks for future ambient systems.

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