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We used a coding scheme to classify themes in letters of people with anorexia nervosa (AN) to group together themes expressed by those with BN. We revised the coding scheme to include themes that were not present in the letters of people with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were both similarities and differences in the themes described by AN and BN patients. Two positive themes (BN allowing the individuals to eat and not get fat and BN as a way of dealing with boredom) and two negative themes (shame or low self\u2010esteem resulting from BN and obsessive thoughts of weight and shape) were added to the coding scheme to account for these differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The positive and negative aspects of BN differ in some important ways from those expressed by patients with AN. The meaning of these differences is discussed with reference to the wider symptom pattern of BN compared with AN and their importance with reference to motivation for change is outlined. \u00a9 2002 by Wiley Periodicals, Inc. Int J Eat Disord 32: 164\u2013170, 2002.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.10076","type":"journal-article","created":{"date-parts":[[2002,10,6]],"date-time":"2002-10-06T11:44:15Z","timestamp":1033904655000},"page":"164-170","source":"Crossref","is-referenced-by-count":59,"title":["Bulimia nervosa: Friend or foe? 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