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Clarification is sought and the question of a cognitive bias is addressed when interpreting facially expressed emotions. Twenty participants with bulimia nervosa (BN) and 20 normal controls (NC) were assessed for ability to recognize emotional and neutral expressions. Emotional self\u2010awareness was also assessed. Significant differences were found for emotional self\u2010awareness. For emotional faces, only a poorer recognition of the emotion, surprise, for BN was found. Problems with emotional self\u2010awareness suggest a cognitive\u2010affective disturbance in emotion recognition. Implications for therapy are discussed. \u00a9 2008 Wiley Periodicals, Inc. 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