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A startle reflex paradigm was used for implicit reactions, while a self\u2010assessment instrument was used for subjective responses. We found a significant group difference with a startle inhibition (appetitive response) among the patients and a startle potentiation (aversive response) among the controls, whereas no such difference for subjective measures was found. The results are in contrast to previous studies, which proposed a general failure to activate the appetitive motivational system in <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>, but in keeping with findings from other addictions, where the same response pattern has been found. Implications for prevention and therapy are discussed.<\/jats:p>","DOI":"10.1111\/psyp.12160","type":"journal-article","created":{"date-parts":[[2013,11,11]],"date-time":"2013-11-11T07:58:44Z","timestamp":1384156724000},"page":"168-177","source":"Crossref","is-referenced-by-count":19,"title":["\u201cGlass fairies\u201d and \u201cbone children\u201d: Adolescents and young adults with anorexia nervosa show positive reactions towards extremely emaciated body pictures measured by the startle reflex paradigm"],"prefix":"10.1111","volume":"51","author":[{"given":"Valeska A.","family":"Reichel","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapy Charit\u00e9 Universit\u00e4tsmedizin Berlin  Berlin Germany"},{"name":"Department of Psychiatry and Psychotherapy Universit\u00e4tsklinikum Halle (Saale)  Halle Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapy Charit\u00e9 Universit\u00e4tsmedizin Berlin  Berlin Germany"},{"name":"Cognitive Science Nutrition &amp; Health Department Nestec Ltd., Nestl\u00e9 Research Center  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Gr\u00fcnewald","sequence":"additional","affiliation":[{"name":"Cognitive Science Nutrition &amp; Health Department Nestec Ltd., Nestl\u00e9 Research Center  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten","family":"Kienast","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Charit\u00e9 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernst","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapy Charit\u00e9 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Lehmkuhl","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapy Charit\u00e9 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Korte","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychotherapy Charit\u00e9 Universit\u00e4tsmedizin Berlin  Berlin Germany"},{"name":"Department of Child and Adolescent Psychiatry and Psychotherapy Klinikum der Universit\u00e4t M\u00fcnchen  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.714"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0149\u20107634(95)00033\u2010B"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20108986.2005.00271.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(94)90063-9"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098\u2010108X(199709)22:2<107:: AID\u2010EAT1>3.0.CO;2\u2010J"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.crd.0000216745.96062.7c"},{"key":"e_1_2_5_9_1","first-page":"56","volume-title":"Substance abuse: A comprehensive textbook","author":"Childress A. 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