When this book was first published, the authors received thousands of letters from women. After reading it, many were able to reach out for help for the first time. In the second edition, the authors added new findings about the binge-purge disorder, discussing the physiological effects of binge-ing, the question of drug therapy, and the need for nutritional counseling. Here is basic information on the dynamics of the disorder, including socialization and the family, adolescent danger signals, the college years and beyond, bulimarexia and the body, workshops, intensive psychotherapy, and future prospects.