Some theorists argue that self-starvation may be a girl´s attempt at asserting her autonomy in an overly controlling family system. Parents may have exceedingly high expectations that girls find difficult to live up to. Teens may starve as a way of exerting control over their lives and bodies. Most girls diagnosed with anorexia nervosa are perfectionists and extend their over achieving tendencies to weight loss. Weight loss may become a symbol of mastery.

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