Doctor Hilde Bruch has brought together her rich and long experience with obesity. She develops the point of view that obesity is due to extra caloric intake and inactivity; she stresses the point that hyperphagia is the primary problem and is mainly based on psychologic causes. Dr. Bruch approaches overeating from the newer knowledge of metabolic and neurologic regulations and from psychiatric thinking. Organic defects, including endocrinopathies (Cushing's syndrome) as causes of obesity, occur only rarely.

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