<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252015000300225</article-id>
<article-id pub-id-type="doi">10.17711/SM.0185-3325.2015.031</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ascetismo y espiritualidad en la anorexia nerviosa: Un análisis psicosocial histórico]]></article-title>
<article-title xml:lang="en"><![CDATA[Asceticism and spirituality in anorexia nervosa: A historical psychosocial analysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Behar]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arancibia]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Valparaíso Departamento de Psiquiatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>CL</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Valparaíso Escuela de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>CL</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2015</year>
</pub-date>
<volume>38</volume>
<numero>3</numero>
<fpage>225</fpage>
<lpage>232</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252015000300225&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252015000300225&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252015000300225&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Introducción: El ascetismo se relaciona profundamente con la espiritualidad y las prácticas de ayuno que han sido observadas en la anorexia nerviosa (AN) a lo largo de la historia.Objetivo:Se realiza un análisis psicosocial de la espiritualidad y el ascetismo en el contexto histórico de la AN, desde la Edad Media hasta el siglo XXI, comparando la anorexia santa con la anorexia contemporánea. Se describen casos ilustrativos ad hoc.Método: Se realizó una búsqueda bibliográfica de la evidencia sobre el ascetismo y la espiritualidad en la AN y su desarrollo histórico mediante las bases de datos Medline/PubMed y textos de consulta especializados.Resultados: Desde una perspectiva histórica, el ascetismo de las santas medievales (anorexia santa) y de las anoréxicas modernas, exhiben rasgos comunes, aunque orientados a distintas metas: espiritualidad versus apariencia mundana, respectivamente. El puritanismo contemporáneo y la AN comparten rasgos distintivos de la ética protestante, principalmente autodisciplina, autocontrol, abnegación, racionalidad, eficiencia y obtención de logros. El ascetismo se relaciona significativamente con sentimientos rabiosos, rasgos de inmadurez y conductas purgativas.Discusión y conclusión: Muchas mujeres místicas medievales mostraron características similares con la AN actual, sin embargo, mientras el ascetismo en las santas se orientaba al logro del encuentro divino, la motivación por adelgazar en las jóvenes anoréxicas contemporáneas se relaciona más bien con ideales estéticos socioculturales. La ocurrencia atemporal de la esencia patogénica del síndrome anoréxico sugiere que factores como edad, personalidad y/o entorno psicosocial lo modelan patoplásticamente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Background: Asceticism is deeply related to spirituality and fasting practices that have been observed in anorexia nervosa (AN) through the history.Objective: A psychosocial analysis of spirituality and asceticism within the historical context of the AN is made, from Middle Ages to XXI century, comparing the holy anorexia and the contemporary AN. Ad hoc illustrative cases are described.Method: Medline/Pubmed, data bases and specialized textbooks were used to look for evidence on asceticism and spirituality in AN and its historical development.Results: From a historical point of view, asceticism of medieval saints (holy anorexia) and that of modern anorectics, display common features; nevertheless, it is oriented to different goals: spirituality versus worldly appearance, respectively. Contemporary Puritanism and AN share distinctive characteristics of protestant ethics, mainly self-discipline, self-control, self-sacrifice, rationality, efficiency and goals achievement. Asceticism is significantly related to angry feelings, inmaturity features and purging.Discussion and conclusion: Many medieval mystical women showed similar characteristics with present AN, nevertheless, while asceticism in saints were oriented to achieve the divine encounter, drive for thinness in contemporary young anorectics is rather related to sociocultural aesthetic ideals. The atemporal occurrence of the pathogenic essence of the anorectic syndrome suggests that factors like age, personality and/or psychosocial environment pathoplastically model it.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trastornos de la conducta alimentaria]]></kwd>
<kwd lng="es"><![CDATA[anorexia nerviosa]]></kwd>
<kwd lng="es"><![CDATA[anorexia santa]]></kwd>
<kwd lng="es"><![CDATA[ascetismo]]></kwd>
<kwd lng="es"><![CDATA[espiritualidad]]></kwd>
<kwd lng="es"><![CDATA[historia]]></kwd>
<kwd lng="en"><![CDATA[Eating disorders]]></kwd>
<kwd lng="en"><![CDATA[anorexia nervosa]]></kwd>
<kwd lng="en"><![CDATA[holy anorexia]]></kwd>
<kwd lng="en"><![CDATA[asceticism]]></kwd>
<kwd lng="en"><![CDATA[spirituality]]></kwd>
<kwd lng="en"><![CDATA[history]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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