Bioethical aspects in the approach to anorexia nervosa

Abstract This article aims to discuss the bioethical dilemma arising from how anorexic patients face treatment and recovery. Since the first reports in the 14th century, there has been a strong opposition by anorexic patients to attempts by relatives or health professionals to convince them to eat the necessary amount to meet their needs and maintain adequate weight. Much ethical discussion arises from this strong anorexic stance against treatment, especially in cases of severe and long-lasting anorexia. Are patients competent to refuse treatment? Should health professionals, in the name of the bioethical principles of beneficence and non-maleficence, be allowed to order compulsory treatment? Health professionals, dedicated to life, can oppose illness or death through self-imposed fasting. Patients are bothered by the lack of understanding and empathy and the refusal to examine the logical foundations of their position, which are contrary to biomedical logic.