On the roles of false belief and recalcitrant fear in anorexia nervosa

Abstract

The DSM-5 highlights two essential psychological features of anorexia nervosa (AN): recalcitrant fear of gaining weight and body image disturbance. Prominent accounts grant false beliefs about body weight and shape a central role in the explanation of AN behavior. In this article, we propose a stronger emphasis on recalcitrant fear. We show that such fear can explain AN behavior without the intermediary of a false belief, and thus without the associated explanatory burdens and conceptual difficulties. We illustrate how shifting the emphasis from false belief to recalcitrant fear can supplement a number of different non-doxastic models of AN.