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June 20, 2026International Review of Psychiatry

What are the arguments for and against recognizing ‘terminal’ anorexia nervosa? A narrative review

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Authors

CCChloe ConnorSKScott KimHTHolly Taylor

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Overview

Narrative review examines arguments for and against recognizing terminal anorexia nervosa, impacting treatment decisions.

Key Points

  • This review aims to evaluate the arguments surrounding the recognition of 'terminal anorexia nervosa'.
  • Narrative review of literature discussing terminal anorexia nervosa (T-AN).
  • Fifty-seven articles discussing reasons for and against T-AN were included.
  • Thematic analysis identified key arguments from both perspectives.
  • Arguments for T-AN emphasize reducing futile treatment, respecting patient autonomy, and facilitating harm reduction.
  • Arguments against T-AN highlight challenges in defining terminal AN, capacity assessment difficulties, and potential patient harm.
  • A shared understanding is lacking, particularly regarding the value judgments inherent in the T-AN debate.

Cite This Study

Connor et al. (2026) studied this question.

synapsesocial.com/papers/6a36306fdb0793dc1a537a64https://doi.org/10.1080/09540261.2026.2687524
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stakeholder views on the proposed criteria for ‘terminal anorexia’: a mixed-methods study2026 · 1 citations
  2. 2“Terminal anorexia nervosa” may not be terminal: An empirical evaluation.2024 · 6 citations
  3. 3Scoping review of end-of-life care for persons with anorexia nervosa2024 · 5 citations
  4. 4Treatment of anorexia nervosa in Ireland: striking an ethical balance2026
  5. 5Three Sources of Incapacity in Anorexia Nervosa2025