Anorexia nervosa may occur, in part, in an effort not to delay an adul
t role but rather to delay the encumbered female adult role of being w
ife and mother. By weight loss, the patient assumes an androgenous for
m and role, in an assertion of desire for independence and self-actual
ization, rather than a reversion to the role of dependent child. The i
ncidence of anorexia is increased by the inappropriately thin female i
deal in Western society. A focus on self-actualization and independenc
e should be an important aspect of therapy, and continued efforts need
to be made to a societal atmosphere of judgement of women predominant
ly in the context of appearance and domestic duties.