This study describes a modified long-term group analysis for bulimic women.
In a naturalistic, prospective 'before-and-after' design the study evaluat
es the effects of the treatment by 'effect size' and clinical significant c
hange. Nne out of ten bulimic patients who completed treatment obtained rec
overy, not only from bulimic behaviour, but also from several different are
as of psychological dysfunctioning. Long-term psychoanalytic group treatmen
t was found to be a valuable option for treatment of severely bulimic patie
nts. The group concept holds many inherent advantages and can be combined w
ith individual and antidepressant treatment. It is suggested that a wider r
ange of measures is needed to evaluate treatment outcome. The Bulimics Matu
ration Scale constructed by the author is to introduce as an outcome measur
e. Copyright (C) 2001 John Wiley & Sons, Ltd and Eating Disorders Associati
on.