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This study investigates the outcome of anorexia nervosa in adolescents in relation to precipitating life events and changes in family functioning over time. Thirty-five adolescents with anorexia nervosa and their mothers were administered measures of life events and family functioning at initial assessment and 1 and 2 year follow-up, when outcome was also assessed. Fifty-five per cent of patients had a good outcome. Patients from initially well-functioning families or those with precipitating life events improved more in the first year, than those with dysfunctional families or without events. Subjects perceived a deterioration in family functioning at 1 year follow-up but an improvement at 2 years. Mothers reported no changes. Approximately half of a series of early onset cases of anorexia nervosa can be expected to recover by 2 years. Healthy family functioning and presence of a precipitating life event predict good short-term outcome. The relationships between subjects' perceptions of family functioning and their recovery from anorexia nervosa is discussed.

BackgroundDifficulties in family functioning are often evident when an adolescent has anorexia nervosa, and the possible causative or contributory role of such difficulties in the illness is unclear.AimsTo elucidate the relationship between severity of anorexia nervosa and difficulties in family functioning and whether clinical improvement results in diminution of self-rated family difficulties.MethodThirty-five adolescents with anorexia nervosa and their mothers completed the Family Assessment Device (FAD) while clinicians administered the McMaster's Structured Interview of Family Functioning (McSIFF). Severity of anorexia nervosa was rated at baseline and at one year follow-up using the Morgan–Russell Schedule.ResultsClinicians and patients were more critical of the families' functioning than parents. There was an inverse association between the extent of family difficulties and severity of anorexia nervosa. Over time subjects improved clinically but this was not matched by improvement in family functioning.ConclusionsDifficulties in family functioning do not appear to be directly associated with severity of anorexia nervosa nor do these difficulties reduce with clinical improvement, in the short term.

Difficulties in family functioning have been noted since early descriptions of anorexia nervosa and may be of importance aetiologically. Previous studies have a number of methodological problems. Thirty-five anorexic adolescents were age/sex matched with psychiatric and community controls. A diagnostic interview and a questionnaire, the Family Assessment Device (FAD) were administered to control subjects and their mothers. Anorexic families only received the McMaster Structured Interview of Family Functioning. Multivariate analyses of FAD scores showed pathological ratings for psychiatric control but not anorexic families, compared with community controls. By contrast objective ratings revealed marked dysfunction in anorexic families (greater in the purging subgroup). Family functioning in anorexic families is normal by self-report but not by an objective measure. Anorexic families in the purging subgroup appear most dysfunctional.

This is the story of how one of the greatest moments in television came about-- the transmission, 40 years ago, of live pictures from the Moon. It was truly...

First of all, my apologies to all those contributors, both potential and actual, who I have pestered and badgered since I was asked late last year to edit this issue of Zerb. My sincere thanks go to all those who have put pen to paper, or finger to keyboard, in order that this issue should have a rounded content with appeal to as many members of the GTC, its sponsors and readers around the world as possible.

Back in August our esteemed Zerb editor, David Ballantyne, emailed me: \"I recently noticed something you posted on the Guild forum about a shoot involving caving. If this sort of shoot is something you specialise in, I am looking for articles where cameramen have put 'added value' to their skills to help with the survival process we all have to attempt in this industry of ours -- discuss!\"

Last year saw British camera crews covering trench warfare in Afghanistan. At the very same time, GTC members Clive North and Barrie Foster were to find themselves in France-- also on war reporting duties.

The tout opened the envelopes, checked the contents, and called an associate on his phone, telling his mate to \"bag up\" the cash and be ready to hand it over. [Peter Keen] went on: \"[Brian] drove me to meet his mate and we jumped into his car. The insider, who The Mirror has agreed not to identify, added: \"When Keen came back into the changing room he looked very sheepish. A few of the players turned on him and accused him of colluding with the tout.\" PRIZED: A ticket for the Wembley Cup Final on

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