Clinical Observations The need to examine the tacit assumptions about hunger forced itself upon me during the psychiatric and psychoanalytic study and treatment of a large group of patients suffering from anorexia nervosa or developmental obesity. ... Mayer and Weinroth expressed doubt that favorable changes in anorexia nervosa could be attributed to "insight" and felt that they might be related to other factors. 27 In evaluating and re-evaluating what might have been overlooked in the analysis of these patients, I gradually recognized that it was not the one or other "conflict" or anythin...