The chief motivating factor in both anorexia nervosa and bulimia nervosa is

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The chief motivating factor in both anorexia  nervosa and bulimia nervosa is

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Question restatement: The chief motivating factor in both anorexia nervosa and bulimia nervosa is the underlying drive or impulse that motivates behavior related to body image and weight.
Option 1: 'desire to purge.' This describes a behavior seen in bulimia nervosa, where purging can be a compensatory method, but it is not identified as the chief motivating factor driving both conditions. It focuses on a behavior rather than the core drive behind the disorders.
Option 2: '​a desire to starve oneself.' While restrictive eating is central to anorexia nervosa, this phrasing narrows the motivation to self-starvation alone and does not capture the broader, pervasive aim shared by both disorders, which is weight and body image preoccupation rather than a single method.
Option 3: 'an overwhelming urge to be thin.' This statement aligns with the core phenomenology of both disorders: an intense obsession with thinness and body image that motivates dieting, binge-purge cycles, and excessive weight loss efforts. It identifies a shared, primary motivational theme rather than a specific behavior.
Option 4: 'an overwhelming drive to eat.' This option is inconsistent with both conditions' primary motivation, which is typically fear of fatness and pursuit of thinness, not an overpowering motivation to eat.
In summary, options 1 and 4 describe particular behaviors or impulses that do not capture the central motivational force common to both disorders. Option 2 narrows the motivation to starvation alone, missing the broader, shared weight/body image preoccupation. Option 3 correctly points to the overarching drive toward thinness as the chief motivating factor for both anorexia nervosa and bulimia nervosa.

The chief motivating factor in both anorexia nervosa and bulimia nervosa is

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