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But, in any case, it is quite clear that a purely intrapsychic, individualistic psychology, without preference to other people and social conditions, is not adequate.

But one major factor was left out: the underlying, often unconscious, intrapsychic conflicts eaters have about eating healthfully, losing weight, being thin or giving up food as comfort.

This added factor leads to an exaggeration of all the unfavorable psychic tendencies which have made their appearance, and the intrapsychic struggle goes on with increased vigor.