Hilde Bruch
Encyclopedia
Hilde Bruch was a German-born American
German American
German Americans are citizens of the United States of German ancestry and comprise about 51 million people, or 17% of the U.S. population, the country's largest self-reported ancestral group...

 psychoanalyst, known foremost for her work on eating disorder
Eating disorder
Eating disorders refer to a group of conditions defined by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual's physical and mental health. Bulimia nervosa, anorexia nervosa, and binge eating disorder are the most common specific...

s and obesity
Obesity
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems...

.

Bruch emigrated to the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 in 1934. She worked and studied at various medical facilities in New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

 and Baltimore
Baltimore
Baltimore is the largest independent city in the United States and the largest city and cultural center of the US state of Maryland. The city is located in central Maryland along the tidal portion of the Patapsco River, an arm of the Chesapeake Bay. Baltimore is sometimes referred to as Baltimore...

 before becoming a professor of psychiatry
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...

 at Baylor College of Medicine
Baylor College of Medicine
Baylor College of Medicine, located in the Texas Medical Center in Houston, Texas, USA, is a highly regarded medical school and leading center for biomedical research and clinical care...

 in Houston
Houston, Texas
Houston is the fourth-largest city in the United States, and the largest city in the state of Texas. According to the 2010 U.S. Census, the city had a population of 2.1 million people within an area of . Houston is the seat of Harris County and the economic center of , which is the ...

 in 1964.

In 1973 she published her seminal work Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within. This book was based on observations and treatments of eating disorders, such as anorexia nervosa
Anorexia nervosa
Anorexia nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. Although commonly called "anorexia", that term on its own denotes any symptomatic loss of appetite and is not strictly accurate...

, over several decades. In 1978 she published The Golden Cage: the Enigma of Anorexia Nervosa,
, a distillation of Eating Disorders aimed at the lay reader. Her other works include Don't Be Afraid of Your Child (1952), The Importance of Overweight (1957), and Learning Psychotherapy: Rationale and Ground Rules (1974). A final work,Conversations with Anorexics (1988) was published posthumously.

Early life

Hilde Bruch was born in the small German town of Dülken
Dülken
Dülken is a town located in the North Rhine-Westphalia state of Germany. It has a population of about 20,000. It is part of the municipality of Viersen. It received its town charter in 1364 thus being the oldest part of the municipality of Viersen. It lies in the administrative region of Düsseldorf...

, on the Lower Rhine near the Dutch border, She was the third of seven children, with four brothers and two sisters. Her parents, Hirsch and Adele (Rath) Bruch were members of the local Jewish community.

At an early age, Bruch wanted to become a mathematician. An uncle convinced her however that medicine offered better career possibilities for a Jewish woman. She studied at the Albert Ludwig University
University of Freiburg
The University of Freiburg , sometimes referred to in English as the Albert Ludwig University of Freiburg, is a public research university located in Freiburg im Breisgau, Baden-Württemberg, Germany.The university was founded in 1457 by the Habsburg dynasty as the...

 in Freiburg im Breisgau, where she graduated as a doctor in medicine in 1929.

Bruch accepted academic posts at the University of Kiel
University of Kiel
The University of Kiel is a university in the city of Kiel, Germany. It was founded in 1665 as the Academia Holsatorum Chiloniensis by Christian Albert, Duke of Holstein-Gottorp and has approximately 23,000 students today...

, and subsequestly at the University of Leipzig
University of Leipzig
The University of Leipzig , located in Leipzig in the Free State of Saxony, Germany, is one of the oldest universities in the world and the second-oldest university in Germany...

, where she undertook research and studies for two years. This coincided with a period of rising anti-Semitism across Germany and in the university, which eventually forced Bruch to abandon her academic career. In October 1932 she moved to a private pediatric practice in Ratingen
Ratingen
Ratingen is a town in the district of Mettmann, in North Rhine-Westphalia, Germany, in the northwestern part of Berg - about 12 km northeast of Düsseldorf...

, near Düsseldorf
Düsseldorf
Düsseldorf is the capital city of the German state of North Rhine-Westphalia and centre of the Rhine-Ruhr metropolitan region.Düsseldorf is an important international business and financial centre and renowned for its fashion and trade fairs. Located centrally within the European Megalopolis, the...

. However conditions for the Jewish community in Germany continued to deteriorate and in April 1933 legislation was enacted that severely restricted "Jewish activity" in the medical and legal professions. Bruch was persuaded to flee to England in June 1933. She stayed in London
London
London is the capital city of :England and the :United Kingdom, the largest metropolitan area in the United Kingdom, and the largest urban zone in the European Union by most measures. Located on the River Thames, London has been a major settlement for two millennia, its history going back to its...

 for a year, working at the East End Maternity Hospital, which served the Jewish immigrant community in London's impoverished East End
East End of London
The East End of London, also known simply as the East End, is the area of London, England, United Kingdom, east of the medieval walled City of London and north of the River Thames. Although not defined by universally accepted formal boundaries, the River Lea can be considered another boundary...

, .

Professional Career in the United States

In September 1934 Bruch emigrated to the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 and settled in New York
New York
New York is a state in the Northeastern region of the United States. It is the nation's third most populous state. New York is bordered by New Jersey and Pennsylvania to the south, and by Connecticut, Massachusetts and Vermont to the east...

, where she worked at the Babies’ Hospital. She obtained her pediatric licence in 1935 and became an American citizen in 1940. In 1937 she began to research obesity in children, having obtained a fellowship from the Josiah Macy, Jr. Foundation
Josiah Macy, Jr. Foundation
The Josiah Macy, Jr. Foundation is a philanthropic foundation founded in 1930 by Kate Macy Ladd in honor of her father Josiah W. Macy, Jr. The Foundation became internationally known for the support of the Macy conferences starting late 1940s : a series of interdisciplinary meetings of scientists...

. This would mark the beginning of her career involvement with eating disorders.

From 1941 to 1943, Bruch studied psychiatry at Johns Hopkins University
Johns Hopkins University
The Johns Hopkins University, commonly referred to as Johns Hopkins, JHU, or simply Hopkins, is a private research university based in Baltimore, Maryland, United States...

, a private research university in Baltimore
Baltimore
Baltimore is the largest independent city in the United States and the largest city and cultural center of the US state of Maryland. The city is located in central Maryland along the tidal portion of the Patapsco River, an arm of the Chesapeake Bay. Baltimore is sometimes referred to as Baltimore...

, Maryland
Maryland
Maryland is a U.S. state located in the Mid Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east...

. She underwent psychoanalytic training, studying under a number of notable psychiatrists, including Frieda Fromm-Reichmann
Frieda Fromm-Reichmann
Frieda Fromm-Reichmann was a German psychiatrist and contemporary of Sigmund Freud who emigrated to America during World War II.-Life and work:...

, Harry Stack Sullivan
Harry Stack Sullivan
Harry Stack Sullivan was a U.S. psychiatrist whose work in psychoanalysis was based on direct and verifiable observation .-Life and works:Sullivan was a child of Irish immigrants and allegedly grew up in an...

, Theodore Lidz
Theodore Lidz
Theodore Lidz was an American psychiatrist best known for his articles and books on the causes of schizophrenia and on psychotherapy with schizophrenic patients...

 and Lawrence S. Kubie.

In 1943 Bruch returned to New York, opened a private psychoanalytic practice and taught at Columbia University
Columbia University
Columbia University in the City of New York is a private, Ivy League university in Manhattan, New York City. Columbia is the oldest institution of higher learning in the state of New York, the fifth oldest in the United States, and one of the country's nine Colonial Colleges founded before the...

, where she became affiliated with the College of Physicians and Surgeons. She was appointed clinical associate professor in 1954 and professor in 1959.

In 1964, Bruch accepted a position as Professor of Psychiatry at the Baylor College of Medicine
Baylor College of Medicine
Baylor College of Medicine, located in the Texas Medical Center in Houston, Texas, USA, is a highly regarded medical school and leading center for biomedical research and clinical care...

, Houston
Houston, Texas
Houston is the fourth-largest city in the United States, and the largest city in the state of Texas. According to the 2010 U.S. Census, the city had a population of 2.1 million people within an area of . Houston is the seat of Harris County and the economic center of , which is the ...

. She would live the remainder of her life in Houston; however, before departing New York, she purchased a Rolls Royce
Rolls-Royce Motors
Rolls-Royce Motors was created from the de-merger of the Rolls-Royce car business from Rolls-Royce Limited in 1973. The original Rolls-Royce Limited had been nationalised in 1971 due to the financial collapse of the company, caused in part by the development of the RB211 jet engine...

 because she refused to "kowtow to Texas Cadillacs".

Views

Bruch accepts that the body knows what it needs and communicates that to the brain. However, there are learned aspects of the hunger drive. These can be blamed on early childhood parental practices, in which parents put babies out of touch with the natural physiology of when, what, and how much to eat. Humans have this natural mechanisms, but humans have learned not to pay attention.

"Eat Like Daddy Syndrome"

An usual coinage for a term in the confines of psychology, in which terms are usually foreign or latinized, and not generally so simple soas to mean what they say. Bruch claims Eat Like Daddy is especially true in little boys who observe their father eating. The mother praises the father, and asks the father to show his muscles to motivate the child to eat like daddy. (Which is usually, like a horse.) The child sees the father receiving praise for eating, and in turn eats more.

"Clean your plate syndrome"

Another coinage by Brusch, this is true for both sexes in children. This procedure teaches humans to not pay attention to the lateral hypothalamus, the part of the brain that causes the desire to eat, as well as the ventromedial hypothalamus, which causes the desire to stop eating. Children are often told to clean their plate and will be rewarded with dessert, or being excused to go play.

Other food associations

Eating, according to Bruch, is an overt and socially learned behavior. Often humans eat when others are eating, even if that person is not hungry. Additionally advertisers use pictures of people eating when advertising food. (This is of course the fault of the famous psychologist John B. Watson.) Similarly food is associated with celebrations, as usually food is part of the celebration. In most cultures, it is not acceptable to say "no thank you" to a dessert, such as a birthday party for example.

External links

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