University of British Columbia researchers Pinel et al (2000) postulate that the main difference between starving individuals and those with anorexia is

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According to Pinel et al (2000), the main difference between starving individuals and those with anorexia is the lack of positive incentive value for eating in anorexics. While both groups experience a decrease in interest in food, starving individuals still maintain a basic motivation to eat in order to survive, whereas anorexics do not feel this same drive due to their altered perception and evaluation of food.

University of British Columbia Researchers Pinel Et Al (2000) Postulate