`titrebSummary`/titrebThis paper’s aim is to describe the psychiatric care of anorexic patients whose health is sufficiently impaired to necessitate hospitalisation in a general health medical service. The preliminary interviews with its brief historical survey puts into perspective the difficulties (especially of ambivalence and defiance). But the recently engaged therapeutic process may stumble. Then we will outline some story points in the treatment, multidisciplinary and even multidimentional work which should from our viewpoint include a thorough systemic approach in spite of tension arising with more current practices. This calls for differentiating correlatif plans and allowing the necessary frustrations of a complex nature to be better tolerated. We have decided to conclude with a clinical vignette so as to illustrate the specific problem if this type of approach.