Which of the following is NOT a feature of Bulimia?

In the context of Bulimia Nervosa, refusal to maintain a healthy weight is not a defining feature. Bulimia is characterized primarily by cycles of binge eating followed by compensatory behaviors, such as purging, fasting, or excessive exercising. While individuals with Bulimia may struggle with accepting their body image, the key distinction is that they typically maintain a weight that, while possibly fluctuating, does not fall below a healthy range, unlike in Anorexia Nervosa where there is a persistent refusal to maintain a healthy weight.

Binge eating involves consuming large amounts of food in a short period and is followed by feelings of loss of control or distress. The purging behaviors serve as a method of compensation to prevent weight gain after binge episodes, which can include vomiting or using laxatives. Distorted body image also plays a significant role in Bulimia, as individuals often have an unrealistic perception of their body size and shape, which influences their self-esteem and eating behaviors.

Thus, the aspect of refusing to maintain a healthy weight specifically relates more closely to Anorexia Nervosa, distinguishing it from Bulimia.