AbstractEight patients with bulimia nervosa were treated using purely behavioral techniques in the absence of explicit cognitive procedures. All were systematically assessed before and after treatment; seven were reassessed at a 1‐year follow‐up. As a group, they showed substantial improvement in terms of eating habits, a global index of specific psychopathology, and mental state. These changes were comparable to those previously obtained in an Oxford sample of patients using a cognitive behavioral treatment. These findings raise the question as to whether cognitive procedures are necessary to produce change in patients with bulimia nerv