This study set out to apply a self-art therapy program designed for cognitive changes to female patients with bulimia nervosa of a binge eating type, to evaluate its effects on their binge eating including binge and vomiting, body images, and self-esteem, and to provide an economic, effective therapeutic model to those who had bulimia nervosa or binge eating habits whose population had marked a sharp rise in Korea recently. The descriptions of methodology provided the following information: the subjects included the female patients that were referred to the department of psychotherapy at the G Welfare Center located in Daejeon Metropolitan City for bulimia nervosa. Their binge eating and reward behaviors were recorded for a month from July 1 to 31 2004 before the research began. Then they were given a 60 to 80-minute session three times a week depending on the therapeutic progress from August to October 2004. The sessions were given at the psychotherapy room of the G Welfare Center in Daejeon, while the time and place for the subjects \' meal joumals， altemative activities, and other records were changed under each circumstance. But the principle that they should document them whenever there rose a need for it every day was kept thoroughly. The therapeutic instruments were the diverse media found in the therapy room of the investigator so that the subjects could experience a variety of materials according to the structured self-art therapy program The research results were as follows: First, the subjects scored significantly less points on those \'binge eating \' items on the BULIT-R and EDE test 따ter the therapy than before the therapy. Another significant lowering was also found in the frequency of their binge and vomiting after the therapy. To elaborate the concrete changes, their binge and vomiting took a sudden downtum two weeks and three weeks after the first therapy session was given respectively. There was a descending curve from the beginning of the program to the completion. Second, their satisfaction with their overall body images and their body images by p따ts and functions was improved significantly. The results of the Draw-A-Person also showed their moving to more balanced, stable, and desirable human figures of both man and woman. Third, the subjects had their self-esteem increased significantly after the therapy. And the subjects were examined for the changes to their perceptions at every session as the self-art therapy program progressed. Before the program, they had negative and distorted perceptions of their bodies and egos in general. With the application of the program, they made efforts to turn their negative perceptions into positive and admittable ones, thus succeeding in altering their distorted perceptions into positive ones in the end Key Words Bulimia Nervosa, Self-Art Therapy, Binge Eating, Body Images, Self-esteem