Introduction: The complexity of factors involved in anorexia nervosa (AN) and the recommendations of prominent health organizations underscore the importance of reflecting on therapeutic interventions aimed at patients' family members. Objective: To expand knowledge about the mother-daughter relationship in AN, with a focus on developing a conceptual framework that is able to improve the treatment of the disorder, reduce factors that perpetuate it and improve prognosis. Method: A clinical method, anchored by psychodynamic references, was employed in a group of family members of patients with eating disorders. The group met weekly, and sessions were led by psychologists from the eating disorder outpatient clinic of a university hospital. Results and Discussion: Common characteristics in the mother-daughter relationship in cases of AN were identified. The issue of mutual control, the dialectic between omnipotence and impotence, and the relationship of devotion, passion and annihilation between mothers and daughters are phenomena that form the basis of AN, with a direct influence on the severity of each case and on treatment success. Conclusion: Our findings allowed us to identify important aspects in the mother-daughter relationship in AN, which may improve the clinical interventions aimed at treating the disorder.
IntroductionConsidering both the complexity of factors that composes the anorexia nervosa (AN) and the recommendation of important organizations related to health, it becomes fundamental the reflection on psychotherapeutic interventions proposed to patient's relatives.ObjectivesExpand the knowledge about the mother-daughter relationship in AN in order to develop a conceptual framework that improves the way to handle with this disorder, to reduce the factors that maintain it and to improve the prognosis.MethodClinical method, through clinical observation regarding a group of patients’ relatives with eating disorders at an outpatient service at a university hospital in the Southeast Brazil.ResultsWe have identified common characteristics in the mother-daughter relationship in AN, that maintain the structure of anorexic patients, influencing directly on the severity of each case and therapeutic possibilities. The mutual control: anorexic's mothers showed the need of controlling their daughters, denying the daughter's individuality, trying to become tutors of their actions and thus also become controlled by them; The dialectic between omnipotence and impotence: sense of powerlessness in face of numerous failed attempts to help their daughters, with feelings of guilt, as if they were fully responsible for the daughter's disorder; The relationship of devotion, passion and hostility between mother and daughter: with a fused attitude with her daughter, the mother is even more limited to understand their real needs, invading their personal space.ConclusionsThe findings allowed to identify important aspects of mother-daughter relationship in AN, that can improve clinical interventions for the treatment.
Natural disasters occur around all the world. In Brazil, mass movements and floods are the most frequent, dramatically affecting the populations subject to them. As urbanization advances in risk areas, understanding the processes that trigger these phenomena, as well as understanding the perception of people who are exposed to them, become increasingly important to prevent or reduce their effects. This work points to the urgency that should be given to studies on the vulnerability that populations are exposed staying in risky places, and the understanding of the reasons for this exposure. It assumes that risk does not exist only when there is susceptibility to the occurrence of the phenomenon of “nature” but involves how society can be affected by it and, consequently, a certain vulnerability that is characteristic of this society. The municipality of Bom Jardim, in the state of Rio de Janeiro, was drastically affected by what was recognized as the “Mega Disaster of the Mountain Region”; when intense rains led to the decree of “state of calamity” due to the number and severity of landslides and floods, with incalculable human and economic losses. The magnitude of the event motivated the analysis of the behavior of affected residents who remained living in the same places. It focused to understand vulnerability based on perception, understanding it as a condition in which a society is exposed to the possibility of a harmful event, which can be evaluated by the way they perceive their environment, and the degree of awareness about the risk to which they are exposed. Located in Bom Jardim, the Jardim Ornellas neighborhood is in a context in which the potential for landslides and floods is recognized by the occurrences already registered, having been hardind hit in 2011. It was found that the affected residents stayed in their homes (or returned), putting itself at risk again. It was evident that affection and connection with the place were among the main reasons for this attitude. The diagnosis was obtained through interviews, noting that respondents recognize the risk, but prefer to ignore it, understanding that it is more advantageous to remain. It was concluded that understanding and working on this perception and connection with the place is relevant for planning and promoting awareness and effective and cooperative attitudes among the various actors (society and government sectors).
Introduction:Obesity is a severe global public health problem that increases from year to year. Consequently, the number of bariatric surgeries has grown significantly. Obese seeking surgical treatment have a characteristic psychological profile and a greater incidence of psychiatric disorders. Emotional meaning of bariatric surgery for such patients is not sufficiently known.Objective:To understand the emotional experiences and the expectations of morbidly obese women candidates for bariatric surgery.Method:Qualitative study. Semi-structured interviews were conducted. Purposeful sampling was closed by the criterion of saturation of information. the corpus was addressed by content analysis. Results are discussed with a psychodynamic theoretical framework.Results:Women candidates for bariatric surgery have particular emotional experiences. They have magic expectations, believing that weight loss is certain after surgery and that their health, affective, and self-esteem problems will be resolved. They believe in social reinsertion and acceptance without prejudice, and also in improved affective relationships and sexual life. Rational understanding of postoperative difficulties conceals a veiled belief in a magic solution for personal problems. Inability to control amount of food ingested is transferred to an urgency to have surgery, perceived as a pressing need by these women.Conclusion:Team in charge of preparing patients should be attentive to a strong denial about the difficulties to be faced after surgery. Previous relationship with surgery is marked by an urgency that has the same cause of the yen for food typical of morbid obesity, and the team should be prepared to suggest appropriate moment for surgery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.