A multidimensional psychotherapy for anorexia nervosa

Abstract

A multidimensional psychotherapy is described which selectively integrates existing approaches with those which we have found to be useful in the management of patients with anorexia nervosa. General principles for facilitating the development of trust in the therapeutic relationship as well as factors contributing to the patient's ambivalence toward treatment are outlined. The interaction between psychopathology and starvation symptoms or other sequelae is emphasized. Specific clinical strategies for promoting cognitive, affective and behavioral change within the individual are proposed. Recommendations are made for dealing with issues such as weight, eating, body‐image misperception, bulimia, self‐concept deficiencies and the development of autonomy commonly encountered with the anorexic patient. Family therapy is advised for some patients.

Assessing object relations and social cognitive correlates of eating disorder.

“…Instead, the data support the use of a "twopronged" approach in which counseling addresses both cognitive and object relations issues. This is broadly consistent with the multidimensional perspective advocated by Garner and his colleagues Garner, Garfinkel, & Bemis, 1982) and supported in recent studies of treatment effectiveness (Dworkin & Kerr, 1987;Friedlander & Siegel, 1990;Garner & Garfinkel, 1985).…”

Assessing object relations and social cognitive correlates of eating disorder.

“…Instead, the data support the use of a "twopronged" approach in which counseling addresses both cognitive and object relations issues. This is broadly consistent with the multidimensional perspective advocated by Garner and his colleagues Garner, Garfinkel, & Bemis, 1982) and supported in recent studies of treatment effectiveness (Dworkin & Kerr, 1987;Friedlander & Siegel, 1990;Garner & Garfinkel, 1985).…”

Body weight and bulimia as discriminators of psychological characteristics among anorexic, bulimic, and obese women.

“…The mean MMPI profile of the restrictor anorexic group resembled the “defensive” profile of many applicants for employment or admission to academic programs (Butcher, 1979, p. 184). This profile is consistent with the denial exhibited by the typical restrictor anorexic who denies that she is too thin in spite of being emaciated and who often denies having any psychological problems (Garner, Garfinkel, & Bemis, 1982).…”

Spiritual issues and interventions in the treatment of patients with eating disorders

“……”

Assessing object relations and social cognitive correlates of eating disorder.

“…Instead, the data support the use of a "twopronged" approach in which counseling addresses both cognitive and object relations issues. This is broadly consistent with the multidimensional perspective advocated by Garner and his colleagues Garner, Garfinkel, & Bemis, 1982) and supported in recent studies of treatment effectiveness (Dworkin & Kerr, 1987;Friedlander & Siegel, 1990;Garner & Garfinkel, 1985).…”

Body weight and bulimia as discriminators of psychological characteristics among anorexic, bulimic, and obese women.

“…The mean MMPI profile of the restrictor anorexic group resembled the “defensive” profile of many applicants for employment or admission to academic programs (Butcher, 1979, p. 184). This profile is consistent with the denial exhibited by the typical restrictor anorexic who denies that she is too thin in spite of being emaciated and who often denies having any psychological problems (Garner, Garfinkel, & Bemis, 1982).…”

Spiritual issues and interventions in the treatment of patients with eating disorders

“……”

Assessing object relations and social cognitive correlates of eating disorder.

“…Instead, the data support the use of a "twopronged" approach in which counseling addresses both cognitive and object relations issues. This is broadly consistent with the multidimensional perspective advocated by Garner and his colleagues Garner, Garfinkel, & Bemis, 1982) and supported in recent studies of treatment effectiveness (Dworkin & Kerr, 1987;Friedlander & Siegel, 1990;Garner & Garfinkel, 1985).…”

Body weight and bulimia as discriminators of psychological characteristics among anorexic, bulimic, and obese women.

“…The mean MMPI profile of the restrictor anorexic group resembled the “defensive” profile of many applicants for employment or admission to academic programs (Butcher, 1979, p. 184). This profile is consistent with the denial exhibited by the typical restrictor anorexic who denies that she is too thin in spite of being emaciated and who often denies having any psychological problems (Garner, Garfinkel, & Bemis, 1982).…”

Spiritual issues and interventions in the treatment of patients with eating disorders

“……”