The Crucial Role of Psychodynamic Understanding in the Treatment of Eating Disorders

Zerbe, Kathryn J.

doi:10.1016/s0193-953x(05)70226-4

Cited by 28 publications

(23 citation statements)

References 2 publications

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“…However, as Zerbe (2001) pointed out, these schools of thoughts need to be adapted and placed within the unique developmental history of each patient suffering from an eating disorder. To paraphrase Jeammet and Chabert (1996: 29): 'Eating disordered patients are like frozen food, they look all the same when frozen, but they look all different and unique when they are thawed!…”

Section: Contemporary Multi-modal Contributionsmentioning

confidence: 99%

“…This impetus has led many modern clinicians to integrate and formulate more comprehensive treatment strategies by bringing together psychoanalytic, biological, cognitive and family findings (Tobin and Johnson 1991). Dare and Crowther (1995) for example, along with other psychoanalytically informed clinicians (Bemporad and Herzog 1989, Jeammet and Chabert 1996, Zerbe 2001, favour a multi-modal 'integrated model' where individual and family dynamics are seen in constant interaction with the external environment. This integrated model places the individual and family attitudes (including the attitudes to food) within the context of biological determinants, society demands on body shape, cultural and gender expectations.…”

Section: Contemporary Multi-modal Contributionsmentioning

confidence: 99%

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A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

Caparrotta

Ghaffari

2006

Psychoanalytic Psychotherapy

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The objective of this paper is to give an historical overview of the development of psychodynamic theories and to acknowledge their contribution to the understanding of the aetiology of these complex disorders. Relevant psychodynamic and psychoanalytic papers on the historical development of eating disorders were identified through a search of (1) Medline and PsychoInfo, (2) the library of the London Institute of Psychoanalysis, (3) Psychoanalytic Electronic Publishing (PEP), and (4) a number of textbooks on eating disorders.The search revealed a dearth of psychoanalytic historical perspectives about the aetiology of eating disorders in general. Overall most psychoanalytic publications were based on single case studies and concerned primarily with anorexia nervosa. No single model was identified, but a number of psychoanalytic ideas remain consistent throughout. Several psychoanalysts and contemporary psychodynamicallyinformed authors refer to, apply and have further developed a number of these original ideas. This overview highlights the unique contributions of psychodynamic concepts towards a better understanding of the aetiology of eating disorders and how much they have influenced and informed modern thinking on the meaning of these complex conditions. A range of psychodynamic views has emerged and gradually evolved from concentrating solely on intra-psychic factors to a more comprehensive multi-modal model. This tendency has become a fertile ground for cross-fertilization which, along with the bio-social counterparts, remains the fundamental pillars on which modern understanding of eating disorders still rests.Psychoanalytic Psychotherapy ISSN 0266-8734 print/ISSN 1474-9734 online # 2006 The Association for Psychoanalytic Psychotherapy in the NHS

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Section: Contemporary Multi-modal Contributionsmentioning

confidence: 99%

Section: Contemporary Multi-modal Contributionsmentioning

confidence: 99%

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

Caparrotta

Ghaffari

2006

Psychoanalytic Psychotherapy

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“…There is an extensive literature describing psychodynamic approaches when working with bulimia nervosa and binge eating disorder, where the therapeutic relationship is central (e.g. Lawrence & Dana, 1988;Rizzuto, 1988;Williams, 1997;Zerbe, 2001). However, evidence to support this approach consists largely of examples from clinical experience.…”

Section: The Potential Role Of Psychodynamically Based Therapies In Tmentioning

confidence: 99%

Integrated psychodynamic therapy for bulimia nervosa and binge eating disorder: theory, practice and preliminary findings

Murphy

Russell

Waller

2005

Eur. Eat. Disorders Rev.

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While there is a substantial evidence base for the use of more recently developed therapeutic approaches, there is very little evidence that psychodynamically based treatments are effective in treating bulimia nervosa or binge-eating disorder. Clinicians have suggested that such an approach should be supplemented with behavioural foci and that it should be time-limited. This paper outlines an integrative approach to the outpatient treatment of these eating disorders, where psychodynamic principles and practice are used in tandem with behavioural strategies, and presents preliminary data on behavioural changes among patients who undertake this programme. A case series design was used, employing this approach with a selected group of 21 female patients. Data are presented on failure to complete the programme, as well as changes in body mass index and frequency of bingeing and vomiting. All of the 21 patients completed the programme, though 5 were lost to the study by the last follow-up point. Those who completed the programme had a stable body mass index, but showed clinically and statistically significant reductions in bulimic symptoms. These preliminary findings indicate that the bulimic disorders can be treated effectively using a psychodynamic approach that is integrated with behavioural techniques and that has time limits. While further research is needed to support this conclusion, it appears to be important to use a more integrative psychodynamic approach than is commonly used.

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“…Zerbe (2001) considera que as intervenções psicodinâmicas podem fornecer um caminho ímpar para o tratamento, pois desempenham um papel crucial para a compreensão e tratamento de pacientes com TA. Os antecedentes de desenvolvimento do transtorno são esmiuçados, fornecendo um ambiente seguro para que o paciente possa elaborar sua história pessoal.…”

Section: Abordagens Psicodinâmicas (N=8)unclassified

Psicoterapia como estratégia de tratamento dos transtornos alimentares: análise crítica do conhecimento produzido

Scorsolini-Comin

Santos

2012

Estud. psicol. (Campinas)

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The Crucial Role of Psychodynamic Understanding in the Treatment of Eating Disorders

Cited by 28 publications

References 2 publications

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

A Historical Overview of the Psychodynamic Contributions to the Understanding of Eating Disorders

Integrated psychodynamic therapy for bulimia nervosa and binge eating disorder: theory, practice and preliminary findings

Psicoterapia como estratégia de tratamento dos transtornos alimentares: análise crítica do conhecimento produzido

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