Young Adolescents with Anorexia Nervosa—The Cooperation between Parents and Medical Personnel in Stationary Treatment

Bryniarska, Antonina; Wojszel, Barbara; Popiołek, Lech; Józefik, Barbara

doi:10.1080/01926187.2022.2071356

Cited by 4 publications

(7 citation statements)

References 29 publications

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“…For this reason, mothers may have more conflicts with their children especially when it relates to disordered eating and education issues. In the Polish cultural context, where traditional gender roles are still dominant (Krzaklewska & Ratecka, 2014), the responsibility placed on mothers may induce in them a sense of guilt for their children's emotional difficulties and problems (Bryniarska et al, 2022). This also seems to be consistent with the fact that they were the ones who most often arranged to bring the family for therapy.…”

Section: Discussionmentioning

confidence: 99%

Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting

Taurogiński

Bryniarska

Józefik

2022

Journal of Family Therapy

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The constructionist view assumes that therapy participants' maps of understanding depend on the institutional context and their personal perspectives. The purpose of this study was to investigate the initial maps of difficulties reported by family members starting family therapy. 106 families that were referred to a psychiatric institution for outpatient family therapy were asked open-ended questions regarding the context of the referral, and goal and problem formulation for the therapy.The data were analysed via the consensual qualitative research-modified (CQR-M) method, and comparisons between groups were performed. The obtained results show a diversity of perspectives. Of interest was the predominance of medical language in describing the problem and relational language in describing the goal of therapy. An analysis of differences between mothers, fathers, adolescent patient and their siblings was also performed. The findings highlight the complexity of notions that families start family therapy with and may help therapists navigate through the therapeutic contract formulation process.

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Section: Discussionmentioning

confidence: 99%

Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting

Taurogiński

Bryniarska

Józefik

2022

Journal of Family Therapy

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“…The details of the CQR procedure employed in this project might be found in Bryniarska et al (2022).…”

Section: Methodsmentioning

confidence: 99%

“…The last step, reporting findings, was conducted separately for each case, presenting one essential, carefully selected event, when the parents' understanding was limited and the staff responded adequately. The families were selected from a larger project analysing young adolescents with the diagnosis of AN during their inpatient treatment (Bryniarska et al, 2022). The study aimed to present contrasting examples of cooperation with medical personnel, which is why one family struggling with cooperation and another one with beneficial cooperation were chosen from the previous part of the project (Bryniarska et al, 2022).…”

Section: Methodsmentioning

confidence: 99%

“…The families were selected from a larger project analysing young adolescents with the diagnosis of AN during their inpatient treatment (Bryniarska et al, 2022). The study aimed to present contrasting examples of cooperation with medical personnel, which is why one family struggling with cooperation and another one with beneficial cooperation were chosen from the previous part of the project (Bryniarska et al, 2022). The final case selection consisted of two nuclear families, married parents, all aged around 40 years, mothers with secondary education and fathers with primary education, two or three siblings.…”

Section: Methodsmentioning

confidence: 99%

“…The existing recommendations for family work concentrate on outpatient treatment, while in severe cases AN is treated on an inpatient basis (Hay et al, 2019). During the child's hospitalisation, the goal of the parents and medical personnel is the same: to achieve a symptomatic improvement in the patient's condition; hence their cooperation is necessary, as it impacts the treatment success, but might be sometimes challenging (Bryniarska et al, 2022). It may be challenging for parents to understand the egosyntonic characteristics of AN (Couturier and Lock, 2006), recognise the patients' belief that they are not sick (Guarda et al, 2007), or conceive the patient's perception of the AN consequences as positive and adaptive (Abbate-Daga et al, 2013).…”

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confidence: 99%

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“What is happening to my child?” Parental understanding of the child’s experiences during inpatient treatment of anorexia nervosa, strengthened by cooperation with medical personnels

Bryniarska,

Wojszel,

Józefik

et al. 2023

Psychiatr Psychol Klin

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Introduction and objective: During the inpatient treatment of children with anorexia nervosa, their parents are emotionally burdened and, at the same time, responsible for making key medical decisions; thus, the quality of cooperation with medical personnel is crucial for the treatment outcome. This study aimed to investigate how parents understand the child’s experiences in this particular context and how medical staff may support them in this process. Materials and methods: The medical records documenting the hospitalisation of two adolescent patients for anorexia nervosa were reviewed. The families were selected from a larger project studying cooperation with medical staff: one perceived as cooperating in a beneficial way and the other struggling with collaboration. In order to obtain an in-depth understanding of the studied phenomenon, qualitative methods were used, including the comparative case study approach and consensual qualitative research methodology. Results: Comparing the two clinical cases, it was found that the cooperating family and the one struggling with collaboration differed in their understanding of the child (22 vs. 4 in effective attempts and 6 vs. 14 in failure examples). The second parental couple’s comprehension regarded mostly symptoms. Conclusions: The personnel’s multidisciplinary interventions helped the legal guardians to build their understanding. Better parental understanding of the child’s inner world had a beneficial effect on the treatment process.

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A Therapeutic Team’s Interventions and Their Perception of Parental Reactions Towards Them: A Child’s Psychiatric Inpatient Treatment of Anorexia Nervosa

Bryniarska,

Wojszel,

Popiołek

et al. 2024

The American Journal of Family Therapy

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Young Adolescents with Anorexia Nervosa—The Cooperation between Parents and Medical Personnel in Stationary Treatment

Cited by 4 publications

References 29 publications

Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting

Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting

“What is happening to my child?” Parental understanding of the child’s experiences during inpatient treatment of anorexia nervosa, strengthened by cooperation with medical personnels

A Therapeutic Team’s Interventions and Their Perception of Parental Reactions Towards Them: A Child’s Psychiatric Inpatient Treatment of Anorexia Nervosa

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