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Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak offers a compilation of some of the most innovative thinking on psychoanalytic approaches to the treatment of eating disorders available today. In its recognition of the multiple meanings of food, weight, and body shape, psychoanalytic thinking is uniquely positioned to illuminate the complexities of these often life-threatening conditions. And while clinicians regularly draw on psychoanalytic ideas in the treatment of eating disorders, many of the unique insights psychoanalysis provides have been neglected in the contemporary literature. This volume brings together some of the most respected clinicians in the field and speaks to the psychoanalytic conceptualization and treatment of eating disorders as well as contemporary issues, including social media, pro-anorexia forums, and larger cultural issues such as advertising, fashion, and even agribusiness. Drawing on new theoretical developments, several chapters propose novel models of treatment, whereas others delve into the complex convergence of culture and psychology in this patient population. Psychoanalytic Treatment of Eating Disorders will be of interest to allpsychoanalysts and psychotherapists working with this complex and multi-faceted phenomenon.
This book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders as well as other compulsions and addictions, such as alcoholism and erotic attachments. The chapters help therapists think creatively about these types of patients, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues.
Nobody ever really eats alone. We must all negotiate the voice of our culture and its contradictory messages about food and the body. These cultural imperatives especially confuse and burden women as they struggle with the insidious power of the diet culture and current demands about body size and shape. In this insightful analysis of an treatment guide for eating problems, the authors develop a clinically useful theory of how society's injunctions about the “right” body and the “right” diet become inscribed in patients and join with their intrapsychic emotional life. By merging their theory of the internalization of culture (and feminist critique of that culture) with an object relations and interpersonal psychoanalytic theory, the authors deliver for all therapists a powerful therapeutic model, one honed by twenty years of practice at the Women's Therapy Centre Institute.Many treatments for eating problems make controlling the symptom their goal; this book demonstrates that this approach merely reproduces in the patient the loss of agency created by internalized messages from a fat-phobic society. Only by understanding the symptom as an expression of the confluence of intrapsychic, interpersonal, and cultural experience can the therapist help the patient learn to live in peace in her body. The authors present a psychodynamic understanding of hunger, satiation, food, and body image, and show how everyday body/self and eating experiences contain and reveal the essential dynamics of the person. They also describe how these dynamics, as well as the influences of consumer culture, affect transference and countertransference in treatment.A thoughtful discussion of the convergence of eating problems and sexual abuse extends the existing theory about how consumer culture injures women and aggravates the wounds of abuse. It also details the tremendous value of this feminist psychoanalytic treatment model for helping people with dissociative problems, including multiple personality disorder.Illustrated with rich case vignettes, this practical guide will show clinicians how to use an anti-diet, anti-deprivation model of treatment to help patients learn to feed themselves in tune with their psychic and bodily needs.
Food for Thought offers fresh psychoanalytic insights into treating clients with eating disorders. In lively and jargon-free language, Nina Savelle-Rocklin breaks down the psychoanalytic approach to give practitioners and general readers alike a deeper understanding of the theory and effective treatment of eating disorders. Those living with eating disorders often use food to express their inner feelings, and Savelle-Rocklin illustrates the importance of the therapeutic relationship in uncovering the nature of these internal emotions, and formulating them into words. Through an intensive and mutual process, clients can begin to understand the language of the eating disorder, identify and work through its underlying conflicts, ultimately eliminating symptoms, relieving distress, and transforming the way they relate to themselves and others. Thoughtful and highly engaging, Food for Thought provides invaluable methods for practitioners treating patients with eating disorders to achieve lasting change and true healing.
This book presents an implementation of psychodynamic self psychology in the treatment of anorexia nervosa and bulimia nervosa, using a theoretical and therapeutic approach to examine the way that patients turn to food consumption or avoidance in order to supply needs they do not believe can be provided by human beings. The book starts with an overview of self psychology, presenting both the theory of self psychology and its specific application for the etiology and treatment of eating disorders. Featuring contributions from eating disorder professionals, the book then integrates this theory with 16 compelling case studies to explore how the eating-disordered patient is scared to take up space in a society that encourages precisely that. Professionals in the field of psychotherapy for eating disorders, as well as the entire community of psychotherapists, will benefit from the empirical capability of the theory to predict the development as well as remission from eating disorders.
This groundbreaking two-volume handbook provides a comprehensive collection of evidence-based analyses of the causes, treatment, and prevention of eating disorders. A two-volume handbook featuring contributions from an international group of experts, and edited by two of the leading authorities on eating disorders and body image research Presents comprehensive coverage of eating disorders, including their history, etiological factors, diagnosis, assessment, prevention, and treatment Tackles controversies and previously unanswered questions in the field Includes coverage of DSM-5 and suggestions for further research at the end of each chapter 2 Volumes
In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient’s life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an ‘other’ to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.
Because anorexia nervosa has historically been viewed as a disorder that impacts women and girls, there has been little focus on the conceptualization and treatment of males suffering from this complex disorder. Understanding Anorexia Nervosa in Males provides a structure for understanding the male side of the equation combined with practical resources to guide clinical intervention. Presented using an integrative framework that draws on recent research and organizes information from multiple domains into a unified understanding of the interconnected issues at hand, this informative new text provides a comprehensive approach to understanding and treating a widely unrecognized population.
Who develops which eating disorder and why? When do eating disorders begin and what fuels them? In Hunger for Connection, psychoanalyst and eating-disorder specialist Alitta Kullman expands on the "body/mind" personality organization she calls the "perseverant personality," illustrating how food and thought are linked from infancy, and for some, can become the primary source of nurturance and thought-processing for a lifetime—leading to what we call an eating disorder. Writing in a highly accessible style, Kullman brings humor and gentleness to her interactions with patients, offering health professionals and mainstream readers alike an essential guide to understanding and/or working with cyclical eating disorders of all types. From psychoanalysts, psychotherapists, and counsellors, to eating disorder specialists, researchers, and students, Hunger for Connection not only provides guidelines for therapists of varying theoretical orientations and levels of expertise, but help and hope to people suffering with eating disorders and those who care for and about them.
This manual presents an evidence-based focal psychodynamic approach for the outpatient treatment of adults with anorexia nervosa, which has been shown to produce lasting changes for patients. The reader first gains a thorough understanding of the general models and theories of anorexia nervosa. The book then describes in detail a three-phase treatment using focal psychodynamic psychotherapy. It provides extensive hands-on tips, including precise assessment of psychodynamic themes and structures using the Operationalized Psychodynamic Diagnosis (OPD) system, real-life case studies, and clinical pearls. Clinicians also learn how to identify and treat typical ego structural deficits in the areas of affect experience and differentiation, impulse control, self-worth regulation, and body perception. Detailed case vignettes provide deepened insight into the therapeutic process. A final chapter explores the extensive empirical studies on which this manual is based, in particular the renowned multicenter ANTOP study. Printable tools in the appendices can be used in daily practice. This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counselors, and students.