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Psychodynamic Treatment of Anorexia Nervosa and Bulimia (Hardcover, New)
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Psychodynamic Treatment of Anorexia Nervosa and Bulimia (Hardcover, New)
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Early treatment literature on anorexia nervosa and bulimia reported
almost exclusively on brief treatment approaches that entailed
either psychopharmacological or cognitive-behavioral interventions.
While this literature demonstrated that one-third of these patients
were treatable with brief therapy and another one third showed
improvement, the final one-third of these patients did not respond
to brief interventions. Recent research indicates that this last
group of patients may also suffer from significant personality
disorders or Axis II co-morbidity. Considered difficult to treat,
these patients require longer term, informed individual
psychotherapy. Designed specifically to address the challenges of
this difficult-to-treat population, this volume is the first to
focus exclusively on exploring eating disorders from a
psychodynamic perspective.
Chapters are written by foremost clinicians in field who examine
their current views regarding the etiology and treatment of this
client population from a psychodynamic perspective. Part I,
focusing on aspects of the self and questions of technique, covers
such topics as the role of interpretation of transference and
resistance; the relationship of bulimia, dissociation, and empathy;
eating disorders as displacement from psychological self to body
self; boundaries in the psychotherapeutic relationship; and an
interpersonal psychoanalytic technique for treatment. Part II,
addressing special subpopulations, discusses the implications of
treating eating disorders with patients who also exhibit masochism,
borderline personality disorder, and false-self/narcissistic
disorders. This section also includes a unique chapter that delves
into genderidentity issues in male bulimia nervosa. Part III,
reflecting feminist psychodynamic perspectives, offers new ways of
thinking about development, countertransference, and the role of
therapist in the treatment of women with eating disorders. Part IV
examines the integration of such approaches as object relations and
family systems, psychodynamic and behavior therapy, and offers
discussion on disorders of the self in anorexia nervosa.
Written primarily for the advanced clinician who treats clients
with eating disorders, PSYCHODYNAMIC TREATMENT OF ANOREXIA NERVOSA
AND BULIMIA is a valuable resource for psychiatrists,
psychologists, social workers, and other mental health
practitioners who work with this difficult-to-treat population. It
also serves as supplementary reading for advanced graduate courses
that feature a component on eating disorders.
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