Case histories with comment, from a pioneer in the
psychoanalytically-based treatment of anorexia nervosa. Bruch
(Eating Disorders, 1973; The Golden Cage, 1978) died in 1984; her
work here has been edited posthumously. Extensive reporting of
actual patient interviews allows readers a view of therapeutic work
with Bruch's own patients. Bruch's aim was "liberating patients
from the distorting influences of their early experiences" in order
to "help the anorexic patient in her search of autonomy and
self-directed identity by evoking awareness of impulses, feelings,
and needs that originated within." The editors have arranged the
material so that "the expository and case materials illustrate
specific issues in the dynamics and treatment of anorexia nervosa."
Hence, chapters address such topics as evaluation, "Getting
Involved," "The Unwilling Patient," and so on. A competent
arrangement of valuable last instruction from an expert,
principally of use to those involved in therapy and treatment.
(Kirkus Reviews)
from Publisher's Weekly: This posthumous collection of case
material illustrates the treatment modality successfully employed
by psychiatrist Bruch with patients suffering from the eating
disorder of anorexia. Two of her associates at Baylor College of
Medicine in Houston have edited this final work, taped by the
author before her death in 1984. Bruch makes the reader privy to
the therapeutic transaction between her patients who are in what
she describes as "the relentless pursuit of thinness.'' Emphasizing
the conversational ambiance of the therapy and discounting
heretofore unsuccessful approaches of psychoanalysis and behavior
modification, she helped her patients to heal. The dramatic
dialogues in the cases presented allow us to hear these desperate
young anorexic women individually explore their thwarted
development, under the direction of a compassionate physician who
guides them towards wellness. from Library Journal: Psychiatrist
Bruch was a pioneer in developing psychotherapy for anorexia
victims. Author of half a dozen books, her first work, Eating
Disorders, appeared 15 years ago. She taped her interactions with
clients, and these form the nucleus of this final book. Bruch's
strength is her straightforward writing: it is honest, simple, and
effective.
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