Dissociation in eating disorders: relationship between dissociative experiences and binge-eating episodes

Mela, Carmelo La; Maglietta, Marzio; Castellini, Giovanni; Amoroso, Luca; Lucarelli, Stefano

doi:10.1016/j.comppsych.2009.09.008

Cited by 46 publications

(42 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study based on a sample of adolescent patients with EDs, these personality subtypes were strongly related to clinicians' reactions, assessed with the Therapist Response Questionnaire (Betan et al, 2005), and added considerably to other factors-such as ED diagnosis, patient global functioning, and treatment length-in explaining therapists' responses (Satir et al, 2009). Therapists' reactions toward eating disorders patients can also be complicated by sexual abuse history (Rodríguez et al, 2005) as well as self-harm and dissociative symptoms that are quite common among EDs patients (Farber, 2008;La Mela et al, 2010;Paul et al, 2002). Abused patients often reenact their childhood traumatic experiences in the psychotherapy relationship, evoking very intense and contradictory feelings in therapists such as overprotectiveness, sexual arousal, and anger (Gabbard, 2009).…”

mentioning

confidence: 99%

Eating Disorders and Therapist Emotional Responses

Colli¹,

Speranza

Lingiardi

et al. 2015

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

The aims of this study were to identify (a) patterns of clinicians' emotional responses to patients with eating disorders (ED); (b) patient, clinician, and treatment variables associated with therapist emotional responses; and (c) the influence of patient personality on therapist emotional responses. A random national sample of psychodynamic and cognitive-behavioral psychotherapists (N = 149) was asked to examine one patient (>18 years old) with an ED. Clinicians completed the SWAP-200, the Therapist Response Questionnaire, and the Clinical Questionnaire-Eating Disorder Form to provide general information about themselves, patients, and therapies. Results suggested a therapist pattern of emotional response in relation to different ED diagnosis and indicated meaningful influence of therapist experience and patient variables (such as sexual abuse, dissociative symptoms, and self-harm) on therapist emotional reactions. Finally, regression analysis suggested that therapist responses are more related to patient personality than ED symptoms. This study confirms the importance of patient personality in evoking specific therapists' reactions.

show abstract

mentioning

confidence: 99%

Eating Disorders and Therapist Emotional Responses

Colli¹,

Speranza

Lingiardi

et al. 2015

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

show abstract

“…As the escape theory of the binge eating seems to suggest Heatherton & Baumeister, 1991), it is possible that other variables, such as low perception of control (Sassaroli, Gallucci, & Ruggiero, 2008) and dissociation (La Mela, Maglietta, Castellini, Amoroso, & Lucarelli, 2010;Lyubomirsky, Casper, & Sousa, 2001), would influence the effect of perfectionism on measure of disordered eating.…”

Section: Dimension Of Perfectionismmentioning

confidence: 96%

Perfectionism, weight and shape concerns, and low self-esteem: Testing a model to predict bulimic symptoms

Mela¹,

Maglietta²,

Caini³

et al. 2015

Eating Behaviors

Self Cite

View full text Add to dashboard Cite

“…The finding that the influence of non-interpersonal traumas had the largest influence on dissociation was unexpected. One interpretation could be that there might be a possible linkage to difficulties in affect regulation found in other eating disorder patients (36)(37).…”

Section: Discussionmentioning

confidence: 99%

“…A particularly interesting group is patients with eating disorders since many studies have found that dissociative symptoms are more common in individuals with eating disorders (36)(37)(38). A substantial number of persons with eating disorders (20-50%) have been found to have both dissociative symptoms and a background of traumatic experiences (16,(38)(39)(40).…”

Section: Introductionmentioning

confidence: 99%