Family Counseling and Childhood Obesity: A Review of Approaches

Morrissette, Patrick J.; Taylor, Daniel B.

doi:10.1177/1066480702101004

Cited by 12 publications

(8 citation statements)

References 32 publications

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“…For example, it is unclear what forms of family therapy are most effective in addressing the needs of families with an overweight child. 74 Similarly, the specific forms of parental training regarding child behavior (eg, education on behavioral principles, parent-child interaction, etc) and family therapy (eg, solution focused, structural, etc) that will be most effective in addressing barriers to change will need to be determined. Once these programs are identified, screening measures can be developed to determine which families are most likely to benefit from the additional parent or family component in treatment.…”

Section: Implications For Researchmentioning

confidence: 99%

Broadening Parental Involvement in Family-based Interventions for Pediatric Overweight

Dalton

Kitzmann²

2008

Family &Amp; Community Health

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Parent involvement has been recognized as a promising component in the treatment of pediatric overweight. However, to what extent and how to involve parents remains unclear. Family systems models have been used to treat a range of childhood illnesses and may also provide a useful framework for understanding and treating pediatric overweight. The current review presents relevant literature on family systems and child health, discusses the current state of intervention efforts in pediatric overweight, and utilizes family systems ideas to offer suggestions for practice and directions for research regarding the role of parents in treatment.

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Section: Implications For Researchmentioning

confidence: 99%

Broadening Parental Involvement in Family-based Interventions for Pediatric Overweight

Dalton

Kitzmann²

2008

Family &Amp; Community Health

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“…Todos os filhos contam seus problemas para ela, ela "sabe de tudo". Essa forte figura materna também foi identificada nos estudos sobre obesidade infantil (Morrissette & Taylor, 2002;Otto, 2007;Prado, 2005).…”

Section: Estudo De Casounclassified

Unidos em torno da mesa: a dinâmica familiar na obesidade

Otto

Ribeiro

2012

Estud. psicol. (Natal)

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ResumoA partir da Abordagem Sistêmica da Família, é apresentado o estudo de caso de um paciente com obesidade grave que está se preparando para realizar a cirurgia de redução de estômago em um hospital público de Brasília-DF. A coleta dos dados foi realizada em duas visitas domiciliares para construção do genograma familiar, colagem feita pela família e realização de duas tarefas. O estudo demonstra a forte ligação entre alimentação e pertencimento familiar, além de reforçar aspectos da dinâmica familiar de sistemas com membros obesos descritos na literatura, como: fronteiras internas difusas e externas rígidas; poucas atividades de lazer; ênfase à lealdade familiar; obesidade vista como único problema familiar e evitação de conflitos. Por fim, as autoras sugerem a ampliação à inclusão da terapia familiar no pré e pós-operatório de pacientes com obesidade grave.Palavras-chave: obesidade; dinâmica familiar; terapia familiar. AbstractUnited around the table: the family dynamics in Obesity. From the perspective of the Family Systems Approach, a case study of a patient with severe obesity being prepared to perform surgery to reduce stomach in a public hospital in Brasilia-DF is presented. Data collection was performed in two home visits to construction of the genogram, family collage made by family and carry out two tasks. The study demonstrates the strong link between food and family membership, and strengthen aspects of family dynamics of systems with obese members of the literature, such as diffuse internal borders and external rigid, few leisure activities, emphasis on family loyalty; obesity seen as single family problem avoidance conflict. Finally, the authors suggest to expand the inclusion of family therapy in the preoperative and postoperative patients with severe obesity.Keywords: obesity; family dynamic; family therapy. A obesidade é uma doença de difícil controle, com altos percentuais de insucessos terapêuticos e de recidivas, podendo apresentar sérias repercussões orgânicas e psicossociais, especialmente nas formas mais graves (Bernardi, Cicherelo, &Vitolo, 2005).Um importante aspecto a ser considerado no surgimento e manutenção dessa patologia é a associação entre alimentação e afeto. Donato, Osorio, Paschoal e Marum (2004) afirmam que algumas famílias, desde a interação da mãe com o bebê, recompensam e elogiam o ato de alimentar-se de forma muito acentuada, criando na criança uma sensação de bem estar e afetividade associada ao alimento. Além disso, para os autores, a alimentação também está associada à socialização e, por isso, as pessoas saem frequentemente com os amigos para se alimentar. Por isso, quando se sentem sozinhas podem buscar no alimento uma forma de compensação pela falta que sentem das pessoas, e isso pode desencadear o aumento excessivo do peso corporal.Para Hamburger (1951), a fome é a expressão fisiológica da necessidade do corpo por energia (comida) e o apetite é um desejo psicológico de comer, o qual dá um prazer antecipatório distinto. O autor esclarece que o estado emocional d...

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“…Despite a variety of existing family therapy models, only the structural and Family FIRO (Fundamental Interpersonal Relations Orientation) approaches have been mentioned in the literature for the treatment of childhood obesity, and there is no strong empirical support for either of them (Morrissette and Taylor 2002). Harkaway (1986) introduced Minuchin and his colleagues ' (1978) psychosomatic family model to understand the role of childhood obesity in the family structure and identify specific interaction patterns common to 5 two-parent families with obese adolescent girls ages 12-14.…”

mentioning

confidence: 98%

Childhood Obesity in a Chinese Family Context

Wong

2010

Contemp Fam Ther

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This qualitative study explored themes that described families with obese children in Chinese society. Eight obese children and their families participated in the study. Six of the children were male and two were female, ranging in age from 7 to 13. The themes found were: over-involvement between allied parent and obese child, coalition, diffused boundary between extended family and nuclear family, lack of conflict resolution, and disengaged couple boundary. In this study, the significant role that may be played by the extended family in contributing to a child's obesity, as well as female power dominance in the domestic sphere are considered. Implications for therapy are discussed.

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Family Counseling and Childhood Obesity: A Review of Approaches

Cited by 12 publications

References 32 publications

Broadening Parental Involvement in Family-based Interventions for Pediatric Overweight

Broadening Parental Involvement in Family-based Interventions for Pediatric Overweight

Unidos em torno da mesa: a dinâmica familiar na obesidade

Childhood Obesity in a Chinese Family Context

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