Female therapists in the management of anorexia nervosa

Frankenburg, Frances R.

doi:10.1002/1098-108x(198422)3:4<25::aid-eat2260030404>3.0.co;2-d

Cited by 11 publications

(7 citation statements)

References 31 publications

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“…An array of parental characteristics is also associated with the family profiles of women with eating disorders. Mothers are described as demanding and perfectionist (Brumberg, 1988), hypercritical (Selvini, 1974), jealous (Frankenburg, 1984), and intrusive (Kerr, Skok, & McLaughlin, 1991); or, by contrast, as nonresponsive and withdrawn (Lerner, 1991; Selvini, 1974) or passive and dependent (Brumberg, 1988; Frankenburg, 1984). Mothers might also demonstrate preoccupations with weight and appearance (Hill & Franklin, 1998; Kalucy, Crisp, & Harding, 1977; Pike & Rodin, 1991; Rabinor, 1994).…”

Section: Theoretical Problemmentioning

confidence: 99%

The Critical Shapes of Body Image: The Role of Culture and Family in the Production of Eating Disorders

Haworth-Hoeppner¹

2000

J of Marriage and Family

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Although research has pointed to the influence of culture and family in the etiology of eating disorders, few studies have examined how these influences conjoin in this process. This research explores how the family mediates cultural ideas about thinness and how the family conveys these messages to family members. Using a grounded theory approach, open-ended interviews were conducted with 32 White, middle-class women (with and without eating disorders) on the topic of body image and eating problems. In conjunction with this method, qualitative comparative analysis (QCA) was also performed to identify family characteristics, and their specific combinations, that were associated with eating disorders. The findings indicate that a critical family environment, coercive parental control, and a dominating discourse on weight in the household are salient conditions, and their specific configurations are discussed in relationship to current theoretical conceptualizations regarding the influences of culture and family in the production of eating disorders.

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Section: Theoretical Problemmentioning

confidence: 99%

The Critical Shapes of Body Image: The Role of Culture and Family in the Production of Eating Disorders

Haworth-Hoeppner¹

2000

J of Marriage and Family

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“…However, for reasons implicit in the nature ofthe therapist-patient interaction, these patients can evoke strong negative feelings in the treating personnel. There are studies that have documented the fact that more than any other psychiatric disorder, patients with BN and especially AN evoke intense feelings ofhostility, anger, hopelessness, and stress in therapists (23)(24)(25)(26). Few studies, however, have systematically analyzed the nature and underlying causes of these negative countertransferential reactions.…”

Section: Aspects Within the Therapistmentioning

confidence: 99%

Difficulties in Treating Patients with Eating Disorders: A Review of Patient and Clinician Variables

1999

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Key Words: anorexia nervosa, bulimia nervosa, eating disorders, treatment difficulties P atients with anorexia nervosa (AN) and bulimia nervosa (BN) have long had a reputation as being difficult for clinicians to treat. A greater understanding of the factors that contribute to these difficulties and which lead to patients beingtreatment resistant could help improve treatment outcome and reduce morbidity and mortality in these disorders. The benefits of an increased understanding of such factors, especially the multidetermined pathophysiology of these conditions, are evident from the past 2 decades, during which time treatments, especially for BN, have become more effective (1). However, a significant percentage of patients with AN andBN continue to be refractory to treatment with more than 30% of AN patients being chronically ill over 10-year follow-up and 10% dying of the illness (2). This paper reviews issues in treating patients with eating disorders (EDs) that contribute to difficulties for clinicians throughout the therapeutic process. The paper first reviews clinical factors commonly encountered in these patients that contribute to them being difficult to treat. It will then describe factors in the therapist that can also contribute to difficulties in treating these patients. Finally, we comment on treatment strategies to use in dealing with this patient group. Clinical Features in the PatientThe Nature ofthe SymptomsThe nature ofthe symptoms in AN and BN often leads to patients with these disorders seeking treatment only after they have been ill for many years (3). This relates mostly to the AN patient's denial of illness and the BN patient's shame and secretiveness around bulimic symptoms. Once in treatment, patients with both AN and BN are reluctant to give up their ego-syntonic, pathologic pursuit of thinness, which for AN patients results in significant weight loss and for BN sufferers fuels bingeing and purging, behaviours which are largely ego-dystonic. The AN patient pursues thinness not as a means

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“…However, it should be noted that experienced therapists of both genders are seen as possessing favourable qualities for engagement of men in therapy. Competence, an understanding of the patient's problem and developmental stage, and gender perspective are qualities of a good therapist of either gender, as are empathy, support and acceptance (Frankenburg, 1984). In addition, men place high values on status and training of counsellors, and are more likely to expect and feel comfortable with directive counselling and advice giving, 'reflecting their orientation to public arenas characterised by the achievement of measurable goals' (Brannen and Collard, 1982: 201).…”

Section: Fathers' Attendance For Family Appointmentsmentioning

confidence: 99%

‘Too busy’? Father's attendance for family appointments

Walters¹,

Tasker

Bichard³

2001

Journal of Family Therapy

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Fathers are often less likely to attend for appointments with their referred children at family and child psychiatry clinics than are mothers. The literature related to this topic is examined. A study of fathers' attendance at family sessions is reported, in which attenders are compared to nonattenders. It is concluded that conventional suppositions regarding fathers' attendance, such as work hours and family roles, are not as important predictors of fathers' attendance as fathers' relationships with their own fathers and current relationships with their partners. Clinical implications are examined.

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Female therapists in the management of anorexia nervosa

Cited by 11 publications

References 31 publications

The Critical Shapes of Body Image: The Role of Culture and Family in the Production of Eating Disorders

The Critical Shapes of Body Image: The Role of Culture and Family in the Production of Eating Disorders

Difficulties in Treating Patients with Eating Disorders: A Review of Patient and Clinician Variables

‘Too busy’? Father's attendance for family appointments

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