2021
DOI: 10.17711/sm.0185-3325.2021.006
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Group family psychotherapy during relapse. Case report of a novel intervention for severe and enduring anorexia nervosa

Abstract: Background. Anorexia nervosa is a complex and highly variable disorder. Preventing patients from becoming resistant to treatments is fundamental since an important percentage develops a severe and enduring disorder; and because relapse is highly associated with psychiatric comorbidity, poor prognosis, and serious medical consequences due to malnutrition. Contemporary treatments for anorexia nervosa support the benefits of involving the family in treatment, and although the gold standard of family psychotherapy… Show more

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Cited by 6 publications
(6 citation statements)
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“…Here, even when they now were speaking about what their daughter was doing wrong and they were asking for advice and help, we find denial was still implied in the notion that they had nothing to do to help improve their daughter’s condition beyond getting her to accomplish pharmacotherapy and her dietary plan. We point to denial since they had previously centered their efforts exactly on that task, getting her to eat and take medication, with poor results (improved BMI and decreased purging behaviors and compulsive exercise, but global functioning was progressively worsening) [ 43 ]. Data indicate they were not observing their previous experience, they were not considering implementing new strategies, they were not reflecting on aspects other than persuading her to eat and take medication.…”
Section: Discussionmentioning
confidence: 99%
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“…Here, even when they now were speaking about what their daughter was doing wrong and they were asking for advice and help, we find denial was still implied in the notion that they had nothing to do to help improve their daughter’s condition beyond getting her to accomplish pharmacotherapy and her dietary plan. We point to denial since they had previously centered their efforts exactly on that task, getting her to eat and take medication, with poor results (improved BMI and decreased purging behaviors and compulsive exercise, but global functioning was progressively worsening) [ 43 ]. Data indicate they were not observing their previous experience, they were not considering implementing new strategies, they were not reflecting on aspects other than persuading her to eat and take medication.…”
Section: Discussionmentioning
confidence: 99%
“…We identified that from the intervention at the PGP, the mother and father achieved the observation of (1) their own functioning style, as well as that of their families of origin, (2) their learnt style of communication, (3) their own disordered relationship with food [ 43 ], and (4) the dysfunctional relationship with their own parents. All these show us a trigenerational condition, as far as we can trace it.…”
Section: Discussionmentioning
confidence: 99%
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“… Not included Not included 14. [ 54 ] González Macías et al, 2021 Case report of intervention for SE-AN. Group family psychotherapy during relapse.…”
Section: Methodsmentioning
confidence: 99%
“…In contrast, most parents of these patients are willing to continue at the PGP regardless of the reluctance of their daughter/son to continue treatment. We were able to empirically observe how daughters/sons of parents who continued to attend the PGP, progressively improved their global functioning and symptomatology, even when they dropped out of treatment [ 34 ]. This made us think that some changes, in terms of the reflective function [ 35 ] of parents may be contained in this phenomenon.…”
Section: Introductionmentioning
confidence: 99%