The Use of Transactional Analysis in the Treatment of Eating Disorders

Abstract

Since 1859, when Marce described a “hypochondriacal delirium” characterized by food refusal, eating disorders have been recognized as having a psychological component (Silverman, 1997). This article examines the psychological factors inherent in anorexia nervosa and bulimia nervosa using a transactional analysis developmental perspective. The interaction between psychological and physiological factors that maintain an eating disorder is discussed, and a psychotherapeutic approach that includes the consideration of dietary advice, weight monitoring, and medical intervention is offered. With reference to case material, the author argues that ensuring adequate nutrition is compatible with the role of a transactional analysis psychotherapist.

Dreams, Symptoms, and Fantasies: Access to the Unconscious in the Psychotherapy of Adolescents with Eating Disorders

“…In a recent article in the Transactional Analysis Journal, Brunt (2005) reminds us that the life risk, especially with anorexia, heavily limits the therapist's freedom because he or she is /58 compelled by the urgency ofthe situation to induce behavioral changes, even if, as is the case with the obsessive structure of anorexic and bulimic thought, we know that the focus on behavior is a trap that the therapist should avoid falling into (Ware, 1983).…”