Download A Systemic Treatment of Bulimia Nervosa: Women in Transition by Carole Kayrooz PDF

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By Carole Kayrooz

This article provides an method of operating with ladies who've bulimia nervosa that is according to study exhibiting that bulimia nervosa comprises interpersonal, social and societal components in addition to the cognitive, developmental and behavioural features which have been the focal point of a lot specialist intervention up to now. the writer exhibits how humans trying to comprehend and emotionally help ladies with this advanced challenge have to be capable of paintings with a majority of these dimensions. the sensible program of this multi-dimensional, systems-based realizing to therapy perform is proven via 3 in-depth case experiences.

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Many pass through a period of experimentation with food restriction, leading to bingeing. Some get trapped in the habit of bingeing and purging, par­ ticularly those who are passive, depressed and self-doubting. Once the habit is entrenched in the young woman’s life, it exacts a heavy price. Severe medical effects for the long-term bulimic can lead to social isolation and sometimes even death. This background information about bulimia nervosa, its occurr­ ence and the medical implications helps us to see that the problem is common in affluent societies, and it often begins through social pressures.

Chapter Three describes the overall stages of treatment for bulimia nervosa using systemic therapy. The therapeutic themes are sequenced to structure the flow of sessions across the course of therapy. In Chapter Four, specific tasks and interventions are given that are used to address the themes. Care has been taken to balance the type of tasks and interventions with the four main thematic aspects of the problem – behavioural, interpersonal, developmental and sociocultural. In Chapter Five, general procedures provide a guide for the therapist within each session.

1983) examined the eating and weight control behaviours of four groups of young women between 15 and 27 years of age (106 school and university students, 50 ballet dancers, 22 patients suffering from anorexia nervosa and 44 patients with bulimia). The results suggested that most young women dieted at some time; they may go through episodes of binge-eating and ‘picking’ behaviour and they generally wished to be thinner irrespective of their body weight. The Abraham et al. (1983) study suggests that 20 per cent of young women may fulfil the criteria (except those of duration) for an eating disorder – bulimia nervosa or anorexia nervosa – at some stage, however briefly, and about 7 per cent abuse laxatives or diuretics in order to achieve a fashionably slim figure.

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