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Attachment styles and changes among women members of overeaters anonymous who have recovered from binge-eating disorder
- Authors:
- HERTZ Pnina, ADDAD Moshe, RONEL Natti
- Journal article citation:
- Health and Social Work, 37(2), May 2012, pp.110-122.
- Publisher:
- Oxford University Press
Overeaters Anonymous (OA) is a self-help organisation for people suffering from eating disorders. It presents a 12-step programme which is intended to lead to emotional and spiritual recovery over and above treatment of the physical aspects of the disorder. This study focuses on the aspect of emotional recovery, particularly in relation to changes in attachment style, as a result of membership of OA. Specifically, the aim was to study the subjective experiences of women through the descriptions of their emotional recovery and their relationships with sponsors and other members. Personal narratives were obtained through semi-structured in-depth interviews conducted with 20 women who had been members of OA for at least a year. It was found that the tools used for spiritual and emotional work at OA are essential to recovery. Furthermore, the experience of secure attachment is likely to occur within OA when safe ground is provided and positive attachment figures are accessible. These safe ground and positive attachment figures facilitate a corrective emotional experience that compensates for a childhood recollected in terms of rejection. Theoretical, clinical, and future research implications are discussed.
Bulimia nervosa: mood changes do have an impact on body width estimation
- Authors:
- KULBARTZ-KLATT Yvonne J., FLORIN Irmela, POOK Martin
- Journal article citation:
- British Journal of Clinical Psychology, 38(3), September 1999, pp.279-287.
- Publisher:
- Wiley
This study was designed to investigate the impact of mood changes on body width estimation in women with bulimia nervosa. The findings suggest that change in mood state rather than the more habitual mood quality are relevant for bulimic women's body perception.
Under-nourishment and clinical risk: two concerns of CAMHS clinicians
- Author:
- BRIGGS Andrew
- Journal article citation:
- Journal of Social Work Practice, 26(4), December 2012, pp.427-441.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Noting that Child and Adolescent Mental Health Services (CAMHS) teams are complex working environments, this article discusses risk assessment of mental health and safety issues for children and young people by CAMHS teams. The article suggests that there has been erosion of containment within CAMHS multidisciplinary teams and that containment is essential if these teams are to function in a thoughtful way about clinical work and case management. The author argues that the consequences of workers feeling insufficiently emotionally contained can lead to primitive anxieties taking hold and affecting judgements, and that without nourishment, and its consequent provision of a containing boundary for anxieties, teams can dangerously dysfunction. The article uses a case example of a patient with eating disorder and a multidisciplinary team without a social worker to explore these ideas. It also mentions the role of social workers, noting that in order to realise their full potential when working in CAMHS social workers need specialist training to understand the emotional consequences for staff working with mental ill health.
Attachment narrative therapy: integrating ideas from narrative and attachment theory in systemic family therapy with eating disorders
- Author:
- DALLOS Rudi
- Journal article citation:
- Journal of Family Therapy, 26(1), February 2004, pp.40-65.
- Publisher:
- Wiley
This paper proposes that recent developments in attachment theory, especially the move to the study of representations, offers some helpful new directions for systemic family therapy. Some of the findings of a close association between early attachment experiences and the coherence of the narratives are reviewed. It is suggested that this offers a useful link for systemic approaches in showing how early interactions in families promote not only particular emotional attachment patterns, but also shape the content and style of the narratives that are formed. These implications are then explored in the context of work with anorexia nervosa. It is suggested that commonly observed patterns, such as avoidance of conflict and apparent difficulties in discussing relationships and feelings, is consistent with transgenerational experiences of insecure/avoidant attachments. Some implications for systemic therapy with families are outlined and an illustrative case study is offered.
Autistic patterns: managing the "black hole" in eating disorders
- Authors:
- LATZER Yael, GERZI Shmuel
- Journal article citation:
- Psychoanalytic Social Work, 7(3), 2000, pp.29-55.
- Publisher:
- Taylor and Francis
Over the last three decades, researchers have tried to identify the etiology of eating disorders. In examining the connections between different types of self-and -body dissatisfaction evident in eating disorders, the psychodynamic approach is the most feasible. Implicated are deficits of the self, unresolved problems in separation-individuation and self-definition, and the difficulty in expressing need - called the "black hole". This article presents three case studies of anorexia, bulimia, and obesity and compares them through the ability to express neediness. Basic terms from the research of others are used to explain the dynamics related to the capacity to express need, as exemplified in the different types of eating disorders.
Eating disordered patients: personality, alexithymia and implications for primary care
- Authors:
- BEALES David L, DOLTON Ros
- Journal article citation:
- British Journal of General Practice, 50, January 2000, pp.21-26.
- Publisher:
- Royal College of General Practitioners
Eating disorders are becoming more apparent in primary care. Descriptions of character traits related to people with eating disorders are rarely reported in primary care literature, particularly alexithymia - a concept that defines the inability to identify or express emotion. This paper analyses the character traits and degree of alexithymia of a selected group of women with active eating disorders and in recovery, and recommend responses by members of the primary care that might meet the needs of such individuals.
Cracked: recovering after traumatic brain injury
- Author:
- CALDERWOOD Lynsey
- Publisher:
- Jessica Kingsley
- Publication year:
- 2003
- Pagination:
- 223p.
- Place of publication:
- London
At the age of 14, the author suffered a traumatic brain injury that left her physically unmarked but destroyed her memory. Thrust back into an apparently nonsensical world of which she had no recollection, she spiralled into depression and eating disorders as she became socially ostracized. This is the story of her quest to discover her identity and, eventually, and to come to terms with her disability, facing devastating setbacks, a sense of loss, grief and rage.
Managing intense emotions and overcoming self-destructive habits: a self-help manual
- Author:
- BELL Lorraine
- Publisher:
- Brunner-Routledge
- Publication year:
- 2003
- Pagination:
- 229p.,bibliog.
- Place of publication:
- Hove
The treatment of personality disorder is a major concern facing current mental health services. This is a self-help manual for people who would meet the diagnosis of "emotionally unstable" or "borderline personality disorder" (BPD), outlining a brief intervention which is based on a model of treatment known to be effective for other conditions, such as anxiety, depression and bulimia. The manual describes the problem areas, the skills needed to overcome them and how these skills can be developed. Areas covered include: the condition and controversy surrounding the diagnosis of BPD; drug and alcohol misuse; emotional dysregulation and the role of thinking habits and beliefs; depression and difficult mood states; and childhood abuse and relationship difficulties. The book is intended for use by people with BPD and professionals involved in their care: psychologists, psychiatric nurses, psychiatrists and occupational therapists.