Family Therapy and Anorexia Nervosa
Family Therapy & Anorexia Nervosa
This paper is a literature review and discussion of how family therapy approaches anorexia nervosa. The premise for most of the research conducted using family based therapy is a theory by Salvador Minuchin and Mara Selvini from the 1970s that states in order for a sufferer of anorexia nervosa to recover the "family's structure or style of management [of problems] needs to be corrected." (Lock, & Grange, 2001) A compilation of peer reviewed journal studies as well as other reviews of anorexia nervosa family therapy treatment will be used to illustrate the effectiveness of family therapy for persons under the age of 19 suffering from anorexia nervosa. The literature will also show that more experimental studies are needed in this area of eating disorders, due to the lack of substantial research for eating disorders and their treatment methods. However, since family therapy has been used to treat anorexia, positive outcomes have been seen in areas of body weight, psychological symptoms, overall recovery many years after treatment, and family support when compared to individual therapies. However, for persons over the age of 19 traditional therapies are still lacking in significant recovery rates.
Introduction
Anorexia nervosa is a variation of eating disorders that can plague both men and women. Anorexia is defined as "extreme emaciation" and the refusal to maintain a healthy body weight (Oltmanns, & Emery, 2010). Sufferers of this condition always have an unhealthy body image, also known as "a disturbed perception of the body," often feeling that there is nothing wrong with their bodies when they might weigh only 95 lbs (Oltmanns, & Emery, 2010). The third defining characteristic of anorexia is a "distorted body image," in which sufferers will usually see themselves as bigger than they are, no matter how emaciated they may appear (Oltmanns, & Emery, 2010). Also, anorexics will have an intense fear of gaining weight, which stems from their extreme use of control, which poses severe risks to therapy whose main purpose is to get anorexics to gain weight and remove them from any harm of death or brain damage (Oltmanns, & Emery, 2010). The final symptom of anorexia is Amenorrhea, or the cessation of the menstrual cycle, although a consideration of dropping this last criteria from the Diagnostic Manual has been recommended by some clinicians because some anorexics do menstruate (Oltmanns, & Emery, 2010). Prevalence for this disorder is approximately 5.1% among young women in the generalized population (Oltmanns, & Emery, 2010), which adds to the alarming fact that anorexia nervosa has severe negative consequences like interfering with puberty, breast development, cerebral abnormalities, severe depression (Hodes, Eisler, & Dare, 1991), with a mortality rate of 6-10% for adolescents (Lock, & Grange, 2001).
These alarming statistics only exacerbate the sad fact that so little is being studied about effective therapies for eating disorders. When 5.1% of young women could possibly develop a disorder that have such a high mortality rate, and such a high risk of causing severe developmental trauma to the body, obviously more research needs to be conducted. With what research has been conducted since the 1980s, family therapy seems to be the best method for treatment and recovery, but only for adolescents (Rhodes, 2003). According to Rhodes (2003), whose article outlines the Maudsley Model, those sufferers over the age of 18 or 19 are better off being treated with an individual program, but recovery statistics over a protracted period are still low. Family therapy seems to work so well with young adults because of its premise that the anorexic is not just by themselves with their disorder, but an individual who is part of a cohesive group as well (Nichols, & Shwartz, 2001). This form of therapy allows each member of the group to be directly honest about his or her feelings, while "developing a greater family cohesiveness," (Nichols, & Shwartz, 2001) which can serve to fix any problematic dynamics that might be found in families with a sufferer of anorexia, as well as allowing the family to be part of the treatment. However, as expressed before, family therapy works best with young adults, and one reason why it may not work with older teenagers is because the family has less power over their behavior and choice and the disorder has become more complex by this point (Nichols, & Shwartz, 2001).
Literature Review
In an article...
nurture. This issue has been employed in questioning the role of genetics as well as environment in the analysis of behavior. Several researchers especially geneticists have attempted to interpret the behavior of a person on the basis of natural phenomena. The work of Strober et al. (1985,p.239) indicated that since the 19th century to date, researchers who are studying anorexia nervosa have explore several multiple causes of the illness.
Anorexia nervosa is a serious eating disorder that results from an individual's intense preoccupation with body weight. Individuals with anorexia have difficulty maintaining a normal body mass index score, and frequently make continued efforts to lose weight even if their weight is abnormally low. The psychological factors that precipitate anorexia can be quite complex, and as a result the diagnosis and treatment of the disorder often require thorough psychological assessment,
Anorexia Nervosa is a serious eating disorder that affects millions of people all over the globe. The purpose of this discussion is to examine this disorder. We will begin by defining and characterizing anorexia nervosa. We will then discuss the factors that contribute to the development of the disorder. Finally, our discourse will investigate the treatments associated with anorexia nervosa. Definition of Anorexia Nervosa The Gale Encyclopedia of Alternative Medicine defines Anorexia
People in professions where there is a particular social pressure to be thin (such as models and dancers) were much more likely to develop anorexia during the course of their career, and further research has suggested that those with anorexia have much higher contact with cultural sources that promote weight-loss. There is a high rate of reported child sexual abuse experiences in clinical groups of who have been diagnosed
In fact, males account for 5-10% of reported cases of anorexia nervosa (Hayes). Research suggest that males who develop anorexia nervosa and other eating disorders differ from females in three major areas of dieting behaviors: 1) while females diet because they feel fat, males diet because they have been overweight at some point in their lives; 2) males more often than females diet to attain certain goals in sports
In addition, nutritional therapy is often necessary to balance body and brain chemistry before improvement can take place (Lock & Fitzpatrick, 2009). Prevention Since an can be so difficult to treat after onset, some researchers are focused on possible measures to prevent the development of eating disorders in the first place, and some of their findings are highly promising (Novotney, 2009). For example, a 2008 study of nearly 500 adolescent girls
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