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Two Case Studies on Family Work with Eating Disorders and Body Image Issues

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Abstract

This article highlights the need for clinicians who work with eating disorders and body image problems to address the deeper family issues underlying these symptoms. The authors propose an eclectic approach including family systems, structural and experiential family therapy theory as a guide. The paper begins with an overview of family therapy theories currently used in the treatment of eating disorders, and goes into greater detail about the three theories highlighted in the eclectic model proposed. The authors present two cases with actual case dialogue, demonstrating how they used this composite model. This article has both theoretical and practical implications for clinicians working in the field.

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References

  • Barth, F. D. (2003). Separate but not alone: Separation-individuation issues in college students with eating disorders. Clinical Social Work Journal, 31(2), 139–153.

    Article  Google Scholar 

  • Bowen, M. (1978). Family therapy in clinical practice. New York: J. Aronson.

    Google Scholar 

  • Campbell, T. L., & Patterson, J. M. (1995). The effectiveness of family interventions in the treatment of physical illness. Journal of Marital and Family Therapy, 21(4), 545–583. doi:10.1111/j.1752-0606.1995.tb00178.x.

    Article  Google Scholar 

  • Dare, C., & Eisler, I. (2002). Family therapy and eating disorders. In C. G. Fairburn & K. D. Brownell (Eds.), Eating disorders and obesity: A comprehensive handbook (pp. 314–319). New York: Guilford Press.

    Google Scholar 

  • Diamond, G. S., Diamond, G. M., & Levy, S. A. (2014). Attachment-based family therapy for depressed adolescents. doi:10.1037/14296-000.

  • Eddy, K. T., Doyle, A. C., Hoste, R. R., Herzog, D. B., & Le Grange, D. (2008). Eating disorder not otherwise specified in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 47(2), 156–164.

    Article  Google Scholar 

  • Fairburn, C. G. (2005). Evidence-based treatment of anorexia nervosa. International Journal of Eating Disorders. doi:10.1002/eat.20112.

    PubMed Central  Google Scholar 

  • Greenberg, L. S., & Johnson, S. M. (1988). Emotionally focused therapy for couples. New York: Guilford Press.

    Google Scholar 

  • Greenman, P. S., & Johnson, S. M. (2013). Process research on emotionally focused therapy (EFT) for couples: Linking theory to practice. Family Process, 52(1), 46–61.

    Article  PubMed  Google Scholar 

  • Greif, G. L., & Drechsler, M. (1993). Common issues for parents in a methadone maintenance group. Journal of Substance Abuse Treatment, 10(4), 339–343. doi:10.1016/0740-5472(93)90018-w.

    Article  PubMed  Google Scholar 

  • Gurman, A. S., & Kniskern, D. P. (Eds.). (2014). Handbook of family therapy. London: Routledge.

    Google Scholar 

  • Hare-Mustin, R. T. (1988). Family change and gender differences: Implications for theory and practice. Family Relations, 37, 36–41.

    Article  Google Scholar 

  • Johnson, S. M., & Johnson, S. M. (2004). The practice of emotionally focused couple therapy: Creating connection. New York: Brunner-Routledge.

    Google Scholar 

  • Jones, W. (2010). Sett ing the stage for change: In-home family based treatment. Center for Family Based Training.

  • Larcher, V. (2005). ABC of adolescence: Consent, competence, and confidentiality. BMJ. British Medical Journal, 330(7487), 353.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lock, J. (2002). Treating adolescents with eating disorders in the family context: Empirical and theoretical considerations. Child and adolescent psychiatric clinics of North America, 11(2), 331–342.

    Article  PubMed  Google Scholar 

  • Lock, J. (2011). Evaluation of family treatment models for eating disorders. Current Opinion in Psychiatry, 24(4), 274–279. doi:10.1097/yco.0b013e328346f71e.

    Article  PubMed  Google Scholar 

  • Lock, J., & Le Grange, D. (2015). Treatment manual for anorexia nervosa: A family-based approach. New York: Guilford.

    Google Scholar 

  • Lock, J., Le Grange, L., & Crosby, R. (2008). Exploring possible mechanisms of change in family-based treatment for adolescent bulimia nervosa. Journal of Family Therapy, 30(3), 260–271. doi:10.1111/j.1467-6427.2008.00430.x.

    Article  Google Scholar 

  • Luepnitz, D. A. (1988). The family interpreted: Feminist theory in clinical practice. New York: Basic Books.

    Google Scholar 

  • Lyons-Ruth, K. (2003). Dissociation and the parent–infant dialogue: A longitudinal perspective from attachment research. Journal of the American Psychoanalytic Association, 51(3), 883–911.

    Article  PubMed  Google Scholar 

  • McGoldrick, M., & Carter, B. (1999). Self in context: The individual life cycle in systemic perspective. The expanded family life cycle: Individual, family and social perspectives, 3, 27–46.

    Google Scholar 

  • McGoldrick, M., Gerson, R., Shellenberger, S., & McGoldrick, M. (1999). Genograms: Assessment and intervention. New York: W.W. Norton.

    Google Scholar 

  • Minuchin, S., & Fishman, H. C. (2009). Family therapy techniques. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Minuchin, S., Rosman, B. L., & Baker, L. (1978). Psychosomatic families: Anorexia nervosa in context. Cambridge, MA: Harvard University Press.

    Book  Google Scholar 

  • Nichols, M. P. (2008). Family therapy: Concepts and methods. Boston, MA: Pearson/Allyn and Bacon.

    Google Scholar 

  • Nichols, M. P., & Schwartz, R. C. (2005). The essentials of family therapy. Boston, MA: Pearson/Allyn and Bacon.

    Google Scholar 

  • Siegel, M., Brisman, J., & Weinshel, M. (2009). Surviving an eating disorder: Strategies for families and friends. New York, NY: Collins Living.

    Google Scholar 

  • Szapocznik, J., Rio, A., Murray, E., Cohen, R., & Al, E. (1989). Structural family versus psychodynamic child therapy for problematic Hispanic boys. Journal of Consulting and Clinical Psychology, 57(5), 571–578. doi:10.1037//0022-006x.57.5.571.

    Article  PubMed  Google Scholar 

  • Treasure, J., Smith, G., & Crane, A. (2007). Skills-based learning for caring for a loved one with an eating disorder: The new Maudsley method. London: Routledge.

    Google Scholar 

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Correspondence to Fran Gerstein.

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Gerstein, F., Pollack, F. Two Case Studies on Family Work with Eating Disorders and Body Image Issues. Clin Soc Work J 44, 69–77 (2016). https://doi.org/10.1007/s10615-015-0566-x

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