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Over bewegingsdrang en psychomotorische therapie bij anorexia nervosa-patiënten

Samenvatting

Alhoewel bewegingsdrang een belangrijk element is van de psychopathologie van anorexia nervosa, is in de literatuur bewegingsdrang relatief onderbelicht, wazig en weinig eenduidig. Bewegingsdrang bij patiënten met anorexia nervosa wordt gekenmerkt door de volgende tekenen: een vrijwillige verhoging van lichamelijke activiteit, een onvrijwillige, onweerstaanbare drang om te bewegen, dissociatie van gevoelens van vermoeidheid, en obsessieve-compulsieve verschijnselen. Aan de hand van eigen therapeutische ervaringen worden een aantal therapeutische interventies voorgesteld om die bewegingsdrang om te buigen in een meer adequaat gedrag. Deze voorstellen hebben betrekking op de algemene (afdelings)regels en op de psychomotorische therapie.

Abstract

Hyperactivity is considered to be a secondary symptom in the diagnostics of patients with eating disorder. However, the concept of hyper-activity in eating disorder patients lacks a common definition and researchers use a wide variety of measuring procedures. The role of the symptom in the pathological process yet remains unclear. There is no consensus about the occurrence of the symptom: the only fact agreed upon is that not all patients show hyperactive behavior. Hyperactivity in patients with eating disorder is characterized by a voluntary increase of physical activity, a compulsive urge to move, and by the dissociation of fatigue. In this article we propose therapeutic interventions, based on clinical experience. Interventions take place on the level of department rules and, perhaps contrary to intuition, also consist of psycho-motoric therapy.

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Correspondence to Michel Probst.

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Dr. M. Probst is docent aan de Faculteit Lichamelijke Opvoeding en Kinesitherapie, Departement Revalidatiewetenschappen van de Katholieke Universiteit Leuven en als psychomotorisch therapeut werkzaam op de afdeling eetstoornissen van het Universitair Centrum Sint Jozef, Leuvensesteenweg 517, 3070 Kortenberg, België.

Dr. J. Vanderlinden, psycholoog, is werkzaam bij de gedragstherapeutische dienst en op de afdeling eetstoornissen van het Universitair Centrum Sint Jozef.

Prof. Dr. W. Vandereycken is hoogleraar psychopathologie aan de Katholieke Universiteit Leuven en als consulent verbonden aan het Universitair Centrum Sint Jozef.

Prof. Dr. H. van Coppenolle is verantwoordelijk voor de opleiding psychomotorische therapie aan de Faculteit Lichamelijke Opvoeding en Kinesietherapie, Departement Revalidatiewetenschappen van de Katholieke Universiteit Leuven en is diensthoofd psychomotorisch therapeut van het Universitair Centrum Sint Jozef.

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Probst, M., Vanderlinden, J., Vandereycken, W. et al. Over bewegingsdrang en psychomotorische therapie bij anorexia nervosa-patiënten. DITH 19, 99–106 (1999). https://doi.org/10.1007/BF03060216

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