By Carole Kayrooz
This article provides an method of operating with ladies who've bulimia nervosa that's according to learn exhibiting that bulimia nervosa contains interpersonal, social and societal components in addition to the cognitive, developmental and behavioural facets which have been the focal point of a lot expert intervention so far. the writer indicates how humans trying to comprehend and emotionally aid ladies with this complicated challenge must be capable of paintings with most of these dimensions. the sensible software of this multi-dimensional, systems-based realizing to therapy perform is proven via 3 in-depth case experiences.
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Additional resources for A Systemic Treatment of Bulimia Nervosa: Women in Transition
Personality factors Women tend to develop extrinsic personality characteristics as a direct result of their desire to conform to the ‘thin ideal’. Because the ‘thin ideal’ is an impossible goal for many women, those who ascribe to it tend to have low self-esteem, depression and anxiety and a high need for approval (McCarthy 1990). They also tend to feel socially undesirable. Some authors have suggested that continued failure at dieting results in shame and a diminished self-esteem, although an interesting survey of elementary and middle-school girls revealed other cultural causes of shame.
1974; SelviniPalazzoli et al. 1978). Using their clinical experience and early family therapy theory and research, Root, Fallon and Friedrich (1986) cate gorised three distinct types of families with symptomatic members – perfect, over-protective and chaotic. These three types were thought to characterise ‘bulimic families’, just as Minuchin (Munichin, Rosman and Baken 1978) had identified families with an anorectic member as ‘anorectic families’. According to this view, bulimic families are dysfunctional and one member in them enacts the family’s distress by manifesting symptoms.
Any free time can often be consumed by the weariness caused by the problem or a wariness about expanding social networks, given the problem’s unpredictability. Indeed, a friend’s call can coincide with a binge and lead to some awkward explanations. Intimate relationships are even more difficult. Failures are often attributed to physical appearance rather than the addictive and dishonest lifestyle that, no doubt, exac erbates normal relationship difficulties. Ultimately, secrecy about the problem results in isolation from sig nificant others, a gradual impoverishment of social life and a feeling of dissociation from the self.
A Systemic Treatment of Bulimia Nervosa: Women in Transition by Carole Kayrooz