185 research outputs found
Family relationships and family therapy of eating disorders
No full textA multitude of empirical studies clearly demonstrates that the origin and course of eating disorders is closely linked to family factors. The influence is exerted in a direct way by conveying attitudes towards food, eating, weight, shape and appearance within the family and in a more indirect way by the family relationships. Families of bulimics differ from those of anorexics by a higher degree of conflict, impulsivity, expressiveness and by lower affective resonance and cohesion. Family therapy has proven to be effective in the treatment of eating disorders. A sketch of a family therapy describes the conflict oriented approach which includes behavioral elements in oder to stabilize the eating behavior and the weight
Disorder-oriented psychodynamic psychotherapy of bulimia nervosa
No full textThe concept of a disorder-oriented psychodynamic therapy of bulimia nervosa is described which combines the modification of the eating behaviour with a focal treatment of psychodynamic conflicts. Especially during the first phases behaviour-oriented and psychoeducative elements are integrated. The therapy comprises four steps: 1. disorder-oriented assessment and introduction to the treatment, 2. stabilisation of the eating behaviour, 3. working through the psychodynamic factors and 4. termination. These phases are illustrated by a case study of a psychodynamic treatment
Contemporary family systems - Developments, problems, and possibilities
No full textContemporary forms of family life and their development are described. The thesis of the pluralism of family types as a historical new phenomenon is critically reviewed, with special consideration of the relationship between family life and working world. An increasing move away from the "fordistic model" of family life took place during the last two decades towards the "multilocal multigenerational family". This development is, among others, due to the increased life expectancy and the change in the population structure. Simultaneous to this the boundaries between family and working world become more permeable. If the stability of employments decreases and the mobility of employees increases in a large scale, is discussed controversely. For an increasing number of families it becomes more and more difficult to make flexibility at work compatible with security for the children or to cope with the consequences of unemployment
Eine Technik für alle Störungen?
No full textPsychodynamic psychotherapy is helpful for patients, if it is modified according to the disorder. The dichotomy between concentration on the symptom on the one hand and concentration on conflicts and regulation disturbances on the other does not come up to the requirements of treatment for many disorders. Combining the symptom orientation with the work on conflicts, regulation disturbances, transference and resistance can not only promote insights oft emotional impact but often solely make them possible. Modifications of technique are to be reflected concerning their impact on the therapeutic relationship, the dynamics of transference and countertransference, the experience of conflict and the regulation problems and to be directed at in the therapy as far as possible. General principles of technique are illustrated by the example of the treatment of a patient with anorexia nervosa
Contemporary family systems - Developments, problems, and possibilities
No full textContemporary forms of family life and their development are described. The thesis of the pluralism of family types as a historical new phenomenon is critically reviewed, with special consideration of the relationship between family life and working world. An increasing move away from the "fordistic model" of family life took place during the last two decades towards the "multilocal multigenerational family". This development is, among others, due to the increased life expectancy and the change in the population structure. Simultaneous to this the boundaries between family and working world become more permeable. If the stability of employments decreases and the mobility of employees increases in a large scale, is discussed controversely. For an increasing number of families it becomes more and more difficult to make flexibility at work compatible with security for the children or to cope with the consequences of unemployment
Family dynamics and family therapy of obsessive-compulsive disorder
No full textObsessive-compulsive disorders and behaviours characterising an anancastic personality disorder have a direct interpersonal impact. Conflicts of subjects with OCD are often focussed on control and submission, order and cleanliness, a technical-signal processing cognitive style and insecure self-object-boundaries. In the patients families obsessive compulsive disorders and behviours, restrictions in the development of autonomy and a controlling parenting style are often to be found. Unsecure attachment is discussed as one possible contribution to the development of OCD. Relatives arc often involved in obsessive-compulsive symptoms. The psychosocial burden on them is often considerable. The inclusion of the family into the treatment of children and adolescents improves treatment results
Family relationships and family therapy of eating disorders
No full textA multitude of empirical studies clearly demonstrates that the origin and course of eating disorders is closely linked to family factors. The influence is exerted in a direct way by conveying attitudes towards food, eating, weight, shape and appearance within the family and in a more indirect way by the family relationships. Families of bulimics differ from those of anorexics by a higher degree of conflict, impulsivity, expressiveness and by lower affective resonance and cohesion. Family therapy has proven to be effective in the treatment of eating disorders. A sketch of a family therapy describes the conflict oriented approach which includes behavioral elements in oder to stabilize the eating behavior and the weight
Depression and couples relationship
No full textThe close relationship between depressive disorders and couple relationships has been wells roved empirically. Conflicts and problems within the couples' relationship can be a significant trigger for depression. In additition, the quality of the relationship is often markedly impaired by depressive disorders, in many cases far beyond the depressive phase. The couples' relationship also influences significantly the course of depressions, especially when the disorders are not yet chronic. The link between depression and couples' relationship seems to be stronger and more evident for women than for men. Furthermore there seem to be patterns of interaction in couples with a depressed partner, which differ from those in healthy or other clinical comparison groups or distressed couples without depression. These patterns need further exploration with regard to different subgroups of depressed patients and phases of depression. Couples' therapy has been proved to be effective in the treatment of depression on the symptomatic and on the relationship level. Conjoint assessment and counselling sessions with depressed patients and their partners should be conducted regularly. For patients suffering from 'ananaclitic','sociotropc' form of depression couples' therapy in a more narrow sense is usually indicated. In the treatment of depressives of the 'autonomous"introjective' type partners should be included into treatment for the assessment and the working through of specific conflicts concerning the relationship
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