A portuguese experience of multiple family day treatment

2011 ◽  
Vol 26 (S2) ◽  
pp. 729-729
Author(s):  
A.E. Ribeiro ◽  
A.P. Martins ◽  
S. Timóteo ◽  
I. Brandão
Keyword(s):  
Anorexia Nervosa ◽  
Treatment Approach ◽  
Day Treatment ◽  
Group Cohesion ◽  
Time Frame ◽  
Family Interactions ◽  
Important Goal ◽  
Shared Experience ◽  
Strong Focus ◽  
The Family

Families universally agree that Anorexia Nervosa takes over almost every aspect of their lives, becoming the central organizing principle of the family's life.Over the last years focus for family interventions has been the Multiple Family Day Treatment approach (MFDT), which has a strong focus on helping families to maximize their strengths and resources, in order to help their patient member to recover. An important goal of MFDT is to help break the interconnections that have developed between the symptom and family interactions, and help overcome the sense of being unable to move and communicate freely about the problems. When families come together they witness each other, revealing their narratives about developed rules, roles, rituals and myths. The differences in the way that individual families have coped, allows for the possibility to look for alternative ways of managing the problem within the family.The authors describe their first experience with MFDT, which occurred in a Portuguese hospital with 17 families of anorectic patients.The shared experience of what it is like for families to live with anorexia quickly helps to create group cohesion and a supportive atmosphere in which difficulties can be tackled. Hearing how other families have overcome problems helps families to broaden their own time frame and consider trying new things.The MFDT has attracted considerable interest has an innovative and effective treatment, and feedback received from families has been very positive emphasizing in particular the collaborative nature of the treatment.

scholarly journals Family Interactions Regarding Fathers’ Smoking and Cessation in Shanghai, China

2014 ◽  
Vol 11 (4) ◽  
pp. 199-202 ◽  
Author(s):  
Carla J. Berg ◽  
Pinpin Zheng ◽  
Michelle C. Kegler
Keyword(s):  
Smoking Prevalence ◽  
Family Members ◽  
Spousal Support ◽  
Gender Disparities ◽  
Work Culture ◽  
Family Interactions ◽  
Structured Interviews ◽  
Small Children ◽  
Marital Interactions ◽  
The Family

Introduction: Spousal support predicts smoking cessation. China is the world's largest consumer of tobacco, with drastic differences in smoking prevalence among men and women. Thus, understanding marital interactions around husbands’ smoking has implications for cultures with similarly large gender disparities in smoking.Aims: We examined interactions among family members regarding husbands’ smoking in homes with small children in Shanghai.Methods: In Spring 2013, we conducted in-person semi-structured interviews among 13 male smokers and 17 female nonsmokers recruited from an urban and a suburban community in Shanghai.Results/Findings: To encourage husbands’ cessation or reduction, some women reported intervening either directly or indirectly through their children, emphasizing the health consequences for the smoker and the family. Some women reported not conversing about cessation due to concern about conflict, tolerance, or resignation. Women reported that their husbands’ responses to anti-smoking messages from family members included promises to quit in the future or noting the strength of the nicotine addiction and the disadvantages of quitting. Men reported the importance of smoking in work/culture and argued against the research about the harms of smoking.Conclusions: Interventions targeting motivators for cessation among men and to support women in encouraging their husbands’ cessation should be developed.

An Exploratory Evaluation of the Family Meal Intervention for Adolescent Anorexia Nervosa

2015 ◽  
Vol 56 (2) ◽  
pp. 364-375 ◽  
Author(s):  
Cecile Rausch Herscovici ◽  
Irina Kovalskys ◽  
Liliana Orellana
Keyword(s):  
Anorexia Nervosa ◽  
Family Meal ◽  
The Family ◽  
Adolescent Anorexia Nervosa

Anorexia Nervosa, Parental ‘Expressed Emotion’ and Dropping Out of Treatment

1985 ◽  
Vol 147 (3) ◽  
pp. 265-271 ◽  
Author(s):  
G. I. Szmukler ◽  
I. Eisler ◽  
G. F. M. Russell ◽  
C. Dare
Keyword(s):  
Anorexia Nervosa ◽  
Social Adjustment ◽  
Expressed Emotion ◽  
Strong Relationship ◽  
Term Treatment ◽  
Dropping Out ◽  
Mothers And Fathers ◽  
Long Term Treatment ◽  
The Family

The number of dropouts from a long-term treatment study of patients with anorexia nervosa (AN) and bulimia nervosa (BN) was substantial. A variety of social, clinical, parental, and treatment factors were examined for their association with early termination of treatment by the patient or the family. Parents ‘expressed emotion’ (EE) (particularly critical comments), BN, and the type of therapy offered (family or individual) were found to interact in some manner to result in dropping out. Some other aspects of parents' EE were also examined, including a comparison of scores in parental pairs; EE was found to be influenced by social class, and there were significant associations with the patient's symptomatology and social adjustment. There was a strong relationship between mothers' and fathers' scores in parental pairs.

scholarly journals Associations between maternal depressive symptoms, children’s behavioral problems and perceptions regarding family interactions

2020 ◽  
Vol 37 ◽  
Author(s):  
Claudia Mazzer RODRIGUES-PALUCCI ◽  
Fernanda Aguiar PIZETA ◽  
Sonia Regina LOUREIRO
Keyword(s):  
Depressive Symptoms ◽  
Maternal Depression ◽  
Behavioral Problems ◽  
School Age Children ◽  
Family Interactions ◽  
Maternal Depressive Symptoms ◽  
School Age ◽  
The Family ◽  
Mothers And Children ◽  
Patient Health

Abstract The aim of this study was to verify possible associations between maternal depressive symptoms, children’s behavioral problems and perceptions regarding the family interactions, considering the reports of mothers and children. A total of 60 mothers and their school-age children were divided into two equal groups, according to the presence or absence of maternal depression indicators, and evaluated using the following instruments: Sociodemographic Questionnaire, Patient Health Questionnaire-9, Strengths and Difficulties Questionnaire, and scales of family interaction (Escalas de Qualidade nas Interações Familiares). The results indicate that maternal depressive symptoms were associated with children’s behavioral problems and with family interactions reported by mothers and children. Maternal depression and positive family interactions reported by the mothers predicted behavioral problems in children. Positive family interactions reported by the mothers also mediated the association between maternal depression and children’s behavioral problems, highlighting the relevance of interventions with mothers with depression indicators that have school-age children.

Adolescent Ego Development within the Family: Family Styles and Family Sequences

1991 ◽  
Vol 14 (2) ◽  
pp. 165-193 ◽  
Author(s):  
Stuart T. Hauser ◽  
John Houlihan ◽  
Sally I. Powers ◽  
Alan M. Jacobson ◽  
Gil G. Noam ◽  
...  
Keyword(s):  
Family Member ◽  
Ego Development ◽  
Moral Dilemmas ◽  
Sentence Completion ◽  
Family Interactions ◽  
Coding System ◽  
Patient Status ◽  
The Family ◽  
Family Style ◽  
Completion Test

We describe a series of analyses that were carried out using the Constraining and Enabling Coding System (CECS). This scheme was specially constructed to identify family interactions conceptually relevant to adolescent ego development. We present results based on the application of these scales to observations of 80 families, consisting of two parents and an adolescent drawn from closely matched high school and psychiatric populations. The families are predominantly upper middle and middle class. Each family member completed the Loevinger Sentence Completion Test and then participated in a revealed-differences task, using responses to Kohlberg Moral Dilemmas as discussion stimuli. Transcripts of these audiorecorded discussions form the database for our family analyses. The family analyses were of two general types. First, we examined relations between family style and the ego development of each family member. The style analyses were based on aggregate scores for each of the enabling or constraining behaviours. After controlling for patient status, adolescent age, and family social class, adolescent and parent ego development scores contributed to explained variance in these family style behaviours. Parental style behaviours, especially of mothers, were also significantly associated with parent ego development as well as adolescent ego development. We then examined family sequences in terms of their links with adolescent ego development. Through these process-oriented analyses, we discovered that the intensity of turn taking and reciprocal enabling (mutual enabling) interactions between mothers and adolescents were significantly enhanced by the ego development of the mother. Such associations between reciprocal interactions and parental ego development were not present for mutual enabling pairings between fathers and adolescents. In our discussion we consider the importance of adding these sequence analyses to our studies, as one more way of exploring relations between family factors and adolescent development.

scholarly journals Avoiding deaths in hospital from anorexia nervosa: the MARSIPAN project

2012 ◽  
Vol 36 (3) ◽  
pp. 109-113 ◽  
Author(s):  
Paul Robinson
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Adult Patients ◽  
Refeeding Syndrome ◽  
The Family ◽  
Key Issues ◽  
Medical Teams ◽  
Medical Wards

SummaryThe MARSIPAN (MAnagement of Really SIck Patients with Anorexia Nervosa) project was established in response to reports of patients admitted to medical wards and proving refractory to treatment, sometimes dying on the ward. Psychiatrists, physicians and other clinicians in nutrition and eating disorders were brought together to discuss key issues in the assessment and management of such patients. The resulting guidance report, which applies to adult patients over 18, addresses: assessment of risk, where to treat the patient, specialist support for medical teams, key elements of treatment, namely (a) safe refeeding to avoid refeeding syndrome and underfeeding syndrome, (b) management of problematic behaviours, (c) support for the family, and (d) transfer to a specialist eating disorder unit when appropriate and possible.

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