Book ReviewThe Eating Disorders: Medical and psychological bases of diagnosis and treatment The Family Approach to Eating Disorders: Assessment and treatment of anorexia nervosa and bulimia

1990 ◽  
Vol 322 (11) ◽  
pp. 784-784
Author(s):  
Christopher V. Rowland
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Diagnosis And Treatment ◽  
Family Approach ◽  
The Family ◽  
Assessment And Treatment

The family approach to eating disorders

1990 ◽  
Vol 10 (6) ◽  
pp. 760-761
Author(s):  
Susan B. Hhead ◽  
Donald A. Willamson
Keyword(s):  
Eating Disorders ◽  
Family Approach ◽  
The Family

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.

Psychotherapy in Eating Disorders

1977 ◽  
Vol 22 (3) ◽  
pp. 102-108 ◽  
Author(s):  
H. Bruch
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Severe Malnutrition ◽  
Developmental Factors ◽  
Early Experiences ◽  
Number Of Patients ◽  
The Family ◽  
Similarities And Differences ◽  
Early Developmental

This paper emphasizes that neither obesity nor severe malnutrition represents a uniform clinical psychiatric picture. The therapist must always pay attention to and integrate the various factors involved in eating disorders such as the underlying personality problems, resolution of the interactional conflicts within the family and correction of the abnormal nutritional states. The similarities and differences of both obesity and anorexic states are described. Primary or typical anorexia nervosa is differentiated from the atypical kinds. The importance of early developmental factors of how the child differentiates inner and outer stimuli, the appropriate or inappropriate responses to these and the manner in which these early experiences later affect somatic, social and psychological self concepts are discussed. Various parameters and modalities of treatment are described based on the author's long-term experiences with a large number of patients.

scholarly journals The Role of Food in the Family Relationships of Adolescents With Anorexia Nervosa and Bulimia in Northeastern Brazil: A Qualitative Study Using Photo Elicitation

2021 ◽  
Vol 12 ◽  
Author(s):  
Juniana de Almeida Mota Ramalho ◽  
Mayssa' El Husseini ◽  
Lucas Bloc ◽  
Julia Sursis Nobre Ferro Bucher-Maluschke ◽  
Marie Rose Moro ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Family Relationships ◽  
Emotional Reactivity ◽  
Nuclear Family ◽  
Northeastern Brazil ◽  
Photo Elicitation ◽  
Psychological Violence ◽  
The Family

Family components can play roles both as protective factors and maintenance mechanisms of eating disorders. We aimed to investigate the role of food in the family relationships of adolescents with anorexia nervosa and bulimia in northeastern Brazil. Using photo elicitation, a visual narrative method that gives insight into the participants' perspective through photograph, we conducted semi-structured interviews with 26 people: four teenage girls with anorexia, four with bulimia, eight mothers, four fathers, five grandmothers, and one sister. Data were analyzed using the principles of Interpretative Phenomenological Analysis, which highlighted the following themes: control of the parent-adolescent relationship through food; food as a mean of experiencing parental presence-absence; food as the focus of conflict in the nuclear family, and food as a source of three-generational conflict. Food seemed to be a means for teens and parents to express physical suffering and psychological violence. Moreover, mourning appeared to influence the girls' relationships with food. Conflict in these families is not focused solely on food, but extends to other subjects, and teenagers' emotional reactivity concerning their relationship with their parents and food during family mealtimes varied. These features reinforced the cultural aspect and influences of eating experiences among adolescent girls with eating disorders. Remarkable disparities exist in the generations' views on what rules and rituals these adolescents must follow at meals. These disparities can obfuscate generational boundaries in these families. Our data reinforce the need to focus on the adolescent's autonomy in the family setting and on family identity as related to food among three generations. These findings necessitate a reorganization of boundaries between these generations.

scholarly journals Anorexia nervosa and purgative-type bulimia nervosa: a fundamental role of the dental surgeon in diagnosis and treatment

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Ana Maria Martins ◽  
Isabella Oliveira Rodrigues ◽  
Patrícia Garani Fernandes
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Literature Review ◽  
Bulimia Nervosa ◽  
Clinical Manifestations ◽  
Erosive Wear ◽  
Diagnosis And Treatment ◽  
Rehabilitative Treatment ◽  
To Come ◽  
Salivary Substitutes

Introduction: In a world where appearance is considered above all by most people. It is in this unbridled search that some people end up acquiring eating disorders. Anorexia nervosa and purgative-type bulimia nervosa are diseases that are rarely taken into account in the first clinical assessment of the patient. Bulimia nervosa and Anorexia nervosa are eating disorder that causes serious physiological problems in the oral cavity, due to saliva calcification caused by frequent vomiting. Objective: it was to bring into discussion, through a literature review, the meticulous look that the dental surgeon must-have when performing the clinical examination and that he can be the first source in detecting signs of eating disorders and their clinical manifestations in the patient and so can forwards it to a multidisciplinary team for better diagnosis and treatment. Methods: This study followed an integrated literature review model and articles dating from 2001 to 2021 in English and Portuguese were selected. In virtual databases such as Scielo and PubMed. Results and Conclusion: The dental surgeon plays an important role in the team, controlling the development and progression of oral manifestations. Pass the oral hygiene guidelines, apply substances that can control the acids that are present in oral fluids; use salivary substitutes that can help reduce erosive wear. And always encourage this patient to come back for treatment. In extreme cases of damage to the dental structure, functional and anatomical, restorative or rehabilitative treatment is chosen. Recover form, function, esthetics and eliminate hypersensitivity and facilitate cleaning. The dental surgeon must be able to assess and diagnose the manifestations arising from eating disorders. Because it is the first professional to be able to detect and thus refer to a team of multi-professionals such as a psychologist, nutritionist, doctor and manage to perform the best possible treatment simultaneously and, through preventive and rehabilitative procedures, be able to return a better quality of life to the patient.

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