Restoring connection in the face of disconnection: an integrative approach to understanding and treating anorexia nervosa

2013 ◽  
Vol 1 (1) ◽  
pp. 21-38 ◽  
Author(s):  
Mary Tantillo ◽  
Jennifer Sanftner ◽  
Emily Hauenstein
Keyword(s):  
Anorexia Nervosa ◽  
Integrative Approach ◽  
The Face

scholarly journals “Finding my own identity”: a qualitative metasynthesis of adult anorexia nervosa treatment experiences

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Janet E. Conti ◽  
Caroline Joyce ◽  
Phillipa Hay ◽  
Tanya Meade
Keyword(s):  
Anorexia Nervosa ◽  
Therapeutic Relationship ◽  
Treatment Engagement ◽  
Personal Agency ◽  
Thematic Synthesis ◽  
Tailored Interventions ◽  
The Face ◽  
Facilitators And Barriers ◽  
Sense Of Identity

Abstract Background The aim of this metasynthesis was to explore adult anorexia nervosa (AN) treatment experiences, including facilitators and barriers to treatment engagement and ways that questions of identity and personal agency were negotiated in treatment contexts. Methods From 14 qualitative studies that met the search criteria, this thematic synthesis analyzed the sensitized concept of identity in the participants’ experiences of AN treatments, including their sense of personal agency, and implications for their recovery. The study was registered with Prospero (ID: CRD42018089259) and is reported according to PRISMA guidelines. Results Three meta-themes were generated with the following key findings: grappling with identity, where collaborative and tailored interventions were positively experienced; the quality of the therapeutic relationship, which existed in a recursive relationship; and, rebuilding identity that included therapists standing with the person in recovering a sense of identity outside the anorexic identity. Importantly, interventions that failed to be negotiated with the person were experienced as disempowering however, where a two-way trust existed in the therapeutic relationship, it critically empowered and shaped participants’ sense of identity, and broadened the perception that they were valuable as a person. Conclusions There was consensus across the range of treatment contexts that individuals with a lived AN experience preferred treatments where they experienced (1) a sense of personal agency through tailored interventions; and (2) therapists who treated them as a person who, in the face of their struggles, had skills and capacities in the processes of recovering and rebuilding sustainable and preferred identities outside the AN identity.

scholarly journals The management of anorexia nervosa

1996 ◽  
Vol 2 (2) ◽  
pp. 61-68 ◽  
Author(s):  
R. L. Palmer
Keyword(s):  
Anorexia Nervosa ◽  
Late Adolescence ◽  
Systematic Research ◽  
Treatment Intervention ◽  
Treatment Trials ◽  
The Face ◽  
Life Threatening ◽  
The Right ◽  
The Way

The severity of anorexia nervosa can vary from mild to life threatening. It is sometimes transient but often chronic. Such variety of disorder requires variety of response. The clinician must choose the right treatment to offer at the right time. The literature contains plenty of advice but most of this is based upon experience and opinion rather than on systematic research and treatment trials. For the most part, this paper will be no exception. Anorexia nervosa is a disorder which is distinct from other psychiatric syndromes but is of uncertain cause. In the face of this uncertainty, treatment tends to be informed by the favoured formulation of the clinician, usually some sort of ‘multifactorial theory’. Again this paper is no exception. It will concentrate upon the management of anorexia nervosa in late adolescence and adulthood. The treatment of children requires a different approach (Lask & Bryant-Waugh, 1993). The emphasis of the paper will be upon what can go wrong as well as what may be the best interventions to offer. Often the things that go wrong have more to do with the context of treatment and the way in which it is offered rather than with the treatment intervention itself.

scholarly journals Goddess Worship and New Spirituality in the Postmodern World: a Brief Overview

2021 ◽  
pp. 32-40
Author(s):  
T. V Danylova
Keyword(s):  
Integrative Approach ◽  
Self Awareness ◽  
Practical Application ◽  
Binary Opposition ◽  
True Self ◽  
Historical Method ◽  
Contemporary World ◽  
Women's Lives ◽  
The Face ◽  
Spiritual Reality

Purpose. The paper aims at examining the phenomenon of the rebirth of the Goddess in the contemporary world. The author has used the hermeneutic approach and cultural-historical method, as well as the anthropological integrative approach. Theoretical basis. The study is based on the ideas of Carol Christ, Margot Adler, Miriam Simos, and Jean Shinoda Bolen. Originality. The rebirth of the Goddess is not a deconstruction of the God. The face of the Goddess is one side of the binary opposition "Goddess – God". Life on the earthly plane presupposes masculine and feminine dualism. However, these polarities are not mutually exclusive and mutually suppressive, but complementary to each other. The return of the Goddess to the throne and a profound appreciation of Femininity is a necessary step forward in establishing true equality and restoring lost harmony. As humanity returns to the Absolute that transcends duality, as divinity is revealed in feminine and masculine forms, and, finally, as humans get in touch with their true self, the two faces, feminine and masculine, will inevitably merge. Conclusions. Identifying herself with the images of the Goddesses, a woman develops self-awareness and self-acceptance that contribute greatly to her reintegration with a wider spiritual reality. The cult of the Goddess finds practical application in women’s lives. These are magical rituals, work with the archetypes, life-changing tours. Recognizing her right to the fullness of being, a woman overcomes rigid gender roles and stereotypes, ceases to be an object of manipulation and becomes the supreme arbiter of her own life.

Conceptual Models and Integrative Therapy: Anorexia Nervosa as a Prototype

1995 ◽  
Vol 40 (10) ◽  
pp. 584-592 ◽  
Author(s):  
Daniel H Greben ◽  
Allan S Kaplan
Keyword(s):  
Anorexia Nervosa ◽  
Information Processing ◽  
Conceptual Models ◽  
Psychiatric Treatment ◽  
Clinical Information ◽  
Treatment Modalities ◽  
Patient Treatment ◽  
Integrative Approach ◽  
Treatment Matching ◽  
The Impact

Objective To demonstrate how an integrative approach to psychiatric treatment can confer specific advantages. Method The impact of conceptual models on clinical information processing and therapeutic intervention, and the potential benefits resulting from the incorporation of multiple treatment modalities are outlined. These principles are applied using anorexia nervosa (AN) as a prototypical disorder. Results A brief structured review of the broad range of models which have been applied to AN illustrates the impact of conceptualization on outcome. The opportunity for positive integrative effects in the treatment of AN are demonstrated. They are seen to be related to 6 factors: flexibility, patient-treatment matching, stage-treatment matching, facilitation, complementarity, and synergism. Conclusion Integrative methods can address some limitations in clinical information processing associated with the exclusive application of a single conceptual model. Positive integrative effects are demonstrated in the context of AN; however, the approach is recommended for more general application.

scholarly journals Defining Dry Rivers as the Most Extreme Type of Non-Perennial Fluvial Ecosystems

2020 ◽  
Vol 12 (17) ◽  
pp. 7202 ◽  
Author(s):  
María Vidal-Abarca ◽  
Rosa Gómez ◽  
María Sánchez-Montoya ◽  
María Arce ◽  
Néstor Nicolás ◽  
...  
Keyword(s):  
Integrative Approach ◽  
Ecological Identity ◽  
Aquatic Life ◽  
Flow Interruption ◽  
The Face ◽  
Dry Conditions ◽  
Ephemeral Rivers ◽  
Anthropogenic Threats ◽  
Landscape Biodiversity ◽  
Fluvial Ecosystems

We define Dry Rivers as those whose usual habitat in space and time are dry channels where surface water may interrupt dry conditions for hours or a few days, primarily after heavy rainfall events that are variable in time and that usually lead to flash floods, disconnected from groundwater and thereby unable to harbor aquatic life. Conceptually, Dry Rivers would represent the extreme of the hydrological continuum of increased flow interruption that typically characterizes the non-perennial rivers, thus being preceded by intermittent and ephemeral rivers that usually support longer wet phases, respectively. This paper aims to show that Dry Rivers are ecosystems in their own right given their distinct structural and functional characteristics compared to other non-perennial rivers due to prevalence of terrestrial conditions. We firstly reviewed the variety of definitions used to refer to these non-perennial rivers featured by a predominant dry phase with the aim of contextualizing Dry Rivers. Secondly, we analyzed existing knowledge on distribution, geophysical and hydrological features, biota and biogeochemical attributes that characterize Dry Rivers. We explored the capacity of Dry Rivers to provide ecosystem services and described main aspects of anthropogenic threats, management challenges and the conservation of these ecosystems. We applied an integrative approach that incorporates to the limnological perspective the terrestrial view, useful to gain a better understanding of Dry Rivers. Finally, we drew main conclusions where major knowledge gaps and research needs are also outlined. With this paper, we ultimately expect to put value in Dry Rivers as non-perennial rivers with their own ecological identity with significant roles in the landscape, biodiversity and nutrient cycles, and society; thus worthy to be considered, especially in the face of exacerbated hydrological drying in many rivers across the world.

Integrative approach to pain and other symptoms

2021 ◽  
pp. 202-213
Author(s):  
David M. Steinhorn
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Integrative Medicine ◽  
Personal Growth ◽  
Developed Countries ◽  
Available P ◽  
Integrative Approach ◽  
Paediatric Palliative Care ◽  
The World ◽  
The Face

Palliative care and integrative medicine (IM) share many of the same goals of alleviating suffering, restoring wholeness, enhancing resiliency in the face of health challenges, and optimizing opportunities for personal growth and healing. Integrative approaches often contribute a sense of peace and wholeness that cannot be achieved with pharmacologic means alone. A range of integrative modalities is discussed in this chapter, which fit well with paediatric palliative care medicine in developed countries, as a complement to conventional medical efforts to cure disease or thwart its progression and reduce suffering. They also play an important role in many of the countries in the world, where less access to conventional Western medical care is available.

A Psycho-Behavioral Perspective on Modelling Obsessive-Compulsive Disorder (OCD) in Animals: The Role of Context

2019 ◽  
Vol 25 (41) ◽  
pp. 5662-5689 ◽  
Author(s):  
De Wet Wolmarans ◽  
Dan J. Stein ◽  
Brian H. Harvey
Keyword(s):  
Animal Models ◽  
Construct Validity ◽  
Obsessive Compulsive Disorder ◽  
Rational Design ◽  
Treatment Resistance ◽  
Integrative Approach ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Design And Synthesis ◽  
The Face

Obsessive-compulsive disorder is a heterogeneous and debilitating condition, characterized by intrusive thoughts and compulsive repetition. Animal models of OCD are important tools that have the potential to contribute significantly to our understanding of the condition. Although there is consensus that pre-clinical models are valuable in elucidating the underlying neurobiology in psychiatric disorders, the current paper attempts to prompt ideas on how interpretation of animal behavior can be expanded upon to more effectively converge with the human disorder. Successful outcomes in psychopharmacology involve rational design and synthesis of novel compounds and their testing in well-designed animal models. As part of a special journal issue on OCD, this paper will 1) review the psychobehavioral aspects of OCD that are of importance on how the above ideas can be articulated, 2) briefly elaborate on general issues that are important for the development of animal models of OCD, with a particular focus on the role and importance of context, 3) propose why translational progress may often be less than ideal, 4) highlight some of the significant contributions afforded by animal models to advance understanding, and 5) conclude by identifying novel behavioral constructs for future investigations that may contribute to the face, predictive and construct validity of OCD animal models. We base these targets on an integrative approach to face and construct validity, and note that the issue of treatment-resistance in the clinical context should receive attention in current animal models of OCD.

Why do people believe in a zero-sum economy?

2018 ◽  
Vol 41 ◽  
Author(s):  
Samuel G. B. Johnson
Keyword(s):  
Perspective Taking ◽  
Evolutionary Model ◽  
Everyday Experience ◽  
Coalitional Psychology ◽  
The Face ◽  
Zero Sum

AbstractZero-sum thinking and aversion to trade pervade our society, yet fly in the face of everyday experience and the consensus of economists. Boyer & Petersen's (B&P's) evolutionary model invokes coalitional psychology to explain these puzzling intuitions. I raise several empirical challenges to this explanation, proposing two alternative mechanisms – intuitive mercantilism (assigning value to money rather than goods) and errors in perspective-taking.

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