The Family and Body Dysmorphic Disorder : Impact, Responses, and a Suggested Family-Based Treatment Approach

2017 ◽  
Author(s):  
Barbara van Noppen ◽  
Sean Sassano-Higgins
Keyword(s):  
Expressed Emotion ◽  
Body Dysmorphic Disorder ◽  
Treatment Approach ◽  
Behavioral Therapy ◽  
Family Treatment ◽  
Patient Suicide ◽  
The Family ◽  
Family Based Treatment ◽  
Family Based ◽  
The Impact

This chapter focuses on the impact of body dysmorphic disorder (BDD) on the family; possible responses by the family (Expressed Emotion and Family Accommodation); and family-based treatment that may be helpful for BDD, as well as approaches to challenges that therapists may encounter. Although research on BDD and families has not been done, the disorder often has a devastating impact on families. This impact may include the financial costs of caring for the patient with BDD, paying for cosmetic procedures, and psychological costs in the unfortunate event of patient suicide. Although family treatment of BDD has not yet been developed or tested, the authors of this chapter make recommendations, based on clinical experience, for clinicians who are attempting to implement family-based treatment for BDD. This includes a discussion of behavioral contracting and other cognitive-behavioral therapy techniques. Several cases that illustrate these concepts are presented.

Body Dysmorphic Disorder by Proxy

2017 ◽  
Author(s):  
Jennifer L. Greenberg ◽  
Katherine E. Limoncelli ◽  
Sabine Wilhelm
Keyword(s):  
Psychosocial Intervention ◽  
Body Dysmorphic Disorder ◽  
Clinical Presentation ◽  
Treatment Approach ◽  
Behavioral Therapy ◽  
Significant Other ◽  
Loved One ◽  
Psychosocial Impairment ◽  
Recommended Treatment ◽  
Preliminary Support

This chapter reviews the literature on body dysmorphic disorder (BDD) by proxy, outlines its clinical presentation using a case example, and describes the currently recommended treatment approach. BDD by proxy is a variant of BDD characterized by a preoccupation with perceived defects or flaws in another person’s appearance. Preoccupations commonly involve a loved one, such as a child or significant other, although any person can be the focus of concern. BDD by proxy is associated with high levels of psychosocial impairment, distress, and shame. Research on BDD by proxy and its treatment is extremely limited. Cognitive-behavioral therapy (CBT) is the gold-standard psychosocial intervention for patients with BDD; however, CBT for BDD does not focus on other persons of concern, nor does it address the interpersonal impairment specific to BDD by proxy. There is some preliminary support for the use of a modified CBT for BDD by proxy, which is described in this chapter.

Just One More Bite: A Qualitative Analysis of the Family Meal in Family-based Treatment for Anorexia Nervosa

2014 ◽  
Vol 23 (1) ◽  
pp. 77-85 ◽  
Author(s):  
Kate Godfrey ◽  
Paul Rhodes ◽  
Jane Miskovic-Wheatley ◽  
Andrew Wallis ◽  
Simon Clarke ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Qualitative Analysis ◽  
Family Meal ◽  
The Family ◽  
Family Based Treatment ◽  
Family Based

Treatment of Eating Disorders

2017 ◽  
pp. 315-334
Author(s):  
Evelyn Attia ◽  
Anne E. Becker ◽  
Cynthia M. Bulik ◽  
Alison E. Field ◽  
Neville H. Golden ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Randomized Controlled Trials ◽  
Behavioral Therapy ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Empirically Supported ◽  
Duration Of Illness ◽  
Evidence Based Treatments ◽  
Family Based Treatment ◽  
Family Based

This chapter focuses on treatments for adolescents with eating disorders, using information derived from randomized controlled trials and evidence-based treatments for eating disorders in adults. Available data provide some guidance in selecting treatments, but there are significant limitations in research on psychological and pharmacological interventions. Family-based treatment is effective for adolescents with anorexia nervosa, especially for those with a short duration of illness. For adolescents with bulimia nervosa, both family-based treatment and guided self-help based on cognitive-behavioral therapy are empirically supported interventions. At this time, there are no randomized controlled trials on the treatment of adolescents with binge-eating disorder, and, despite the widespread use of psychotropic medications, there is little empirical information about the utility and safety of such interventions for adolescents. Additional large well-controlled systematic studies with adolescents are needed to inform best care practices.

scholarly journals Parental Expressed Emotion During Two Forms of Family-Based Treatment for Adolescent Anorexia Nervosa

2017 ◽  
Vol 26 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Erica Allan ◽  
Daniel Le Grange ◽  
Susan M. Sawyer ◽  
Louise A. McLean ◽  
Elizabeth K. Hughes
Keyword(s):  
Anorexia Nervosa ◽  
Expressed Emotion ◽  
Adolescent Anorexia Nervosa ◽  
Family Based Treatment ◽  
Family Based

scholarly journals Inside the family meal: a thematic analysis of session two in Maudsley family-based treatment for anorexia nervosa

2014 ◽  
Vol 2 (S1) ◽  
Author(s):  
Kate Godfrey ◽  
Paul Rhodes ◽  
Jane Miskovic-Wheatley ◽  
Andrew Wallis ◽  
Simon Clarke ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Thematic Analysis ◽  
Family Meal ◽  
The Family ◽  
Family Based Treatment ◽  
Family Based ◽  
Maudsley Family Based Treatment

scholarly journals Family members’ reflections upon a family-based inpatient treatment program for adolescent anorexia nervosa: a thematic analysis

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jan-Vegard Nilsen ◽  
Øyvind Rø ◽  
Inger Halvorsen ◽  
Hanne Weie Oddli ◽  
Trine Wiig Hage
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Treatment Program ◽  
Inpatient Treatment ◽  
Treatment Approach ◽  
Family Members ◽  
Adolescent Anorexia Nervosa ◽  
Family Based Treatment ◽  
Family Based ◽  
Treatment Settings

Abstract Background Family-based outpatient treatment is usually recommended as the treatment of choice when a child develops anorexia nervosa. However, some young persons will inevitably require higher levels of care. Qualitative research on family perspectives may help inform strategies to adapt family-based practices into intensified treatment settings. Our overarching aim was to investigate family members’ perspectives following a family-based inpatient treatment program for adolescent anorexia nervosa and to discuss clinical implications for treatment providers. Methods A subsample of eight families taking part in a naturalistic outcome study at a specialized eating disorder unit participated in the study (8 patients, 14 parents, and 10 siblings). The thematic analyses were inductive, predominantly descriptive, and guided by a multi-perspective framework. Results Five main themes were identified: 1: Expectations and evaluation of needs. Entering treatment from different vantage points, 2: Interactions with peers during the admission as highly beneficial or problematic, 3: Perspectives on staff expertise and the eating disorder unit’s structure, 4: Influencing within family relationships in different ways, and 5: Being admitted is at best only half the job: reflections on leaving the eating disorder unit. Conclusions Our study offers insight into how former inpatients and their family members experienced an inpatient treatment program designed to align treatment with the central elements of an outpatient family-based treatment approach for adolescent anorexia nervosa. Overall, the findings support emerging research underlining the necessity of strengthening the family-based treatment approach within intensified treatment settings. Moreover, the results emphasized the need for more knowledge on how to optimize inpatient treatment as well as the importance of providing smooth transitions between care settings.

scholarly journals Environmental Print Model Based on Family Stimulation Solutions Ability Reading Initial Children in the Era of Pandemic Virus Dangerous

2020 ◽  
Vol 8 (1) ◽  
pp. 62-66
Author(s):  
Ismaniar Ismaniar
Keyword(s):  
Simulation Models ◽  
Environmental Print ◽  
The Family ◽  
Child Education ◽  
Family Based ◽  
Fear And Anxiety ◽  
The Impact ◽  
Health Experts ◽  
Stimulation Of

The turbulence of Coronaviruses sometime this past raises fear and anxiety for everyone. Moreover, the spread of this virus has penetrated all over the country so it is expressed as a pandemic condition. One of the solutions highly recommended by the WHO and supported by health experts and government policy is to keep social distance physically. These conditions include the impact on the application of the program at home only. In the educational world, social distancing policies also impact child education, which leads to the role of education in returning to the family. For the stimulation of children's education is not stopped, parents need to use creative models to stimulate children's abilities. One model that can be used in stimulating the ability of children, especially the ability to read early children is to use a family-based environmental Print model. This model is one of the simulation models by engineered the environment around the house by expanding the patch of the writings by observing the children's favorite places and favorites.Keywords: Environmental Print, Family, Solutions, Stimulation, Early Reading, Pandemic Era

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