By Carole Kayrooz
This article provides an method of operating with ladies who've bulimia nervosa that's according to study displaying that bulimia nervosa consists of interpersonal, social and societal elements in addition to the cognitive, developmental and behavioural elements which were the point of interest of a lot specialist intervention up to now. the writer indicates how humans trying to comprehend and emotionally aid ladies with this complicated challenge have to be capable of paintings with these kind of dimensions. the sensible program of this multi-dimensional, systems-based figuring out to therapy perform is validated via 3 in-depth case reports.
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Additional resources for A Systemic Treatment of Bulimia Nervosa: Women in Transition
She often feels as although an external event or person is restraining her actions. Like a connecting band, this central issue of control runs through all these themes, presenting dilemmas for both client and therapist. The client wants to remain in the security of a delusional form of control over her life and yet she wants to regain authentic control. The therapist needs to be an active agent in reducing the negative effects of the disorder and yet he or she must not directly control the client for fear of losing her.
1989), New Zealand (Hall and Hay 1991) and Australia (Kenny and Adams 1994) have all obtained similar prevalence rates for both bulimia nervosa and anorexia. 3 per cent (Keel and Mitchell 1997, 1999). 38 A SYSTEMIC TREATMENT OF BULIMIA NERVOSA While there has been some contention in the literature as to whether the problem is increasing (see Heatherton et al. 1995; Kendler et al. 1991), there are other studies to suggest that this is the case (Furnham and Patel 1994). A 20-year Swiss study showed the incidence of anorexia nervosa for females between 12 and 25 years had increased four-fold for that age range (Touyz and Beumont 1985).
Denial of the problem to the self Denial of the behaviour to oneself is possibly more pernicious than hiding the behaviour from others. As noted in the model of the devel opment of bulimia nervosa presented in Chapter One, bingeing and purging episodes are linked with dysphoria or dissociated states of consciousness. The client becomes very disoriented during a binge, the altered state often involving a loss of awareness of self and sur roundings. Typically, clients experience a lack of awareness of the passage of time, the content and quantity of a binge, and the precise sequence of events leading up to the binge and occurring after it.