A Systemic Treatment of Bulimia Nervosa: Women in Transition by Carole Kayrooz

By Carole Kayrooz

This article offers an method of operating with ladies who've bulimia nervosa that's in line with examine displaying that bulimia nervosa consists of interpersonal, social and societal elements in addition to the cognitive, developmental and behavioural facets which have been the point of interest of a lot expert intervention thus far. the writer exhibits how humans trying to comprehend and emotionally aid girls with this advanced challenge have to be capable of paintings with these types of dimensions. the sensible software of this multi-dimensional, systems-based knowing to therapy perform is tested via 3 in-depth case stories.

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Extra info for A Systemic Treatment of Bulimia Nervosa: Women in Transition

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As a SCOPE AND SIGNIFICANCE OF BULIMIA NERVOSA 45 result, bulimic women often have difficulties with interpersonal rela­ tionships. In conflict, they tend to use avoidance or attack strategies rather than assertively addressing problems. Depression is also commonly linked with bulimia nervosa (Lenoux, Steiger and Jabalpurlawa 2000) although it is not known whether bulimia nervosa leads to endogenous depression (that is, depression caused by internal factors) or whether they have a common cause.

Chapter Three describes the overall stages of treatment for bulimia nervosa using systemic therapy. The therapeutic themes are sequenced to structure the flow of sessions across the course of therapy. In Chapter Four, specific tasks and interventions are given that are used to address the themes. Care has been taken to balance the type of tasks and interventions with the four main thematic aspects of the problem – behavioural, interpersonal, developmental and sociocultural. In Chapter Five, general procedures provide a guide for the therapist within each session.

Thus it may not be a sexual gazing that contributes to the development of bulimia nervosa but rather the impact of a misogynistic fashion world. Personality factors Women tend to develop extrinsic personality characteristics as a direct result of their desire to conform to the ‘thin ideal’. Because the ‘thin ideal’ is an impossible goal for many women, those who ascribe to it tend to have low self-esteem, depression and anxiety and a high need for approval (McCarthy 1990). They also tend to feel socially undesirable.

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