Body-States:Interpersonal and Relational Perspectives on the Treatment of Eating Disorders


Book Description

In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient’s life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an ‘other’ to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.




Body-States:Interpersonal and Relational Perspectives on the Treatment of Eating Disorders


Book Description

In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient’s life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an ‘other’ to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.




Psychoanalytic Treatment of Eating Disorders


Book Description

Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak offers a compilation of some of the most innovative thinking on psychoanalytic approaches to the treatment of eating disorders available today. In its recognition of the multiple meanings of food, weight, and body shape, psychoanalytic thinking is uniquely positioned to illuminate the complexities of these often life-threatening conditions. And while clinicians regularly draw on psychoanalytic ideas in the treatment of eating disorders, many of the unique insights psychoanalysis provides have been neglected in the contemporary literature. This volume brings together some of the most respected clinicians in the field and speaks to the psychoanalytic conceptualization and treatment of eating disorders as well as contemporary issues, including social media, pro-anorexia forums, and larger cultural issues such as advertising, fashion, and even agribusiness. Drawing on new theoretical developments, several chapters propose novel models of treatment, whereas others delve into the complex convergence of culture and psychology in this patient population. Psychoanalytic Treatment of Eating Disorders will be of interest to allpsychoanalysts and psychotherapists working with this complex and multi-faceted phenomenon.




Hungers and Compulsions


Book Description

This book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders as well as other compulsions and addictions, such as alcoholism and erotic attachments. The chapters help therapists think creatively about these types of patients, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues.




Body Image, Eating, and Weight


Book Description

This book equips readers with the knowledge required to improve diagnosis and treatment and to implement integrated prevention programs in patients with eating and weight disorders. It does so by providing a comprehensive, up-to-date review of research findings and theoretical assumptions concerning the interface and interactions between body image and such disorders as anorexia nervosa, bulimia nervosa, binge eating disorder, other specified feeding and eating disorders, orthorexia nervosa, overweight, and obesity. After consideration of issues of definition and classification, the opening part of the book examines the concept of body image from a variety of viewpoints. A series of chapters are then devoted to the assessment of the multidimensional construct “body image”, to dysmorphophobia/body dysmorphic disorder, and to muscle dysmorphia. The third part discusses body image in people suffering from different eating disorders and/or overweight or obesity, and two final chapters focus on body image in the integrated prevention of eating disorders and obesity, and cultural differences regarding body image. The book will be of interest to all health professionals who work in the fields of psychiatry, clinical psychology, eating disorders, obesity, body image, adolescence, public health, and prevention.




Knowing, Not-Knowing and Sort-of-Knowing


Book Description

A contemporary, wide-ranging exploration of one of the most provocative topics currently under psychoanalytic investigation: the relationship of dissociation to varieties of knowing and unknowing. The twenty-eight essays collected here invite readers to reflect upon the ways the mind is structured around and through knowing, not-knowing, and sort-of-knowing or uncertainty. The authors explore the ramifications of being up against the limits of what they can know as through their clinical practice, and theoretical considerations, they simultaneously attempt to open up psychic and physical experience. How, they ask, do we tolerate ambiguity and blind spots as we try to know? And how do we make all of this useful to our patients and ourselves? The authors approach these and similar epistemological questions through an impressively wide variety of clinical dilemmas (e.g., the impact of new technologies upon the analytic dyad) and theoretical specialties (e.g., neurobiology).




Relational Psychoanalysis and Psychotherapy Integration


Book Description

Relational Psychoanalysis and Psychotherapy Integration traces the history of efforts to integrate psychoanalysis with other psychotherapeutic modalities, beginning with the early analysts, including Ferenczi and Rank, and continuing on to the present day. It explores the potential for integration made possible by contemporary developments in theory and technique that are fundamental to a relational psychoanalytic approach. Editors Jill Bresler and Karen Starr bring together an array of valuable theoretical and clinical contributions by relationally oriented psychoanalysts who identify their work as integrative. The book is organized in four segments: theoretical frameworks of psychotherapy integration; integrating multiple models of psychotherapy into a psychoanalytically informed treatment; working with specific populations; the future of integration, exploring the issues involved in educating clinicians in integrative practice. The contributions in this volume demonstrate that integrating techniques from a variety of psychotherapies outside of psychoanalysis can enrich and enhance psychoanalytic practice. It will be an invaluable resource for all practicing psychoanalysts, psychotherapists, and psychoanalysts and psychotherapists in training, particularly those with an interest in relational psychoanalysis and psychotherapy integration.




Hunger for Connection


Book Description

Who develops which eating disorder and why? When do eating disorders begin and what fuels them? In Hunger for Connection, psychoanalyst and eating-disorder specialist Alitta Kullman expands on the "body/mind" personality organization she calls the "perseverant personality," illustrating how food and thought are linked from infancy, and for some, can become the primary source of nurturance and thought-processing for a lifetime—leading to what we call an eating disorder. Writing in a highly accessible style, Kullman brings humor and gentleness to her interactions with patients, offering health professionals and mainstream readers alike an essential guide to understanding and/or working with cyclical eating disorders of all types. From psychoanalysts, psychotherapists, and counsellors, to eating disorder specialists, researchers, and students, Hunger for Connection not only provides guidelines for therapists of varying theoretical orientations and levels of expertise, but help and hope to people suffering with eating disorders and those who care for and about them.




Psychoanalytic Perspectives on Knowing and Being Known


Book Description

The importance of knowing and being known is at the heart of the human experience and has always been the core of the psychoanalytic enterprise. Freud named his central Oedipal construct after Sophocles’ great play that dramatically encapsulated the desire, difficulty, and dangers involved in knowing and being known. Psychoanalysis’ founder developed a methodology to facilitate unconscious material becoming conscious, that is, making the unknown known to help us better understand ourselves and our relational lives, including psychic trauma, and multigenerational histories. This book will stimulate readers to contemplate knowing and being known from multiple perspectives. It bursts with thought-provoking ideas and intriguing cases illuminated by penetrating reflections from diverse theoretical perspectives. It will sensitize readers to this theme’s omnipresent, varied importance in the clinical setting and throughout life. Accomplished contributors discuss a wide variety of fascinating topics, illustrated by rich clinical material. Their contributions are grouped under these headings: Knowing through dreams; Knowing through appearances; Dreading and longing to be known; The analyst’s ways of knowing and communicating; Knowing in the contemporary sociocultural context; The known analyst; and No longer known. Readers will find each section deeply informative, stimulating thought, insights, and ideas for clinical practice. Psychoanalytic Explorations in Knowing and Being Known will appeal to psychoanalysts, psychotherapists, psychologists, psychiatrists, clinical social workers, counselors, students in these disciplines, and members of related scholarly communities.




Trauma-Informed Approaches to Eating Disorders


Book Description

Delivers a proven treatment model for clinicians in all orientations This unique, hands-on clinical guide examines the significant relationship between trauma, dissociation, and eating disorders and delivers a trauma-informed phase model that facilitates effective treatment of individuals with all forms of eating disorders. It describes, step-by-step, a four-phase treatment model encompassing team coordination, case formulation, and a trauma-informed, dissociation- and attachment-sensitive approach to treating eating disorders. Edited by noted specialists in eating and other behavioral health disorders, Trauma-Informed Approaches to Eating Disorders examines eating disorders from neurological, medical, nutritional, and psychological perspectives. Dedicated chapters address each treatment phase from a variety of orientations, ranging from EMDR and CBT to body-centered and creative therapies. The book also reveals the effectiveness of a multifaceted, phase model approach. Recognizing the potential pitfalls and traps of treatment and recovery, it also includes abundant psychoeducational tools for the client. KEY FEATURES: Examines eating disorders from neurological, medical, nutritional, and psychological perspectives Highlights the relationship between trauma, dissociation, and eating disorders Maps out a proven, trauma-informed, four-phase model for approaching trauma treatment in general and eating disorders specifically Elucidates the approach from the perspectives of EMDR therapy, ego state therapy, somatosensory therapy, trauma-focused CBT, and many others Provides abundant psychoeducational tools for the client to deal with triggers and setbacks Offers the knowledge and expertise of over 20 international researchers, medical professionals, and clinicians