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Relationship-Focused Psychotherapies for Eating Disorders Come of Age

机译：以饮食为中心的以人际关系为重点的心理治疗逐渐成熟

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This is a commentary on 3 case studies of relationship-focused therapies for eating disorders. The 3 approaches vary along a number of dimensions, but nevertheless share important similarities especially related to the role played by variables such as interpersonal problems and affect dysregulation. I briefly review research on interpersonal-and attachment-based models of eating disorders that provide the evidence-base for theories of therapy that are relationship-focused. The Interpersonal Psychotherapy case presented by Tanofsky-Kraff, Shomaker, Young, and Wilfley (2016) illustrates how a group context can facilitate change in key role disputes and role transitions in an adolescent at risk of developing an eating disorder later in her life. The Integrative-Dynamic Therapy case presented by Richards, Shingleton, Goldman, Siegel, and Thompson-Brenner (2016) is a novel sequential combination of cognitive-behavioral therapy followed by dynamic psychotherapy for a young adult with bulimia nervosa that likely reflects what most clinicians do in everyday practice. The Psychoanalytic Psychotherapy case presented by Lunn, Poulsen, and Daniel (2016) of a patient with severe personality pathology demonstrates how treatments for eating disorders sometimes must address complex attachment dysfunction, self-organization, and therapist countertransference in order to provide a useful therapeutic experience. Relationship-focused theories and therapies for eating disorders have come a long way over the past decades, thus providing therapists with a wider range of approaches that can be truly personalized to their clients.
机译：这是关于饮食失调的以关系为中心的疗法的3个案例研究的评论。这三种方法在多个维度上都有所不同，但是仍然具有重要的相似性，特别是与诸如人际问题和影响失调等变量所扮演的角色有关。我简要回顾了基于人际关系和依恋的饮食失调模型的研究，这些模型为关注关系的治疗理论提供了证据。 Tanofsky-Kraff，Shomaker，Young和Wilfley（2016）提出的人际关系心理治疗案例说明了群体情境如何可以帮助关键角色争端的改变和角色转变的青少年处于生命后期发展成饮食失调的风险中。 Richards，Shingleton，Goldman，Siegel和Thompson-Brenner（2016）提出的“综合动力疗法”案例是认知行为疗法与动态心理疗法的序贯结合，适用于年轻的神经性贪食症成年人，这可能反映了大多数临床医生的情况。在日常练习中做。 Lunn，Poulsen和Daniel（2016年）针对患有严重人格病理的患者提出的Psychoanalytic Psychotherapy案例表明，进食障碍的治疗有时必须解决复杂的依恋障碍，自我组织和治疗师逆向转运，以提供有用的治疗经验。在过去的几十年中，以人际关系为重点的理论和饮食失调疗法已经走了很长一段路，因此为治疗师提供了可以针对其客户进行真正个性化的更多方法。

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