La Comunitá La Vela': a psychoanalytically oriented approach to eating disorders (original) (raw)
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La Comunità La Vela': un abordaje de los trastornos alimentares orientado por el psicoanálisis
Revista Latinoamericana De Psicopatologia Fundamental, 2012
The authors discuss the experience of treating eating disorders at a psychoanalytically oriented therapeutic community in Italy. Teamwork and group activities are the bases of the treatment, at least to the point that the experience of the collectivity does not hinder the individual subjective expression of each patient. The treatment includes several different steps in the process of the admittance and release of patients and the subjectivation involved in the process is considered very important. A clinical vignette is presented at the end of the article.
La Comunitá La Vela': a sychoanalytically oriented approach to eating disorders
Revista Latinoamericana De Psicopatologia Fundamental, 2012
How to cite Complete issue More information about this article Journal's homepage in redalyc.org Scientific Information System Network of Scientific Journals from Latin America, the Caribbean, Spain and Portugal Non-profit academic project, developed under the open access initiative
Abstract The eating disorders (EDs) are characterized by severe disturbances in eating behavior, substained by distorted perception of own weight and shape or impulsivity and presenting with restrictive and/or binge-eating/purging conducts, represent an important cause of physical and psychosocial morbidity usually affecting adolescent girls and young adult women. According to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-V), “feeding and eating disorders” comprise, beside anorexia (AN) and bulimia nervosa (BN), the binge eating disorder (BED), that represent the most common eating disorder identifing a significant proportion of the conditions previously included in the rest category “eating disorders not otherwise specified” (EDNOS). Italian epidemiological data report prevalences of 0.2-0.8 for AN, 1-5% for BN and 7% for EDNOS, in line with european data. Reports from services in Tuscany, derived from hospital discharge charts and ad-hoc questionnair...
2019
Guidelines for the treatment of eating disorders are not yet available in Italy, however some documents of clinical appropriateness and consensus have recently been published by the Italian Ministry of Health and the National Institute of Health. These documents recommend with strong emphasis a multidisciplinary treatment for eating disorders and discourage a mono-professional treatment. These recommendations, although they are the result of a broad clinical consensus, do not take in consideration that some evidence-based psychological treatment for eating disorders (e.g., enhanced cognitive behavior therapy (CBT-E) and interpersonal psychotherapy (IPT)) are delivered by a single therapist and not by multidisciplinary teams. On the contrary, the recommended multidisciplinary eclectic intervention has no evidence of efficacy, having never been tested in randomized controlled trials. In this position paper, the Associazione Italiana Disturbi dell’Alimentazione e del Peso (AIDAP) recom...
Psychodynamic Group Therapy for Eating Disorders: A Narrative Review
Journal of Contemporary Psychotherapy, 2024
binging and compensatory behaviors. Binge Eating Disorder is characterized by recurrent binge eating without enacting compensatory behaviors. The prevalence for AN is about 1.4% in females and 0.2% in males; for BN about 1.9% in females and 0.6% in males; and for BED about 2.8% in females and 1.0% in males (Galmiche et al., 2019). Psychodynamic Perspectives on Eating Disorders As proposed by Bruch (1982) in her seminal work, Anorexia Nervosa is a disturbance of the self and body image, with difficulties in recognizing internal states (later identified as alexithymia) and a pervasive sense of ineffectiveness. Current psychodynamic perspectives come to similar conclusions, extending them to the broad spectrum of eating disorders. As suggested, people with eating disorders report a fragility of the Self (Amianto et al., 2016) associated with insecure attachment styles (Tasca, 2019) and impairments in reflective functioning (Robinson et al., 2019). In addition, following the PDM-2 (Psychodynamic Diagnostic Manual, Lingiardi & McWilliams, 2017) multidimensional model, eating disorders are placed within a continuum of severity,
Eating disorders in Italy: a historical review
European Eating Disorders Review, 2001
This paper reviews the history of medical knowledge of eating disorders in Italy. It starts with the ®rst examples of the medical interpretation of starvation during the Middle and Renaissance Ages, continues with the seminal ®gure of Brugnoli in the late XIX century, describes the neurological interpretations of the 1930s, the return to psychiatry in the 1940s and 1950s, the rise to international prominence of Mara Selvini Palazzoli in the 1960s and 1970s and ends with a description of the present state of the art.
From the patients’ perspective: what it is like to suffer from eating disorders
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2020
The available treatments of Eating Disorders (EDs) mirror an excessive focus on symptoms to be eliminated rather than on the acknowledgment of what is relevant from the patient's perspective. This Editorial offers a critical review of the limitations of the DSM-5-oriented approaches, as well as of their extreme consequences, namely ocularcentrism, nosographism, and paternalistic moralism. To overcome these limitations, it is suggested to get back to Psychopathology as the basic science of psychiatric practice whose aim is to grasp the distinctly personal dimension of the patient's experience and to connect understanding with care. With the help of Psychopathology, clinicians engaged in the treatment of ED patients will better make sense of what it is like to suffer from these disorders and be encouraged to suspend their judgment and take patient's perspective in the light of their troubled existence which is rich in meanings and not merely in abnormal beliefs and trivial anomalous behavior. According to these principles, treatment is a journey shared with the patient, which allows her/him to feel recognized and accepted in terms of her/his individuality.