Can attachment theory help explain the relationship some people have with their “anorexia voice”?

By Alex Fradera A new paper in Psychology and Psychotherapy: Theory, Research and Practice argues that the relationship a person has with their eating disorder is shaped by that person’s understanding of what meaningful relationships should look like – and, in turn, this can have important consequences for the severity of their disorder. In particular, Emma Forsén Mantilla and her team from the Karolinska Institute in Sweden wanted to better understand eating disorders through “attachment theory”. This is the idea that relationships with primary caregivers become scripts that we lean on to tell us how relationships “work”.  A parent perceived as being protecting will lead a child to feel trust, according to this theory, and to expect a protection-trust dynamic in future relationships. A more troubled caregiver-child relationship, in contrast, leads to a different form of attachment, and downstream consequences – including believing that it’s normal that people who care about you attack you. In addition, attachment tells us how it’s appropriate to treat ourselves – such as by attacking or judging ourselves. Once these dynamics have formed, we gravitate towards them especially when we’re distressed (and being prevented from following these learned dynamics can trigger yet more upset). Eating disorders are more common in people with less secure attachment styles, and on the surface there are...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Eating Mental health Source Type: blogs

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Psychother Psychosom
Source: Psychotherapy and Psychosomatics - Category: Psychiatry & Psychology Source Type: research
Patients with anorexia nervosa (AN) experience difficulties in neurocognitive functioning in the acute phase of illness which might be related to clinical presentation, but also in the apparently remitted stat...
Source: BMC Psychiatry - Category: Psychiatry Authors: Tags: Research article Source Type: research
When I was 16 years old, I had a metabolism that was to die for. I could eat anything I wanted, whenever I wanted to, and was always hungry, which led to developing an undesirable habit of snacking at 3 a.m. My parents saw the litter of dishes and snack wrappers in my room that I had been too lazy and tired to clean up before crashing back into bed and wrongfully concluded that I was closet bingeing. Coupled with my string bean frame, they were concerned enough to book an appointment with a therapist. Unyielding in the face of my denial and protests, I soon found myself subjected to Thursday afternoons spent with Janet. Ja...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bulimia Eating Disorders Habits Personal Psychotherapy Adolescence Anorexia Binge Eating Therapeutic Alliance Treatment Source Type: blogs
Psychother Psychosom
Source: Psychotherapy and Psychosomatics - Category: Psychiatry & Psychology Source Type: research
Authors: Starzomska M, Wilkos E, Kucharska K Abstract Due to its ego-syntonic nature, anorexia nervosa (AN) is considered one of the most difficult mental disorders to treat. Patients are often reluctant to accept treatment, while a large group of those who receive therapy have a poor prognosis. Unfortunately, despite suffering from physical and psychosocial impairment, patients with AN are often reluctant to receive any intervention whatsoever. Recent years have seen the development of many new treatment methods for eating disorders in general, and AN in particular. Therapy of anorexia nervosa requires a multidisc...
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
Eating disorders, including anorexia nervosa (AN) and bulimia nervosa (BN), are highly prevalent in child, adolescent, and young adult treatment populations. The illness results in significant medical comorbidity, and a multidisciplinary team is often necessary to adequately target symptoms and ensure safe renourishment. Participants will learn about the following: 1) the medical assessment and treatment of adolescent eating disorders, including history, physical exam, laboratory assessment, and treatment of malnutrition; 2) psychological and mental health assessment and treatment approaches in both inpatient and outpatien...
Source: Journal of the American Academy of Child and Adolescent Psychiatry - Category: Psychiatry Authors: Tags: Clinical Perspectives 17 Source Type: research
Authors: Gander M, Sevecke K, Buchheim A Abstract For the first time, the present study investigates disorder-specific attachment characteristics and childhood trauma in adolescent inpatients with anorexia nervosa (n = 30, girls/boys: 28/2, age: M = 14.84, SD = 1.20), a major depressive episode (n = 30, girls/boys: 27/3, age: M = 15.14, SD = 1.50), and controls (n = 60, girls/boys: 44/16, age: M = 16.10, SD = 1.20). We used the Structured Clinical Interview to diagnose Axis I disorders, the Adult Attachment Projective Picture ...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
Clinical Psychology&Psychotherapy, EarlyView.
Source: Clinical Psychology - Category: Psychiatry & Psychology Authors: Source Type: research
Eating disorders can be easy to hide. Know what to look for. Often when I work with parents they say they had no idea their child’s eating disorder was going on as long as it was. Eating disorders are easy to hide so it’s important, as a parent to be aware of what signs you should look for in your child. Eating disorders are secretive and can be very easy to hide from loved ones, especially in the beginning. Sometimes, the person experiencing an eating disorder is not fully aware that what they are doing is not healthy so it makes it that much more important for parents to be fully educated on what to look fo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anorexia Binge Eating Bulimia Caregivers Children and Teens Eating Disorders Parenting Perfectionism Personal Psychotherapy Stories Women's Issues Adolescence Body Image Cognitive Distortion Dissociation Self-Esteem Source Type: blogs
Psychology and Psychotherapy: Theory, Research and Practice, EarlyView.
Source: Psychology and Psychotherapy: Theory, Research and Practice - Category: Psychiatry & Psychology Authors: Source Type: research
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