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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This article describes the core components and elements of IPT, the empirical evidence that supports its effectiveness, efforts to increase the dissemination and implementation of IPT, and future directions.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
Psychother Psychosom
Source: Psychotherapy and Psychosomatics - Category: Psychiatry & Psychology Source Type: research
Alexandra Neyazi1†, Vanessa Buchholz1†, Alexandra Burkert1, Thomas Hillemacher1,2, Martina de Zwaan3, Wolfgang Herzog4, Kirsten Jahn1, Katrin Giel5, Stephan Herpertz6, Christian A. Buchholz1, Andreas Dinkel7, Markus Burgmer8, Almut Zeeck9, Stefan Bleich1, Stephan Zipfel5† and Helge Frieling1*† 1Molecular Neuroscience Laboratory, Department of Psychiatry, Social Psychiatry, and Psychotherapy, Hannover Medical School (MHH), Hannover, Germany 2Department of Psychiatry and Psychotherapy, Paracelsus Medizinische Privatuniversität Nürnberg, Nuremberg, Germany 3Department of Psychos...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first-line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN). Early studies suggest that CBT-E may be useful in treating...
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
Authors: Sakurai Y, Fujii A, Kato F Abstract Persistent idiopathic facial pain (PIFP) is a poorly understood chronic disorder that rarely occurs in children. An 11-year-old boy initially presented with right cheek pain and a streptococcal infection 6 weeks previously. Facial cellulitis was suspected, which was resolved by antibiotic treatment. The right cheek pain recurred within 4 weeks of this initial visit. Because the antibiotic treatment did not relieve the pain, the patient visited our outpatient clinic. Physical examination revealed facial tenderness in an area that corresponded with the region supplied by t...
Source: Case Reports in Psychiatry - Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research
Authors: Hoch E, Niemann D, von Keller R, Schneider M, Friemel CM, Preuss UW, Hasan A, Pogarell O Abstract We conducted a review of systematic reviews (SRs) and randomized-controlled trials (RCTs) to analyze efficacy and safety of cannabis-based medication in patients with mental disorders. Five data bases were systematically searched (2006-August 2018); 4 SRs (of 11 RCTs) and 14 RCTs (1629 participants) were included. Diagnoses were: dementia, cannabis and opioid dependence, psychoses/schizophrenia, general social anxiety, posttraumatic stress disorder, anorexia nervosa, attention-deficit hyperactivity disorder, a...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
AbstractWe conducted a review of systematic reviews (SRs) and randomized-controlled trials (RCTs) to analyze efficacy and safety of cannabis-based medication in patients with mental disorders. Five data bases were systematically searched (2006 —August 2018); 4 SRs (of 11 RCTs) and 14 RCTs (1629 participants) were included. Diagnoses were: dementia, cannabis and opioid dependence, psychoses/schizophrenia, general social anxiety, posttraumatic stress disorder, anorexia nervosa, attention-deficit hyperactivity disorder, and Tourette`s diso rder. Outcome variables were too heterogeneous to conduct a  meta-analysis. ...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Neuroscience Source Type: research
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
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