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1
Fensome, H. E. "Anorexia nervosa and the family : A comparison of patients and their siblings." Thesis, University of Oxford, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.376913.
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Leung, Newman Kwok-Cheung. "Family interaction and cognitive content in the aetiology and treatment of eating disorders." Thesis, University of Birmingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368995.
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A review of the literature reveals two significant gaps in existing psychological research into eating disorders. First, despite a clear association between dysfunctional family environment and eating psychopathology, little is known about factors that might mediate between the two. Second, cognitive-behavioural treatment is unexpectedly ineffective in anorexia nervosa or in some cases of bulimia nervosa. To fill these gaps, the present research investigated the role of core beliefs in the aetiology and treatment of eating disorders. Given their early origin, core beliefs may plausibly mediate between family environment and eating disorders. In addition, unhealthy core beliefs might explain the resistance to cognitive-behavioural treatment in some instances. The thesis first considers the relationship between unhealthy core beliefs and eating psychopathology in anorexic and bulimic women. This is followed by an examination of core beliefs as an outcome predictor in cognitive-behavioural treatment for eating disorders. Finally, the role of core beliefs as a mediator between dysfunctional family environment and eating disorders is investigated. The results demonstrate high levels of unhealthy core beliefs in both anorexic and bulimic women. These core beliefs also predict the level of symptom reduction following cognitive-behavioural treatment, but only in the bulimic women. While core beliefs play a perfect mediating role in the family interaction-eating disorders link in bulimia nervosa, this relationship is less clear-cut in anorexia nervosa.
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Bandalli, Peter. "The role of fathers in the development of eating disorders : a systematic review of the evidence ; and, A phenomenological exploration of the influence of anorexia nervosa upon the interactional dynamics within the family system." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/6229/.
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This thesis was submitted in partial fulfilment of a doctorate in Clinical Psychology and is composed to two volumes. Volume One contains the research component which includes a systematic literature review that investigates the role of fathers in the development of eating disorders, and an empirical study which explores the influence of Anorexia Nervosa upon family functioning. The clinical component of the thesis is presented in Volume Two in the form of five clinical practice reports. The first clinical practice report describes the case of a 78 year old woman suffering from agoraphobia and panic attacks that was formulated from Psychodynamic and Cognitive-behavioural approaches. The second report outlines a service evaluation that explored staff’s adherence to new policies within a dementia service. The third report describes a case study of a course of Person-centred Therapy with a 31 year old woman suffering from social anxiety and low mood. The fourth report describes an AB single case experimental design of Schema Therapy with a 17 year old girl diagnosed with Anorexia Nervosa. The fifth report outlines a case study of Psychodynamic assessment and indirect intervention of a 56 year old man diagnosed with a mild learning disability and Bipolar Affective Disorder.
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au, rachael dunn@student qut edu, and Rachael Bellair (nee Dunn). "Therapeutic interaction in anorexia nervosa treatment." Murdoch University, 2009. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090714.94110.
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Anorexia nervosa (AN) is a chronic and complex psychosomatic condition, characterised by a primary drive to be thin and a refusal to maintain normal body weight. Only a minority of people diagnosed with AN ever become asymptomatic and more research has been called for to address high drop-out rates and lack of engagement in AN treatment services, in particular psychotherapeutic treatment. Prior studies have generally examined this problem in terms of patient mediated variables, such as attitudes and behaviours, with little focus on contextual factors. Research that has studied therapeutic engagement in the area of AN has yet to examine psychotherapeutic treatments-in-practice. Guided by this gap in the literature this thesis examines ways in which therapists engage with adolescents diagnosed with AN in naturally occurring psychotherapeutic interactions. A secondary and concurrent focus is to look at how the therapists underlying theoretical models are reflected in in situ practice. The data corpus comprises twenty-four therapy sessions recorded in an eating disorders programme based in a childrens hospital. In contrast to eating disorders treatment statistics reported in the literature, the programme has a low drop-out rate, zero mortality rate and good long-term patient outcomes, making it an especially suitable setting to examine engagement.
Drawing on methods from discursive psychology (DP) and conversation analysis (CA), a number of interactional practices are found which show how the key principles of engagement and neutrality are brought off, or achieved as such in turn-by-turn interaction. Central to the analysis, is the recurrent production of patients bodily states and conduct as delicate items. As these topics are also the primary focus of the institutional setting, the analysis shows how practices such as perspective display series and dispositional management allow delicately marked institutional tasks to be carried out. The analysis also examines how patients bodies and conduct are embedded in, and constituted as problematic in the interactions. Regularities, such as agentic repositioning in accounts, demonstrate the co-production of patients as psychologically compliant with treatment while physically non-compliant.
This thesis contributes to work in applied CA concerning links between theoretical models and interactional practices by demonstrating naturally occurring regularities that describe key guiding principles of the eating disorders programme. It also builds on work in DP concerning examinations of the body and embodiment, by showing how patients physical bodies are an integrated feature of the interactions. Finally, this thesis has implications for a clinical audience in terms of extending therapists awareness of how engagement with patients is constituted interactionally, which also contributes to wider AN literature on resistance to therapy.
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Bellair, (nee Dunn) Rachael. "Therapeutic interaction in anorexia nervosa treatment." Bellair (nee Dunn), Rachael (2009) Therapeutic interaction in anorexia nervosa treatment. PhD thesis, Murdoch University, 2009. http://researchrepository.murdoch.edu.au/717/.
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Anorexia nervosa (AN) is a chronic and complex psychosomatic condition, characterised by a primary drive to be thin and a refusal to maintain normal body weight. Only a minority of people diagnosed with AN ever become asymptomatic and more research has been called for to address high drop-out rates and lack of engagement in AN treatment services, in particular psychotherapeutic treatment. Prior studies have generally examined this problem in terms of patient mediated variables, such as attitudes and behaviours, with little focus on contextual factors. Research that has studied therapeutic engagement in the area of AN has yet to examine psychotherapeutic treatments-in-practice. Guided by this gap in the literature this thesis examines ways in which therapists engage with adolescents diagnosed with AN in naturally occurring psychotherapeutic interactions. A secondary and concurrent focus is to look at how the therapists’ underlying theoretical models are reflected in in situ practice. The data corpus comprises twenty-four therapy sessions recorded in an eating disorders programme based in a children’s hospital. In contrast to eating disorders treatment statistics reported in the literature, the programme has a low drop-out rate, zero mortality rate and good long-term patient outcomes, making it an especially suitable setting to examine engagement.
Drawing on methods from discursive psychology (DP) and conversation analysis (CA), a number of interactional practices are found which show how the key principles of engagement and neutrality are brought off, or achieved as such in turn-by-turn interaction. Central to the analysis, is the recurrent production of patients’ bodily states and conduct as delicate items. As these topics are also the primary focus of the institutional setting, the analysis shows how practices such as perspective display series and dispositional management allow delicately marked institutional tasks to be carried out. The analysis also examines how patients’ bodies and conduct are embedded in, and constituted as problematic in the interactions. Regularities, such as agentic repositioning in accounts, demonstrate the co-production of patients as psychologically compliant with treatment while physically non-compliant.
This thesis contributes to work in applied CA concerning links between theoretical models and interactional practices by demonstrating naturally occurring regularities that describe key guiding principles of the eating disorders programme. It also builds on work in DP concerning examinations of the body and embodiment, by showing how patients’ physical bodies are an integrated feature of the interactions. Finally, this thesis has implications for a clinical audience in terms of extending therapists’ awareness of how engagement with patients is constituted interactionally, which also contributes to wider AN literature on ‘resistance’ to therapy.
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Bellair, Rachael. "Therapeutic interaction in anorexia nervosa treatment /." Murdoch University Digital Theses Program, 2009. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090714.94110.
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Emmrys, Charles. "Anorexia nervosa: A phenomenological exploration of family life." Thesis, University of Ottawa (Canada), 1993. http://hdl.handle.net/10393/6559.
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The current study consists of a phenomenological exploration of the family life of an adolescent diagnosed as suffering from anorexia nervosa. A review of the literature addressing the anorectic's family life revealed that the various theoretical formulations offered were not well validated by experiential data collected from those living in the family. The theoretical orientations of the various authors also appeared to prestructure the accounts. Questions were thus raised regarding the inherent validity of these formulations which lead to more general questions concerning the epistemological and philosophical grounding on which a study of family life should be based. In a second section, the issue of the most appropriate philosophical grounding for a study of family life was addressed. Of the epistemological philosophical positions reviewed, the one which revealed itself to present the most primary and irrefutable grounding for a pursuit of psychological research in general and family research in particular was the existential phenomenological ontological approach. A methodology consistent with the Duquesne School's approach to psychological research was adapted for the study. The results of the study revealed that family life prior to the onset of anorectic symptoms was well structured in terms of division of authority and responsibilities. The approach to family living, however was very much centered in the home with the most important relationships in each member's life being usually contained within the family. Particularly important were the cross-generational relationships which, for the children, were important forums for addressing developmental and autonomy issues. The anorectic was the child most involved in these relationships. The onset of symptoms coincided with a crisis of authenticity experienced by the anorectic which led to an attempt at self-isolation and reduced investment in the family. The anorectic dieting behavior was described as being part of a project of self-definition and renewal. The impact of the withdrawal on the family was to transform it into a conflicted environment which corresponded to many of the descriptions provided by previous authors. The hospitalization helped defuse the intrafamilial conflict but failed to address the core issue of the anorectic's quest for authenticity.
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Baker, Birgitta. "Family differentiation, family recreation, and symptoms of eating disorders /." Diss., CLICK HERE for online access, 2004. http://contentdm.lib.byu.edu/ETD/image/etd514.pdf.
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Hartmann, Peta B., and n/a. "Family Functioning and Anorexia Nervosa: The Issue of Control." Griffith University. School of Applied Psychology, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030528.124015.
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This thesis aimed to examine the functioning of families with a sufferer of Anorexia Nervosa (AN), using self-report measures and a direct observation family discussion task. Researchers and clinicians have long been interested in the interactional patterns of these sufferers within the family unit, although few have furthered our understanding of the interplay between family functioning, cohesion and emotional expression and issues such as control, by directly examining these interactions. The construct of control has been another area of interest in recent research, although how it is constructed and operates within this disorder remains unclear and ambiguous. Thus the purpose of this research was to expand the study of adolescents suffering Anorexia Nervosa who still resided within the family unit, from merely studying self-report measures and retrospective surveys of recovery, to include a direct examination of sufferers and their families at the time of the disorder. Participants included 16 female sufferers of Anorexia Nervosa and their parents, 17 drug and alcohol sufferers, and 18 non-clinic families. Both parents and their daughters completed self-report inventories assessing their clinical status as well as family functioning and marital happiness. In addition, family members participated in a series of family discussion tasks which were coded for the dimensions of autonomy, cohesiveness, avoidance and control. In Study 1 (Chapter 7), the self-report measures of the anorexic families were examined specifically in relation to the construct of control acting as a mediating variable between level of dysfunction and severity of the disorder. Consistent with previous research, levels of marital happiness and family cohesion influenced the severity level of the daughter's Anorexia Nervosa. This study also explored the construct of control within the family system and found that the more moral-religious emphasis in the family, the more concerned the daughter was with her weight. At the same time daughters were reporting higher levels of moral-religious emphasis, they were reporting higher levels of self-control. The daughters in this study appeared to be inconsistent in their behavioural responses. The daughters' weight concern increased with their own reported levels of moral-religious emphasis in the family. However, as this emphasis increased, so too did their control scores. It was supposed that conflict may be created in a family when strong religious and/or strong moral values are emphasized, particularly when one of the family members suffers AN. This issue is discussed in depth. Study 2 sought to examine these variables further by using a direct observation family discussion task to compare an independent observer's ratings to the family's ratings of the discussion, across the three groups. The study examined the daughters' and mothers' perceptions and compared significant results to the observer's ratings. This study highlighted that the mothers of sufferers appeared not to be concerned about their own bodies and weight, and not distressed when discussing with their daughters the issues of control in the areas of family, body, school and friends. Furthermore, the anorexic daughters presented as more sad and anxious than the two other groups and indicated that their parents had more control over their bodies than they did themselves. Finally, for the majority of participating families, the fathers were absent and this issue is explored.
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McGee, Daniel R. "Alcoholic family interaction." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/30904.
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A repeated case study design was used that combined data from the application of the Q-technique and semi-structured family interviews, to examine the effects of alcohol on family interaction. Two families were selected on the basis that they represented examples of binge or alternating patterns of drinking and sobriety as defined by Steinglass (1987) . The families were identified and referred to the project through an Alcohol and Drug Outpatient Treatment Program. Individual family members Q-sorted 60 items drawn from the McMaster Family Assessment Device developed by Epstein, Baldwin and Bishop (1983) into seven categories that ranged from most like, to least like, their particular family, during both drinking and non-drinking times. The family as a group then together Q-sorted the items. Q-sort results for each sorting occasion were made into a correlational matrix, then subjected to a principal components analysis. The results were analyzed to identify similar themes or patterns.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Baker, Birgitta Lynne. "Family Differentiation, Family Recreation, and Symptoms of Eating Disorders." BYU ScholarsArchive, 2004. https://scholarsarchive.byu.edu/etd/155.
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The purpose of this study was to examine the relationships between family differentiation, family recreation and symptoms of eating disorders. The Family Intrusiveness Scales, the Perceived Social Support from Family, the Family Leisure Activity Profile and the Eating Attitudes Test were used. Participants were students at two large universities, one in the East and one in the West. Data were analyzed using correlation and ANCOVA. Findings supported the hypothesis that a positive relationship exists between family leisure involvement and family differentiation. In addition, a negative relationship between family differentiation and symptoms of eating disorders for individuals whose parents are not in their first marriage was indicated by the results.
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Connor, Tara Marie. "An identity exploration of anorexia nervosa within a family context." Thesis, University of Ulster, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.303994.
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Grigg, Darryl Norman. "Family transactional patterns associated with the symptom of anorexia nervosa." Thesis, University of British Columbia, 1986. http://hdl.handle.net/2429/26479.
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A family systems perspective was taken for exploring intra-familial transactional patterns of relationship related to anorexia nervosa. Father, mother, and daughter assessments of parental initiative and daughter responsive behaviors as reported on Benjamin's Structural Analysis of Social Behavior (SASB) are combined to serve as data for a hierarchical cluster analysis.
Out of the 22 families with an anorexic child and the 22 matched control families, 7 family clusters were identified by the clustering procedure with unique family dynamics differentiating one from another. Average family cluster profiles are established and examined. Benjamin's program Figure (FIG) is used to explicate central family transactional dynamics of the family clusters, 3 of which were exclusively comprized with an anorexic daughter.
With no single family pattern of relationship characterizing the families of the symptomatic children being identified, the study challenges earlier family theories which postulated an anorexogenic family system, and supports a broader, complex multi-familial view of anorexics and their families.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
14
Wiese, Joanna Elise. "A qualitative analysis of parental experiences in family-based treatment for anorexia nervosa." Diss., University of Iowa, 2014. https://ir.uiowa.edu/etd/1515.
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Family-based treatment for anorexia nervosa is a relatively recent form of therapy that is commonly used with families of child and adolescent patients. While current efficacy research of this treatment is promising, little research has been conducted on families' experiences of this treatment. This qualitative study investigates the experiences of parents who have participated in family-based treatment for a child or adolescent (ages 10-21) diagnosed with anorexia nervosa. Analytic induction (AI) methodology was used in this qualitative study to examine the various factors contributing the effectiveness of family-based treatment for families. Purposeful sampling was employed to obtain a wide variety of participants. In depth, semi-structured interviews were conducted with 15 parents via telephone or web-based chat. These interviews were coded and analyzed to generate themes, which were combined to form a theory regarding which factors influence families' treatment outcomes when using FBT-AN. Sufficient and necessary conditions of successful and unsuccessful treatment outcomes were identified. Two sufficient conditions of treatment success were identified--namely, that parents were provided with practical suggestions by their treatment teams and that parents were able to implement their treatment teams' advice at home. Eighteen themes were identified as being necessary, but not sufficient, conditions to treatment success. These themes related to aspects of treatment sessions and treatment providers' relationships with parents; parental, familial, and other supportive relationships; and the processes of re-feeding, exposure to food, and parental monitoring and oversight. Two necessary conditions of unsuccessful treatment outcome were identified. The first condition was that the time period during which the child or adolescent restored weight was prolonged, or greater than six months. The second necessary condition was that the child demonstrated inconsistent progress during FBT. Additional themes present across treatment outcomes were also explored. This study aims to highlight the diverse experiences of parents who have participated in family-based treatment for anorexia nervosa and to serve as a resource for clinicians and researchers providing this treatment. Potential clinical and research applications of the study's results are discussed.
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MacSween, Morag. "The anorexic body : a feminist and sociological perspective on anorexia nervosa." Thesis, University of Glasgow, 1989. http://theses.gla.ac.uk/3244/.
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This thesis attempts a sociological and feminist analysis of anorexia nervosa. Anorexia is an illness which affects predominantly women, and its incidence is greatest among middle-class young women in Western countries. Its strong bias along class and gender lines suggests that such an approach to the illness could prove fruitful. The thesis argues that analysis of anorexia demands a clear understanding of the sociology of the body. The sociology of the body sees the body as constructed in social life: understandings of the body vary temporally and culturally, and reflect the categories of their culture. It is suggested that anorexia nervosa represents an attempted transformation of the concept of the feminine body in contemporary culture. Anorexic women aim to transcend appetite, and to allow no intrusions into the body, constructing an anorexic body which is closed, separate and inviolable. Since this transformation is individuated and privatised, however, it cannot ultimately succeed in overturning a system of social meanings. The thesis concludes that individual solutions to anorexia will not lead to the end of the illness as a social phenomenon in the lives of women. Only collective feminist action can reconstruct the degraded contemporary concept of woman. The argument is pursued firstly through a discussion of the initial use of the term `anorexia nervosa' in the late nineteenth century by Gull and Lasegue. The treatment of anorexia as a modern disease is discussed, and the claim that anorexia has always existed but has not been recognised is refuted. Psychiatric and feminist accounts of anorexia are then considered. The former see anorexia as a purely individual phenomenon, and the limitations of this position are discussed. Feminist analyses of anorexia, in seeing it as deeply intertwined with women's social position in a patriarchal culture, are argued to advance understanding of the illness, while still retaining individualist elements. The next section analyses the ways in which anorexic women themselves explain their illness. This leads on to a discussion of the notion of the body as concept. After a theoretical outline, several body-concepts are analysed and placed in their social and historical contexts. Contemporary understandings of the body as an individuated possession are then discussed, with particular focus on the concept of the feminine body as passive object. Objectification, discipline and chaos are argued to be the central meanings of the feminine body in contemporary culture. Analysis of the issues of abortion and rape seek to make this theoretical point clearer. A detailed analysis of anorexic practices looks at how these meanings are transformed in anorexia. It is suggested that anorexic women try to construct an inviolate anorexic body which is completely under their control through a complexly ritualised eating pattern. The precarious nature of this control points to the limitations of individual `solutions' to social problems.
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Karlsson, Matilda. "Unga kvinnors erfarenheter av Anorexia Nervosa. : En självbiografistudie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-10687.
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Bakgrund: Anorexia Nervosa (AN) är en allvarlig psykisk sjukdom som främst drabbar unga kvinnor. Till följd av extrem matvägran och ökat behov av motion svälter sig dessa individer och får allvarliga rubbningar i flertalet organsystem. Syfte: Metod: Studien baseras på en kvalitativ studie med en narrativ ansats, där fem stycken självbiografier har sammanställts enligt narrativitetsanalys av Dahlborg- Lyckhage (2012). Resultat: Resultatet formas utifrån tre kategorier, (1) Att inte hitta sig själv i sin sjukdom, (2) Känna maktlöshet när ångesten styr, (3) Ta paus från anorexin och våga vara sig själv. Diskussion: Tonåren är en tid då identiteten formas och steget ifrån att ha varit barn till att bli vuxen ökar, vilket kan ha en bidragande orsak till att AN utvecklas. Att ständigt leva med ångest och lidande gör att dem drabbade ständigt mår dåligt. Familjen är en viktig del av tillfriskningsfasen, med hjälp av en god omvårdnad ökar chansen till överlevnad. Konklusion: Genom att sjuksköterskan bekräftar patienten, ökar förtroendet mellan dem och patienten känner sig mer betydelsefull. På så sätt får sjuksköterskan kännedom om patientens låga självkänsla och självförtroende och kan bemöta patienten med öppenhet och respekt.Background: Anorexia Nervosa (AN) is a seriously mental disease that mainly affects young women. The result of extreme starvation and increased need of exercise these women get seriously disorders in almost every organ system. Aim: To illustrate young women’s experience of living with Anorexia Nervosa. Method: The study is based on a qualitative study with a narrative approach. Five autobiographies have been complied through the narrative analysis of Dahlborg- Lyckhage (2012). Results: The result is based on three categories (1) Not finding yourself in your illness, (2) Feeling powerless when anxiety controls, (3) Taking a break from the anorexia and dare to be yourself. Discussion: The teenage years are a time when the identity is formed and the step from childhood towards adulthood becomes bigger, which can be one of the reasons why Anorexia Nervosa can evolve. Continuous living with anxiety and suffering makes these patients feel bad all the time. The family is an important part of the convalescence phase and with the help of good nursing, the chance of survival increases. Conclusion: Through the nurse acknowledging the patient, the trust between them increases and the patient can feel more important. By acquiring information about the patient’s low self- esteem and self confidence, the nurse is able to meet the patient with frankness and respect.
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Salaminiou, Evangelia Eva. "Families in multiple family therapy for adolescent anorexia nervosa : response to treatment experience and family and individual change." Thesis, King's College London (University of London), 2005. https://kclpure.kcl.ac.uk/portal/en/theses/families-in-multiple-family-therapy-for-adolescent-anorexia-nervosa--response-to-treatment-experience-and-family-and-individual-change(0821fff6-e4d4-4111-b843-6a0aa6bff85c).html.
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Frenning, Linnéa, and Ulrika Samuelsson. "När allt kretsar kring vikten : en litteraturöversikt som belyser hur familjen kan involveras i vården av en patient med Anorexia Nervosa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-9182.
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Background: Anorexia Nervosa is a mental illness of which the result is a will-controlled weight loss. It is an illness that affects the entire body and can become life-threatening. The illness is most common in young women and is often developed because of a stressful life event, stressful family relationships or sexual abuse. The disease also has a heredity of 50-90% in all cases. Aim: The aim of this study is to describe how nurses can involve the family in the care of a patient with Anorexia Nervosa. Method: The method used in this study was a literary survey based on ten articles of both qualitative and quantitative type. The articles were analysed using the method of Friberg (2012b). Result: Three main themes were created: Building relationships, providing education and preparing for home. Conclusion: The result of this study shows that the involvement of the family in the care of a patient with Anorexia Nervosa has improved conditions of recovery. Nurses have a crucial role in this process by creating relationships, having an educational role and preparing both patient and family for the return home.
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Jakobsson, Sanna, and Rebecka Johansson. "Anorexia nervosa : Familjers erfarenheter när en familjemedlem drabbas." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-41331.
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Anorexia nervosa är en ätstörning som kännetecknas av avsiktlig viktnedgång. Sjukdomen är främst förekommande hos tjejer i tonåren eller unga kvinnor. När en familjemedlem insjuknar i anorexia nervosa drabbas även föräldrar och syskon. Fokus hamnar på sjukdomen och familjer upplever känslor som maktlöshet, oro, skuld och skam. Syftet med studien var att belysa familjers erfarenheter av att leva med en familjemedlem som lider av anorexia nervosa. För att svara på syftet gjordes en litteraturstudie med tio vetenskapliga artiklar som kvalitetsgranskades och analyserades för att sedan delas in i sex stycken teman. Resultatet visar att många föräldrar känner maktlöshet när deras barn insjuknar i anorexia nervosa. Sjukdomen ger upphov till konflikter inom familjen som leder till förändrad familjesituation samtidigt som det sociala livet blir lidande. Både föräldrar och syskon kände oro över personen med anorexia nervosa och hur sjukdomen skulle utvecklas. Föräldrar bär även skuld och känner ansvar för att deras barn drabbats. Föräldrar och syskon erfar brist på information från sjukvården samt bristfälligt bemötande från sjukvårdspersonal. Många av de familjer som genomgick familjebaserad terapi upplevde behandlingen positiv. Det är av stor vikt att sjuksköterskan får kunskap om familjers erfarenheter för att kunna bemöta deras behov.Anorexia nervosa is an eating disorder characterized by intentional weight loss. The illness is mainly found in adolescent girls or young women. When a family member suffers from anorexia nervosa, parents and siblings are also affected. Focus is on the illness and the family experience feelings like impotence, concern, guilt and shame. The aim of this study was to illustrate families experiences of living with a family member who is suffering from anorexia nervosa. To achieve the aim, a literature study was made with ten scientific articles. The articles were quality-tested and analysed. The result is presented in six themes. The result shows that many parents feel impotence when their child becomes ill in anorexia nervosa. The illness generates conflicts within the family which leads to a changed family situation and a change in their social lives. Both parents and siblings were concerned for the ill sibling and for the development of the illness. Parents felt guilty and took responsibility for their child’s illness. Parents and siblings experience lack of information and poor treatment from healthcare professionals. Many families who went through Family Based Therapy experienced the treatment as positive. It is important for the nurse to gain knowledge of families experiences to be able to meet their needs.
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Way, Jacqueline Mary. "The family interaction test : an investigation of the validity and reliability of a projective test of family interaction /." Title page, contents and abstract only, 1986. http://web4.library.adelaide.edu.au/theses/09ARPS/09arpsw357.pdf.
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Abdulahad, Nathalie, and Jannike Holmström. "Anorexia Nervosa : Friskförklarade kvinnors upplevelser kring orsaksfaktorer för insjuknande." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-9677.
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Anorexi nervosa är ett globalt problem men förekommer främst i Västvärlden. Det är en komplex sjukdom som orsakas av biologiska, psykologiska och sociokulturella faktorer som många gånger samverkar med varandra. Syftet med denna fenomenologiska studie är att få en större förståelse för hur friskförklarade kvinnor fann mening i sitt insjuknande och om det finns gemensamma nämnare i deras livshistorier. Särskilt fokus har lagts vid familjemönster och kommunikationen inom familjen. Vi har utgått ifrån symbolisk interaktionism som teoretiskt perspektiv. Studien är av kvalitativt slag där vi använde oss av semistrukturerade intervjuer som sedan tolkades utifrån en hermeneutisk fenomenologisk ansats. I vårt resultat kunde vi se att meningsskapandet kring sjukdomens olika stadier var centralt och tog sig i uttryck på olika sätt hos respondenterna. Tio teman kunde urskiljas och de viktigaste fynden var att sjukdomen på olika sätt var en aktiv handling och att den är ett uttryck för ett självhat och låg självkänsla. Vi kunde även se brist på känslouttryck inom familjen och att inte bli emotionellt erkänd av sina föräldrar var en viktig faktor. Det mest vitala resultatet var respondenternas egna uppfattningar om att anorexin var en symboliserande handling och att den handlar om så mycket mer än vikt och utseende.Anorexia is a global issue but occurs mainly in the Western world. Anorexia nervosa is a complex disease caused by biological, psychological, and sociocultural factors which often interacts with each other. The purpose of this phenomenological study is to gain a greater understanding of how recovered women created meaning in their illness and if there are mutual factors in their life-stories. We have especially focused on family patterns and the communication within the family. We have based our study on symbolic interactionism as our theoretical perspective. The study is of a qualitative nature and we used semi structured interviews which later were interpreted from a hermeneutic phenomenological approach. In our result we could see that creating meaning was central throughout the disease and was expressed in different ways by our respondents. Ten themes appeared and the most vital findings were that anorexia was an active action and that it is an expression for self-hatred and low self-esteem. We could also see that lack of expression regarding emotions within the families and not being emotionally recognized by their parents were crucial factors. The most important result was the respondents own perception of anorexia as a symbolizing action and the content of the disease is about so much more than weight and looks.
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Morales, Yamile. "Parent-Infant Interaction in a Latino Family." Digital Archive @ GSU, 2013. http://digitalarchive.gsu.edu/iph_theses/287.
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Child maltreatment is a significant public health problem that increases when children live in homes in which intimate partner violence (IPV) is present. Child maltreatment and IPV often co-occur, and the sequelae of IPV frequently appear in both the victimized mother and her children. Home visitation programs, such as SafeCare®, are used as intervention strategies to reduce the risk of child maltreatment, but rarely are these programs adapted for Latino populations. The importance of cultural sensitivity in parenting programs has been highlighted as a means of producing successful outcomes when working with Latino families. The present single-case research design study evaluated the efficacy of SafeCare's Parent-Infant Interaction (PII) module when delivered in Spanish to a Latino mother with prior experiences of IPV. Observational data were used to document changes in parenting behaviors, while self-report measures assessed exposure to IPV and changes in mental health, parenting stress, and the risk of child maltreatment. Qualitative data provided suggestions for culturally adapting PII for Latino families. Data from this study suggest that PII improves parent-infant interactions when delivered in Spanish and reduces the risk of child maltreatment. Additionally, self-report measures indicate that IPV, parent mental health distress, and the risk of child maltreatment co-occur. This study also shares with the field the importance of providing culturally adapted programs when working with Latino families.
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Maier, Ann Elizabeth 1952. "EMOTIONAL CLOSENESS IN DYADIC RELATIONSHIPS OF THE ANORECTIC FAMILY: A PRELIMINARY ASSESSMENT USING THE FIGURE-PLACEMENT PROJECTIVE TECHNIQUE." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275558.
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White, Hannah J. "Family mealtimes and adolescent psychopathology." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/19610.
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This thesis examines aspects of adolescent family mealtimes and psychopathology among both non-clinical (adolescents and mothers of adolescents) and clinical (adolescents with anorexia nervosa (AN)) samples. It contains seven studies employing quantitative methodology, which address three broad aims. First, to examine relationships between aspects of family mealtimes and psychopathology among adolescents. Second, to examine links between family mealtime emotions and psychopathology among mothers of adolescents. Finally, to examine associations between specific parental mealtime interactions and adolescent outcomes during a therapeutic meal session for adolescents with AN. Self-report questionnaires were completed by non-clinical adolescents and mothers of adolescents to examine associations between characteristics of family mealtimes (mealtime environment, mealtime emotions and parental feeding practices) and eating psychopathology, anxiety and depression. In addition, observational analyses were conducted on recordings of the family meal session (session two) of Family-Based Treatment (FBT) for adolescent AN. Key findings from this research include: identifying a new factor structure for the Eating Disorders Examination Questionnaire when used in research with adolescents; developing a measure to assess mealtime emotions in both adolescents and their parents; and, identifying the feeding strategies used by parents of adolescents with AN during the family meal session of FBT. Overall, the findings reported on in this thesis suggest that family mealtimes may have an important protective role in adolescent psychopathology. In addition to providing frequent family mealtimes, families should be encouraged to concentrate on the positivity of the mealtime environment and emotional experience, which may help to promote psychological well-being, and lower levels of eating psychopathology among adolescents. In relation to family mealtimes within adolescent AN, the findings increase understanding of the types of mealtime strategies parents use with their adolescent child to encourage food consumption during the family meal session of FBT. Furthermore, the research findings highlight that certain strategies may be effective in promoting eating during the session and weight gain later on in treatment. Consequently, such findings might provide a focus for therapists when supporting and coaching parents during the family meal session.
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Dopson, Lisa, and Amanda Nilsson. "Anorexia, elefanten i rummet : Erfarenheter av att vara förälder till en ungdom med anorexia nervosa- en allmän litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-95249.
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Bakgrund: Anorexia nervosa är en sjukdom som innebär en förvrängd kroppsuppfattning och ett sjukligt förhållningssätt till mat. Att vara förälder till ett barn med psykiska sjukdomar innebär ofta ett svårt lidande. Först när man besitter kunskap om föräldrarnas unika erfarenheter kan sjuksköterskan möta och hjälpa dem. Den teoretiska referensramen som användes var familjefokuserad omvårdnad. Syfte: Syftet var att undersöka erfarenheter av att vara förälder till en ungdom med anorexia nervosa. Metod: Allmän litteraturstudie baserad på åtta kvalitativa artiklar, från databaserna Cinahl och PsycINFO, analyserades enligt Kristenssons (2014) modell. Resultat: Analysen resulterade i två huvudkategorier och sex subkategorier. En huvudkategori var känslomässiga erfarenheter med subkategorierna förnekelse, missnöje med primärvården, skuld och skam samt maktlöshet och oro. Gemensamt för dessa subkategorier var att de grundade sig i okunskap om sjukdomen och/eller behandlingen samt bristande kommunikation med vårdpersonal. Den andra huvudkategorin var erfarenheter av sociala konsekvenser med subkategorierna ensamhet och isolering samt förändringar i familjesystemet. Gemensamt för dessa var att sjukdomen hade en negativ inverkan på familjens normala rutiner. Slutsats: De flesta föräldrar vittnade om att anorexin hade en inverkan på hela familjesystemet men att multi-family therapy kunde minska ensamhetskänslan och lidandet.
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Hodes, Matthew. "The family treatment of adolescent anorexia nervosa : changes in the individual and parental expressed emotion." Thesis, King's College London (University of London), 2003. https://kclpure.kcl.ac.uk/portal/en/theses/the-family-treatment-of-adolescent-anorexia-nervosa--changes-in-the-individual-and-parental-expressed-emotion(1d361af2-59a4-4820-b02f-e4045e2e2c2c).html.
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Mann, Supreet. "From Family to Friend: Family Communication Patterns and the Impact on Young Adults' Family Interaction via Facebook." Scholarly Commons, 2016. https://scholarlycommons.pacific.edu/uop_etds/196.
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In recent years there has been a marked shift from face-to-face communication to computer-mediated communication. This shift has also led to changes in the way families communicate as, more often than ever, social media sites are becoming a primary means of communication for a number of groups. The relationship between family communication patterns and offline interaction has long been studied. However, there is a marked scarcity in research examining the relationship between family communication patterns and online interaction. Data collected from a group-administered survey of 246 undergraduate students was used to examine eleven hypotheses related to family communication patterns, self-esteem, social media use, and online/offline family interaction. Family communication patterns were labeled as either high conversation-orientation or high conformity-orientation. Existing research suggests that these communication patterns are inversely related and a correlation analysis in this study supports this notion. The results indicate that there is a positive correlation between high conversation-orientation families and both online and offline family interaction as well as measures of self-esteem. Additionally, the results indicate that there is a negative correlation between high conformity-orientation families and offline family interaction. No significant correlations were found between high conformity-orientation families and either self-esteem or online family interaction. Future research should consider motivations behind actions as this may significantly impact how respondents view and evaluate their interaction patterns.
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Jacobs, M. Joy. "Temperament patterns in families of individuals with anorexia nervosa /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2006. http://wwwlib.umi.com/cr/ucsd/fullcit?p3208601.
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Archer, Averill Jean. "Women with anorexia nervosa and bulimia nervosa : Individual and family characteristics, with particular emphasis on perfectionism." Thesis, University of Canterbury. Psychology, 1996. http://hdl.handle.net/10092/6766.
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This study investigated socio-cultural, family and individual factors associated with anorexia and bulimia nervosa, with particular emphasis on dysfunctional perfectionism, and adopting a general social learning perspective. Theories of the development of eating disorders were interwoven with theories of the development of perfectionism. A model was proposed for the development of anorexia and bulimia nervosa via a dysfunctional perfectionism pathway.
The 135 participants, aged 18 to 40 years, were women with anorexia nervosa (N=25), bulimia nervosa (N=32), Type 1 diabetes (N= 53, a North Canterbury population-based sample), and healthy women students (N=25). The women with eating disorders were recruited from various treatment centres throughout New Zealand. Participants completed a battery of seven self-report psychometric tests, namely, the Eating Disorder Inventory-2 (EDI-2), Beck Depression Inventory (BDI), Multidimensional Perfectionism Scale (MPS), Setting Conditions for Anorexia Nervosa Scale (SCANS), Tridimensional Personality Questionnaire (TPQ), Parental Bonding Instrument (PBI), and Family Environment Scale (FES).
Analysis of Covariance, using the BDI as a covariate, revealed that, in addition to measures concerned with weight, shape and dieting, both anorexia and bulimia nervosa group means were significantly higher than both healthy and diabetes group means for EDI-2 Interpersonal Distrust and Social Insecurity; MPS Concern over Mistakes, Personal Standards, and Parental Criticism; and TPQ Harm A voidance, and significantly different from the healthy group mean for MPS Parental Expectations; SCANS Perfectionism; and PBI Maternal Protection, Maternal Care, and Paternal Care. Correlational analyses confirmed hypothesized moderate or strong associations between some perfectionism measures and other characteristics of women with eating disorders, such as a harm-avoidant temperament, and perceptions of maternal overprotection. Discriminant function analysis revealed seven variables, in combination, that maximally discriminated between eating disordered and non-eating disordered groups: three EDI-2 variables of Drive for Thinness, Ineffectiveness, and Social Insecurity, three MPS subscales of Concern over Mistakes, Personal Standards, and Doubts about Actions, and the BDI. Of the three instruments measuring perfectionism, in this study, only the MPS effectively discriminated between eating disordered and non-eating disordered groups.
Findings indicated the importance of controlling for depression when comparing eating disordered groups with other groups, and that dysfunctional perfectionism is largely independent of the mood of the respondent. Findings suggest that the PBI may be limited by cultural sensitivity. Findings led to questioning of the applicability of the EDI-SC to diabetes groups and of the validity of the Novelty Seeking and Reward Dependence Dimensions of the TPQ.
In concluding that dysfunctional perfectionism is a key personality characteristic of women with anorexia and bulimia nervosa, it is argued that multidimensional measures of perfectionism provide more insight than unidimensional measures into the dysfunctional facets of perfectionism, and that perfectionism per se is not necessarily problematic. Dysfunctional perfectionism may distinguish psychopathology associated with anorexia and bulimia nervosa from numerous other forms of psychopathology, including depression. Although aetiological factors were not assessed in this study, the MPS and PBI, considered in conjunction with the theoretical literature, may provide insight into the development of dysfunctional perfectionism. This has implications for the treatment and prevention of eating disorders.
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Andrén, Martina, and Isabelle Stenman. "Anorexia nervosa - unga kvinnors upplevelser av mötet med vårdpersonalen : En självbiografistudie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-15142.
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Bakgrund: Anorexia nervosa drabbar vanligen unga kvinnor. Sjukdomen grundar sig i en skev kroppsuppfattning vilket leder till bantning för att nå en idealvikt. Personer diagnostiserade med anorexia nervosa kan ha en dålig självbild och bristande självförtroende vilket kan leda till självdestruktivitet och lidande. Sjuksköterskan behöver visa tillit och skapa trygghet i mötet. Professionellt stöd i form av kommunikation och interaktion kan skapa en god vårdrelation. Syfte: Att beskriva hur unga kvinnor diagnostiserade med anorexia nervosa upplever mötet med vårdpersonal. Metod: Datamaterialet består av fem självbiografier som har analyserats med kvalitativ innehållsanalys. Resultat: Ur analysen framkom fyra kategorier; känna sig orättvist behandlad, hamnat i underläge, utsatt för maktmissbruk och tvång samt hopp och förtroende medåtta underkategorier. Konklusion:Mötet med vården upplevs både negativt och positivt. Det är viktigt att vårdpersonal respekterar de unga kvinnornas autonomi och engagerar dem i vården. Att vården präglas av ett etiskt perspektiv och att det avsätts tid till mötet är viktigt. Ett gott bemötande, adekvat kunskap och en icke-dömande attityd från vårdpersonalen är betydelsefullt.Background: Anorexia nervosa usually affects young women. The disease is based on askewed perception of the body, which leads to dieting to reach an ideal weight. Individualswith anorexia nervosa can have bad self-image and low self-confidence which can result intoself-destructive behavior and suffering. The nurse during the meeting needs to show trustand create safety for the patient. Professional support by communication and interaction canestablished a good care relationship. Aim: To describe how young women diagnosed withanorexia nervosa experience the meeting with health professionals. Method: The datamaterial consists of five autobiographies that have been analyzed with qualitative contentanalysis. Results: The analysis revealed four categories; feel unfairly treated, ending up indisadvantage, exposed to abuse of power and compulsion, hope and confidence. A total ofeight subcategories emerged. Conclusion: The meeting with healthcare is experienced bothnegatively and positively. It is important that healthcare professionals respect the youngwomen’s autonomy and engage them in their healthcare. That the healthcare should becharacterized by an ethical perspective and that time is given in the meeting is important.Good treatment, adequate knowledge and non-judgmental attitudes from healthprofessionals are important.
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Wainstein, Veronica Lara. "Anorexia na perspectiva psicanalítica da Teoria das Relações Objetais." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-12032015-154929/.
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O estudo dos distúrbios alimentares tem recebido cada vez mais atenção por parte da comunidade científica nas últimas décadas, devido ao seu alarmante incremento na população mundial. Embora as primeiras descrições clínicas da anorexia nervosa datem do século XIX, o aumento recente de casos de transtornos alimentares no contexto de uma sociedade que faz culto ao corpo e à magreza permite pensar na anorexia como um dos quadros psicopatológicos emblemáticos da contemporaneidade. Considerando-se a amplitude e a complexidade do campo dos transtornos alimentares e a escassez de trabalhos que utilizam técnicas projetivas, esta pesquisa visou intensificar e aprofundar essa linha de pesquisa. O objetivo principal foi identificar e descrever aspectos dinâmicos e estruturais da personalidade de pacientes com diagnóstico de anorexia, a partir do referencial teórico psicanalítico. Para realizar a coleta de dados, foram utilizadas a Entrevista Clínica e três técnicas projetivas: o Desenho da Família, o Questionário Desiderativo e o Teste de Relações Objetais, aplicados em três pacientes com diagnóstico de anorexia, internadas no Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPq- HC/FMUSP). A análise dos dados evidenciou que as participantes desta pesquisa carecem de recursos psíquicos desenvolvidos para elaborar lutos e manifestam sentimentos de desesperança e futilidade nas tentativas de reparação do objeto. Também foi constatado que há um desarranjo da dinâmica das relações objetais estabelecidas pelas participantes. Ainda foi observado que, no Desenho da Família, o alimento tem um papel fundamental na dinâmica familiar. Finalmente, verificou-se que a participante com diagnóstico de anorexia restritiva apresenta recursos defensivos mais desenvolvidos que as participantes diagnosticadas como anoréxicas purgativasThe study of eating disorders has increasingly attracted the scientific community´s attention in the last decades because of their alarming rise in the world population. Although the first clinical descriptions of nervous anorexia date from the 19th century, the recent increase of eating disorder cases in the context of a society that worships body and thinness let us think of anorexia as an emblematic psychopathological picture of the contemporary times. Taking into account the range and the complexity of the study of eating disorders and the lack of researches using projective techniques, this study aimed at intensifying and deepening this line of research. The main objective was to identify and to describe the dynamic and structural aspects of the personality of patients whose diagnosis was anorexia, from the theoretical psychoanalytic referential. Data was collected through the Clinical Interview and three projective techniques: the Drawing of the Family, the Desiderative Questionnaire and the Object Relations Technique, which were applied to three anorexia patients who were interned at the Psychiatry Institute of Hospital das Clínicas/University of São Paulo´s Medicine School (IPq-HC/FMUSP). The datum analysis showed that the research participants lacked developed psychic resources to elaborate mourning and that they have feelings of hopelessness and futility when trying to repair the object. It was also found out that there is a disarrangement in the dynamics of the object relations established by the participants. Moreover, it was observed, in the Drawing of the Family, that food plays a fundamental role in the family dynamics. Finally, it was found out that the patient with restrictive anorexia has more developed defensive resources than the participants with purgative anorexia
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Houlberg-Laursen, Maria. "Promoting Shared, Home-based Family Activities with Interaction Design." Thesis, Malmö högskola, Fakulteten för kultur och samhälle (KS), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-21402.
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This project focuses on the interaction between parents and children in their everyday practices as a family.It investigates how interaction design can help to engage both children and parents in shared home-based activities through digital media. The target group involved in this project is limited to boys aged 10-12 and their parents.The project contributions within the field of interaction design research as well as it presents two design suggestions for how this knowledge can be put to use as digital design concepts. It concludes that when designing digital media intended to enhance relations between parents and children, the main focus is face-to-face interaction and creating a space that allows for creativity, communication and physical presence.
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Demby, Kimberly P. "Family Interaction Patterns, Child Attachment, and Child Emotional Adjustment." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc699925/.
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The present study examined the links between whole family interaction patterns, parent-child attachment, and child emotional adjustment in a sample of 86 community families with children between the ages of 8 and 11. Family interactions were observed and coded with the System for Coding Interactions and Family Functioning (SCIFF; Lindahl, 2001). Target children completed the Children’s Coping Strategies Questionnaire (CCSQ; Yunger, Corby, & Perry, 2005), and the Behavior Assessment System for Children- 2nd Edition, Self Report of Personality (BASC-2 SRP; Reynolds &Kamphaus, 2004). Results of hierarchical regressions indicated that Secure and Avoidant attachment each independently predicted children’s emotional symptoms in some models. Family Cohesion and Positive Affect moderated the relationship between father-child attachment and children’s emotional symptoms. Results of the current study support the utility of considering dyadic attachment and family interaction patterns conjointly when conceptualizing and treating children’s emotional outcomes.
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Johansson, Anna, Marina Karlsson, and Ingela Magnusson. "Familjens upplevelser när en familjemedlem är drabbad av Anorexia Nervosa : En systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap, HV, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-23763.
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Syfte: Syftet med studien var att beskriva familjens upplevelser när en familjemedlem är drabbad av Anorexia Nervosa (AN). Metod: Systematisk litteraturstudie användes som metod. Sökningar efter artiklar som svarade mot syftet gjordes i databaserna CINAHL, PubMed och PsycINFO. Åtta artiklar identifierades; fyra av dessa var kvalitativa och fyra var kvantitativa. En innehållsanalys utfördes på de kvalitativa artiklarna för att analysera och förtydliga de framtagna artiklarnas resultat och en metaanalys användes till de kvantitativa artiklarna. Resultat: Resultaten som framkom visade på att hela familjen påverkas av att leva med en familjemedlem som är drabbad av AN. De upplever ofta en inre konflikt med sig själva som ofta leder till ångest och depression. Föräldrar och syskon upplever att de inte får den hjälp och det stöd från vårdpersonal som de önskar. De teman som framkom var: upplevelse av ansvar, upplevelse av psykisk påfrestning och upplevda behov. Slutsatser: När en familjemedlem har AN påverkas hela familjen. För samtliga familjemedlemmar kan det vara av vikt att de får det stöd och den hjälp som de behöver för att kunna förstå och hantera sin situation. AN kan innebära många olika upplevelser och känslor för familjemedlemmarna. Mer forskning kring fäders upplevelser skulle kunna tillföra ytterligare aspekter som skulle kunna vara till gagn för sjuksköterskans bemötande.Objective: The aim of this study was to describe the family's experiences of living with a member who is suffering from Anorexia Nervosa (AN). Methods: A systematic literature review was used as a method. Searches for articles that met the objective were made in the databases CINAHL, PubMed and PsycINFO. Eight articles were identified, four of which were qualitative and four quantitative. A content analysis was performed on the qualitative articles to analyze and clarify the articles produced results and a meta-analysis was used for the quantitative articles. Results: The results that emerged showed that the whole family is affected by living with a family member who is suffering from AN. They often experience an inner conflict with themselves that often leads to anxiety and depression. Parents and siblings feel they do not get the help and support from health professionals as they desire. The themes that emerged were: sense of responsibility, experience of psychological distress and perceived needs. Conclusions: When a family member has AN, the whole family is affected. It may be important for all family members to get the support and help they need to understand and deal with their situation. AN can mean many different experiences and feelings of family members. More research into the experiences of fathers with AN could bring additional aspects that could be of benefit to the nursing care.
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Turkiewicz, Gizela. "Comparação de efetividade entre duas modalidades de tratamento para anorexia nervosa em adolescentes: tratamento familiar e tratamento multidisciplinar." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-26042012-112051/.
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Adolescentes do sexo feminino são a população mais frequentemente acometida pela anorexia nervosa (AN), com prevalência média de 2,5%, quando considerados critérios diagnósticos adaptados para esta faixa etária. A apresentação da AN em adolescentes é semelhante a de adultos, no entanto existem particularidades nos sintomas relacionadas ao nível de desenvolvimento cognitivo e emocional. A AN manifesta-se por: perda de peso, perturbações na forma de vivenciar a forma corporal, medo de engordar, restrição alimentar, comportamentos compensatórios e alterações menstruais. No Brasil, existem poucos recursos especializados para o tratamento da AN na adolescência e não foram realizados previamente estudos sistematizados sobre o tema. Estudos realizados em países de língua inglesa demonstram que o tratamento familiar (TF) apresenta bons resultados no tratamento da AN em adolescentes. Este estudo tem como objetivo a comparação de efetividade e de custos entre o TF e o tratamento multidisciplinar (TM). Inicialmente foi realizado um estudo piloto, incluindo nove pacientes de 11 a 17 anos do sexo feminino com diagnóstico de AN, tratadas com o TF. Posteriormente foi realizado um estudo comparativo, com os mesmos critérios de inclusão, com 20 pacientes que receberam o TF e foram comparadas com um grupo-controle histórico de 24 pacientes tratadas com TM. Foram calculados os custos diretos de ambas as modalidades de tratamento. Foram utilizadas como medidas de avaliação: DAWBA, CGAS, EDE-Q. No estudo piloto, as variáveis peso, IMC, EDE-Q, CGAS e amenorreia foram comparadas antes e após o TF. Foram observados resultados estatisticamente significativos em recuperação de peso e IMC (p=0,036). Foi observada melhora das demais variáveis após o tratamento, no entanto estes resultados não foram estatisticamente significativos. No estudo comparativo, 75% das pacientes que receberam o TF e 62,5% das pacientes que receberam TM apresentaram recuperação dos sintomas de AN, sem diferença estatisticamente significativa entre os grupos (p=0,378). Ambos os grupos apresentaram recuperação de peso, IMC e CGAS satisfatórias após o tratamento, sem diferença estatisticamente significativa entre os grupos. Tanto no TF quanto no TM, o maior tempo de sintomas antes do início do tratamento interferiu negativamente na resposta ao tratamento, reduzindo a chance de recuperação dos sintomas. Os custos diretos do TM são aproximadamente o dobro dos custos do TF. Tanto o TF quanto o TM demonstraram-se alternativas efetivas de tratamento para AN ! na população estudada. No entanto, o custo do TM é consideravelmente maior. O TF é uma alternativa de tratamento efetiva e economicamente viável, podendo ser disseminado para outros centros, possibilitando maior acesso a tratamento para adolescentes com ANFemale adolescents are the population most frequently affected by anorexia nervosa (AN), with average prevalence of 2.5% when adapted diagnostic criteria for this age group are considered. AN presentation in adolescents is similar to that of adults, but there are peculiarities in symptoms related to the level of cognitive and emotional development. AN main symptoms are: weight loss, disturbance in the way body shape is experienced, fear of becoming fat, dietary restriction, compensatory behaviors and menstrual abnormalities. In Brazil, there are few specialized resources for AN treatment in adolescence and no previous systematic studies have been conducted on this theme. In English-speaking countries, some studies have shown that the family-based treatment (FBT) is effective for adolescent AN. The aim of this study is to compare the effectiveness and the costs between the FBT and the multidisciplinary treatment (MT). Initially, a pilot study was conducted, including nine female patients from 11 to 17 years old diagnosed with AN, and treated with FBT. It was later performed a comparative study with the same inclusion criteria. Twenty patients who received FBT were compared with a historical control group of 24 patients treated with MT. We calculated the direct costs of both treatment modalities. The evaluation measures were: DAWBA, CGAS, EDE-Q. In the pilot study, the variables weight, BMI, EDE-Q, CGAS and amenorrhea were compared before and after FBT. We observed statistically significant results in weight and BMI recovery (p=0.036). The other variables have improved after treatment, although results were not statistically significant. In the comparative study, 75% of patients receiving FBT and 62.5% of patients receiving MT recovered from AN symptoms, no statistically significant difference was found between groups (p=0.378). Both groups have shown satisfactory recovery of weight, BMI and CGAS after treatment, with no statistical significant difference between groups. Both in the FBT and in the MT, the greater duration of symptoms before starting treatment had negative influence on treatment response, reducing the chance of recovery. The direct costs of the MT are approximately twice the cost of the FBT. Both the FBT and the MT were shown to be effective for AN treatment in the study population. However, the costs of MT are considerably higher. The FBT is an effective and economically viable treatment alternative and, can be disseminated to other centers, allowing ! greater treatment access for adolescents with AN
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Abraham, Hanlie. "Family interaction patterns in maternal alcohol abuse: an application of Murray Bowen's family system theory." Thesis, Nelson Mandela University, 2017. http://hdl.handle.net/10948/13669.
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The aim of this study was to explore and describe the intergenerational interactional patterns in a Coloured family where the mother has abused alcohol. Researchers have found that drinking behaviours of parents can have major effects on the children’s lives throughout generations. Substance abuse of a parent has major influences on the family, their interactions, and relationships, mostly between the parent and the child. There is a major gap in the study of the Coloured families and how substance abuse affects their families and children. The study employed Bowen’s constructs of differentiation of self, multigenerational transmission process, triangulation, emotional cut-off, nuclear family emotional system, sibling position, family projection process, and societal regression and utilized analytical generalization of the concepts to achieve its aim. The mother, an older sibling and maternal mother were the main sources of data although the perspective of the mother herself was privileged in the study. Semi-structured interviews were utilized to gather the data. This allowed participants to freely narrate their personal perceptions and experiences of interaction in both the family of origin and the current nuclear family. The research used a single case study of a purposively sampled family. The researcher is a Coloured female who had specific interest in this specific cultural group and their interactional patterns, which optimised cultural familiarity during the research process and reduced the likelihood of potential discriminatory racial bias of the participants. The findings demonstrate that perceptions of interactional patterns in the nuclear family and family of origin coincided with certain of Bowen’s Family Systems concepts, particularly, triangulation and differentiation. However, the need for further exploration of concepts such as the nuclear family emotional system and the family projection process in Coloured families are still needed in future studies. The findings provided insight into the functioning of the relationships and FAMILY INTERACTION IN MATERNAL ALCOHOL ABUSE interactions in both the nuclear family and the family of origin. Limitations of the current study are identified and recommendations for future studies in this field are also offered.
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Hess, Karl. "Family relationships, interpersonal relations, coping strategies, and stressful behavioral response patterns of anorexia nervosa and bulimia nervosa individuals." Diss., Virginia Polytechnic Institute and State University, 1988. http://hdl.handle.net/10919/53526.
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A booklet was completed by 7 anorexia nervosa patients, 12 bulimia nervosa patients, and 19 non-clinical individuals. The research instrument was designed to measure transgenerational family processes, interpersonal relations orientations, coping strategies, and stressful behavioral response patterns of anorexics and bulimics. Separate multivariate analysis of variance procedures were performed on the aforementioned variables to determine significant differences among the groups. The findings indicated that significant differences existed among the groups in regards to transgenerational family processes (F = .000), interpersonal relations orientations (F = .014), and coping strategies (F = .003).Ph. D.
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Redmond, Dustin Lamar. "The effect of video games on family communication and interaction." [Ames, Iowa : Iowa State University], 2010. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1476341.
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Rynes, Kristina N. "Demand-withdraw interaction in family therapy for adolescent drug abuse." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/194526.
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Demand-withdraw interaction is a pattern of communication in which one person demands change from another who withdraws. In the treatment domain, evidence of parallel demand-withdraw processes comes from a study of couple therapy for alcoholic men, where wife-demand/husband-withdraw interaction predicted poor response to a high-demand intervention (Shoham et al., 1998). The current study extends this parallelprocess idea to family therapy for substance-using adolescents by examining whether adolescents entrenched in parent-demand/adolescent-withdraw interaction are less likely to engage in treatment and more likely to use drugs post-treatment when counselors pressure them to change. Participants were 91 families who received ≥ 4 sessions of Brief Strategic Family Therapy (BSFT; Szapocznik et al., 2003) in a multi-site clinical trial on adolescent drug abuse and an additional non-engagement sample of 21 families who completed ≤ 2 sessions. Before randomization, families completed videotaped family interaction tasks from which trained observers coded parent-demand/adolescent-withdraw. Another team of raters coded therapists’ demands during an early and (for most cases) a later BSFT session, while a third team rated quality of BSFT. The main dependent variable was a composite index of adolescent substance use based on monthly self-reports and urine drug screens over 12 months. A matched-sample examination of sessions attended (≤ 2 vs. ≥ 4) revealed no effect of early-session therapist demand on engagement. However, multi-level models partially supported the main hypothesis: adolescents high in parent-demand/adolescent withdraw who received high-quality BSFT from relatively non-demanding therapists used fewer drugs during and after treatment than other adolescent participants. Furthermore, as therapist demand on high PD/AW adolescents increased, youth substance use also increased. Results suggest that attending to parallel demand-withdraw processes in parent/adolescent and therapist/adolescent dyads may be useful in family therapy for substance-using adolescents. Replicating ineffective parent behavior within the therapeutic system may undermine the prospect of decreased adolescent drug use outcomes.
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Hughes-Scalise, Abigail T. "Exploring the Roles of Adolescent Emotion Regulation, Recognition, and Socialization in Severe Illness: A Comparison Between Anorexia Nervosa and Chronic Pain." Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1401897218.
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Taylor, Sarah. "Praying, Playing and Happy Families: An Examination of the Relationship Between Family Religiosity, Family Recreation, and Family Functioning." Diss., CLICK HERE for online access, 2005. http://contentdm.lib.byu.edu/ETD/image/etd814.pdf.
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Reed, Courtney. "Family Stressors and How They Relate to the Onset of Eating Disorders and Disordered Eating." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/secfr-conf/2020/schedule/10.
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This paper aims to study the factors relating to eating disorders and disordered eating onset. Adolescents are the focus on this review and through the evaluation of these factors. Individual factors being addressed are as follows: active social media use, experience of child abuse or maltreatment, and chronic illnesses. Evaluating family factors such as family history, experience of intimate partner violence, and parenting dynamics allow us to understand the environment and its effect on eating disorder onset. Finally, protective factors addressed include parental resilience, concrete support, and emotional competence. Understanding the associations between these factors and disordered eating will aid in better treating and preventing eating disorders in adolescents.
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Howieson, Jillian Alice. "Family law dispute resolution : procedural justice and the lawyer-client interaction." University of Western Australia. Law School, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0109.
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While several Australian and international studies have explored the family lawyer-client interaction, these studies have been limited to investigations of discrete areas of the lawyerclient relationship and have been necessarily limited in their methodologies. The present study employed a quantitative empirical methodology in an Australian wide field study of 230 family lawyers and 94 clients that investigated the family lawyer-client interaction from a procedural justice framework. Using multivariate analyses, the study establishes that the Tyler and Blader two-component model of procedural justice applies in the lawyer-client dyad and is influenced by the approach of the lawyer, the emotional response of the client, and the level of co-party conflict that the client is experiencing. Further, the study gives meaning to the terms 'conciliatory and constructive' and 'adversarial' as they apply to family law dispute resolution. The study establishes a construct to measure the conciliatory and adversarial approach of family lawyers and identifies that lawyers tend to incorporate a mixture of the two into their work. The results also identify four distinct behavioural factors that characterise the two approaches: the client-centred and interest-based factors characterise the conciliatory approach; and the lawyer-directed and court-focused factors characterise the adversarial. The study found that in terms of perceptions of fairness, and feelings of satisfaction, the clients preferred the lawyers who took a client-centred and interest-based approach, but in circumstances where the clients were experiencing high-levels of conflict, or fear for the safety of their children, they also appreciated the lawyer who was lawyer-directed and court-focused. Overall, the study shows that in order to create a fair and satisfying dispute resolution service for their clients, family lawyers need to maintain a fine balance of family lawyering behaviour. On a general level, the study provides a profile of Australian family lawyers in terms of their approach to dispute resolution, their attitude towards ADR processes and their favoured negotiation styles. It also profiles family law clients in terms of their emotional adjustment to the divorce and their perceptions of the family lawyers assisting them to resolve their disputes. The study substantially expands the procedural justice theory base and has significant implications for practical family law education, government policy, family lawyering, and the ADR and collaborative law movements. The study indicates where future research could benefit these communities.
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Hoskins, Winifred Anne. "The influence of family interaction patterns on attachment in middle childhood." Thesis, Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/90941.
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The purpose of this study was twofold, 1) to assess and compare the family interaction patterns of families who home educate and those who send their children to public schools and 2) to determine the influence of family cohesion on the self-exposure and self-containment balance of children in middle childhood. In Phase I, 20 home schooled and 20 public schooled families were administered Faces III to assess their family interaction patterns. In Phase II, one child in each family was administered the Separation Anxiety Test to assess their overall emotional openness.
Chi-square analyses were used to determine the differences in the level of mothers' scores on cohesion and adaptability between the home schooled and public schooled groups. Four separate T-tests were conducted to compare the means of the two groups for the perceived and ideal cohesion and the perceived and ideal adaptability scores. Discrepancy scores, differences between husbands' and wives' ideal and perceived scores for family interaction, were also compared for the two groups. None of the comparisons between the groups were found to be statistically significant.
For Phase II, a series of separate-variance T-tests were conducted to determine differences between children from balanced and extreme families and between the home and public schooled children on the overall emotional openness score. No significant differences were found in any of the comparisons.
In general, the findings did not support the notion that families who home educated their children represented closed systems and that such closure in family functioning was dysfunctional.M.S.
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Stewart, Erik Robert. "Family communication and interaction as mediators of depression in rural youth /." The Ohio State University, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=osu148776035782144.
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Clark-Miller, Kristi Marie. "The Adoptive Identity: Stigma and Social Interaction." Diss., Tucson, Ariz. : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1374%5F1%5Fm.pdf&type=application/pdf.
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Stinson, Sharon-Marie. "The family interaction test : an alternative validation framework for a projective test of family interaction via the post-modernist disciplines of radical constructivist theory and narrative psychology /." Title page, contents and abstract only, 1989. http://web4.library.adelaide.edu.au/theses/09P/09ps859.pdf.
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Wolfgramm, Mallory Rebecca. "Implicit Family Process Rules Specific to Eating-Disordered Families." BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6266.
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Family environment is a significant factor in the development of eating disorders in young-adult females. Clinical experience, research and theories about eating disorders indicate that constrictive implicit process rules within a family are correlated with eating-disordered families. This study identified implicit family process rules that are unique to eating-disordered families and how well these rules predict membership in eating-disordered and non-eating-disordered families. One hundred and two families (51 eating-disordered and 51 comparison families) participated in the study. Mothers, fathers, young-adult female children, and siblings in each family completed the Family Implicit Rules Profile (FIRP). The design included cluster analysis of all 85 rules to determine which implicit rules clustered in eating-disordered families, and discriminant analysis to determine how well the rules from the cluster analysis predicted membership in the groups of eating-disordered vs. control families. Results indicated that two clusters emerged related to eating-disordered families. The first included rules regarding inappropriate protection of parents (ex. "Protect your parent even if they do not deserve it"), not upsetting or inconveniencing parents, the triangulation of a child (eg.. "Listen to a parent when they complain about the other parent"), avoiding pain at any cost, and blaming self for others' anger. Cluster 2 included rules about appearances (eg,. "Do whatever you have to do to look good to others") and rules about keeping family matters private. Discriminant analysis showed that these 15 implicit family rules predicted membership in either the eating-disordered or the non-eating-disordered family groups with 93% accuracy. Implications for family therapy are discussed.
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Horton, Dwayne M. "Cost-Effectiveness of Outpatient Treatment for Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder Not Otherwise Specified." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3852.
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This study examined the cost effectiveness of treating Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder Not Otherwise Specified (NOS), as well as the effects that modality of therapy (i.e. individual, family, and mixed therapy), license of therapist, and secondary diagnosis had on recidivism and total cost of treatment in the care of these patients. One-thousand and thirty-eight patients (56 males, 982 females) diagnosed with Anorexia Nervosa, 1,674 patients (56 males, 1,618 females) diagnosed with Bulimia Nervosa, and 1,997 patients (197 males, 1,800 females) diagnosed with Eating Disorder NOS were included in this study. Results revealed that family therapy was the least expensive form of therapy in average total cost of therapy. Individuals who had family therapy were 3.3 times less likely to recidivate than those who had individual therapy and 7.5 times less likely to recidivate than those who had mixed therapy. Having a secondary diagnosis on average increased the total cost of treatment by $437.34, irrespective of the type of secondary diagnosis (i.e. depression, anxiety, or substance-abuse). These findings suggest that modality of therapy should be considered in the treatment of Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder NOS. Future research should examine the effects of treatment for individuals with a secondary diagnosis.
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Campos, Lia Keuchguerian Silveira 1981. "Vivências emocionais de mães de adolescentes do sexo feminino com anorexia nervosa, atendidas no Hospital das Clínicas da Unicamp = um estudo clínico-qualitativo = Emotional experiences of mothers of female adolescents with anorexia nervosa, attended in the general hospital of Unicamp : a clinical qualitative study." [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308982.
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Orientador: Egberto Ribeiro TuratoDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: O presente estudo teve como objetivo conhecer as vivências emocionais das mães de adolescentes do sexo feminino, cujas filhas receberam o diagnóstico de anorexia nervosa e que estão em tratamento no Ambulatório de Transtornos Alimentares do Hospital das Clínicas da UNICAMP. Utilizamos o método clínico qualitativo, por meio de entrevistas semidirigidas em profundidade, em uma amostra intencional, fechada pelo critério de saturação, com sete mães de paciente com anorexia nervosa. As entrevistas foram feitas individualmente no Ambulatório de Transtornos Alimentares do HC UNICAMP. Cuidados éticos foram tomados seguindo as normas preconizadas pelo Conselho Nacional de Saúde. A técnica de tratamento de dados foi feita por meio da análise de conteúdo das entrevistas transcritas na íntegra e categorização. Os resultados foram submetidos à validação externa, junto ao Laboratório de Pesquisa Clínico-qualitativo do Departamento de Psicologia Médica e Psiquiatria da UNICAMP e na apresentação em congressos nacionais e internacionais. Os resultados possibilitaram identificar aspectos das mães das pacientes com anorexia nervosa que foram organizados em três categorias: Não diferenciação mãe-filha e falhas na comunicação; Quantidade versus qualidade; e Anorexia e oposição como um ataque. As mães das pacientes com anorexia nervosa propõem uma relação fusional na qual os aspectos da individualidade da filha ficam mal definidos e as tentativas de busca de individuação por parte das filhas são sentidas como um ataque e oposição aos cuidados maternos. As mães apresentam dificuldades em compreender as reais necessidades de suas filhas e tentam compensar deficiências qualitativas com quantidades, especialmente de alimentos e cuidados. Forma-se um círculo vicioso no qual a maternidade fica confundida com padrões rígidos de controle e de expectativas em relação à filha e as atitudes desta filha que sinalizam tentativas de individuação são sentidas como um ataque à mãe e sua devoção, o que leva as mães a recrudescerem os esforços no sentido de controlá-las e adequá-las ao padrão rígido proposto. Concluímos que os achados permitem contribuições para a ampliação dos conhecimentos e tratamentos da anorexia nervosa, ressaltando a necessidade do acompanhamento psicológico e psicoeducacional para as mães dessas pacientes
Abstract: The present study aimed to understand the emotional experiences of mothers of female adolescents whose daughters were diagnosed with anorexia nervosa and who are receiving treatment at the Out-patient Clinic for Eating Disorders at the University Hospital of UNICAMP. The Clinical Qualitative Method was used, through in-depth semi directed interviews, using an intentional sample, closed by saturation, with seven mothers of female patients with anorexia nervosa. The interviews were conducted individually in the Outpatient Clinic of Eating Disorders, HC UNICAMP. Ethical Care was taken following the ethical standards established by the National Council of Health. The technical data processing was done through the qualitative content analysis of the fully transcribed interviews and categorization. The emerging categories were validated by peer-reviewers from the Laboratory of Clinical-Qualitative Research, UNICAMP and presentation at national and international conferences. The findings made it possible to identify aspects in mothers of patients with anorexia nervosa which were organized in three categories: Non-differentiated mother-daughter and failures in communication; Quantity versus quality; e Anorexia and opposition as an attack. Mothers propose a fusional relationship with their daughters, in which the aspects of individuality are ill-defined. The daughters' attempts to become individuals are felt as an attack, and experienced by mothers as injustice and aggression. The mothers have difficulties to understand their daughters' logic and try to remedy a qualitative deficiency with quantity, especially of food and care. A vicious circle is formed, in which motherhood is confused with rigid control standards and expectations for the daughter and every attempt of the daughters to individualize are experienced by their mothers as an attack on the mother and on her devotion, which leads mothers to increase her offensive to make her daughter adapt to the model she is proposing. We concluded that the findings provide important contributions which can improve knowledge and clinical interventions to treat anorexia nervosa, emphasizing the need for psychotherapeutic and psycho-education for the mothers of these patients
Mestrado
Ciencias Biomedicas
Mestre em Ciências Médicas