Article 2 Godart, Berthoz, Curt, Perdereau, Rein, Wallier, Horreard, Kaganski, Lucet, Atger, Corcos, Fermanian, Falissard, Flament, Eisler, and Jeammet (2012) seek to understand the effect of adding Family Therapy (FT) sessions to treatment procedures that are offered to inpatients. The literature review effectively outlines the limitations of previous research. For instance, although FT has been praised by past research, its impact on the inpatient population for AN has been overlooked (Godart et al., 2012). Another discrepancy is whether FT should focus on strengthening relationships within a family or adjusting the attitude that the family may have on weight and food that may be pressuring the child; the authors vouch for the first …show more content…
The average age was 16.6 years. All women had a diagnosis of Anorexia Nervosa as indicated by DSM-IV and never received FT prior to the study. Patients and family were informed of the study when admitted to impatient care. Unfortunately, the sample size is quite small and there is a gender bias. This study only generalizes its results to females in their teens and early twenties who are hospitalized in inpatient care. Randomization does not occur in the sample selection. Variables and research methods Godart et al., (2012) randomly divided the participants into two groups each consisting of 30 people. The independent variable was the inclusion of FT to TAU. This modification to treatment was measured by the of outcome status in terms of “good,” “intermediate,” and “poor.” Underneath these categories lie various factors, such as body mass index (BMI), menstrual status, and presence of eating disorder behaviors symptoms (Godart et al., 2012).. The control group consisted of patients who received only the typical treatment provided by the facility. Treatment as usual included patient consultation, parent interviews, and individual psychotherapy. A team approach was utilized; patients were assigned a psychiatrist, psychotherapist, dietician, and social worker to guide them and monitor progress. Parental involvement in TAU was not as active as in family
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Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).
Diagnosing potential Anorexia nervosa is not always easy, and Alicia’s case, based on information given and her representation, is not clear cut. Researchers argue that the diagnosis has to be done carefully and potential ambiguities have to be resolved (Baer & Blais, 2010). For example, some researchers have argued that one criterion, such as a fear of being fat, can decrease significantly when the person actually loses some weight (Surgenor & Maguire, 2013). For reasons like this, selecting the primary question, namely whether or not the patient has Anorexia
Family therapy, (equally recognized or referred to as marriage and family therapy, couple and family therapy, family systems therapy and even family counseling), is a form of treatment (psychotherapy) that promotes growth, development and change within families and/or couples who are personally involved. With that being said, this distinct form of therapy has a tendency of observing change in terms of the structures of communication or interaction between members of the family as well as does it ultimately highlight relationships within the family as a rather substantial component regarding psychological health. Through placing such emphasis on the qualitative relationships of all families, we will compare two therapies/therapists in particular,
Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark
Patients, families, and psychiatrists all demand treatments that have been shown to work well. Family psychiatry has moved from theatrical showmanship to evidence-based treatments. Within a broad range of family interventions are different levels of family involvement. Family inclusion is the easiest intervention--simply involving the family members as historians, supporters, and allies in treatment.
Structural family therapy is a popular systematic approach that family therapist use to help solve issues within a family and enhance the relationship of family members through bringing order to the family structure. Nichols (2013) presents that one defining insight to family therapy was the discovery that families are organized in subsystems with emotional boundaries that regulate the contact family members have with each other. This also introduced enactments, where family members are encouraged to directly communicate with each other in sessions, allowing the therapist to observe and modify their interactions when necessary (p. 122). Basing the assumption that the problems lie within the family structure. Salvador Minuchin is the primary
Anorexia Nervosa, a DSM-5 diagnosis, is characterized by energy restriction leading to a significantly low body weight, in addition to psychological comorbidities involving anxiety, depression, fear of weight gain, body image disturbances, and lack of recognition of the seriousness of the disease and low body weight. Even though this disease has a lifetime prevalence of 1-2.3%, with an average mortality rate of 5-10%, current research on an initial, gold standard anorexia nervosa treatment is scarce (2-4,7). Treatment choice is currently based on
307), and that the jury is out regarding when and for whom hospitalization is more effective than outpatient treatment. In a hospital or intensive inpatient settings, an integrated team provides treatment for adolescents for AN that addresses both medical and psychological elements of the disorder (Weaver & Liebman, 2012). Re-feeding, under the guidance of a nutritionist, is a central part of treatment (Weaver & Liebman, 2012). The use of a family therapy model (Weaver & Liebman, 2012) and cognitive restructuring (Rome et al, 2004) are common elements of therapy. Eli (2014) describes the daily life of inpatient as characterized by strict rules, schedules and staff supervision of meals, activities and even bathroom use. Adolescents in treatment report experiencing “a constant battle” in which AN is alternatively friend or foe, and describe readiness for change as the central conflict of treatment (Colton & Pistrang,
The aim of Family Therapy is to explore issues which are having a negative effect on a family, and instigate positive changes in how families tackle it and resolve problems arising in the future. The concept of therapy is to assist families by highlighting positive ways for people to interact with each other, so family is united and capable of working together. Impartial and non-judgmental professions, present during meetings, reduces the likelihood of hostility, as well as minimising elements of blame. Additionally, independent parties have a clearer insight into factors which may cause tension or upset, whilst evidence behaviours which may aggravate situations. Yet families may be obvious to the damaging effects these incidences can have
With up to 24 million people suffering from a feeding and eating disorder in the United States (Renfrew Center Foundation for Eating Disorders, 2003), it is vital that these disorders be fully understood and recognized by mental health counselors in order for them to accurately assess, diagnose, and treat feeding and eating disordered individuals. Due to the prevalence of disordered eating amongst young females, Anorexia Nervosa or NA in particular, this paper aims to provide a better understanding of the development, evaluation, and diagnosis of this disorder as well as highlight the criteria for diagnosis as described by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM- 5,
What is in-patient and out-patient care: Anorexia nervosa is related with severe medical sickness and marked psychosocial comorbidity. It has the highest humanity rate of all mental illnesses and degeneration happens often. The general occurrence of anorexia nervosa is at least eight people per 100 000 per year, with an average prevalence of 0·3% in girls and young women. The severity and low occurrence of the condition are reasons why large randomised exact trials are needed and why troubles arise in carrying out of treatment studies. In adults with anorexia nervosa, some indication shows the success of outpatient focal psychodynamic therapy and cognitive behaviour therapy. In one trial, at the end of the treatment period, a supportive therapy delivered by specialists was superior to two specific psychotherapies, with reverence to a joint global outcome measure. Patients enter inpatient care mostly from prior ambulatory care such as referral from a family doctor, or through emergency medicine departments. The patient officially becomes an “inpatient” at the writing of an admission note. Outpatient care is medical care provided on an outpatient basis as well as diagnosis, surveillance, consultation, treatment,
Family therapy has many advantages, but should not be a blanket strategy in helping clients. In researching the purpose of family therapy, and it’s history in helping people, it has a significant place in bringing healing to both individuals and families. Nevertheless, it comes with its own set of risks and issues. In this discussion, the purpose is to work through some of the general advantages and disadvantages of using family therapy, while also looking at the experience needed and role of a counselor in family therapy. Finally, we will discuss the potential challenges I will face in doing family therapy.
Clinical implications affecting Family therapy centers around independent, dependent and common theoretical conceptualizations. Model-independent or narrow factors encompass components that are specific to that model. Model-dependent or broad factors contain variables that are common throughout all theoretical models. However there are three main model commonalities that counselors should account for during treatment. They are current relevant connections from family of origin influence, current interaction cycles, affective, behavioral and cognitive dysfunction that are perpetuated is a continuous cycle (Davis & Piercy, 2007). Counselors should enter into the therapeutic relationship with the foresight that these influences will be
Family therapy has contributed considerably to better understand the experiences of children and families; also the therapy will help us to find different ways in how to educate children and family in how to cope with stressful situations. However, family therapy helps to alleviate most of the stressful situation in a family, professionals including myself are struggling to understand the experience of the children in the process of family therapy. The research that I was able to read it does not reflect an extensive information about how the process of family therapy takes into account the family therapy positive. It is unsure about the negatives or positives outcomes of the family therapy on children. Conclusively, professionals need to take
The first session we met we discussed the purpose of family therapy introducing the concept to see it was something they may find beneficial to them. Understanding how family therapy works and interacts is the key objectives of therapists; they should be healers, concerned with engaging with the family therapeutically, around issues that cause problems whilst remaining respect. This means to join families and experience the reality whilst becoming involved in the interaction which form the family structure and the way they think and behave (Minuchin and Fisherman 1981). Information was given about structural family therapy and how this may be beneficial for family A. Mrs A was given information on how Family therapy can play an