This book brings together the key ideas of therapists on understanding and treating anorexia nervosa. It provides the reader with a survey of the history, psychodynamics, family patterns and techniques of therapy.
The Peruvian mystic St. Rose of Lima (Isabel Flores y Oliva, 1586-1617) was canonized in 1671 as the first saint of the New World and remains the object of widespread devotion today. In this engrossing new study, Frank Graziano uses the example of St. Rose to explore the meaning of female mysticism and the way in which saints are products of their cultures. Virginity, austerity, eucharistic devotion, incessant mortification, and mystical marriage to Christ characterized the devotional regimen that structured St. Rose's entire life. Many of her mystical practices echo the symptoms of such modern psychological disorders as masochism, depression, hysteria, and anorexia nervosa. Graziano offers a sophisticated argument not only for the origins and meaning of these behaviors in Rose's case, but also for the reason her culture venerated them as signs of sanctity. In the process he explores a wide range of themes, from the idea of suffering as an expression of love to the assimilation of childhood trauma through religious repetition. Graziano also offers a penetrating analysis of the politics of Rose's canonization. He finds that her mystical union with God--bypassing the institutional channels of sacrament and priestly mediation--was inherently subversive to the bureaucratized Church. Canonization was a cooptation by which Rose's competing claim to Christ was integrated into the Catholic canon. The book concludes with a fascinating exploration of mystical eroticism, with its intense experiences of vision and ecstasy. The eroticized suffering of many mystics is shown to be very human in origin: the mystic's wounded love is projected onto a God conceived to accommodate it. Wounds of Love is based on a decade of research in archives, rare books, and an extraordinary range of secondary sources. Introducing an innovative method that integrates history, cultural studies, psychoanalysis, and clinical psychology, this compelling work offers a bold new interpretation of female mysticism.
Body Image in Eating Disorders explores issues relating to the prevention, clinical diagnosis, and psychological treatment of distortions of body image in eating disorders. It presents a multifactorial model of indicators for diagnosis and treatment, considering psychological, sociocultural, and family indicators. Based on original empirical research with women and girls suffering from eating disorders, the book draws attention to limitations and dilemmas related to psychological diagnosis and treatment of people with eating disorders including anorexia readiness syndrome, bulimia, and bigorexia. The book proposes an integrative psychodynamic approach to the diagnosis and treatment of body image disorders and presents case studies illustrating examples of application of integration of psychodynamic therapy and psychodrama in psychological treatment of young people suffering from eating disorders. It considers risk factors including abnormal body image for the development of eating disorders and argues that psychological diagnosis of the body image is an important factor in determining the right direction of psychological treatment for people with eating disorders. Drawing on theoretical foundations and evidence-based clinical practice, the book will be of great interest to researchers, academics, and students in the fields of clinical and applied psychology, mental health, and specialists in eating disorders.
In this comprehensive and insightful work, Dr. Sharon K. Farber provides an invaluable resource for the mental health professional who is struggling to understand self-harm and its origins. Using attachment theory to explain how addictive connections to pain and suffering develop, she discusses various kinds and functions of self-harm behavior. From eating disorders to body modifications such as tattooing, Dr. Farber explores the language of self-harm, and the translation of that language and its psychic functions in the therapeutic setting. She tells us, "When the body weeps tears of blood, we need to wonder what terrible sorrows cannot be spoken." Brilliantly illustrated with rich clinical material, this book offers a practical approach to the diagnosis, assessment, and treatment of the increasing number of patients whose emotions are expressed through bodily harm. The challenges of working with patients who tend to view the world of relationships in terms of predator and prey are clearly explicated and the stormy countertransference responses that threaten to destroy the treatment are given a full hearing. Finally, she shows how the attachment relationship formed in treatment can repair the traumatic attachment in mind, body, psyche, and soul, and can serve as the cornerstone of therapeutic change. A Jason Aronson Book
Bulimia nervosa and eating disorders are common cause of distress and health related burden for young women and men. Despite major advances over the past three decades many patients come late to treatment and find that the therapy is incompletely addressed to the complex psychopathology and co-morbidities of the illness. The present book brings timely and contemporary understandings of bulimia nervosa to aid in current thinking regarding prevention and treatment. It will be read by therapists interested in enhancing their current approaches and those interested in earlier and more effective prevention and closing the gap between illness onset and accessing treatment. They will find practical guidance but also new ideas and ways of thinking about bulimia nervosa and the illness experience in this book.
This manual presents an evidence-based focal psychodynamic approach for the outpatient treatment of adults with anorexia nervosa, which has been shown to produce lasting changes for patients. The reader first gains a thorough understanding of the general models and theories of anorexia nervosa. The book then describes in detail a three-phase treatment using focal psychodynamic psychotherapy. It provides extensive hands-on tips, including precise assessment of psychodynamic themes and structures using the Operationalized Psychodynamic Diagnosis (OPD) system, real-life case studies, and clinical pearls. Clinicians also learn how to identify and treat typical ego structural deficits in the areas of affect experience and differentiation, impulse control, self-worth regulation, and body perception. Detailed case vignettes provide deepened insight into the therapeutic process. A final chapter explores the extensive empirical studies on which this manual is based, in particular the renowned multicenter ANTOP study. Printable tools in the appendices can be used in daily practice. This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counselors, and students.
"I can be a mother, a wife, a daughter, a sister and a woman without having periods." This book explores two of the oldest and most important symbols of all time: menstruation and secondary amenorrhea. Women of menstruating age commonly experience secondary amenorrhea – a cessation of periods – but most people have never heard of the term, nor do they realise what it represents. Danielle Redland’s curiosity as to why this is posits that menstrual conditions need to be decoded, not just simply treated. Surveying menstruation and Secondary Amenorrhea (SA) principally from a psychoanalytic perspective, with sociocultural, historical, political and religious angles also examined, Psychoanalytic Perspectives on Women, Menstruation and Secondary Amenorrhea draws secondary amenorrhea out of the shadows of its menstruating counterpart, and explores how narratives of womanhood and statehood dominate. Chapters on blood ideology and war amenorrhea, on Freud’s treatment of Emma Eckstein and on the psycho-mythology of Pygmalion, present the reader with visions beyond patriarchy towards more thoughtful ideas on the feminine, challenging assumptions about gender, identity and what is deemed "good" for women. Rich in clinical examples, the book locates menses and their cessation at the heart of personal experience and examines psychosomatic phenomena, the link between psyche and body and the value of interpretation. From the author’s own analysis to a variety of cases linked to hysteria, anorexia, stress, trauma, abuse, helplessness and hopelessness, individual stories and narratives are sensitively recovered and carefully revealed. This refreshing example of multi-layered research and psychoanalytic enquiry by a new, female writer will be of great interest to psychologists, psychotherapists, healthcare and social work professionals and readers of gender studies, history, politics and literature.