摂食障害の心理診断と治療 : Bulimiaの心理診断所見と再養育法の実際(摂食障害の診断と治療をめぐって)(第34回日本心身医学会総会)

概要

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One of reasons for difficulties of recovering from eating disorders (E.D) is switching from one type to another in 3 types of E.D, namely, (1) Anorexia Nervosa Type, (2) Bulimia Type, (3) Bulimia Type through Anorexia Nervosa conditions ("switched Bulimia Type"). It is necessary to predict the type of the E.D patient with the symptoms of anorexia ; namely, whether the patient is Anorexia Nervosa Type or switched Bulimia Type, before examining a treatment plan. We gathered significant data on differential diagnosis of E.D type according to the results of a research (n=123) on family pathology and of psychological tests (Baum test ; n=59,Landscape montage technique (L.M.T) ; n=51). The family pathologies include inadequate quality of family functions and maternal problems. The Bulimia group has those traits (family malfunction or/and maternal problem) more significantly as compared with the An. N group. The Bulimia group showed significant results of Baum test and L.M.T. Concerning the Baum test ; pressure of drawing, the thickness of a trunk, form of Baum crown, etc. are important. Concerning L.M.T ; position of a river, existence of a bridge, figure of a person, etc. are important. As to the treatment for Bulimia Type, a re-parenting method was applied which was based on D.W.Winnicott's theory. We presented a case to which this method was applied.
日本心身医学会の論文
1994-02-01