家族関係の変遷と健康問題 : 摂食障害の境界例を通して(変貌する家族関係と健康問題)(第35回日本心身医学会総会)

概要

論文の詳細を見る
Through a study of 7 clinical cases of Eating Disorders with the feature of Borderline Personality Disorder, we could find 4 types of intrafamily relationships, namely 1) borderless family. 2) broken family, 3) double-bind family and 4) traditional family. According to Stierlin's Model, these 7 cases could not fulfill the task of "delegation" and stay inside the relational modes between "binding" and "exclusion." Moreover, the needs of these cases for love and dependency were so strong that the distorted family relationships such as borderless sticking. exclusion, spiritual control and overexpectation by parents seemed to strengthen the Primitive defense mechanisms. The distortion of family relationships were found to be under the infiuence of recent changes in the family structure from the extended family system to the nuclear family system. The therapeutic approach to the improvement of this distorted family relationships seemed to be a turning point in the treatment of this disorder.
日本心身医学会の論文
1995-03-01