Click here to download

Family therapies and eating disorders. Notes on an essay
Journal Title: PSICOBIETTIVO 
Author/s:  Massimo Cuzzolaro 
Year:  2016 Issue: Language: Italian 
Pages:  11 Pg. 143-153 FullText PDF:  108 KB
DOI:  10.3280/PSOB2016-003009
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


The article is a rereading, twelve years later, of an essay published by Luigi Onnis in 2004. The essay was dedicated to the myths and family ghosts in the theoretical framework of systemic-relational psychotherapy model and in the clinical area of food disorders (anorexia nervosa and bulimia nervosa). After a reflection on the concept of family as a complex system, the author focuses on the transition, in the history of family therapy, starting from the first cybernetic to the cybernetics of the second order, that is, from the pragmatic interactions observable here and now to the semantics of human behavior. The study of the "myths" and "family ghosts" in a diachronic and transgenerational perspective is enrolled in this transition as an important enrichment. The use of body language in the therapeutic setting through "family sculptures in time" opens, finally, a few comments on alexithymia concepts, symptom formation, contemporary trends and tendencies in the treatment of eating disorders.
Keywords: Complex Systems; Family Therapy; Eating Disorders; Alexithymia; Symptom

  1. American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, DSM-5, American Psychiatric Publishing, Arlington, VA
  2. Bartholdy S.,McClelland J., Kekic M., O’Daly O.G., Campbell I.C., Werthmann J., Rennalls S.J., Rubia K., David A.S., Glennon D., Kern N., Schmidt U. (2015) “Clinical outcomes and neural correlates of 20 sessions of repetitive transcranial magnetic stimulation in severe and enduring anorexia nervosa (the TIARA study): study protocol for a randomised controlled feasibility trial”, Trials 16: 548.
  3. Bourneville D.-M., Régnard P. (1876-1880) Iconographie photographique de la Salpêtrière, Bureaux du Progrès Médical; A. Delahaye et E. Lecrosnier, Paris
  4. Breuer J., Freud S. (1971) “Studi sull’isteria” (“Studien über Hysterie”, 1895), in Opere, vol. I, Boringhieri, Torino, pp. 161-439
  5. Charcot J.-M. (1886-1893) “Leçons sur les maladies du système nerveux”, in Oeuvres complètes, vol. III, Aux Bureaux du Progrès Médical; Lecrosnier et Babé, Paris
  6. Cochrane C.E., Brewerton T.D., Wilson D.B., Hodges E.L. (1993) “Alexithymia in the eating disorders”, Int. J. Eat. Disord., 14(2): 219-222
  7. Donini L.M., Dalle Grave R., Caretto A., Lucchin L., Melchionda N., Nisoli E., Sbraccia P., Lenzi A., Cuzzolaro M. (2014) “From simplicity towards complexity: the Italian multidimensional approach to obesity”, Eat. Weight Disord., 19(3): 387-394.
  8. Eisler I., Simic M., Russell G.F., Dare C. (2007) “A randomised controlled treatment trial of two forms of family therapy in adolescent anorexia nervosa: a five-year follow-up”, J. Child Psychol. Psychiatry, 48(6): 552-560
  9. Engel G.L. (1977) “The need for a new medical model: a challenge for biomedicine”, Science, 196(4286): 129-136
  10. Engel G.L. (1980) “The clinical application of the biopsychosocial model”, Am. J. Psychiatry, 137(5): 535-544
  11. Freud S. (1970) “Frammento di un’analisi d’isteria (Caso clinico di Dora)” (“Bruchstück einer Hysterie-Analyse”, 1901), in Opere, vol. 4, Boringhieri, Torino, pp. 299-402
  12. Freud S. (1976) “Lezioni di introduzione alla psicanalisi” (“Vorlesungen zur Einführung in die Psychoanalyse”, 1915-1917), in Opere, vol. 8, Boringhieri, Torino, pp. 190-611
  13. Garfinkel P., Garner D. (1982) Anorexia nervosa: a multidimensional perspective, Brunner/Mazel, New York
  14. Johnson C., Maddi K.L. (1986) “The etiology of bulimia: biopsychosocial perspectives”, Adolesc Psychiatry, 13: 253-273
  15. Laplanche J., Pontalis J.-B. (1967) Vocabulaire de la psychanalyse, Presses Universitaires de France, Paris (trad. it.: Enciclopedia della psicanalisi, Laterza, Bari, 1968)
  16. le Grange D., Lock J., Loeb K., Nicholls D. (2010) “Academy for Eating Disorders position paper: the role of the family in eating disorders”, Int. J. Eat. Disord., 43(1): 1-5.
  17. Lipsman N., Lozano A.M. (2014) “Targeting emotion circuits with deep brain stimulation in refractory anorexia nervosa”, Neuropsychopharmacology, 39(1): 250-251.
  18. Lock J. (2015) “An Update on Evidence-Based Psychosocial Treatments for Eating Disorders in Children and Adolescents”, Journal of Clinical Child & Adolescent Psychology, 44(5): 707-721., DOI: 10.1080/15374416.2014.97145
  19. Lock J., Le Grange D., Agras W.S., Dare C. (2001) Treatment Manual for Anorexia Nervosa. A Family-Based Approach, Guilford, New York., DOI: 10.1080/15374416.2014.97145
  20. Marty P., De M’Uzan M., David M. (1963) “La pensée opératoire”, Revue Franç. Psychanal., 27: 345-356
  21. Marzola E., Knatz S., Murray S.B., Rockwell R., Boutelle K., Eisler I., Kaye W.H. (2015) “Short-term intensive family therapy for adolescent eating disorders: 30-month outcome”, Eur. Eat. Disord. Rev., 23(3): 210-218.
  22. Minuchin S., Rosman B., Baker L. (1978) Psychosomatic families: anorexia nervosa in context, Harvard University Press Cambridge (trad. it.: Famiglie psicosomatiche. L’anoressia mentale nel contesto familiare, Astrolabio, Roma, 1980)
  23. Morin E. (2005) Introduction à la pensée complexe (première édition, ESF, Paris, 1990), Seuil, Paris
  24. Naesstrom M., Blomstedt P., Bodlund O. (2016) “A systematic review of psychiatric indications for deep brain stimulation, with focus on major depressive and obsessive-compulsive disorder”, Nord J. Psychiatry, 70(7): 483-491., DOI: 10.3109/08039488.2016.116284
  25. Nowakowski M.E., McFarlane T., Cassin S. (2013) “Alexithymia and eating disorders: a critical review of the literature”, J. Eat. Disord., 1: 21
  26. Onnis L. (2004) “I miti e i fantasmi familiari: il tempo sospeso”, in Il tempo sospeso. Anoressia e bulimia tra individuo, famiglia e società, FrancoAngeli, Milano, pp. 208-228
  27. Ripa di Meana G. (2015) Onore al sintomo, Astrolabio, Roma
  28. Rodgers R.F., Paxton S.J., McLean S.A. (2014) “A biopsychosocial model of body image concerns and disordered eating in early adolescent girls”, J. Youth Adolesc., 43(5): 814-823.
  29. Russell G., Szmukler G., Dare C., Eisler I. (1987) “An evaluation of family therapy in anorexia nervosa and bulimia nervosa: a 5-year follow-up”, Archives of General Psychiatry, 44: 1047-1056
  30. Satir V. (1972) Peoplemaking, Science and Behavior Books, Palo Alto
  31. Schmidt U., Jiwany A., Treasure J. (1993) “A controlled study of alexithymia in eating disorders”, Compr. Psychiatry, 34(1): 54-58
  32. Sharma M., Naik V., Deogaonkar M. (2016) “Emerging applications of deep brain stimulation”, J. Neurosurg. Sci., 60(2): 242-255
  33. Sifneos P.E. (1973) “The prevalence of ‘alexithymic’ characteristics in psychosomatic patients”, Psychother. Psychosom., 22(2): 255-262
  34. Steinhausen H.C. (2002) “The outcome of anorexia nervosa in the 20th century”, Am. J. Psychiatry, 159(8): 1284-1293.
  35. Steinhausen H.C. (2009) “Outcome of eating disorders”, Child Adolesc. Psychiatr. Clin. N. Am., 18(1): 225-242.
  36. Stierlin H., Weber G. (1989) Unlocking the Family Door, Brunner/Mazel, New York
  37. Touyz S., Le Grange D., Lacey H., Hay P., Smith R., Maguire S., Bamford B.,
  38. Pike K.M., Crosby R.D. (2013) “Treating severe and enduring anorexia nervosa: a randomized controlled trial”, Psychol. Med., 43(12): 2501-2511., DOI: 10.1017/S003329171300094
  39. Udo T., White M.A., Lydecker J.L., Barnes R.D., Genao I., Garcia R.,
  40. Masheb R.M., Grilo C.M. (2016) “Biopsychosocial Correlates of Binge Eating Disorder in Caucasian and African American Women with Obesity in Primary Care Settings”, Eur. Eat. Disord. Rev., 24(3): 181-186.
  41. Walsh B.T. (2013) “The enigmatic persistence of anorexia nervosa”, Am. J. Psychiatry, 170(5): 477-484.
  42. Wiener N. (1948) Cybernetics, or control and communication in the animal and the machine, MIT Press, Cambridge (Mass.) (trad. it.: La cibernetica, Bompiani, Milano, 1951)

Massimo Cuzzolaro, Family therapies and eating disorders. Notes on an essay in "PSICOBIETTIVO" 3/2016, pp. 143-153, DOI:10.3280/PSOB2016-003009

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content