By Carole Kayrooz
This article provides an method of operating with ladies who've bulimia nervosa that's in line with study exhibiting that bulimia nervosa includes interpersonal, social and societal elements in addition to the cognitive, developmental and behavioural points which were the point of interest of a lot specialist intervention up to now. the writer exhibits how humans trying to comprehend and emotionally help girls with this advanced challenge have to be capable of paintings with these kind of dimensions. the sensible program of this multi-dimensional, systems-based figuring out to therapy perform is confirmed via 3 in-depth case reports.
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Additional resources for A Systemic Treatment of Bulimia Nervosa: Women in Transition
Cultural role conflict: a theory of eating disorders Cultural role conflict is thought to lead to the high level of eating disorders among those who need to adjust to the dominant western 34 A SYSTEMIC TREATMENT OF BULIMIA NERVOSA culture (Littlewood 1995; Nasser 1997). According to this theory, the immigrant woman, by means of the eating disorder, can express distress about the conflict between the greater personal freedoms offered by the host culture and the restrictions of her culture of origin, without overtly challenging her culture of origin’s norms.
To some extent, these thinking patterns belong to most women with a sense of responsibility and compassion but in women with bulimia nervosa, they tend to be extreme. This is because women with this problem tend to be perfectionists (Woodman and Dickson 1996) and then guilty because they have not reached their own high goals (Allen, Scannel and Turner 1998). They also tend to have more expressive traits. Expressive traits are stereotypically feminine and include being emotional, dependent, concerned for others, nurturing and communal.
As Wonderlich (1992) noted in his review of the research on families of bulimics, future family studies of bulimia should also consider the unique environments that bulimics encounter within their families, and also the personality factors that influence their experience of these families. There are common developmental challenges for families, resulting in tension and asynchronous attempts at independ ence and acceptance. One common clinical impression in families of women with bulimia nervosa is that they have a high incidence of sexual abuse.
A Systemic Treatment of Bulimia Nervosa: Women in Transition by Carole Kayrooz