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【6h】An Attachment-Based Model of Dissociative Functioning in Binge-Eating Behaviors

机译基于依恋的暴食行为中的分离功能模型

【摘要】Currently, the most prominent models for the treatment of binge-eating behaviors are cognitive-behavioral therapy, interpersonal therapy, and dialectical behavioral therapy. However, while current treatments of binge-eating disorders often maintain their objective on an individual's overt eating behaviors, they do not address the underlying, covert mechanisms which are involved in the development and maintenance of binge-eating behaviors. This may contribute to the high rate of relapse among such persons, and may explain the resistance to treatment among an individual's binge-eating behaviors. This clinical dissertation proposed a model for the treatment of binge-eating behaviors with considerable attention to the individual's internal conflicts that manifest as binge-eating behaviors. The model combined Kohut's (1971) model of development of the self and Cowan and Heselmeyer's (2011) developmental perspective on dissociative functioning. Attention to overt manifestations of binge-eating behaviors was included in the model's later phases as well as mindfulness-based techniques, mentalization-based treatment, and insight into emotion regulation. By illuminating the covert mechanisms within the individual's binge-eating behaviors, clinicians may be more prepared to address latent trauma and dissociative elements underlying the eating disordered behavior.

【摘要机译】当前,治疗暴饮暴食行为最主要的模型是认知行为疗法,人际交往疗法和辩证行为疗法。然而,尽管当前的暴饮暴食疗法通常以个人的饮食习惯维持其目标,但它们并未解决与暴饮暴食行为的发展和维持相关的潜在的秘密机制。这可能会导致此类患者的高复发率,并可能解释个体的暴饮暴食行为对治疗的抵抗力。该临床论文提出了一种暴饮暴食行为的治疗模型,其中要特别注意表现为暴饮暴食行为的个体内部冲突。该模型结合了Kohut(1971)的自我发展模型以及Cowan和Heselmeyer(2011)的分离功能发展观。该模型的后期阶段包括注意暴饮暴食行为的明显表现,以及基于正念的技术,基于心理的治疗和对情绪调节的洞察力。通过阐明个体暴饮暴食行为中的秘密机制,临床医生可能会更准备好应对潜在的外伤和饮食失调行为背后的分离因素。

【作者】Benzaken, Talia.;

【作者单位】Alliant International University.;

【年(卷),期】2020(),

【年度】2020

【页码】119 p.

【总页数】119

【原文格式】PDF

【正文语种】eng

【中图分类】;

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