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| systemagazin Zeitschriftenarchiv: Journal of Family Therapy Heft 2/2005 |
| 1/2005 - 2/2005 - 3/2005 - 4/2005 - Übersicht Schmidt, Ulrike & Eia Asen (2005): Editorial: Does multi-family day treatment hit the spot that other treatments cannot reach? In: Journal of Family Therapy 27(2), S. 101-103 Eisler, Ivan (2005): The empirical and theoretical base of family therapy and multiple family day therapy for adolescent anorexia nervosa. In: Journal of Family Therapy 27(2), S. 104-131 abstract: There is growing empirical evidence that family therapy is an effective treatment for anorexia nervosa, particularly in adolescence. This is in spite of the fact that the theoretical model from which most of the empirically based treatments are derived appears flawed. This paper provides a brief overview of the research evidence from treatment studies and studies of family functioning. It suggests that the main limitation of earlier theoretical models is their focus on aetiology rather than on an understanding of how families become organized around a potentially life-threatening problem. An alternative conceptual model is presented, and its application to family therapy and multiple-family therapy for adolescent anorexia nervosa is described. The treatment approach focuses on enhancing the families' own adaptive mechanism and mobilizing family strengths. Scholz, Michael, Maud Rix, Katja Scholz, Krassimir Gantchev & Volker Thomke (2005): Multiple family therapy for anorexia nervosa: concepts, experiences and results. In: Journal of Family Therapy 27(2), S. 132-141 abstract: Abstract Multiple family therapy (MFT) is an increasingly popular treatment approach for adolescents suffering from anorexia nervosa and their families. This paper describes the ingredients and different phases of this treatment, and outlines its indications and contra-indications. Relationship patterns in families containing anorectic teenagers are examined, with a special emphasis on identifying areas for change in family relationships. Results with regard to the overall acceptability of the approach are presented. Poser, Miriam (2005): Anorexia nervosa - my story. In: Journal of Family Therapy 27(2), S. 142-143 Poser, Maren (2005): Anorexia nervosa - a parent's perspective. In: Journal of Family Therapy 27(2), S. 144-146 Fleminger, Sonja (2005): A model for the treatment of eating disorders of adolescents in a specialized centre in The Netherlands. In: Journal of Family Therapy 27(2), S. 147-157 abstract: Treatment of adolescent patients with eating disorders has to take into account that these patients differ in age, their stage of development, and the constellation and functioning of their family life. Our treatment model takes these factors into account and is family and cognitive behaviourally orientated. The work has developed and changed in recent years, based on our experiences over the past ten years, as well as in combination with ideas we picked up from the experiences of colleagues elsewhere, be they via oral reports or written papers. Our approach is flexible; yet it also offers a structured containment for the patient, both by the treatment team and the parents. We aim, as much as possible, to let the family members carry out the treatment, providing them with the environment and the tools they need. Including the family members actively in the treatment of their ill daughter and teaching the parents how to help their child at home is the core of our philosophy, and we believe that this prevents prolonged inpatient stays or readmissions. This paper describes the different ways and settings in which we try to carry out our work. Treasure, Janet, Wendy Whitaker, Jenna Whitney & Ulrike Schmidt (2005): Working with families of adults with anorexia nervosa. In: Journal of Family Therapy 27(2), S. 158-170 abstract: The aim of this paper is to describe working with the carers (families) of adults with anorexia nervosa (AN), which is different from working with families of younger adolescents. The main difference is in the area of rights and responsibilities of both parties. Moreover, as AN in adults is often a chronic condition, the treatment goal may not focus on recovery, but instead on improvement in quality of life. Thus the spectrum of nature and degree of parental involvement in the treatment of adults with AN is much broader than in children and adolescents. Our framework for intervention is based on a clear model of carer distress, from which targets for intervention follow. The paper outlines some of the core components of this work. Rhodes, Paul & Sloane Madden (2005): Scientist-practitioner family therapists, postmodern medical practitioners and expert parents: second-order change in the Eating Disorders Program at The Children's Hospital at Westmead. In: Journal of Family Therapy 27(2), S. 171-182 abstract: The Maudsley model of family-based treatment for anorexia integrates a variety of schools of family therapy, and has been developed and supported by a number of randomized controlled trials. In this paper we will describe the systemic organizational changes that have occurred as a result of the inclusion of this model in the Eating Disorders Program at The Children's Hospital at Westmead over an eighteen-month period, including a process of mutual influence between medical practitioners and family therapists. These changes have contributed towards a dramatic improvement in clinical outcomes including a significant drop in readmission rates to hospital. |
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