Riley E A
Acute Adult Unit, Four Winds Hospital--Saratoga, Saratoga Springs, New York.
Nurs Clin North Am. 1991 Sep;26(3):715-26.
To be effective in treating eating-disordered individuals, we must be open to working with an electric model of treatment. Often health care providers have difficulty with the addiction model of treatment, even though many eating-disordered patients will attest to the assistance and support they receive from these programs. It will be useful for both health care professionals and 12-step programs to avoid taking competitive positions. It is far more useful for professionals to have a working knowledge of how these programs work and how they can be of use to the individuals with eating disorders. Knowledge of local resources will also be of great value. Given the assistance that the clients tell us they receive at these programs, it makes more sense to understand and use these programs more, not less. There is evidence that eating disorder behaviors are addictive behavior, both from a psychological and physiologic perspective. Use of a 12-step program will assist with the practical details of helping individuals to stop employing self-destructive behaviors as well as provide support and decrease feelings of isolation and depression. It is important to integrate the 12-step program components into an overall treatment program to make the best use of both programs and decrease the competition usually inherent in both programs.
为了有效地治疗饮食失调患者，我们必须愿意采用一种电子化的治疗模式。尽管许多饮食失调患者会证明他们从这些项目中得到了帮助和支持，但医疗保健提供者往往难以接受成瘾治疗模式。医疗保健专业人员和12步治疗项目都应避免采取竞争立场，这会很有帮助。对于专业人员来说，了解这些项目的运作方式以及它们如何对饮食失调患者有用，会有更大的用处。了解当地资源也将非常有价值。鉴于客户告诉我们他们在这些项目中得到的帮助，更多地理解和利用这些项目而不是更少，才更有意义。有证据表明，从心理和生理角度来看，饮食失调行为都是成瘾行为。采用12步治疗项目将有助于解决帮助个人停止自我毁灭行为的实际细节问题，同时提供支持并减少孤立感和抑郁情绪。将12步治疗项目的组成部分纳入整体治疗计划很重要，以便充分利用这两种治疗方法，并减少这两种治疗方法通常固有的竞争。
