Institute of Behavioural Sciences, Semmelweis University, H- 1089 Budapest, Nagyvárad Tér 4, Hungary.
Eat Weight Disord. 2012 Jun;17(2):e140-3. doi: 10.1007/BF03325339.
Scientific literature is limited on problems related to the psychotherapy of twins, especially eating disorders. This paper discusses the therapeutic difficulties encountered with two anorexic and one bulimic sets of twins.
The three case reports show that the symbiotic tendency of twins is a frequent phenomenon, which may be a special resistance against change, and can serve as a factor maintaining the pathological state. In many cases, the parental behaviour strengthens the symbiosis of the twins, instead of helping the individuation.
The integration of individual and family therapeutic interventions is proposed. The separation-individuation process of the twins can be stimulated by individual sessions with each of the twins, or separate sessions during family therapy (i.e., sessions with the parents and with one of the twins). In this case, the best strategy would be to have the individual and family therapies conducted by the same therapist.
科学文献在与双胞胎的心理治疗相关的问题上十分有限，尤其是在饮食障碍方面。本文讨论了治疗一对厌食症双胞胎和一对贪食症双胞胎时所遇到的治疗困难。
这三个病例报告表明，双胞胎的共生倾向是一种常见现象，可能是一种特殊的抗拒改变的表现，也可能是维持病理状态的一个因素。在许多情况下，父母的行为加强了双胞胎的共生，而不是帮助他们实现个体化。
提出了将个体治疗和家庭治疗相结合的方法。可以通过对每个双胞胎进行单独的个体治疗，或者在家庭治疗中（即与父母和其中一个双胞胎的治疗）进行单独的治疗来刺激双胞胎的个体化过程。在这种情况下，最好的策略是由同一位治疗师进行个体治疗和家庭治疗。
