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瓦解“冰女王”:神经性厌食症的综合治疗

Melting down the Ice Queen: an integrative treatment of anorexia nervosa.

作者信息

Hartogs Bregje M A, Eikmans Kirsten M, Bartels-Velthuis Agna A

机构信息

Center for Integrative Psychiatry, Lentis Mental Health Care, Groningen, The Netherlands.

出版信息

BMJ Case Rep. 2013 Mar 25;2013:bcr2012006604. doi: 10.1136/bcr-2012-006604.

Abstract

A 23-year-old woman with anorexia nervosa (AN) and a strong need for control was offered an integrative treatment, empowering the patient to be an active participant and advocating shared decision-making. To emphasise this, both the therapist and patient describe their views on the therapy. The integrative treatment resulted in more psychological flexibility and behavioural improvements, as is evident from an increased weight, a decreased dietary restriction and an increased valued action. The strength of this integrative treatment is based on accepting and encouraging patient's self-chosen treatment method, within healthy limits, and thereby creating a flexible, supportive and empowering therapeutic alliance. More research is needed to test the efficacy of combining complementary therapies within conventional treatments of AN.

摘要

一名患有神经性厌食症(AN)且有强烈控制欲的23岁女性接受了综合治疗,使患者能够成为积极参与者并倡导共同决策。为强调这一点,治疗师和患者都阐述了他们对治疗的看法。综合治疗带来了更大的心理灵活性和行为改善,体重增加、饮食限制减少以及有价值的行为增加就证明了这一点。这种综合治疗的优势在于在健康范围内接受并鼓励患者自主选择的治疗方法,从而建立一个灵活、支持性且赋予力量的治疗联盟。需要更多研究来检验在神经性厌食症的传统治疗中结合补充疗法的疗效。

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