Robinson Adèle Lafrance, Dolhanty Joanne, Greenberg Leslie
Department of Psychology, Laurentian University, Health Sciences North, Sudbury, Ontario, Canada.
Clin Psychol Psychother. 2015 Jan-Feb;22(1):75-82. doi: 10.1002/cpp.1861. Epub 2013 Aug 4.
Family-based therapy (FBT) is regarded as best practice for the treatment of eating disorders in children and adolescents. In FBT, parents play a vital role in bringing their child or adolescent to health; however, a significant minority of families do not respond to this treatment. This paper introduces a new model whereby FBT is enhanced by integrating emotion-focused therapy (EFT) principles and techniques with the aims of helping parents to support their child's refeeding and interruption of symptoms. Parents are also supported to become their child's 'emotion coach'; and to process any emotional 'blocks' that may interfere with their ability to take charge of recovery. A parent testimonial is presented to illustrate the integration of the theory and techniques of EFT in the FBT model. EFFT (Emotion-Focused Family Therapy) is a promising model of therapy for those families who require a more intense treatment to bring about recovery of an eating disorder.
More intense therapeutic models exist for treatment-resistant eating disorders in children and adolescents. Emotion is a powerful healing tool in families struggling with an eating disorder. Working with parent's emotions and emotional reactions to their child's struggles has the potential to improve child outcomes.
基于家庭的疗法（FBT）被视为治疗儿童和青少年饮食失调的最佳实践方法。在FBT中，父母在帮助孩子恢复健康方面起着至关重要的作用；然而，有相当一部分家庭对这种治疗方法没有反应。本文介绍了一种新模型，即通过整合以情感为中心的疗法（EFT）的原则和技术来强化FBT，目的是帮助父母支持孩子重新进食并中断症状。同时，还支持父母成为孩子的“情感教练”；并处理可能干扰他们负责孩子康复能力的任何情感“障碍”。文中呈现了一位家长的推荐意见，以说明EFT的理论和技术在FBT模型中的整合情况。情感聚焦家庭疗法（EFFT）对于那些需要更强化治疗以实现饮食失调康复的家庭来说，是一种很有前景的治疗模式。
对于儿童和青少年难治性饮食失调存在更强化的治疗模型。在与饮食失调作斗争的家庭中，情感是一种强大的治愈工具。处理父母对孩子挣扎的情感及情感反应，有可能改善孩子的治疗效果。
