Cook-Cottone Catherine P
University at Buffalo, SUNY, Buffalo, NY, United States.
Body Image. 2015 Jun;14:158-67. doi: 10.1016/j.bodyim.2015.03.004. Epub 2015 Apr 15.
This article provides a model for understanding the role positive body image can play in the treatment of eating disorders and methods for guiding patients away from symptoms and toward flourishing. The Attuned Representational Model of Self (Cook-Cottone, 2006) and a conceptual model detailing flourishing in the context of body image and eating behavior (Cook-Cottone et al., 2013) are discussed. The flourishing inherent in positive body image comes hand-in-hand with two critical ways of being: (a) having healthy, embodied awareness of the internal and external aspects of self (i.e., attunement) and (b) engaging in mindful self-care. Attunement and mindful self-care thus are considered as potential targets of actionable therapeutic work in the cultivation of positive body image among those with disordered eating. For context, best-practices in eating disorder treatment are also reviewed. Limitations in current research are detailed and directions for future research are explicated.
本文提供了一个模型,用于理解积极的身体意象在饮食失调治疗中所起的作用,以及引导患者远离症状、走向蓬勃发展的方法。文中讨论了自我的协调表征模型(库克 - 科托内,2006年)以及一个详细阐述在身体意象和饮食行为背景下蓬勃发展的概念模型(库克 - 科托内等人,2013年)。积极身体意象所固有的蓬勃发展与两种关键的存在方式相伴而生:(a)对自我的内在和外在方面有健康的、体现性的觉知(即协调),以及(b)进行正念自我关怀。因此,协调和正念自我关怀被视为在饮食失调者中培养积极身体意象的可行治疗工作的潜在目标。作为背景,还回顾了饮食失调治疗的最佳实践。详细阐述了当前研究的局限性,并阐明了未来研究的方向。