Treasure Janet, Cardi Valentina
Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, UK.
Eur Eat Disord Rev. 2017 May;25(3):139-147. doi: 10.1002/erv.2511.
Hilde Bruch's foundation lecture in 1982 is a milestone from which to survey current theory and treatment for anorexia nervosa. Bruch described problems in body perception, emotion processing and interpersonal relationships as core theoretical aspects of the illness and built her theory of psychopathology on these aspects, as well as on animal studies on attachment. She also noted that many psychological problems result as consequence of starvation. In the first part of this paper, we parse Bruch's clinical descriptions into elements of psychopathology (disturbances in body perception, attachment, emotion expression, perception and regulation, social comparison, interpersonal, and family and therapeutic relationships), in order to assemble and update the theoretical evidence for a model of the illness. In the second part, we describe and extend her description of three core targets of treatment: family relationships, patient's inner confusion and nutritional restoration. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
希尔德·布鲁赫1982年的基础讲座是一个里程碑，从这一讲座可以审视神经性厌食症的当前理论和治疗方法。布鲁赫将身体感知、情绪处理和人际关系方面的问题描述为该疾病的核心理论要点，并基于这些方面以及关于依恋的动物研究构建了她的精神病理学理论。她还指出，许多心理问题是饥饿的结果。在本文的第一部分，我们将布鲁赫的临床描述解析为精神病理学要素（身体感知、依恋、情绪表达、感知与调节、社会比较、人际关系以及家庭与治疗关系方面的障碍），以便为该疾病模型收集和更新理论证据。在第二部分，我们描述并扩展了她对治疗的三个核心目标的描述：家庭关系、患者内心的困惑以及营养恢复。版权所有© 2017约翰·威利父子有限公司和饮食失调协会。
