Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY.
J Clin Psychol. 2020 Feb;76(2):266-276. doi: 10.1002/jclp.22893. Epub 2019 Nov 25.
Eating disorders are associated with high rates of comorbidity, extreme medical complications, and decreased quality of life, and have the highest mortality rate of any mental illness. Treatment outcomes, however, remain concerningly dire and there is a lack of research examining the effectiveness of factors like therapeutic rapport that have yielded positive outcomes in other patient populations. This article focuses on the potential benefits of therapist self-disclosure about past lived experiences of eating disorder with individuals struggling with the disease. It examines existing models of treatment in which disclosure-fueled rapport is harnessed and draws from the personal experience of the author as an eating disorder survivor and practitioner. Research evidence and theoretical rationale from a psychodynamic perspective are used to support the argument for increasing the practice of therapist disclosure about lived eating disorder experience with this patient population.
饮食失调与高发病率、极端的医疗并发症和生活质量下降有关，其死亡率高于任何其他精神疾病。然而，治疗结果仍然令人担忧，而且缺乏研究来检验治疗关系等因素的有效性，这些因素在其他患者群体中产生了积极的结果。本文重点关注治疗师对个人过去饮食失调经历的自我披露对与这种疾病作斗争的个体的潜在益处。它检查了现有的治疗模式，这些模式利用了披露引发的融洽关系，并借鉴了作者作为饮食失调幸存者和从业者的个人经验。从心理动力学的角度来看，研究证据和理论原理被用来支持增加治疗师对这一患者群体的饮食失调生活经历进行自我披露的实践。
