Uniwersytet Kardynała Stefana Wyszyńskiego w Warszawie, Wydział Filozofii Chrześcijańskiej, Instytut Psychologii.
Psychiatr Pol. 2020 Aug 31;54(4):821-833. doi: 10.12740/PP/OnlineFirst/118601.
Anorexia nervosa constitutes amajor challenge to medical practitioners, especially clinicians, due to a high rate of chronicity and a very serious risk of relapse. One of the underlying causes of this state of affairs is the ego-syntonicity of the disorder, which differentiates it from similar conditions, and which is responsible for the patient's denial and lack of motivation for treatment (resulting in frequent instances of therapy refusal or drop-out). The paper outlines different approaches to defining chronic anorexia nervosa. Thisform of anorexia and its therapeutic implications are discussed through the lens of clinicians and other medical professionals. Furthermore, the patients'experiences of chronic anorexia nervosa are described. The dilemmas concerning palliative care for this group of patients are addressed and treatment options and relapse prevention strategies are recommended, with a focus on the latest developments in this respect. The paper is concluded with an optimistic report of complete recovery from this diagnosis, including an analysis of the factors underlying the positive therapeutic outcome.
神经性厌食症对医疗从业者，尤其是临床医生来说是一个重大挑战，因为它的慢性率很高，且复发的风险非常严重。造成这种情况的一个根本原因是这种疾病的自我和谐性，这将其与类似的病症区分开来，并且导致患者否认和缺乏治疗的动力（导致频繁拒绝或中途放弃治疗）。本文概述了定义慢性神经性厌食症的不同方法。本文通过临床医生和其他医疗专业人员的视角来讨论这种形式的厌食症及其治疗意义。此外，本文还描述了患者的慢性神经性厌食症经历。本文还探讨了针对这群患者的姑息治疗的困境，并提出了治疗选择和复发预防策略，重点介绍了这方面的最新进展。本文以从这种诊断中完全康复的乐观报告结束，包括对积极治疗结果的潜在因素的分析。
