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将综合强化认知行为疗法(I-CBTE)应用于严重及长期饮食失调症(SEED) 论文1:我不再是一名SEED患者。

Applying Integrated Enhanced Cognitive Behaviour Therapy (I-CBTE) to Severe and Longstanding Eating Disorders (SEED) Paper 1: I am no longer a SEED patient.

作者信息

Collins Lorna

机构信息

Independent scholar, London, UK.

出版信息

J Eat Disord. 2024 Sep 12;12(1):139. doi: 10.1186/s40337-024-01089-7.

Abstract

This autobiographical paper recounts the recovery journey of Lorna Collins, a survivor of severe and enduring anorexia nervosa (SE-AN). Her story begins with a traumatic brain injury at the age of 18, leading to a complex eating disorder that persisted for over two decades. Despite over 30 hospital admissions and various treatment modalities, her condition only worsened, compounded by other mental health challenges. The paper describes these multifaceted struggles, including mistreatment in healthcare, self-harm, further trauma and near-fatal illness. The author aims to culminate her story in an uplifting manner, by highlighting the pivotal role that integrated cognitive behaviour therapy, artistic expression, and a renewed connection with her family have made on her recovery. Collins' account is not only a personal testimony but also offers critical insights into the shortcomings of traditional eating disorder treatments and the importance of personalised, holistic approaches in mental health care. Lorna's story aims to bring hope, challenge the concept of SEED and form part of a growing evidence-base that recovery is possible irrespective of duration or eating disorder severity.

摘要

这篇自传体论文讲述了洛娜·柯林斯的康复历程,她是一名严重且持久的神经性厌食症(SE-AN)幸存者。她的故事始于18岁时的一次创伤性脑损伤,导致了一种复杂的饮食失调症,这种病症持续了二十多年。尽管她住院超过30次,并接受了各种治疗方式,但她的病情却不断恶化,还伴有其他心理健康问题。论文描述了这些多方面的挣扎,包括在医疗保健中的虐待、自我伤害、进一步的创伤和近乎致命的疾病。作者旨在以一种鼓舞人心的方式结束她的故事,强调综合认知行为疗法、艺术表达以及与家人重新建立联系在她康复过程中所起的关键作用。柯林斯的叙述不仅是个人的见证,还对传统饮食失调治疗方法的缺点以及心理健康护理中个性化、整体方法的重要性提供了关键见解。洛娜的故事旨在带来希望,挑战SE-AN的概念,并成为越来越多证据基础的一部分,即无论患病时长或饮食失调的严重程度如何,康复都是有可能的。

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