Vandereycken W
J Psychiatr Res. 1985;19(2-3):413-22. doi: 10.1016/0022-3956(85)90048-2.
Over a period of more than 15 years, our approach to the inpatient treatment of anorexia nervosa has changed considerably. Three major steps may be distinguished in this evolution. Until 1974, weight restoration was induced by a medical regime, and most patients had to stay in a psychotherapeutic community for several months. Between 1974 and 1980, different types of behavior therapy have been tried and compared ending up in a standardized behavioral contract system that is still used now. However, a large follow-up study forced us to question the second psychotherapeutic phase of the program and the long stay in the hospital. Moreover, the increasing number of patients made it practically impossible to treat them all individually. For these reasons, from 1982, an intensive multifaceted group approach was developed, the major components of which are described. It is concluded that continuing research from a scientist-practitioner's viewpoint is the best guide for a fruitful trial-and-error process in the therapeutic approach to patients with eating disorders.
在超过15年的时间里，我们对神经性厌食症住院治疗的方法发生了很大变化。在这一演变过程中可以区分出三个主要阶段。直到1974年，体重恢复是通过一种医疗方案诱导的，大多数患者不得不在心理治疗社区呆上几个月。1974年至1980年间，尝试并比较了不同类型的行为疗法，最终形成了一个至今仍在使用的标准化行为契约系统。然而，一项大型随访研究迫使我们对该项目的第二个心理治疗阶段以及长期住院提出质疑。此外，患者数量的增加使得几乎不可能对所有患者进行个别治疗。出于这些原因，从1982年起，开发了一种强化的多方面小组方法，并描述了其主要组成部分。得出的结论是，从科学家-从业者的角度持续进行研究是饮食失调患者治疗方法中富有成效的试错过程的最佳指导。
