Burket R C, Schramm L L
Department of Psychiatry and the College of Nursing, University of Florida, Gainesville, USA.
South Med J. 1995 Aug;88(8):813-8. doi: 10.1097/00007611-199508000-00004.
The attitudes of 90 therapists toward patients with an eating disorder were explored by questionnaire. Topics included therapist's treatment desires, countertransference, treatment approaches, and prognosis. Twenty-eight respondents (31%) desired not to treat such patients. Analysis of those who did not desire to treat these patients showed that (1) more of them were male, (2) individual therapy as the sole treatment method was more common, (3) feelings of empathy were less common, and (4) more of them believed the prognosis for anorexia nervosa with bulimia to be poor. Overall, therapists considered cognitive behavioral therapy to be the preferred treatment method, though subjects who desired to treat these individuals tended to use more diverse (dynamic, supportive, interpersonal, eclectic) approaches. Twenty-nine percent of both groups believed female therapists were preferred. Therapist frustration, treatment resistance, and comorbid conditions were found problematic. This study revealed several factors that distinguish therapists by desire to treat individuals with eating disorders.
通过问卷调查探讨了90名治疗师对饮食失调患者的态度。主题包括治疗师的治疗意愿、反移情、治疗方法和预后。28名受访者（31%）表示不想治疗这类患者。对那些不想治疗这些患者的人进行分析发现：（1）他们中男性更多；（2）以个体治疗作为唯一治疗方法更为常见；（3）共情感受较少见；（4）他们中更多人认为神经性厌食症合并贪食症的预后较差。总体而言，治疗师认为认知行为疗法是首选的治疗方法，不过那些希望治疗这些患者的受试者倾向于使用更多样化（动态、支持性、人际、折衷）的方法。两组中29%的人认为女性治疗师更受青睐。治疗师的挫败感、治疗抵抗和共病情况被认为是有问题的。这项研究揭示了几个区分治疗师是否愿意治疗饮食失调患者的因素。
