Andrews G
Saint Luke Medical Center, Pasadena, California, USA.
Obes Surg. 1997 Oct;7(5):445-8. doi: 10.1381/096089297765555449.
The bariatric patient exists in dynamic relationship with family members and friends who have considerable influence upon the patient and his or her surgical outcome. When family members and friends behave as intimate saboteurs, they attempt to hamper, hurt, or subvert the bariatric patient's goal of achieving and maintaining a healthy body weight. Successful or not, intimate saboteurs provide significant treatment challenges for the patient and the treatment team.
Patient profiles provide examples of intimate sabotage. The psychological construct of Family Systems Theory is used as a plausible explanation for the sabotage of friends and family.
Multidisciplinary professionals treating the bariatric patient must be aware of the critical influence of intimate saboteurs and the tactics they use to sabotage. Treatment guidelines recommended by Family Systems Theory are presented as strategies to mitigate the influence of intimate saboteurs.
肥胖症患者与家庭成员及朋友之间存在动态关系，这些人对患者及其手术结果有相当大的影响。当家庭成员和朋友扮演亲密的破坏者时，他们试图阻碍、伤害或颠覆肥胖症患者实现并维持健康体重的目标。无论成功与否，亲密破坏者都会给患者和治疗团队带来重大的治疗挑战。
患者资料提供了亲密破坏行为的实例。家庭系统理论的心理结构被用作对朋友和家人破坏行为的一种合理的解释。
治疗肥胖症患者的多学科专业人员必须意识到亲密破坏者的关键影响及其破坏策略。家庭系统理论推荐的治疗指南被作为减轻亲密破坏者影响的策略呈现出来。
