| Brief Therapy of Bulimia Nervosa in Psychology Emotocognitiva |
| the psychological interview for the treatment of bulimia in psychology emotocognitiva |
| |
 Marco Baranello |
Abstract
emotocognitiva psychology, the theoretical model developed by the systemic-relativistic Baranello Dr. Mark and his team study and research with the co- direction of Dr. Emanuela Sabatini, analyzing the different methods of treatment of bulimia, examining the failures of some methods both pharmacological and psychological techniques that occurring in the literature are found to be effective and consistent with the new operating model for the proposed system, has achieved clinical trials of a purely psychological care in times short of the majority of bulimic symptoms. Even for bulimia nervosa as well as most of the disorders treated at our clinics, using the pattern of dysfunctional loop (Baranello, 2006) and the concepts of primary and secondary pain (Baranello, 2006).
The complexity of the old action for the eating disorder known as bulimia nervosa is reduced through specific clinical techniques, an operation to phobic avoidance of suffering. The new method we called "ABC of treatment", developed by study and research center in psychology emotocognitiva is producing amazing results for short-term therapy of bulimia through the medium of the interview psychological health without using drugs.
emotocognitiva psychology, the theoretical model developed by the systemic-relativistic Baranello Dr. Mark and his team study and research with the co- direction of Dr. Emanuela Sabatini, analyzing the different methods of treatment of bulimia, examining the failures of some methods both pharmacological and psychological techniques that occurring in the literature are found to be effective and consistent with the new operating model for the proposed system, has achieved clinical trials of a purely psychological care in times short of the majority of bulimic symptoms. Even for bulimia nervosa as well as most of the disorders treated at our clinics, using the pattern of dysfunctional loop (Baranello, 2006) and the concepts of primary and secondary pain (Baranello, 2006).
The complexity of the old action for the eating disorder known as bulimia nervosa is reduced through specific clinical techniques, an operation to phobic avoidance of suffering. The new method we called "ABC of treatment", developed by study and research center in psychology emotocognitiva is producing amazing results for short-term therapy of bulimia through the medium of the interview psychological health without using drugs.
Psychological Therapy of Bulimia Nervosa in Psychology Emotocognitiva As we know, bulimia nervosa is characterized by the classic binge, usually uncontrolled, and by recurrent and inappropriate compensatory behaviors among which the best known is the self-induced vomiting but there are other often conducted as the use of laxatives and diuretics, fasting, excessive exercise, etc.. (DSM-IV, 1994).
According to the Diagnostic and Statistical Manual of Mental Disorders, the compensatory behavior is intended to prevent weight gain. This is true from a phenomenological point of view.
What is actually trying to prevent the patient is in psychology emotocognitiva, the suffering that follows the binge. This pain, defined as primary all'abbuffata varies from person to person and can take the form of guilt, discomfort, anxiety, distress, discomfort, fear, etc.. The attempt for a resolution of suffering, however, because a state of uneasiness which we call secondary suffering. Suffering is the true secondary problema da risolvere.
Una discriminante importante per valutare se il paziente tende ad evitare la sofferenza associata alla condotta incontrollata dell'abbuffata è la valutazione del pattern bulimico sull'asse piacere-dolore.
Un pattern bulimico sul versante del piacere fa emergere, quasi invariabilmente, tratti di personalità dello spettro impulsivo, in particolare il disturbo borderline di personalità, mentre un pattern bulimico sul versante del dolore, evidenzia un'organizzazione di personalità del gruppo ansioso (dipendente, evitante, ossessivo-compulsivo).
In entrambi i casi la terapia dei sintomi bulimici risulta breve. Nella maggior parte dei casi l'efficacia terapeutica si evidenzia entro le dieci sedute e risulta ben visibile.
According to the Diagnostic and Statistical Manual of Mental Disorders, the compensatory behavior is intended to prevent weight gain. This is true from a phenomenological point of view.
What is actually trying to prevent the patient is in psychology emotocognitiva, the suffering that follows the binge. This pain, defined as primary all'abbuffata varies from person to person and can take the form of guilt, discomfort, anxiety, distress, discomfort, fear, etc.. The attempt for a resolution of suffering, however, because a state of uneasiness which we call secondary suffering. Suffering is the true secondary problema da risolvere.
Una discriminante importante per valutare se il paziente tende ad evitare la sofferenza associata alla condotta incontrollata dell'abbuffata è la valutazione del pattern bulimico sull'asse piacere-dolore.
Un pattern bulimico sul versante del piacere fa emergere, quasi invariabilmente, tratti di personalità dello spettro impulsivo, in particolare il disturbo borderline di personalità, mentre un pattern bulimico sul versante del dolore, evidenzia un'organizzazione di personalità del gruppo ansioso (dipendente, evitante, ossessivo-compulsivo).
In entrambi i casi la terapia dei sintomi bulimici risulta breve. Nella maggior parte dei casi l'efficacia terapeutica si evidenzia entro le dieci sedute e risulta ben visibile.
Uno spostamento sull'asse del dolore per cui il paziente dichiara la sofferenza associata alla condotta di abbuffate e alla conseguente condotta compensatoria, come ad esempio il vomito autoindotto, ci permette di trattare il sintomo bulimico con tecniche per l'evitamento fobico della sofferenza secondo lo schema ABC del trattamento proposto dalla psicologia emotocognitiva.
L'abbuffata provoca la sofferenza che, al fine di essere evitata, crea un tentativo da parte del paziente di ridurre l'abbuffata cercando di controllare alcune variabili come ad esempio evitare di riempire frigorifero o dispense oppure cercando distrazioni, ecc. oppure ridurre successivamente la sofferenza utilizzando metodi compensatori.
Al fine to avoid suffering, the person will try to avoid the binge that, however, will eventually and inevitably, therefore, almost always will be inevitable with the use of compensatory behavior and / or disposal. The use of what is commonly called "willpower" is doomed to fail. The patient then receives a feeling of helplessness and powerlessness that is, using the terminology proposed by psychology emotocognitiva, a lack of sense of volition. The most common phrase that a patient's pronunciation is the classic "is stronger than me." Psychophysiological vomiting and other compensatory behaviors are used to resolve the status of disagio causato dalla perdita di tale senso di volizione. Il paziente che non desidera né abbuffarsi, né vomitate si trova di fronte ad un paradosso per cui l'organismo provoca autonomamente il sintomo bulimico mentre lo stesso organismo, razionalmente, cerca di bloccarlo (teoria del conflitto attuale in psicologia emotocognitiva).
La forza di volontà ed i tentativi di controllare la situazione non potranno mai funzionare in quanto, fisiologicamente, il dovere incrementa stati di tensione che l'organismo tende a risolvere, secondo il concetto di loop disfunzionale e del conflitto attuale, proprio attraverso la manifestazione sintomatologica. Secondo questo schema le sedute con il paziente vengono costruite to define the variables that cause the pain and the assessment carried out of the patient and his / her field of expertise that are keeping the issue. The psychologist should avoid focusing on arbitrary reasons and will be oriented to undermine what is in the here-and-now is creating, maintaining and potentially worsening the symptoms. The orientation towards such dysfunctional ways of resolution of distress can undermine many really short time in the psycho-physiological processes that underpin the symptoms by restoring a sense of volition and a normal working process. The psychologist will
specific questions about the operation of certain behaviors of both the patient and of his environment that are been implemented in an attempt to resolve the disorder and associated symptoms. A very common mistake is to persevere in treatments and procedures but do not produce visible results. It 'easier for a patient taking drugs actually evidence of a worsening situation. Although this is still the drug, as if the suspension (always and necessarily progressive) can worsen a situation that is already going to the aggravation.
The psychologist must carefully evaluate everything that is producing results by working a sharp color change in the way the management of symptoms by acting primarily on the actions disfunzioali.
Al fine to avoid suffering, the person will try to avoid the binge that, however, will eventually and inevitably, therefore, almost always will be inevitable with the use of compensatory behavior and / or disposal. The use of what is commonly called "willpower" is doomed to fail. The patient then receives a feeling of helplessness and powerlessness that is, using the terminology proposed by psychology emotocognitiva, a lack of sense of volition. The most common phrase that a patient's pronunciation is the classic "is stronger than me." Psychophysiological vomiting and other compensatory behaviors are used to resolve the status of disagio causato dalla perdita di tale senso di volizione. Il paziente che non desidera né abbuffarsi, né vomitate si trova di fronte ad un paradosso per cui l'organismo provoca autonomamente il sintomo bulimico mentre lo stesso organismo, razionalmente, cerca di bloccarlo (teoria del conflitto attuale in psicologia emotocognitiva).
La forza di volontà ed i tentativi di controllare la situazione non potranno mai funzionare in quanto, fisiologicamente, il dovere incrementa stati di tensione che l'organismo tende a risolvere, secondo il concetto di loop disfunzionale e del conflitto attuale, proprio attraverso la manifestazione sintomatologica. Secondo questo schema le sedute con il paziente vengono costruite to define the variables that cause the pain and the assessment carried out of the patient and his / her field of expertise that are keeping the issue. The psychologist should avoid focusing on arbitrary reasons and will be oriented to undermine what is in the here-and-now is creating, maintaining and potentially worsening the symptoms. The orientation towards such dysfunctional ways of resolution of distress can undermine many really short time in the psycho-physiological processes that underpin the symptoms by restoring a sense of volition and a normal working process. The psychologist will
specific questions about the operation of certain behaviors of both the patient and of his environment that are been implemented in an attempt to resolve the disorder and associated symptoms. A very common mistake is to persevere in treatments and procedures but do not produce visible results. It 'easier for a patient taking drugs actually evidence of a worsening situation. Although this is still the drug, as if the suspension (always and necessarily progressive) can worsen a situation that is already going to the aggravation.
The psychologist must carefully evaluate everything that is producing results by working a sharp color change in the way the management of symptoms by acting primarily on the actions disfunzioali.
Moving the bulimic pattern axis pleasure of the changes is the strategy of psychological intervention. We use the same methods used for patients who experience bulimia as something to be solved but with different forms of communication. When the patient perceives as pleasant and vomiting does not feel the need to stop the conduct, the psychologist will have to assess what the patient perceives as something to be solved and what is it that remains. In these cases, one on which you focus attention, paradoxically, is the freedom to have and produce their own conduct bulimic. The strategy allows you to restore a sense of volition that the patient receives only during the impulsive acts. In most cases, infatti, provare piacere nel pattern bulimico fa emergere tratti di personalità fortemente impulsivi e la condotta bulimica è quasi invariabilmente associata ad altri comportamenti simili (es. spendere eccessivamente, uso di sostanze, promiscuità sessuale, costante rabbia, alterazioni rapide dell'umore, dell'immagine di sé e degli altri, ecc.).
Esistono, quindi, due forme principali di bulimia in relazione alla modalità con la quale la persona percepisce il pattern bulimico. Le diverse modalità modificheranno nella forma il trattamento psicologico che, comunque, si avvale quasi sempre di tecniche di prescrizione sintomatologica. La prescrizione va eseguita in modo da rimanere coerenti con la modalità di percezione the patient than the symptoms. What
synthesis is required in the patient who wants to solve a symptom of bulimia is not his strength of will but only motivation. The difference between willpower and motivation can be summarized as follows. The first attempt is evident in the person trying to control the situation, with a huge effort, as we know, does not produce results, while the motivation for treatment is to consider that there is something you can not solve all attempts so far put in place to do it but you want to go free to live their lives. The motivation drives a person to request the intervention of a trained psychologist and the motivation is not drives a person to desperate efforts.
The psychologist must consider this variable. Is often the fact that many patients, especially adolescents, are forced by their parents to consult a psychologist, and thus present no treatment motivation. Therefore requires specific communication strategies, however, should never be directed at the patient's cognitive conviction to solve something that does not want to solve.
E 'superfluous in such cases to inform you that psychological intervention can be very decisive and that is the method of choice for the resolution of bulimic symptoms. E 'is also useless to explain the psychological interview is able to undermine in time short processes that underpin the disorder.
should also be remembered that many patients come from other failed attempts at treatment with both psychological and pharmacological methods. Many patients who come through our clinics have already taken years of therapy, often analytical, but without appreciable results.
usually mention to the patient that science is not static and that changes constantly and now the new psychological methods are oriented to the resolution of the processes of maintaining the problem rather than look for arbitrary reasons unconscious but without focusing too much attention to this. E 'instead recommended to use techniques and strategies to actively demonstrate the effectiveness of the patient quickly.
The psychologist must consider this variable. Is often the fact that many patients, especially adolescents, are forced by their parents to consult a psychologist, and thus present no treatment motivation. Therefore requires specific communication strategies, however, should never be directed at the patient's cognitive conviction to solve something that does not want to solve.
E 'superfluous in such cases to inform you that psychological intervention can be very decisive and that is the method of choice for the resolution of bulimic symptoms. E 'is also useless to explain the psychological interview is able to undermine in time short processes that underpin the disorder.
should also be remembered that many patients come from other failed attempts at treatment with both psychological and pharmacological methods. Many patients who come through our clinics have already taken years of therapy, often analytical, but without appreciable results.
usually mention to the patient that science is not static and that changes constantly and now the new psychological methods are oriented to the resolution of the processes of maintaining the problem rather than look for arbitrary reasons unconscious but without focusing too much attention to this. E 'instead recommended to use techniques and strategies to actively demonstrate the effectiveness of the patient quickly.
A rapid modification of dysfunctional processes that sustain the symptoms can verify the body to restore its normal operation and the patient has a clear vision of its capabilities and resources.
The psychologist will consider that the development of psychological therapy consists of ups and downs but always with a general trend of improvement since the beginning of the sessions. The treatment is effective in the very first session and able to produce some concrete changes. Please note that psychologists-oriented psychology emotocognitiva not go to excess in the treatment when the patient does not get benefit from therapy psychological. So a possible worsening of the situation in the first sessions (usually 4:00 to 5:00) states by the psychologist or the discontinuation of a more thorough investigation of the case.
The treatment consists of several positions:
1) diagnosis and assessment of the general
2) evaluation of the methods of avoidance of suffering
3) evaluation of the pleasure-pain axis pattern bulimic
4) information on the processes of maintenance the problem
5) communication of the maximum period of intervention
6) symptom-specific treatment
7) end of treatment and definition of follow-up
1) diagnosis and assessment of the general
2) evaluation of the methods of avoidance of suffering
3) evaluation of the pleasure-pain axis pattern bulimic
4) information on the processes of maintenance the problem
5) communication of the maximum period of intervention
6) symptom-specific treatment
7) end of treatment and definition of follow-up
The basic techniques used are:
1) use of the ABC scheme of treatment
2) development of the treatment scheme
3) technical processes of tuning
5) management of expectations
6) limitation of actions
7) problem-solving
8) technical maintenance of the results
Today 1) use of the ABC scheme of treatment
2) development of the treatment scheme
3) technical processes of tuning
5) management of expectations
6) limitation of actions
7) problem-solving
8) technical maintenance of the results
psychologist has methods that are demonstrating high efficacy in the treatment of bulimia nervosa. The learning of such techniques is therefore a need for all those dealing with eating disorders.
Baranello, M. (2007)
Brief therapy of bulimia nervosa in psychology emotocognitiva
SRM Psychology Magazine (www.psyreview.org). Rome, April 22, 2007.
Brief therapy of bulimia nervosa in psychology emotocognitiva
SRM Psychology Magazine (www.psyreview.org). Rome, April 22, 2007.
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