I wanted to clarify that I do get supervision for my continuing work with
ED clients.  I was interested in hearing a discussion on integrating
object-relations,
self-psychology and cognitive approaches to the treatment of Eating
Disorders.
I always feel there is never enough sources to look into in the treatment of
any disorder...
so any ideas, resources would be appreciated.
Thanks,
Bruce
> The strict adherence to free associations, in which a client is for the
most
> part encouraged to relate anything and everything while the therapist
> remains, well initially quite reserved in commenting, does not seem
> appropriate or effective for ED clients.
>     So, as I study psychoanalysis and psychodynamic approaches, I notice
> a gap that needs to be filled.  There is on one hand writings about long
> term
> contact with several sessions per week (which would not seem to be paid
for
> by managed care these days, in many cases) and then the 'Brief
> Psychoanalytic
> Therapy' approach.  Most writing about the latter says that real
personality
> change
> is very unlikely to occur - or changes in long term problem areas.  The
> encouragement
> is to find a circumscribed symptom for the Brief Psychoanalytic therapy.
>     Additionally, much writing stresses the importance of cognitive
therapy
> for the
> treatment of eating disorder behaviors but an additional focus on
> psychodynamic therapy
> to address the long standing Ego deficits.  Recent literature on O-C
> disorders
> also calls for the therapist to begin with a much more active
conversational
> style.
> Can an eclectic approach be used which combines psychoanalytic concepts
and
> cognitive approaches, without sacrificing the integrity and ultimate goals
> of
> psychodynamic therapy which is to bring lasting character change through
> insight?
> +++++++++++++++++++++++++++++++++++++++++++
> Bruce Whealton, MSW LCSW - Psychotherapist in
> Wilmington, NC - specializing in tx. of Eating
> Disorders, Multiple Personality Disorder, Depression
> Stress/Anxiety 910-793-1656 [log in to unmask]
> http://wordsalad.net/psychotherapist/
> Word Salad:
> http://wordsalad.net/  online poetry magazine
> Bruce's Web Hosting with FrontPage supported
> Web design svs, Free tech support go to:
> http://wordsalad.net/store/hosting.htm
> +++++++++++++++++++++++++++++++++++++++++++
>
>
>
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