Abstract
The effective treatment of anorexia nervosa (AN) and bulimia nervosa (BN) requires approaches that reflect their multidimensional nature. That is, these eating disorders need to be considered from the point of several overlapping contexts (sociocultural, familial, psychological, and physiological) that interact in a complex manner (Garner, Rockert, Olmsted, Johnson, & Coscina, 1985; Moley, 1983). In the previous chapter reviewing issues of diagnosis and pathogenesis, Dr. Garfinkel noted that different elements interact as predisposing, precipitating, and perpetuating factors in these conditions. Analogous to their etiological roles, these factors can have different saliencies at various points in the recovery process. Accordingly, a comprehensive treatment model needs to adjust the blending of therapeutic ingredients at different stages of recovery to address the issues embedded in these contexts. Dr. Garfinkel has outlined the crucial initial stages of reversing the physiological and psychological chaos of the starvation cycle with nutritional, psychoeducational, and medical interventions, with an especially useful section on recommendations for hospitalization.
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Young, F.D. (1990). Strategic Adaptations of Cognitive-Behavioral Therapy for Anorexic and Bulimic Adolescents and Their Families. In: McMahon, R.J., DeV. Peters, R. (eds) Behavior Disorders of Adolescence. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3734-2_8
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DOI: https://doi.org/10.1007/978-1-4615-3734-2_8
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