1. Multi-Impulsive Bulimia: Description of an Inpatient Eclectic Treatment Programme and a Pilot Follow-up Study of its Efficacy.
- Author
-
Lacey, J. Hubert and Read, Timothy R. C.
- Subjects
- *
BULIMIA , *COMORBIDITY , *EATING disorders , *ALCOHOLISM , *INPATIENT care , *DRUG abuse , *NUTRITION counseling , *GROUP psychotherapy , *SELF-destructive behavior , *PSYCHOTHERAPIST-patient relations , *THERAPEUTICS , *PATHOLOGICAL psychology - Abstract
This paper describes an inpatient treatment programme specifically designed for normal- weight bulimia nervosa patients who have a co-morbidity marked by alcohol and drug abuse, ’cutting’, repeated overdosing or stealing, or sexual disinhibition (multi- impulsive bulimia). The programme uses a rigorous ward regime and simple behavioural counselling, under the direction of a nurse-counsellor to bring control to the many addictive and self-damaging behaviours. The underlying emotional and personality issues are addressed by focal-interpretive (psychodynamic) and cognitive techniques in both group and individual sessions. Major use is made of creative therapies and reality-orientated therapies. General psychodynamic groups are mixed with focal groups using cognitive techniques. Patients respond well and the improvement in symptomatology is maintained during follow-up. Those patients who describe poor peer relationships in adolescence and who find engagement in psychotherapy difficult, do poorly. [ABSTRACT FROM AUTHOR]
- Published
- 1993
- Full Text
- View/download PDF