Als, nervose Schwindsucht' und Ergebnis einer, Vielzahl von Besorgnissen und Leidenschaften des Geistes' durch den Arzt Richard Morton (1689) zum erstenmal in der wissenschaftlichen Literatur beschrieben, ist die Anorexia nervosa bis heute eine der faszinierendsten Storungen der Leib - Seele - Einheit des Menschen geblieben. Magersucht, Gewich- und Nahrungsmit telphobie, Furcht vor dem Erwachsenwerden, Korperbildstorung, Storung der Geschlechtsrollenidentitiit und hormonelle Stoff wechselstorung sind lediglich einige der Synonyme und erkliiren den Begriffe, in deren konzeptueller Breite sich sowohl die weiterhin offene Diskussion der urn wissenschaftliches Verstand nis der Erkrankung bemiihten Gelehtten widerspiegelt, wie auch die Note derjenigen Fachkriifte, die angesichts der dramatischen Symptomatik und divergierenden Konzepte und Behandlungs vorschliige dazu aufgefordert sind, durch schnelles Eingreifen den destruktiven Verlauf der Erkrankung anzuhalten und wei tergehende therapeutische Hilfe zu planen und umzusetzen. Dies alles vor dem Hintergrund einer anscheinend weiter steigenden Erkrankungshiiufigkeit. Wir konnen davon ausgehen, daB sich die Inzidenz der Erkrankung in der Risikopopulation (vor allem weibliche Jugendliche und junge Frauen im Alter von 12-25 Jahren) wiihrend der zuriickliegenden drei Dekaden vervielfacht hat, und heute eines von hundert Miidchen oder jungen Frauen dieser Altersgruppe ernstlich von der Erkrankung betroffen ist, wiihrend moglicherweise zehn von hundert sich mit leichteren Formen, anorektogenen Verhaltens' konfrontiert sehen. Beim Nachlesen der Berichte der friihen Beschreiber iiber raschen immer noch die scharfsichtigen Beobachtungen, wenn auch nicht unbedingt (aus heutiger Sicht) die daraus abgeleiteten SchluBfolgerungen. Lasegue (1873) beschrieb bereits die auffal lenden gegenseitigen Einmischungen der Familienmitglieder und wies mit Nachdruck auf die Familienpathologie hin.
Die zeithistorisch-sozialwissenschaftlichen Fallstudien zu Pavillon 15 der Heil- und Pflegeanstalt "Am Steinhof" bzw. des Psychiatrischen Krankenhauses "Baumgartner Höhe" (1945 - 1983) und zur Abteilung für entwicklungsgestörte Kinder am Neurologischen Krankenhaus Rosenhügel (1956 - 1989) rekonstruieren auf breiter Datenbasis die medizinische Behandlungspraxis und pflegerische sowie psychosoziale Betreuungssituation in den beiden stationären Einrichtungen und verorten sie im institutionellen, rechtlichen, wissenschaftlich-disziplinären und gesellschaftlichen Kontext der Wiener Psychiatrie und Behindertenhilfe.
The abundance of food in the developed countries of the world has seemingly spawned an epidemic of disorders connected to the food. Extremes such as intensive concern about one's body image and total disregard for it have resulted in countries which contain enormous segments of the population who are either obese and proud of it or bordering on anorexia nervosa. This new book gathers state-of-the-art research from leading scientists throughout the world which offers important information on understanding the underlying causes and discovering the most effective treatments for eating disorders.
It is clear that child and adolescent psychiatric disorders impose a heavy burden of suffering. Recent large-scale community epidemiological studies suggest that as many as 20% of children and adolescents in the general population may have clinically important mental disorders. These disorders are accompanied by associated impairments in various domains of the child's life, resulting in lowered life quality for the child and his or her family. In addition, for some conditions, the onset of the disorder in childhood heralds a lifetime of serious psychosocial disturbance for a significant subgroup of affected children. For instance, about 40% of children seen in clinic settings with conduct disorder in late childhood and early adolescence will have serious psychiatric disorders in adult life. Finally, the heavy burden of suffering of these conditions is indicated by the large amounts of both human and financial resources devoted to their assessment and treatment. There is a pressing need in the field for effective treatments (that is, those that have been shown to do more good than harm) that will result in a significant reduction in the burden of suffering resulting from these disorders. Further, these effective interventions must be readily available and acceptable to clini cians in the settings in which children with mental disorders (and their families) seek care. This book addresses an important need in the treatment field.
Covers the major areas of pressure and responsibility upon practising therapists in the treatment of eating disorders, including the problems of transference, dealing with the patient's family, nursing care, issues of gender, compulsory treatment, food refusal and forced feeding, managed care, treatment facilities and terminal care.
More and more clinicians as well as researchers realize that anorexia nervosa and bulimia nervosa often are extremely difficult to treat and that the short-term outcome can be very misleading. In many cases these disordersprevail for a long period of time and can have serious consequences for the patient's further life. This book gives a detailed over- view oftoday's knowledge regarding the long-term outcome of the treatment of anorexic and bulimic patients, many of whom were treated in highly spezialized centers. Experts from bo- th Europe and the U.S. report on theirmost recent research. Their studies include medical as well as psychosocial and psychiatric aspects of eating disorders. Clinicians with long experience in the treatment of eating disorder patients discuss the important practical implications of these rese- arch findings. The information given in this book is helpful for both treatment and prevention of eating disorders. Finally, concrete guidelines show as how to conduct further follow-up studies in this field.
Are you struggling with Family Based Treatment? Family Based Treatment (FBT) is viewed as the gold standard in treating adolescent Anorexia Nervosa and it currently produces the best evidence-based outcomes. However, the treatment is intensive and many parents commence unprepared despite their courage and willingness to take on the task of refeeding their ill child to health. Parents have desperately asked for more information to help them understand anorexia's grip on their child and to survive the intensity of the treatment. This book was written to give these parents the tools to help them "see it through" to the end. This "skills-based manual" clearly explains the treatment, providing invaluable information to help parents through each component. It outlines the obstacles and all the anorexic behaviors that will impede treatment and recovery. The aim of this manual is to ensure parents remain one step ahead of anorexia and that they "hit the ground running." This book is a valuable resource for parents commencing FBT and for parents struggling during treatment. It offers clear, practical advice and empowers parents to confront whatever the illness throws at them. It is also an important resource for clinicians and will help them guide their families through treatment.
Haptic perception – human beings’ active sense of touch – is the most complex of human sensory systems, and has taken on growing importance within varied scientific disciplines as well as in practical industrial fields. This book's international team of authors presents the most comprehensive collection of writings on the subject published to date and cover the results of research as well as practical applications. After an introduction to the theory and history of the field, subsequent chapters are dedicated to the neuro-physiological basics as well as the psychological and clinical neuro-psychological aspects of haptic perception.
This clinical reference and widely adopted text is recognized as the premier guide to understanding and treating frequently encountered psychological disorders in adults. Showcasing evidence-based psychotherapy models, the volume addresses the most pressing question asked by students and practitioners--"How do I do it?" Leading authorities present state-of-the-art information on each clinical problem and explain the conceptual and empirical bases of their respective therapeutic approaches. Procedures for assessment, case formulation, treatment planning, and intervention are described in detail. Extended case examples with session transcripts illustrate each component of treatment. New to This Edition *Incorporates treatment innovations, the latest empirical findings, and changes to diagnostic criteria in DSM-5. *Chapter on acceptance-based treatment of generalized anxiety disorder. *Chapter on comorbid depression and substance abuse, demonstrating a transdiagnostic approach. *Chapter on sleep disorders.
Adolescent psychiatry by European Congress of Pedopsychiatry, 4Th, Stockholm, 1971
Eating disorders: do they mark cultural transition? Eating disorders that were once viewed as exclusive to specific class and ethnic boundaries in western culture are now spreading worldwide. This issue is fully discussed in this groundbreaking volume. Eating Disorders and Cultures in Transition is written by an international group of authors to address the recent emergence of eating disorders in various areas of the world including countries in South America, Asia, Africa and Eastern Europe. It offers an in-depth analysis of the existing socio-cultural model arguing for the need to extend both our theoretical understanding and clinical work to account properly for this global phenomenon. Eating disorders are seen as reflecting sweeping changes in the social and political status of women in the majority of societies that are now undergoing rapid cultural transition. This multidisciplinary, multinational volume reflects wide-ranging, intellectually stimulating and frequently provocative viewpoints. It promises to be of great interest to medical and mental health professionals, public policy experts and all those watching for the processes of cultural transformation and their impact on mental health.
Anorexia and bulimia nervosa begin during adolescence in a large proportion of eating-disordered patients. The present monograph integrates clinical expertise as well as scientific analyses based on empirical investigations of the increasing number of young patients who suffer from an eating disorder. The chapters are written by distinguished international experts and cover a broad spectrum of epidemiological and cultural issues, clinical and psychological aspects, management and treatment, and the course and outcome of these disorders.