Sunny对《Help Your Teenager Beat an Eating Disorder》的笔记(1)

Help Your Teenager Beat an Eating Disorder
  • 书名: Help Your Teenager Beat an Eating Disorder
  • 作者: Lock, James/ Le Grange, Daniel, Ph.D.
  • 页数: 295
  • 出版社: Guilford Pubn
  • 出版年: 2004-10-26
  • 第138页
    If eating disorders are diseases of control, the sense of control is quite illusory. Patients do not feel in control; rather, they feel a need to feel in control. This difference is crucial. The pursuit of thinness, weight loss, dieting, and so forth, is a search for control, not true evidence of control. The adolescent with an eating disorder is in need of someone to take control or at least help her take control, rather than leave her with an ever-shrinking ability to meet the behavioral and psychological demands of her illness.
    P 138
    Excessive anxiety only makes parents hesitant, which leads to another problem. Your lack of confidence and uncertainty will often be perceived as a lack of resolve. This encourages your child to resist you even more because of the hold the eating disorder has on him or her.
    Changing behaviors will take some time; prepare to be patient. Use strategies that respect your child, but guard against succumbing to pressures to let up on your expectation.
    Being sympathetic and caring rather than critical and punishing.
    They haven't tried any of them consistently, confidently, and with clear commitment from both parents.
    p 161
    Treading the line between being clear about expectations and being flexible enough to find alternatives, while also not giving in to the eating disorder, is tricky business.
    p173
    Those with eating disorders substantially overvalue their weight and shape as compared with their intelligence, personality, friends, family, and even religious beliefs.
    What is problematic is the way health is defined. For example, there is frequent emphasis on vegetarianism, low-fat/nonfat foods, dieting, and certain kinds of intensive exerciese regimens. The problem is that in the hands (and head) of someone with an eating disorder the worth of these things is exaggerated way out of reasonable proportion.
    p238
    Ask guideline:
    - How they've arrived at their particular advice
    - which guidelines they consult as a basis for their decisions
    - How many patients they have treated this way
    - What the response has been
    - Whether this is standard practice among other professionals in this field
    - whether there are published data to support this approach

    2018-09-27 10:20:12 回应

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