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Chapter 49. Family Therapy and Marital Therapy

Daniel Le Grange, Ph.D.; James D. Lock, M.D., Ph.D.
DOI: 10.1176/appi.books.9781585622986.262393

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Excerpt

Several psychosocial treatments for bulimia nervosa (BN) have been explored, while only modest efforts have been devoted to the exploration of such treatments for anorexia nervosa (AN). Among these interventions are family therapy and marital therapy, both of which have received little enquiry in BN, while family therapy in particular has received much more attention in AN. Findings from the few published studies for adults with AN are inconclusive, but involving parents in treatment has allowed a more optimistic picture to emerge for adolescent AN.

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References

American Psychiatric Association: Practice guideline for the treatment of patients with eating disorders (revision). Am J Psychiatry 157 (suppl 1):1–39, 2000
 
Dare C: Family therapy for families containing an anorectic youngster, in Understanding Anorexia Nervosa and Bulimia: Report of the IVth Ross Conference on Medical Research. Columbus, OH, Ross Laboratories, 1983, pp 28–37
 
Dare C, Eisler I: Family therapy for anorexia nervosa, in Handbook of Treatment for Eating Disorders. Edited by Garner DM, Garfinkel P. New York, Guilford, 1997, pp 307–324
 
Dare C, Eisler I: A multi-family group day treatment programme for adolescent eating disorders. European Eating Disorders Review 8:4–18, 2000
 
Dare C, Eisler I, Russell G, et al: Psychological therapies for adults with anorexia nervosa: randomised controlled trial of outpatient treatments. Br J Psychiatry 178:216–221, 2001
[PubMed]
 
Dodge E, Hodes M, Eisler I, et al: Family therapy for bulimia nervosa in adolescents: an exploratory study. Journal of Family Therapy 17:59–77, 1995
 
Eisler I, Dare C, Russell GF, et al: Family and individual therapy in anorexia nervosa: a 5-year follow-up. Arch Gen Psychiatry 54:1025–1030, 1997
[PubMed]
 
Eisler I, Dare C, Hodes M, et al: Family therapy for adolescent anorexia nervosa: the results of a controlled comparison of two family interventions. J Child Psychol Psychiatry 41:727–736, 2000
[PubMed]
 
Eisler I, Le Grange D, Asen E, et al: Family interventions, in Handbook of Eating Disorders. Edited by Treasure JL, Schmidt U, van Furth E. Chichester, UK, John Wiley & Sons, 2003, pp 291–310
 
Geist R, Heinmaa M, Stephens D, et al: Comparisons of family therapy and family group psychoeducation in adolescents with anorexia nervosa. Can J Psychiatry 45:173–178, 2000
[PubMed]
 
Haley J: Uncommon Therapy: The Psychiatric Techniques of Milton H. Erickson. New York, Norton, 1973
 
Herscovici C, Bay L: Favorable outcome for anorexia nervosa patient treated in Argentina with a family approach. Eating Disorders 4:59–66, 1996
 
Kiriike N, Nagata T, Matsunaga H, et al: Married patients with eating disorders in Japan. Acta Psychiatr Scand 94:428–432, 1996
[PubMed]
 
Kiriike N, Nagata T, Matsunaga H, et al: Single and married patients with eating disorders. Psychiatry Clin Neurosci 52 (suppl):S306–S308, 1998
 
Krautter T, Lock J: Is manualized family based treatment for adolescent anorexia nervosa acceptable to patients? Patient satisfaction at end of treatment. Journal of Family Therapy 26:65–81, 2004
 
Le Grange D, Gelman T: The patient's perspective of treatment in eating disorders: a preliminary study. South African Journal of Psychology 28:182–186, 1998
 
Le Grange D, Lock J: Bulimia nervosa in adolescents: treatment, eating pathology, and comorbidity. South African Psychiatry Review 5:19–22, 2002
 
Le Grange D, Lock J: The dearth of psychological treatment studies for anorexia nervosa. Int J Eat Disord 37:79–81, 2005
 
Le Grange D, Eisler I, Dare C, et al: Evaluation of family treatments in adolescent anorexia nervosa: a pilot study. Int J Eat Disord 12:347–357, 1992
 
Le Grange D, Lock J, Dymek M: Family-based therapy for adolescent with bulimia nervosa. Am J Psychother 67:237–251, 2003
 
Le Grange D, Loeb KL, Van Orman S, et al: Bulimia nervosa: a disorder in evolution? Arch Pediatr Adolesc Med 158:478–482, 2004
 
Le Grange D, Binford R, Loeb KL: Manualized family-based treatment for anorexia nervosa: a case series. J Am Acad Child Adolesc Psychiatry 44:41–46, 2005
 
Liebman R, Minuchin S, Baker L: An integrated treatment program for anorexia nervosa. Am J Psychiatry 131:432–436, 1974
[PubMed]
 
Lim C: A pilot study of families' experience of a multi-family group day treatment programme. Unpublished M.Sc. dissertation, Institute of Psychiatry, Kings College, University of London, 2000
 
Lock J: Treating adolescents with eating disorders in the family context: empirical and theoretical considerations. Child Adolesc Psychiatr Clin North Am 11:331–342, 2002
[PubMed]
 
Lock J: A health services perspective on anorexia nervosa. Eating Disorders 11:197–208, 2003
[PubMed]
 
Lock J: Adjusting cognitive behavior therapy for adolescents with bulimia nervosa: results of a case series. Am J Psychother 59:267–281, 2005
[PubMed]
 
Lock J, Le Grange D: Can family based treatment of anorexia nervosa be manualized? J Pyschother Pract Res 10:253–261, 2001
[PubMed]
 
Lock J, Le Grange D, Agras WS, et al: Treatment Manual for Anorexia Nervosa: A Family-Based Approach. New York, Guilford, 2001
 
Lock J, Agras WS, Bryson S, et al: A comparison of short- and long-term family therapy for adolescent anorexia nervosa. J Am Acad Child Adolesc Psychiatry 44:632–639, 2005
[PubMed]
 
Loeb KL, Walsh BT, Lock J, et al: Open trial of family based treatment for adolescent anorexia nervosa. Poster presented at: American Academy of Child and Adolescent Psychiatry Annual Meeting, Washington, DC, October 19–24, 2004
 
Madanas C: Strategic Family Therapy. San Francisco, CA, Jossey-Bass, 1981
 
Martin F: The treatment and outcome of anorexia nervosa in adolescents: a prospective study and five year follow-up. J Psychiatr Res 19:509–514, 1985
[PubMed]
 
Mayer R: Family Therapy in the Treatment of Eating Disorders in General Practice. London, Birkbeck College, University of London, 1994
 
Minuchin S, Rosman B, Baker L: Psychosomatic Families: Anorexia Nervosa in Context. Cambridge, MA, Harvard University Press, 1978
 
Morgan H, Russell G: Clinical assessment of anorexia nervosa: the Morgan-Russell outcome assessment schedule. Br J Psychiatry 152:367–371, 1988
[PubMed]
 
National Institute for Clinical Excellence: Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa and related disorders. Clinical Guidelines #9. London, National Institute for Clinical Excellence, 2004, pp 1–15
 
Roberto L: Bulimia: the transgenerational view. J Marit Fam Ther 12:231–240, 1986
 
Robin A: Behavioral family systems therapy for adolescents with anorexia nervosa, in Evidence-Based Psychotherapies for Children and Adolescents. Edited by Kazdin A, Weisz J. New York, Guilford, 2003, pp 358–373
 
Robin A, Siegel PT, Koepke T, et al: Family therapy versus individual therapy for adolescent females with anorexia nervosa. J Dev Behav Pediatr 15:111–116, 1994
[PubMed]
 
Robin A, Siegel PT, Moye AW, et al: A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa. J Am Acad Child Adolesc Psychiatry 38:1482–1489, 1999
[PubMed]
 
Root M, Fallon P, Friedrich WN: Bulimia: A Systems Approach to Treatment. New York, Norton, 1986
 
Rosman B, Minuchin S, Liebman R, et al: A family approach to anorexia nervosa: study, treatment and outcome, in Anorexia Nervosa. Edited by Vigersky RA. New York, Raven, 1977, pp 341–348
 
Russell G, Szmukler G, Dare C, et al: An evaluation of family therapy in anorexia nervosa and bulimia nervosa. Arch Gen Psychiatry 44:1047–1056, 1987
[PubMed]
 
Schapman-Williams AM, Lock J, Couturier J: Cognitive-behavioral therapy for adolescents with binge eating syndromes: a case series. Int J Eat Disord 39:252–255, 2006
[PubMed]
 
Scholz M, Asen KE: Multiple family therapy with eating disordered adolescents. European Eating Disorders Review 9:33–42, 2001
 
Schwartz R, Barrett M, Saba G, et al: Family therapy for bulimia, in Handbook of Psychotherapy for Anorexia Nervosa and Bulimia. Edited by Garner D, Garfinkel P. New York, Guilford, 1985, pp 280–310
 
Selvini Palazzoli M: Self-Starvation: From the Intrapsychic to the Transpersonal Approach. London, Chaucer, 1974
 
Selvini Palazzoli M, Viaro M: The anorectic process in the family: a six-stage model as a guide for individual therapy. Fam Process 27:129–148, 1988
 
Stierlin H, Weber G: Anorexia nervosa: lessons from a follow-up study. Family Systems Medicine 7:120–157, 1987
 
Stierlin H, Weber G: Unlocking the Family Door: A Systemic Approach to the Understanding and Treatment of Anorexia Nervosa. New York, Brunner/Mazel, 1989
 
Striegel-Moore R, Leslie D, Petrill SA, et al: One-year use and cost of inpatient and outpatient services among female and male patients with an eating disorder: evidence from a national database of health insurance claims. Int J Eat Disord 27:381–389, 2000
[PubMed]
 
Van den Broucke S, Vandereycken W: The marital relationship of patients with an eating disorder: a questionnaire study. Int J Eat Disord 8:541–556, 1989
 
Van den Broucke S, Vandereycken W, Vertommen H: Marital intimacy in patients with an eating disorder: a controlled self-report study. Br J Clin Psychol 34:67–78, 1995
 
Van den Broucke S, Vandereycken W, Norré J: Eating Disorders and Marital Relationships. New York, Brunner/Mazel, 1997
 
Wallin U, Kronwall P: Anorexia nervosa in teenagers: changes in family function after family therapy at 2-year follow-up. Nord J Psychiatry 56:363–369, 2002
[PubMed]
 
Waring E, Reddon J: The measurement of intimacy in marriage: the Waring Intimacy Questionnaire. J Clin Psychol 39:53–57, 1983
[PubMed]
 
White M: Anorexia nervosa: a cybernetic perspective. Family Therapy Collections 20:117–129, 1987
 
White M, Epston D: Narrative Means to Therapeutic Ends. New York, WW Norton, 1990
 
Woodside D, Shekter-Wolfson L: Family treatment in the day hospital, in Family Approaches in Treatment of Eating Disorders. Edited by Woodside D, Shekter-Wolfson L. Washington, DC, American Psychiatric Press, 1991, pp 87–106
 
Woodside D, Shekter-Wolfson L, Brandes J, et al: Eating Disorders and Marriage: The Couple in Focus. New York, Brunner/Mazel, 1993
 
Woodside DB, Lackstrom JB, Shekter-Wolfson L: Marriage and eating disorders: comparisons between patients and spouses and changes over the course of treatment. J Psychosom Res 49:165–168, 2000
[PubMed]
 
Wynne L: Paradoxical interventions: leverage for therapeutic change in individual and family systems, in The Psychotherapy of Schizophrenia. Edited by Strauss T, Bowers S, Downey S, et al. New York, Plenum, 1980, pp 191–202
 
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