60 Gestalt Approaches to Working with Clients Presenting with Bulimia Isa Pfluger Abstract %XOLPLD 1HUYRVD %1 DIIHFWV URXJKO\ RI $XVWUDOLDQV DQG OLNHO\ PDQ\ PRUH ZKR QHYHU VHHN KHOS &HQWUH RI ([FHOOHQFH LQ (DWLQJ 'LVRUGHUV &((' D 7KH IROORZLQJ SDSHU FULWLFDOO\ DQDO\VHV WKH WKHUDSHXWLF SURFHVV RI ZRUNLQJ ZLWK FOLHQWV SUHVHQWLQJ ZLWK %1 7KH PDLQ IRFXV RI WKH SDSHU DIWHU EULHÀ\ SUHVHQWLQJ '609 GLDJQRVWLF FULWHULD IRU %1 ZLOO EH WR UHÀHFW RQ WKLV SURFHVV DQG UHOHYDQW LQWHUYHQWLRQV IURP D *HVWDOW SV\FKRWKHUDSHXWLF IUDPHZRUN 7KLV ZLOO EH GRQH LQ OLJKW RI *HVWDOW WKHUDS\¶V IRXU SLOODUV RI ¿HOG VHQVLWLYLW\ SKHQRPHQRORJ\ GLDORJXH DQG H[SHULPHQWDWLRQ Epidemiology, Aetiology and Diagnostic Criteria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¿FDQW QXPEHU RI SHRSOH ZLWK %1 KDYH D KLVWRU\ RI $QRUH[LD 1HUYRVD (DWLQJ 'LVRUGHUV $VVRFLDWLRQ ,QF :KLOVW GLVWLQJXLVKHG QHDWO\ LQ WKH '60 EDVHG RQ FULWHULD RI ERG\ ZHLJKW DQG SXUJLQJ EHKDYLRUV FOLQLFDO SUDFWLFH SRLQWV WRZDUGV D FRQWLQXXP RI SUREOHPDWLF HDWLQJ ZLWK D YDULHW\ RI VSHFL¿F EHKDYLRXUV DQG ZHLJKW UDQJHV UDWKHU WKDQ QHDWO\ VHSDUDWHG GLVRUGHUV %ODFN %1 LV FRQVLGHUHG D FRPSOH[ FRQGLWLRQ EHOLHYHG ³WR EH FDXVHG E\ D FRPELQDWLRQ RI SV\FKRORJLFDO LQWHUSHUVRQDO VRFLDO SK\VLRORJLFDO DQG H[WHUQDO IDFWRUV´ &((' E S 7KH GLDJQRVWLF FULWHULD IRU %1 LQ WKH FXUUHQW 'LDJQRVWLF DQG 6WDWLVWLF 0DQXDO IRU 0HQWDO 'LVRUGHUV WK HG '60 Gestalt Journal of Australia and New Zealand, 2014, Vol 10 No 2 Pages 60-69. © 2014, GANZ
Gestalt Approaches to Working with Clients Presenting with Bulimia
Sep 05, 2022
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GJANZ2014V010N02_ip.pdfGestalt Journal of Australia and New Zealand 2014.
Gestalt Approaches to Working with Clients Presenting with Bulimia Isa Pfluger
Abstract
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Epidemiology, Aetiology and Diagnostic Criteria
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A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
(1) Eating, in a discrete period of time (e.g., within any 2-hour period), an DPRXQWRIIRRGWKDWLVGH¿QLWHO\ODUJHUWKDQPRVWSHRSOHZRXOGHDWGXULQJ a similar period of time and under similar circumstances. (2) a sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months.
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E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa (p 345).
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Dialogical Challenges Including Ethical and Relational Issues
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References
$OOHQ . Diet Grrrl – Feminism and women’s magazines. 5HWULHYHG2FWREHUIURPWKHIZRUGZHEVLWHwww.thefword. RUJXNIHDWXUHVGLHWBJUUUOBIHPLQLVPBDQGBZRPHQVBPDJD]LQHV
$PHULFDQ 3V\FKLDWULF$VVRFLDWLRQ Diagnostic and statistical manual of mental disorders th HG$UOLQJWRQ9$$PHULFDQ 3V\FKLDWULF3XEOLVKLQJ
%ODFN&Setting the table straight: A resource manual for working with women with eating issues. %ULVEDQH ,VLV±&HQWUH IRU :RPHQ¶V$FWLRQRQ(DWLQJ,VVXHV
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&HQWUHIRU([FHOOHQFHLQ(DWLQJ'LVRUGHUVEWhat are the causes of eating disorders?5HWULHYHG2FWREHUIURPKWWSZZZFHHG RUJDXZZZGLVSOD\DUWLFOHKWPO
&RVWLQ& 6FKXEHUW* 8 keys to recovery from an eating disorder: Effective strategies from therapeutic practice and personal experience. 1HZ<RUN::1RUWRQDQG&RPSDQ\,QF
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6KXUH- :HLQVWRFN%6KDPHFRPSDVVLRQDQGWKHMRXUQH\ WRZDUGKHDOWK,Q00DLQH:1'DYLV -6KXUH(GVEffective clinical practice in the treatment of eating disorders: The heart of the matterS1HZ<RUN7D\ORU )UDQFLV5RXWOHGJH
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Gestalt Approaches to Working with Clients Presenting with Bulimia
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Abstract
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Epidemiology, Aetiology and Diagnostic Criteria
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A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
(1) Eating, in a discrete period of time (e.g., within any 2-hour period), an DPRXQWRIIRRGWKDWLVGH¿QLWHO\ODUJHUWKDQPRVWSHRSOHZRXOGHDWGXULQJ a similar period of time and under similar circumstances. (2) a sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months.
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E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa (p 345).
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64
Gestalt Journal of Australia and New Zealand 2014.
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Gestalt Approaches to Working with Clients Presenting with Bulimia
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Gestalt Approaches to Working with Clients Presenting with Bulimia
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References
$OOHQ . Diet Grrrl – Feminism and women’s magazines. 5HWULHYHG2FWREHUIURPWKHIZRUGZHEVLWHwww.thefword. RUJXNIHDWXUHVGLHWBJUUUOBIHPLQLVPBDQGBZRPHQVBPDJD]LQHV
$PHULFDQ 3V\FKLDWULF$VVRFLDWLRQ Diagnostic and statistical manual of mental disorders th HG$UOLQJWRQ9$$PHULFDQ 3V\FKLDWULF3XEOLVKLQJ
%ODFN&Setting the table straight: A resource manual for working with women with eating issues. %ULVEDQH ,VLV±&HQWUH IRU :RPHQ¶V$FWLRQRQ(DWLQJ,VVXHV
&HQWUH IRU([FHOOHQFH LQ(DWLQJ'LVRUGHUV D)DFWVDQG¿QGLQJV. 5HWULHYHG2FWREHU IURPKWWSZZZFHHGRUJDXIDFWVDQG ¿QGLQJVZL
&HQWUHIRU([FHOOHQFHLQ(DWLQJ'LVRUGHUVEWhat are the causes of eating disorders?5HWULHYHG2FWREHUIURPKWWSZZZFHHG RUJDXZZZGLVSOD\DUWLFOHKWPO
&RVWLQ& 6FKXEHUW* 8 keys to recovery from an eating disorder: Effective strategies from therapeutic practice and personal experience. 1HZ<RUN::1RUWRQDQG&RPSDQ\,QF
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disorders.%ULVEDQH(DWLQJ'LVRUGHUV$VVRFLDWLRQ,QF *LOOLH0 6KDPHDQGEXOLPLD±$VLFNQHVVRI WKHVRXOBritish
Gestalt Journal +ROODQGV.QG7KHFDXVHDQGHIIHFWRIHDWLQJLVVXHV. In the eating
GLVRUGHUV VVVRFLDWLRQ QHZVOHWWHU Through the looking glass: History of eating disorders S 5HWULHYHG IURP KWWSHGDRUJ DXZSFRQWHQWXSORDGV+LVWRU\RI(DWLQJ'LVRUGHUV$XJXVWSGI
-R\FH 3 6LOOV & Skills in: Gestalt Counselling & Psychotherapy./RQGRQ6DJH
.HSQHU-Healing tasks: Psychotherapy with adult survivors of hildhood abuse.&DPEULGJH0$7KH*HVWDOW3UHVV
0LVVLRQ$XVWUDOLDDAnnual youth survey 5HWULHYHG0D\ from KWWSVZZZPLVVLRQDXVWUDOLDFRPDXZKDWZHGRWRKHOSQHZ \RXQJSHRSOHXQGHUVWDQGLQJ\RXQJSHRSOHDQQXDO\RXWKVXUYH\
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6KXUH- :HLQVWRFN%6KDPHFRPSDVVLRQDQGWKHMRXUQH\ WRZDUGKHDOWK,Q00DLQH:1'DYLV -6KXUH(GVEffective clinical practice in the treatment of eating disorders: The heart of the matterS1HZ<RUN7D\ORU )UDQFLV5RXWOHGJH
9DQGHU.RON%3HUU\-& +HUPDQ-&KLOGKRRGRULJLQVRI VHOIGHVWUXFWLYHEHKDYLRUThe American Journal of Psychiatry 148
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Gestalt Approaches to Working with Clients Presenting with Bulimia
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