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The British Journal of Psychiatry 151: 192-194 (1987)
© 1987 The Royal College of Psychiatrists

Anorexia nervosa: an object relations approach to primary treatment

M Horne and M Gallen
Department of Psychiatry and Behavioral Sciences, Stanford University Medical School, California.

Concurrent behaviour therapy and psychotherapy in the treatment of anorexia nervosa creates significant problems in the development of a therapeutic alliance and in the multiple roles staff are required to assume. Our protocol was developed to keep treatment personnel in their usual roles so that their various treatment skills could be fully utilised. A physician treated the anorexia with naso-gastric feeding, freeing the psychotherapist to act in the usual manner. This avoided role confusion, and the split of 'bad' and 'good' treatment personnel was appropriate and therapeutic, rather than pathological. Four successful cases are described.




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1987 The Royal College of Psychiatrists.