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引用次数: 1
摘要
治疗神经性厌食症是当前卫生政策面临的最大挑战之一。本文反映了这类饮食失调的社会和文化方面,并提出了一种基于叙事疗法的干预方法,作为现有治疗方法的补充。这种类型的治疗需要对厌食症患者及其最亲密的朋友和家人的社会文化和社区方面有一个整体和协调的看法。当厌食症在一个人的叙述中占据主导地位时,它的影响需要在更广泛、更包容的社会背景下得到理解,而不是把所有的责任都放在被厌食症欺负的人身上。根据“抗厌食症联盟”(Anti-Anorexia League)提供的“抵抗档案”(Archive of Resistance)的定性结果,叙事疗法在改变当前英语厌食症治疗方法方面具有巨大潜力。本文建议使用叙事治疗的后结构主义方法与西班牙语文化中的厌食症患者合作。与此同时,它开启了一场讨论,讨论是否需要建立一个文件数据库,即西班牙语的“抵抗档案”,以帮助减轻厌食症的影响。
Narrative Therapy for Anorexia Nervosa: Using Documents of Resistance
Treating anorexia nervosa is one of the greatest challenges faced by current health policies. This paper reflects on the social and cultural aspects of this type of eating disorder and proposes an intervention approach based on narrative therapy as a complement to existing treatments. This type of therapy requires a holistic and coordinated vision of the socio-cultural and community aspects that surround both the person dealing with anorexia and their closest social circle of friends and family. The effects of anorexia, when it becomes the dominant voice in a person's narrative, need to be understood within a broader and more inclusive social context without putting all the responsibility on the person who is being bullied by anorexia. Based on the qualitative results of the Archive of Resistance presented by the Anti-Anorexia League, narrative therapy is shown to have great potential for transforming the current approach to treating anorexia in English. This paper recommends use of the poststructuralist approach of narrative therapy to collaborate with the person affected by anorexia in Spanish-speaking cultures. At the same time, it opens a discussion on the need to establish a document database, an Archive of Resistance, in Spanish, to help mitigate the effects of anorexia.
期刊介绍:
The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.