|
PCE2006
7th World Conference for
Person-Centered and Experiential Psychotherapy and Counseling
July 12–16, 2006, Potsdam, Germany
Topic:
Specific Dysfunctions and Clinical issues
Symposium "Client-Centered Therapy of Bulimia Nervosa" (University of Hamburg, FB Psychologie, AB Gesprächspsychotherapie)
Sigrid Laleik & Jochen Eckert
University of Hamburg, department of Psychology
Abstract:
Apart from the perceptive tradition of research of the body width estimation there is a parallel tradition which is more focused on the affective aspects such as satisfaction with the own body. How also with the perceptive orientated investigations a multiplicity of methods and measuring instruments became developed, whereby the questionnaire methods dominated by far.
Fewer investigated however is the body sculpture test. Gerda Alexander (1978) applied for the first time systematically a three-dimensional body image test. In the body sculpture test the rehearsing models with tone, or another modelling mass, its own body, while its eyes are closed. Because of this it is possible that a projective space is created, in which unconscious proportions of the body experiencing can be expressed.
It is to hold that the body picture sculpture test is characterised as a changing sensitive instrument in the profile. Because the body part, which is particularly impaired in experiencing, appears also usually in the figure in any form remarkably, e.g. by recesses, raisedness of the surface, disproportionateness of the mass or also to the length, or by the nonexistence of parts of the body. On the basis of pictorial material and originals the modification of the body image is to be shown with bulimic women in the process of the client-centred therapy.
Karsten Schützmann, Melanie Schacht, Sigrid Laleik & Jochen Eckert
University of Hamburg, Department of Psychology
Abstract:
Based an client-centered aetiological and therapeutic concepts in eating disorders, a study on the efficacv of outpatient client-centered psychotherapy in bulimia nervosa is presented. Being designed as RCT, young women aged 18-30 years are either assigned to the treatment group (outpatient client centered psychotherapy, limited to 70 sessions) or a control group of guided self-help. In the self-help condition which is limited to 1 year, patients work on their own through a CBT-based manual with biweekly individual supportive sessions. Assessment time points are at baseline, alter year 1, year 2 and a follow-up 1 year alter end of treatment. Outcome criteria comprise eating disorder and general psychopathology as well as social functioning, quality of life, interpersonal problems, body image and self acceptance. A total of 48 patients was included in the study. Preliminary results of 39 patients who
completed the first assessment after one year of treatment are presented.
Dorothee Wienand-Kranz, Melanie Schacht & N.N.
University of Hamburg, Department of Psychology
Abstract:
Case vignettes of bulimic women are presented to exemplify possible growth and development enabled by client-centered psychotherapy. Additionally, processes in unsuccessful psychotherapies are presented to demonstrate particularities and difficulties of the treatment of this clientele. Case vignettes of bulimic women in the control condition of guided self-help are presented as well to illustrate the possible ways women did or did not benefit from this program.
|