Working with Eating Disorders: A Psychoanalytic Approach

Cover......Page 1
Contents......Page 6
Acknowledgements......Page 9
1 Introduction......Page 10
The incidence of eating disorders......Page 11
Eating disorders as an end-point for different pathological processes......Page 12
Men with eating disorders......Page 13
Moving in a psychoanalytic direction......Page 14
Who is this book for?......Page 15
The structure of the book......Page 16
2 The Cultural Context of Eating Disorders......Page 19
A short history of eating......Page 20
Some feminist perspectives on eating disorders......Page 21
Anorexia\'s special attraction......Page 23
Eating disorders and self-management......Page 24
Body practices and embodiment......Page 25
Globalisation: views from mainstream clinicians......Page 28
3 Anorexia Nervosa......Page 34
Early psychoanalytic contributions to understanding anorexia......Page 35
Anorexia as a defence against bulimic desires......Page 38
\'Second-skin\' function......Page 39
Dimensionality......Page 40
Jenny: the psychotherapy of an anorexic......Page 41
When therapy breaks down......Page 50
Susan: short-term therapy......Page 53
4 Bulimia Nervosa......Page 56
The psychodynamics of bulimia......Page 58
Contemporary perspectives......Page 60
Borderline personality disorder......Page 63
Michael: a boy who never stopped running (a failed brief engagement with a group)......Page 65
Ellen: a four-year, once-a-week therapy......Page 67
Discussion......Page 76
5 Obesity......Page 78
Psychotherapeutic encounters with patients who are obese......Page 80
The psychodynamics of obesity......Page 83
Amy: an introduction to a clinical case......Page 87
Discussion......Page 96
Assessment......Page 99
Management and liaison......Page 102
Technique......Page 104
Transference, countertransference and the analytic attitude......Page 108
What is in the transfer to the therapist......Page 109
Hate in the countertransference......Page 111
Body image......Page 114
Men with eating disorders: gender identity and body image......Page 116
Supervision......Page 118
7 Concluding Thoughts......Page 120
Psychic retreats......Page 121
Psychotic parts of the mind......Page 122
Symbolic equations......Page 124
Mental space......Page 125
Psychosomatic disorders......Page 127
Irritable bowel syndrome (IBS)......Page 128
Self-harm......Page 129
Sexual abuse......Page 131
Families and friends......Page 132
Research......Page 133
Cultural contexts revisited......Page 134
Additional Information......Page 138
References......Page 139
B......Page 149
C......Page 150
E......Page 151
G......Page 152
L......Page 153
O......Page 154
P......Page 155
S......Page 156
T......Page 157
Z......Page 158