Specyfika, zasady i dylematy terapii pacjentek z rozpoznaniem jadłowstrętu psychicznego na młodzieżowym oddziale psychiatrycznym

2008
journal article
article
dc.abstract.enThe present article attempts to summarize the authors’ experiences in the therapy of patients diagnosed with anorexia nervosa treated within the frames of the adolescent multi-diagnostic in-patient ward. One of the most important elements that determines our therapy offer is the specificity of the group of patients diagnosed with anorexia nervosa and hospitalized in the ward. Patients can be described as difficult-to-treat for many reasons, among others, because of sudden symptoms’ increase, their chronicity, or ineffectiveness of outpatients clinic treatment. Our comments and observations are made from the perspective of psychodynamic psychiatry and psychotherapy. In psychodynamic and psychoanalytical literature, anorexia nervosa is sometimes treated as a syndrome of a prepsychotic, personality or neurotic character. At least a dozen different understandings of dynamic causative mechanisms are mentioned in this context. An important supplement of dynamic theories that we have taken up is an attempt to understand the relations between individual psychopathology of a patient and functioning of the family system. Families of girls with the anorexia nervosa problem can be perceived as not helping their children in creating their own personality, one that is well-separated from the outside world. Therapy in the ward is based on therapeutic community, nutrition contract, family therapy, individual therapy, group therapy, artetherapy, and physiotherapy. None of the therapy forms can be deemed as dominating. They should rather be perceived as complementary. The model for treatment of patients with eating disorders that we have developed within the frames of the ward is accompanied with our numerous doubts, concerns and discussions, and it is not yet final.pl
dc.abstract.plAutorzy prezentują swoje dotychczasowe doświadczenia w terapii pacjentek z rozpoznaniem jadłowstrętu psychicznego hospitalizowanych w młodzieżowym wielodiagnostycznym oddziale psychiatrycznym. Opisując model opieki nad pacjentkami z zaburzeniami odżywiania się zwracają uwagę na trudności w pracy terapeutycznej, wynikające m.in. z gwałtowności narastania objawów i ich chroniczności, niskiej motywacji pacjentek do leczenia, wątpliwości zespołu leczącego co do zasadności łączenia metod behawioralno-poznawczych z podejściem psychodynamicznym, mnogości ról podejmowanych przez terapeutów.pl
dc.affiliationWydział Lekarski : Klinika Psychiatrii Dzieci i Młodzieżypl
dc.contributor.authorPilecki, Maciej - 133154 pl
dc.contributor.authorCygankiewicz, Patrycjapl
dc.date.accessioned2020-05-29T09:36:17Z
dc.date.available2020-05-29T09:36:17Z
dc.date.issued2008pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number4 (147)pl
dc.description.physical17-27pl
dc.description.versionostateczna wersja wydawcy
dc.identifier.eissn2391-5862pl
dc.identifier.issn0239-4170pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/156820
dc.identifier.weblinkhttp://www.psychoterapiaptp.pl/uploads/PT_4_2008/Pilecki17_PT4_2008.pdfpl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsUdzielam licencji. Uznanie autorstwa*
dc.rights.licenceCC-BY
dc.rights.urihttp://creativecommons.org/licenses*
dc.share.typeotwarte czasopismo
dc.subject.enanorexia nervosapl
dc.subject.entherapypl
dc.subject.enadolescent wardpl
dc.subtypeArticlepl
dc.titleSpecyfika, zasady i dylematy terapii pacjentek z rozpoznaniem jadłowstrętu psychicznego na młodzieżowym oddziale psychiatrycznympl
dc.title.alternativeSpecificity, rules and dilemmas of therapy in patients diagnosed with anorexia nervosa within the frames of the Adolescent Psychiatric Wardpl
dc.title.journalPsychoterapiapl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
The present article attempts to summarize the authors’ experiences in the therapy of patients diagnosed with anorexia nervosa treated within the frames of the adolescent multi-diagnostic in-patient ward. One of the most important elements that determines our therapy offer is the specificity of the group of patients diagnosed with anorexia nervosa and hospitalized in the ward. Patients can be described as difficult-to-treat for many reasons, among others, because of sudden symptoms’ increase, their chronicity, or ineffectiveness of outpatients clinic treatment. Our comments and observations are made from the perspective of psychodynamic psychiatry and psychotherapy. In psychodynamic and psychoanalytical literature, anorexia nervosa is sometimes treated as a syndrome of a prepsychotic, personality or neurotic character. At least a dozen different understandings of dynamic causative mechanisms are mentioned in this context. An important supplement of dynamic theories that we have taken up is an attempt to understand the relations between individual psychopathology of a patient and functioning of the family system. Families of girls with the anorexia nervosa problem can be perceived as not helping their children in creating their own personality, one that is well-separated from the outside world. Therapy in the ward is based on therapeutic community, nutrition contract, family therapy, individual therapy, group therapy, artetherapy, and physiotherapy. None of the therapy forms can be deemed as dominating. They should rather be perceived as complementary. The model for treatment of patients with eating disorders that we have developed within the frames of the ward is accompanied with our numerous doubts, concerns and discussions, and it is not yet final.
dc.abstract.plpl
Autorzy prezentują swoje dotychczasowe doświadczenia w terapii pacjentek z rozpoznaniem jadłowstrętu psychicznego hospitalizowanych w młodzieżowym wielodiagnostycznym oddziale psychiatrycznym. Opisując model opieki nad pacjentkami z zaburzeniami odżywiania się zwracają uwagę na trudności w pracy terapeutycznej, wynikające m.in. z gwałtowności narastania objawów i ich chroniczności, niskiej motywacji pacjentek do leczenia, wątpliwości zespołu leczącego co do zasadności łączenia metod behawioralno-poznawczych z podejściem psychodynamicznym, mnogości ról podejmowanych przez terapeutów.
dc.affiliationpl
Wydział Lekarski : Klinika Psychiatrii Dzieci i Młodzieży
dc.contributor.authorpl
Pilecki, Maciej - 133154
dc.contributor.authorpl
Cygankiewicz, Patrycja
dc.date.accessioned
2020-05-29T09:36:17Z
dc.date.available
2020-05-29T09:36:17Z
dc.date.issuedpl
2008
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
4 (147)
dc.description.physicalpl
17-27
dc.description.version
ostateczna wersja wydawcy
dc.identifier.eissnpl
2391-5862
dc.identifier.issnpl
0239-4170
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/156820
dc.identifier.weblinkpl
http://www.psychoterapiaptp.pl/uploads/PT_4_2008/Pilecki17_PT4_2008.pdf
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Udzielam licencji. Uznanie autorstwa
dc.rights.licence
CC-BY
dc.rights.uri*
http://creativecommons.org/licenses
dc.share.type
otwarte czasopismo
dc.subject.enpl
anorexia nervosa
dc.subject.enpl
therapy
dc.subject.enpl
adolescent ward
dc.subtypepl
Article
dc.titlepl
Specyfika, zasady i dylematy terapii pacjentek z rozpoznaniem jadłowstrętu psychicznego na młodzieżowym oddziale psychiatrycznym
dc.title.alternativepl
Specificity, rules and dilemmas of therapy in patients diagnosed with anorexia nervosa within the frames of the Adolescent Psychiatric Ward
dc.title.journalpl
Psychoterapia
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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