Treatment of childhood sexual abuse in anorexia nervosa and bulimia nervosa: a feminist psychodynamic approach.
In this article a parallel is drawn between the psychological problems experienced by victims of childhood sexual abuse and by clients with eating disorders. In particular, we describe how sexual abuse has a significant and lasting effect on body image, identity, self-regulation, and interpersonal functioning. Treatment issues are outlined including the nature of the healing relationship, assessment of abuse, development of capacity for self-soothing, techniques for assisting in memory recall, sculpting of images, description and reenactment of abuse, dealing with shame, and ending the cycle of repeated victimization.
Kearney-Cooke
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Wesleyan University.
Striegel-Moore
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RH
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000628:therapy*; D016241:Child of Impaired Parents / Q000523:psychology; D005260:Female; D006801:Humans; D007179:Incest / Q000523:psychology; D011939:Mental Recall; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy; D012752:Shame; D014933:Women's Rights