title: [Anorexia nervosa in children and adolescent: new therapeutic approaches].
abstract: Classical therapeutic recommendations requires that girls with anorexia nervosa be separated from their parents. Refeeding, and later individual psychodynamic approaches were also emphasized. These guidelines are now broadened towards psychotherapeutic approaches (psychodynamic, familial, cognitive-behavioral) associated with psychoeducational and dietetic strategies. In the Child and Adolescent Psychopathology Unit of Robert-Debre Hospital in Paris, individual therapeutic programs are applied to young anorectic girls and their families. These programs are implemented within an inpatient (full-time, part-time) or outpatient (consultations, weekly day-therapeutic program) framework. In order to forge a therapeutic alliance with parents and restore "parental competences" feelings, we do not separate any longer anorectic girls from their parents during hospitalization, and we have developed an alternative therapeutic model to full-time hospitalization.
authors.affiliation: Service de psychopathologie de l'enfant et de l'adolescent, hôpital Robert-Debré, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Doyen
authors.forename: M F
authors.initials: MF
authors.lastname: Le Heuzey
authors.forename: S
authors.initials: S
authors.lastname: Cook
authors.forename: F
authors.initials: F
authors.lastname: Flého
authors.forename: M C
authors.initials: MC
authors.lastname: Mouren-Siméoni
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D002648:Child; D004032:Diet; D005260:Female; D006760:Hospitalization; D006801:Humans; D010287:Parent-Child Relations; D011613:Psychotherapy
vernacular_title: Anorexie mentale de l'enfant et de l'adolescente: nouvelles approches thérapeutiques.