Short term acknowledge misperception of body image as fat within specific time

Short term acknowledge misperception of body image as

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Short term: acknowledge misperception of body image as “fat” within specific time Long term: discharge, increase self esteem as manifested… verbalizing positive aspects of self and exhibiting less preoccupation with own appearance Interventions Promote feelings of control within the environment through participation and independent decision making Accept self as is , including weakness as well as strength Autonomous individual who can perform outside the family unit and who is not expected be perfect control of his/her life must be achieved in other ways besides dieting and weight loss Obesity Asses for deep rooted psychological implications , compensation for lack of love and nurturing or a defense against intimacy
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May be sensitive to or self conscious about body Maladaptive eating behaviors are learned withing the family system and are supported through positive reinforcement. Food may be substituted by the parent for affection and love Eating is associated with a feeling of satisfaction becoming the primary defense mechanism Patient may harbor repressed feelings of hostility, expressed inwardly on the self Poor self concept the person often has difficulty with relationships Positive self attributes, focus on strength and past accomplishments unrelated to physical appearance Important that self esteem is not tied solely to size of the body Client needs to recognize that obesity need not interfere with positive feelings regarding self concept and self worth Therapy group, decreases loneliness Behavior modification Behavior modification ensures that the program does not “control” them. Issues of control are central to etiology of these disorders, in order for the program to be successful, patient must perceive that he/she is in control of the treatment Patient has choice wether to abide by the contract- a choice of whether or not to gain weight- thereby either earning the desired privilege or not . Giving a great deal of AUTONOMY Behavior modification techniques are for weight restoration only Cognitive behavior therapy for treatment of BED Reducing numbers of binging episodes Individual therapy Supportive psychotherapy: encourages patients to explore unresolved conlflicts and to recognize the maladaptive eating behaviors as a defense mechaniss used to ease the emotional pain. Goals are to resolve personal issues Establish more adaptive coping strategies for dealing with stressful situations Family therapy Conflict Avoidance: dysfunctional family, family is non compliant with thrapy, as they attemept to maintain equilibrium by keeping a member in the sick role. When this occurs, it is essential to focus on the functional operations within the family and to help them manage conflict and create change.
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