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Eating Disorders - fieldi

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146 Individual Psychotherapy<br />

contrast to her being engulfed by it before she started the medication.<br />

Her bulimia has waxed and waned over the course of our work.<br />

In the later years she was able to use behavioral strategies<br />

with success and was also able to turn to people in her life other<br />

than me for involvement. When she became overwhelmed by the<br />

vicissitudes of life, she still sought relief in the bulimic cycle. This<br />

occurred following the breakup of her first intimate relationship with<br />

a man. She attended college where she experienced success in her<br />

courses and satisfaction in her social life.<br />

At a time when lengthy psychoanalytic psychotherapy is on the<br />

wane, Laura stands out as a person in whom the complex interplay of<br />

issues required very intensive work over time to enable her to evolve<br />

and realize her potential as a competent and integrated person.<br />

References<br />

Arnow, Bruce. 1996. “Cognitive-Behavioral Therapy for Bulimia Nervosa.”<br />

In Joellen Werne, ed., Treating <strong>Eating</strong> <strong>Disorders</strong>, 101–42. San<br />

Francisco: Jossey-Bass.<br />

Bruch, Hilde. 1978. The Golden Cage: The Enigma of Anorexia Nervosa. Cambridge,<br />

Mass.: Harvard University Press.<br />

Epstein, Lawrence. 1987. “The Problem of the Bad-Analyst-Feeling.”<br />

Modern Psychoanalysis 12:35–45.<br />

Fursland, Annie. 1987. “Eve was Framed: Food and Sex and Women’s’<br />

Shame.” In Lawrence Marilyn, ed., Fed Up and Hungry. New York:<br />

Bedrick Books.<br />

Johnson, Craig. 1991. “Treatment of <strong>Eating</strong>-Disordered Patients with Borderline<br />

and False-Self/Narcissistic <strong>Disorders</strong>.” In Craig Johnson, ed.,<br />

Psychodynamic Treatment of Anorexia Nervosa and Bulimia. New York:<br />

Guilford.<br />

Johnson, C., and M. E. Connors. 1987. The Etiology and Treatment of<br />

Bulimia Nervosa. New York: Basic Books.<br />

Jones, Dorothy. 1991. “Alexithymia: Inner Speech and Linkage Impairment.”<br />

Clinical Social Work Journal 19:237–49.<br />

Levenkron, Steven. 1978. Best Little Girl in the World.<br />

Chicago, Ill: Contemporary Books (Warner Paperback).<br />

McDougall, Joyce. 1991. Theaters of the Mind, 147–79. New York: Brunner/Mazel.

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