Abstract
In this case report we describe the therapy followed with a patient affected by atypical anorexia purging, in a setting that includes both psychotherapy and psychopharmacological treatment. The aim of this presentation is to show how the patient’s ambivalence towards the treatment was faced, and how this work both rendered effective the pharmacological therapy and enabled the progression of the psychotherapy. There is a discussion othe interaction between psychotherapy and pharmacological therapy and their possible beneficial action on the symptomatology.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Schoemaker C.: Does early intervention improve the prognosis in anorexia nervosa? A systematic review of the treatment-outcome literature. Int. J. Eating Disord., 21, 1–15, 1997.
Lasègue E.C.: De l’anorexie hystérique. Arch. Gen. Med., 21, 385–403, 1873.
Bruch H.: Eating disorders: Obesity, anorexia nervosa, and the person within. New York, Basic Books, 1973.
Greenfeld D.G., Strauss J., Bowers M.B., Mandlekern M.: Insight and interpretation of illness in recovery from psychosis. Schizophr. Bull. 15, 245–252, 1989.
Greenfeld D.G., Anyan W.R., Hobart M., Quinlan D.M., Plantes M.: Insight into illness and outcome in anorexia nervosa. Int. J. Eating Disord., 10, 100–109, 1991.
Treasure J., Ward A.: A practical guide to the use of motivational interviewing in anorexia nervosa. Eur. Eating Dis. Rev. 5, 102–114, 1997.
Bruch H.: The golden cage. Cambridge, MA, Harvard University Press, 1978.
Cuzzolaro M., Ripa di Meana G.: La resistenza nelle terapie psicoanalitiche: osservazioni sull’anoressia nervosa. Psicobiettivo X, 15–28, 1990.
Freud S.: L’interpretazione dei sogni. OSF. Boringhieri, 1900.
Winnicott D.W.: Maturational processes and the facilitating environment. New York, International Universities Press, 1965.
Luborsky L.: Capire il transfert, Milano, Raffaello Cortina Editore, 1992.
Horwath A., Greenberg L.: The development of the working alliance inventory. In: Greenberg L., Pinsoff W. (Eds.), Psy-chotherapeutic process: A research handbook. New York, Guildford Press, 1986, pp. 529–556.
Swift W.: Bruch revisited: The role of interpretation of transference and resistance in the psychotherapy of eating disorders. In: Johnson C. (Ed.), Psychodynamic treatment of anorexia nervosa and bulimia. New York, Guilford Press, 1991, pp. 51–67.
Garner D.M., Garfinkel P.E., Bemis K.M.: A multidimensional psychotherapy for anorexia nervosa. Int. J. Eating Disord., 1, 3–46, 1982.
Garner D., Needleman L.: Sequencing and integration of treatments. In: Garner D.M., Garfinkel P.E. (Eds.), Handbook of treatment for eating disorders. New York, Guilford Press, 1997, pp. 50–63.
Kennedy S.H., Goldbloon D.S.: Psychopharma cological treatment. In: Halmi K.A., Garfinke P.E. (Eds.), Section 10 cap 77: Eating Disorders. In: Gabbard G.O., Atkinson S.D. (Eds.), Synopsis of treatments of psychiatric disorders. Am. Psychiatric Press, 1996, pp. 901–907.
Eckert E.D.: Anorexia nervosa. In: Beitman, Klerman (Eds.), Integrating pharmachotherapy and psychotherapy. Am. Psychiatr. Press, 1991, pp 329–351.
Goldberg S.C., Halmi K.A., Eckert E.D., et al: Cyproheptadine in anorexia nervosa. Br. J. Psychiatry 134, 67–70, 1979.
Klerman G.L.: Ideological conflicts in integrating pharmacotherapy and psychotherapy. In: Beitman, Klerman (Eds.), Integrating pharmachotherapy and psychoterapy. Am. Psychiatric Press, 1991, pp. 3–19.
Garner D.M., Garfinkel P.E.: The eating attitudes test: an index of the sympthoms of anorexia nervosa. Psychol. Med., 9, 273–279, 1979.
Cuzzolaro M., Petrilli A.: Validazione della versione italiana dell’EAT-40 di Garner D.M., Garfinkel P.E. Psichiatria dell’Infanzia e dell’Adolescenza, 55, 209–217, 1988.
Garner D.M., Olmstead M.P., Polivy J.: Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int. J. Eating Disord., 1, 15–34, 1983.
Derogatis L.R.: Symptom checklist manual. Baltimore, Johns Hopkins University Press, 1977.
Cloninger C.R.: A systematic method for clinical description and classification of personality variants. Arch. Gen. Psychiatry, 44, 573–588, 1987.
Goodman W.K., Price L.H., Rasmussen S.A., Mazure C., Fleischmann R., Hill C.L., Heninger G.R., Charney D.S.: The Yale Brown obsessive-compulsive scale. I. Development, use, and reliability. Arch. Gen. Psychiatry, 46, 1006–1011, 1989.
Goldbloom D.S., Davis R., Olmsted M., Shaw B.: Clinical management-fluoxetine administration manual. Toronto Hospital 1996.
Pallanti S., Quercioli L., Ramacciotti A.: Citalopram in anorexia nervosa. Eating Weight Disord., 2, 216–221, 1997. (in press).
McLaughlin J.T.: Clinical and theoretical aspects of enactment on the psychoanalytic situation. J. Am. Psychoanal. Assoc., 39, 595–614, 1991.
Mahler M.: On the first three subphases of the separation-individuation process. Int. J. Psychoanal., 53, 333–338, 1972.
Fischer N.: Anorexia nervosa and unresolved rapprochement conflicts. A case study. Int. J. Psychoanal., 70, 41–54, 1989.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ramacciotti, A., Pallanti, S. & Pazzagli, A. A setting including psychotherapy and psychopharmacological treatment in a case of anorexia nervosa with obsessive compulsive disorder comorbidity. Eat Weight Disord 2, 222–228 (1997). https://doi.org/10.1007/BF03339980
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03339980