Individual psychotherapy of patients diagnosed with psychic anorexia, concentrated on working with one's body image- the author's original therapy
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Klinika Psychiatrii Dzieci i Młodzieży Uniwersytetu Medycznego w Poznaniu
Małgorzata Talarczyk   

Klinika Psychiatrii Dzieci i Młodzieży UM Poznań, ul. Szpitalna 27/33, 60-572 Poznań, Polska
Submission date: 2017-05-04
Final revision date: 2017-06-29
Acceptance date: 2017-07-04
Publication date: 2017-08-31
Psychoter 2017;181(2):49–64
In the article I outline a therapeutic process for people with anorexia nervosa, which concerns viewing one’s body image and self-esteem built around one’s perceived figure. In the individual psychotherapeutic process presented here, which addresses the perception and evaluation of the body image experienced by patients, I focus on two major aspects: 1) striving for the so-called 'ideal' figure, created and fuelled by the media, disconnected from the actual inherited body build, and 2) emotions that accompany the patients in the distorted perception of their body and associated with their interpersonal relationships or intrapsychic problems. Maintaining reference to the so-called 'ideal' figure, to which the patients aspire, I search together with each patient for similarities in their body build with that of their family of origin. As the therapeutic practice shows, this enables the teenage/adult female patients to increasingly accept their body build. However, working with emotions directed towards their own body, mostly consisting of anger, I consider together with the patient whether these emotions could have been transferred from interpersonal relations to body perception and to the negative attitude towards it.