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Eating disorders and attachment: the effects of hidden family processes on eating disorders
Aim This study examined pattern of attachment in cohort of women with an eating disorder to determine what types of self‐protective strategies they used, and further whether there was a specific relationship between strategy and diagnosis. Method The participants were 62 young women with an eating d...
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| Published in: | European eating disorders review 2007-03, Vol.15 (2), p.119-130 |
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| Main Authors: | , |
| Format: | Article |
| Language: | English |
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| container_end_page | 130 |
| container_issue | 2 |
| container_start_page | 119 |
| container_title | European eating disorders review |
| container_volume | 15 |
| creator | Ringer, Francoise Crittenden, Patricia McKinsey |
| description | Aim
This study examined pattern of attachment in cohort of women with an eating disorder to determine what types of self‐protective strategies they used, and further whether there was a specific relationship between strategy and diagnosis.
Method
The participants were 62 young women with an eating disorder (19 with anorexia nervosa, 26 with bulimia nervosa and 17 with bulimic anorexia). Attachment was assessed using the Adult attachment interview (AAI), classified using Crittenden's Dynamic‐Maturational Method.
Results
The results indicated that all women with an eating disorder were anxiously attached. About half used an extreme coercive Type C strategy while most of the others combined coercion with an extreme dismissing Type A strategy. The content of the AAIs suggested lack of resolution of trauma or loss among the mothers and also of hidden family conflict between the parents. This in turn elicited extreme strategies for generating parent–child contingency from the daughters.
Conclusions
Central in almost all cases was the women's confusion regarding how parental behaviour was tied causally to their own behaviour. Questions are raised regarding the focus of treatment. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association. |
| doi_str_mv | 10.1002/erv.761 |
| format | article |
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This study examined pattern of attachment in cohort of women with an eating disorder to determine what types of self‐protective strategies they used, and further whether there was a specific relationship between strategy and diagnosis.
Method
The participants were 62 young women with an eating disorder (19 with anorexia nervosa, 26 with bulimia nervosa and 17 with bulimic anorexia). Attachment was assessed using the Adult attachment interview (AAI), classified using Crittenden's Dynamic‐Maturational Method.
Results
The results indicated that all women with an eating disorder were anxiously attached. About half used an extreme coercive Type C strategy while most of the others combined coercion with an extreme dismissing Type A strategy. The content of the AAIs suggested lack of resolution of trauma or loss among the mothers and also of hidden family conflict between the parents. This in turn elicited extreme strategies for generating parent–child contingency from the daughters.
Conclusions
Central in almost all cases was the women's confusion regarding how parental behaviour was tied causally to their own behaviour. Questions are raised regarding the focus of treatment. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.</description><identifier>ISSN: 1072-4133</identifier><identifier>EISSN: 1099-0968</identifier><identifier>DOI: 10.1002/erv.761</identifier><identifier>PMID: 17676680</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adolescent ; Adult ; Anorexia Nervosa - psychology ; attachment ; Australia ; Bulimia Nervosa - psychology ; Cluster Analysis ; Cohort Studies ; Conflict ; Daughters ; Defense Mechanisms ; eating disorder ; Eating disorders ; Emotions ; Families & family life ; Family - psychology ; family systems ; Female ; Humans ; Middle Aged ; Models, Psychological ; Object Attachment ; Parent-Child Relations ; Parents & parenting ; Personal relationships ; Women ; Young adults</subject><ispartof>European eating disorders review, 2007-03, Vol.15 (2), p.119-130</ispartof><rights>Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.</rights><rights>2006 John Wiley & Sons, Ltd and Eating Disorders Association</rights><rights>Copyright John Wiley and Sons, Limited Mar/Apr 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4131-47aac24b915e13f837e3c0a16021f0d470e699e499d095123fcbd3a7f7ca38e23</citedby><cites>FETCH-LOGICAL-c4131-47aac24b915e13f837e3c0a16021f0d470e699e499d095123fcbd3a7f7ca38e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17676680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ringer, Francoise</creatorcontrib><creatorcontrib>Crittenden, Patricia McKinsey</creatorcontrib><title>Eating disorders and attachment: the effects of hidden family processes on eating disorders</title><title>European eating disorders review</title><addtitle>Eur. Eat. Disorders Rev</addtitle><description>Aim
This study examined pattern of attachment in cohort of women with an eating disorder to determine what types of self‐protective strategies they used, and further whether there was a specific relationship between strategy and diagnosis.
Method
The participants were 62 young women with an eating disorder (19 with anorexia nervosa, 26 with bulimia nervosa and 17 with bulimic anorexia). Attachment was assessed using the Adult attachment interview (AAI), classified using Crittenden's Dynamic‐Maturational Method.
Results
The results indicated that all women with an eating disorder were anxiously attached. About half used an extreme coercive Type C strategy while most of the others combined coercion with an extreme dismissing Type A strategy. The content of the AAIs suggested lack of resolution of trauma or loss among the mothers and also of hidden family conflict between the parents. This in turn elicited extreme strategies for generating parent–child contingency from the daughters.
Conclusions
Central in almost all cases was the women's confusion regarding how parental behaviour was tied causally to their own behaviour. Questions are raised regarding the focus of treatment. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anorexia Nervosa - psychology</subject><subject>attachment</subject><subject>Australia</subject><subject>Bulimia Nervosa - psychology</subject><subject>Cluster Analysis</subject><subject>Cohort Studies</subject><subject>Conflict</subject><subject>Daughters</subject><subject>Defense Mechanisms</subject><subject>eating disorder</subject><subject>Eating disorders</subject><subject>Emotions</subject><subject>Families & family life</subject><subject>Family - psychology</subject><subject>family systems</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Models, Psychological</subject><subject>Object Attachment</subject><subject>Parent-Child Relations</subject><subject>Parents & parenting</subject><subject>Personal relationships</subject><subject>Women</subject><subject>Young adults</subject><issn>1072-4133</issn><issn>1099-0968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNp10F1LIzEYBeAgLn6t-A8keKEXMm4ymUkm3onUukvXFakKehHS5I0dnY-aTHX7741MURC8SkgeDoeD0A4lR5SQ9Bf4lyPB6QraoETKhEherL7fRZpklLF1tBnCIyHxPS_W0DoVXHBekA10P9Bd2TxgW4bWW_AB68Zi3XXaTGtoumPcTQGDc2C6gFuHp6W10GCn67Ja4JlvDYQA8avB8CXqJ_rhdBVge3luoeuzwfj0PBn9G_4-PRklJnajSSa0Nmk2kTQHylzBBDBDNOUkpY7YTBDgUkImpSUypylzZmKZFk4YzQpI2Rba73Njm-c5hE7VZTBQVbqBdh4ULyjLScoi3PsCH9u5b2I3ldIsK3Ke04gOemR8G4IHp2a-rLVfKErU-9gqjq3i2FHuLuPmkxrsp1uuG8FhD17LChbf5ajB1U0fl_S6DB38_9DaPykumMjV7cVQ_bkcD-_O_o7UmL0B-WOW7g</recordid><startdate>200703</startdate><enddate>200703</enddate><creator>Ringer, Francoise</creator><creator>Crittenden, Patricia McKinsey</creator><general>John Wiley & Sons, Ltd</general><general>John Wiley and Sons, Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200703</creationdate><title>Eating disorders and attachment: the effects of hidden family processes on eating disorders</title><author>Ringer, Francoise ; Crittenden, Patricia McKinsey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4131-47aac24b915e13f837e3c0a16021f0d470e699e499d095123fcbd3a7f7ca38e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anorexia Nervosa - psychology</topic><topic>attachment</topic><topic>Australia</topic><topic>Bulimia Nervosa - psychology</topic><topic>Cluster Analysis</topic><topic>Cohort Studies</topic><topic>Conflict</topic><topic>Daughters</topic><topic>Defense Mechanisms</topic><topic>eating disorder</topic><topic>Eating disorders</topic><topic>Emotions</topic><topic>Families & family life</topic><topic>Family - psychology</topic><topic>family systems</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Models, Psychological</topic><topic>Object Attachment</topic><topic>Parent-Child Relations</topic><topic>Parents & parenting</topic><topic>Personal relationships</topic><topic>Women</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ringer, Francoise</creatorcontrib><creatorcontrib>Crittenden, Patricia McKinsey</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European eating disorders review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ringer, Francoise</au><au>Crittenden, Patricia McKinsey</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eating disorders and attachment: the effects of hidden family processes on eating disorders</atitle><jtitle>European eating disorders review</jtitle><addtitle>Eur. Eat. Disorders Rev</addtitle><date>2007-03</date><risdate>2007</risdate><volume>15</volume><issue>2</issue><spage>119</spage><epage>130</epage><pages>119-130</pages><issn>1072-4133</issn><eissn>1099-0968</eissn><abstract>Aim
This study examined pattern of attachment in cohort of women with an eating disorder to determine what types of self‐protective strategies they used, and further whether there was a specific relationship between strategy and diagnosis.
Method
The participants were 62 young women with an eating disorder (19 with anorexia nervosa, 26 with bulimia nervosa and 17 with bulimic anorexia). Attachment was assessed using the Adult attachment interview (AAI), classified using Crittenden's Dynamic‐Maturational Method.
Results
The results indicated that all women with an eating disorder were anxiously attached. About half used an extreme coercive Type C strategy while most of the others combined coercion with an extreme dismissing Type A strategy. The content of the AAIs suggested lack of resolution of trauma or loss among the mothers and also of hidden family conflict between the parents. This in turn elicited extreme strategies for generating parent–child contingency from the daughters.
Conclusions
Central in almost all cases was the women's confusion regarding how parental behaviour was tied causally to their own behaviour. Questions are raised regarding the focus of treatment. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>17676680</pmid><doi>10.1002/erv.761</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1072-4133 |
| ispartof | European eating disorders review, 2007-03, Vol.15 (2), p.119-130 |
| issn | 1072-4133 1099-0968 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68135023 |
| source | Wiley |
| subjects | Adolescent Adult Anorexia Nervosa - psychology attachment Australia Bulimia Nervosa - psychology Cluster Analysis Cohort Studies Conflict Daughters Defense Mechanisms eating disorder Eating disorders Emotions Families & family life Family - psychology family systems Female Humans Middle Aged Models, Psychological Object Attachment Parent-Child Relations Parents & parenting Personal relationships Women Young adults |
| title | Eating disorders and attachment: the effects of hidden family processes on eating disorders |
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