ABSTRACT

Patients with eating disorders often rely on dissociation, cordoning off parts of the self that come to reside in disconnected mind and body states. In this paper, I explore the use of the multidisciplinary treatment team as a vehicle for accessing, engaging and linking the patient’s dissociated self-states as they emerge within different therapeutic dyads. While it is common for therapists who work with eating disorders to collaborate with other clinicians, the team has not typically been viewed as playing a role in the psychoanalytic process. Through a detailed case illustration, I demonstrate some of the ways that the treatment team can help to provide multiple perspectives on the same patient, generating a rich multiperson field that enhances and augments the psychoanalytic work. I also discuss challenges that can arise in concurrent therapy situations.

摘要

饮食失调的患者通常依赖于解离，束缚自我的一部分，使他们处于精神和身体状态分离的状态。在本文中，我探索了使用多学科治疗团队作为访问，参与和链接患者分离的自我状态的工具，这些状态在不同的治疗组中出现。尽管饮食失调的治疗师通常会与其他临床医生合作，但该团队通常并未被视为在精神分析过程中发挥作用。通过详细的案例说明，我演示了治疗团队可以帮助对同一位患者提供多种观点的一些方法，从而产生了一个丰富的多人领域，可以增强和增强心理分析工作。