Strategic individual psychotherapy with bulimic women

Journal/Book: Psychotherapy. 1984; 21: 491-499.

Abstract: Presents a case study of a college sophomore whose father had died when she was aged 4 yrs and whose mother had died when she was aged 17 yrs. Bulimic symptoms were treated with a paradoxical symptom prescription, substitution of mutually exclusiveÔà,Â–-Â–-Â–-ÂÂÔcompulsive behaviors in times of stress (e.g., listen to music on headphones), and a positive ritual (wrote down all foods before bingeing began). Nonbulimic issues (e.g., sense of being alone, identity confusion) were discussed in 12 therapy sessions during a 6-mo period. At a 6-mo followup, S had not engaged in the bulimic cycle. Research and general treatment considerations are discussed. (17 ref)

Note: individual psychotherapy; college student with bulimic symptoms

Keyword(s): Individual psychotherapy; bulimia ; human females; case report; adulthood

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