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The Triple Bind

If you haven’t read Hinshaw’s The Triple Bind you need to…

 

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“Impossible expectations — Blue jeans and “blue” genes *(love this analogy)* : depression and the triple bind — Life in the pressure cooker : impossible expectations and the culture of busy-ness — No place to run, no place to hide : the popular culture of “self-erasing identities” — When virtue is its own punishment : how empathy and verbal skills may put our girls at higher risk — Bratz dolls and pussycat dolls : teaching our girls to become sexual objects — The wired child : how cyberculture interferes with girls’ identities — See Jane hit : the new culture of violence among teenage girls — Is there a triple bind solution? — Conclusion: coming to terms with the triple bind.”

 

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It’s encouraging to know that some incredible clinicians are furthering the research and support of the efficacy of Family-Based Therapy within treatment of adolescents who suffer from eating disorders. 

As parents of eating disordered children we know how painful it is to watch our children succumb to this deadly disease.  And what makes things even worse is not having treatment incorporate the entire family to best help, educate, empower and support not only our loved ones, but ourselves as well; and also to help heal and guide the family through the journey we take on the road towards our child achieving full recovery.

Dr Walter Kaye with the University of California, San Diego is heading probably one of the largest research studies jointly with Stanford School of Medicine to find the most effective FBT, BFT, and placebo controlled trials including more studies into the use and efficacy of fluoxetine (Prozac) in the treatment of adolescents who suffer from Anorexia Nervosa.

Dr Kaye is certainly not the only clinician to take the lead in pioneering this momentum, Dr Daniel leGrange from the University of Chicago, Eating Disorders Program also has conducted a 5yr NIMH study of similar worth, and at this time the data that has been collected is being sent for publication.

Too many today still adhere to a very outdated, erroneous and unproductive notion that dysfunctional families/parents are the sole cause of eating disorders.  Yes, this is the 21st century, and when our daughter was diagnosed with AN last year, not only were we carrying very limited Karen Carpenter knowledge of ED’s, but to our complete shock and dismay,  the hospital where our daughter spent the next 20days- along with the next year of hit&miss follow-up outpatient treatment- had Dr’s, nurses and staff who seemed to be practicing a very draconian and almost at times inhumane form of ED treatment/care with even less experience and knowledge, and horrifyingly no real training and background in ED’s, and how to help sufferers and their families/carers beyond the basic “medical stabalization”.  I never would have imagined through our experience, how backwards and utterly frustrating this road to finding quality, intelligent, evidenced-based and compassionate care would be.

So there is continued reasons to be hopeful and remain optimistic that at some point ED treatment and standards of care will indeed get better, and our voices will be heard, blame will take a vaporizing exit, and efforts and focus will stay centered towards much more rational, ethical, affordable, and compassionate care for ED’s.

As any writer knows, the power of words can be Herculean. 

Reuters Health  briefly highlights a ‘applied text analytic methods’ study carried out by Dr Markus Wolf at the University Hospital Heidelberg in Germany that can be helpful towards improved therapeutic treatments, and better understanding of the cognitive processing of the eating disordered brain.

Many of us, as parents with children suffering from an ED might also know how delicate, negative, and self-defeating our childs’ thoughts, behaviors, and words can be to themselves- especially when we know how this illness robs our children of their true selves during treatment and recovery. 

That’s why it’s even more vital to remind ourselves first and foremost: we are not to blame or at fault for our childs’ eating disorder; and secondly, to separate your child from the eating disorder/illness, especially at the most difficult moments through refeeding, treatment and recovery when it can be the most challenging thing to remind ourselves of.

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