Body-States:Interpersonal and Relational Perspectives on the Treatment of Eating Disorders
In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient’s life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable.
The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an ‘other’ to be managed.
In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.
Table of Contents
Bromberg, Foreword. Petrucelli, ‘With a Little Help from My Friends’. Part I: Finding Beauty in the Beast: Interpersonal Perspectives and Treatment of Eating Disorders. Petrucelli, Mermaids, Mistresses & Medusa: Getting ‘Inside Out and Outside In’ the Relational Montage of an Eating Disorder. Petrucelli, ‘My Body Is A Cage’: Interfacing Interpersonal Neurobiology, Attachment, Affect Regulation, Self Regulation, and the Regulation of Relatedness in Treatment with Eating Disordered Patients. Part II: The Mindbody and the Bodymind: Reflections Inside and Outside Reality and Subjectivity. Schoen, ‘You’re The One That I Want’: Appetite, Agency, and the Gendered Self. Halsted, ‘Stretched To The Limit’: The Elastic Body Image in the Reflexive Mind. Ogden, ‘I Can See Clearly Now The Rain Has Gone’: The Role of the Body in Forecasting the Future. Baker-Pitts, ‘Look At Me…..What Am I Supposed To Be?’… Women, Culture and Cosmetic Splitting. Castellano, ‘I Won't Grow Up, Never Grow Up, Not Me!’: Anorexia Nervosa and Maturity Fears Revisited. Howard, ‘Spitting Out the Demons’: The Perils of Giving and Receiving for the Anorexic Patient. Part III: Treating the Family, the Young, the Hormonal, and the Religious: Developmental, Familial, and Cultural Contexts. Brisman, ‘What's Going On, What's Going On?’ -- An Interpersonal Approach to Family Therapy with the Eating Disordered Patient. Ferraro, ‘Bridge Over Troubled Waters’: Girls’ Growing Bodies, Growing Minds, Growing Complications. Kolod, ‘The Circle (Cycle) Game’: Ovarian Hormones, Self-States and Appetites. Gorden, Kofman, ‘Body and Soul’: Eating Disorders in the Orthodox Jewish Population. Part IV: Appetite Regulation in an Interpersonal and Cultural Context Tintner, ‘These boots aren't made for walking, but that's just what they'll do’: The Use of the Detailed Inquiry in the Treatment of Obesity. Malave, ‘No Self Control’: Working along the Binge Eating Spectrum. Hamilton, ‘Sweet Thing’: Racially Charged Transferences and Desire in the Interpersonal Treatment of a black American woman with Binge Eating Disorder-- Who Needs Chocolate Cake When You Can Have Chocolate Men? Ackerman, ‘Bewitched, Bothered and Bewildered’: Boundaries Shared and Denied. Sandra Buechler, ‘Hooked on a Feeling’: Emotions that Facilitate the Movement from Compulsion to Choice - Three Bodies…Patient, Analyst, and Supervisor. Part V: Beyond the Interpersonal and Across the Universe: History; Clinical and Assessment Tools Across Modalities. Gottlieb, ‘Come Together’: Blending CBT/DBT and Interpersonal Psychotherapy in the Treatment of Eating Disorders. Crossman, Labins, ‘One Pill Makes You Larger, And One Pill Makes You Small’…and the Ones that Doctor gives you May or May Not do Anything at All: A brief summary of psychopharmacological approaches in the treatment of eating disorders. Pearlman, Body OR Mind: A Discontinuous Model of Neural Emotional Processing. The BODI GROUP – Members, Baker-Pitts, Bloom, Eichenbaum, Garofallou, Orbach, Jean Petrucelli, Sliva, Tortora, The Acquisition of a Body: Establishing a New Paradigm and Introducing a Clinical Tool to Explore the Intergenerational Transmission of Embodiment. Kuriloff, ‘Across the Universe’: Christians, Patients, Women with Anorexia Nervosa Then and Now.
Jean Petrucelli is director and co-founder of the Eating Disorders, Compulsions & Addictions Service; supervising analyst, teaching faculty, at the William Alanson White Institute, New York City; adjunct clinical professor of psychology at New York University’s postdoctoral program; and editor of several books. She specializes in the interpersonal treatment of eating disorders and addictions, lectures widely throughout the United States, and is in private practice in Manhattan.
Body States, Petrucelli’s compendium of articles on the causality and treatment of eating disorders is a major contribution to the literature on this most enigmatic and clinically recalcitrant of syndromes. The contributors, all experienced clinicians, represent mostly an extended interpersonal viewpoint; namely, that the symptoms of eating disorders represent an embodied metaphor for experience with others in a socio-cultural matrix. The individual articles are lively, varied and by no means doctrinaire. This book will be of great interest and value to a wide spectrum of readers. - Edgar A. Levenson MD. Fellow Emeritus, Training, Supervising Analyst and Faculty at the William Alanson White Institute; Author of Fallacy of Understanding: The Ambiguity of Change and The Purloined Self.
While it is usually true that one should not judge a book by its cover, this book may be an exception to that rule. The cover art well captures the disorganized, dissociated, and fragmented minds, bodies and psychological worlds of many eating disordered and traumatized people. In Body States, Jean Petrucelli has produced much more than one would expect from even a first rate anthology of readings, indeed, this book pushes the envelope of current theory and practice. Drawing on recent developments in interpersonal and relational psychoanalysis this book provides a model for an interdisciplinary and yet theoretically coherent approach to a complex clinical syndrome. While of obvious value to those who treat patients struggling with eating disorders, this book also serves as a basis for examination of such contemporary clinical ideas as enactment, multiple self-states, trauma, dissociation, body states and non-verbal communications. - Lewis Aron, Ph.D. Director, New York University Postdoctoral Program in Psychotherapy & Psychoanalysis.
Nourishment is where we start from, but what happens when food, quite literally, becomes the only real home we have? And what kind of home can food be once it becomes a refuge from relationship, from freer exchanges? Once it becomes a home from home? In Body-States we have a book that renews our appetite for these fundamental contemporary questions. With a remarkable range of wit and sympathy, of generosity and intelligence, Body-States frees us to think differently about these elemental things. Eating disorders, like all the other so-called disorders, lead us to believe that somewhere there can be an appropriate order. The essays in Body-States, in their range and their engagement, show us how we might talk about eating now without telling people how they should live. - Adam Phillips, psychoanalyst and writer.
Open this volume and prepare for an educational feast! The editor, Jean Petrucelli, has once again assembled a superb collection of innovative contributions on the psychodynamic treatment of eating disorders. Impressive in scope, depth and understanding, this text is a filled with papers that are at once wise, practical, theoretically sophisticated, yet highly readable. The essays will appeal to all thoughtful clinicians who seek to integrate contemporary relational approaches with other treatment modalities and cultural considerations into their practice. Specialists in the field of eating disorders will find it an essential reference, laced with examples that offer refreshing insight, hope, and savvy clinical guidance. - Kathryn J. Zerbe, MD, FAED, Training and Supervising Analyst, Oregon Psychoanalytic Center Author: The Body Betrayed: Women, Eating Disorders, and Treatment and Integrated Treatment of Eating Disorders: Beyond the Body Betrayed.