2009, Number S1
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Rev Med Inst Mex Seguro Soc 2009; 47 (S1)
Between Cohesion and Rigidity; Family Structure of Two Generations of Women with Anorexia or Bulimia
López-Coutiño B, Nuño-Gutiérrez BL
Language: Spanish
References: 26
Page: 47-54
PDF size: 84.93 Kb.
ABSTRACT
Objective: to characterize the structure of twogenerations with the narrative story of women with anorexia or bulimia.
Methods: descriptive, qualitative-type retrospective study. Information was gathered from a genogram of two generations, and focused on tape-recorded interviews with eight young women being treated for anorexia or bulimia.
Results: the family structure of both generations was characterized by rigid pattern expressed in a controlled and inflexibility behavior to assume changes displayed in overprotective manners. Contemporary family patterns showed closer bonds between fathers and daughters, and lesser bonds and more rigidity between mothers and daughters. The grandparents’ generation did not use health services for attention of eating disorders.
Conclusions: bonding and rigidity were the main characteristics of the family structure in both generations. It suggests that these structural patterns are transfered from one generation to the next.
REFERENCES
Unikel-Santoncini C, Saucedo-Molina T, Villatoro J, Fleiz C. Conductas alimentarias de riesgo y distribución del índice de masa corporal en estudiantes de 13 a 18 años. Salud Mental 2002;25(2):49-57.
Ochoa-de Alda I. Enfoques en terapia familiar sistémica. Barcelona, España: Herder, 1995. p. 36-42, 127.
Toro J. El cuerpo como delito. Anorexia, bulimia, cultura y sociedad. Barcelona: Ariel; 2001. p. 309-326.
Navarro-Ballesteros R. El cuerpo de la anorexia. En: Carriroza-Hernández S, editor. Cuerpo: significaciones e imaginarios. México: UAM Xochimilco; 1999. p. 107-113.
DeAngelis T. Research boosts support for toughto- treat eating disorders. Monitor Eating Disorders 2004;33:1-14.
Minuchin S, Fishman. Familias y terapia familiar. Barcelona: Gedisa; 1999. p. 125-167.
Minuchin S, Rosman BL, Baker L. Psychosomatic families: anorexia nervosa in context. Cambridge: Harvard University Press; 1979.
Campbell TL. Family’s impact on health. A critical review. Family Systems Medicine 1986:135-200.
Cusinato M. Psicología de las Relaciones Familiares. Barcelona, España: Herder; 1992. p. 35-334.
Laliberte M, Boland FJ, Leichner P. Eating disorders and Weight Preocupation Program and McMaster University. J Clinical Psychol 1999;55(9):1021-1040.
Ávila G, Ávila M, Cala C, Henríquez D, Laguna L, Morales S, et al. Trastornos de la conducta alimentaria en adolescentes femeninas: Santafé de Bogotá, Colombia: Colombia; 1993. p. 90.
Kuba SA, Harris DJ. Eating disturbances in women of color: an explanatory study of contextual factors in the development of disordered eating in Mexican American women. Health Care Women Int 2001; 22(3):281-298.
Fornari V, Wlodarczyk-Bisaga K, Matthews M, Sandberg D, Mandel FS, Katz JL. Perception of family functioning and depressive symptomatology in individuals with anorexia nervosa or bulimia nervosa. Compr Psychiatry 1999;40(6):434-441.
Neumark-Sziner D, Story M, Falkner NH, Trish B, Resnick MD. The role of family and other social factors. Disordered Eating among adolescents with chronic illness and disability. Arch Gen Psy 1999;56:468-476.
Strober M, Freeman R, Lampert C, Diamond J, Kaye W. Controlled family study of anorexia nervosa and bulimia nervosa: evidence of shared liability and transmission of partial syndromes. M J Psychiatry 2000;157(3):393-401.
Toro J. Riesgos y causas de la anorexia nerviosa. Barcelona, España: Ariel; 2004. p. 88, 89.
Muhr T. Scientific Software Development´s Atlas- Ti. Visual qualitative data. Version 4.1 for Windows 95 and windows NT. Berlin, 1997. p . 10-57.
Corbin J, Strauss A. Basics in qualitative research. Grounded theory, procedures and techniques. Inc Newbury Park California: Sage Publications; 1990. p. 389-409.
McGoldrick M, Gerson R. Genogramas en la evaluación familiar. Barcelona, España: Gedisa; 1987. p. 20-180.
Giddens A. Modernidad e identidad del yo. Barcelona, España: Península; 1997. p . 133-139.
León R, Fulkerson JA, Perry CL, Dube A. Family influences, school behaviors, and risk for the later development o fan eating disorder. J Youth Adolescence 1994;23(5):499.
Selvini PM, Cirillo S, Sorrentino AM. Muchachas anoréxicas y bulímicas. La terapia familiar. Barcelona, España: Paidós; 1999. p. 20-229.
McIntosh W, Bulik CM, McKenxie JM, Luty SE, Jordan J. Interpersonal psychotherapy for anorexia nervosa. Int J Eating Disorders 2000;27(2):125- 39.
Kog E, Vandereycken W. Family characteristics of anorexia nervosa and bulimia: a review of the research literature. Bélgica University Psychiatric Center; 2002.
Selvini-Palazzoli M, Stefano C, Selvini M, Sorrentino AM. Los juegos sicóticos en la familia. Terapia familiar. Barcelona, España: Paidós; 1995. p. 187-191.
Crispo R, Figueroa E, Guelar D. Anorexia y bulimia lo que hay que saber. Barcelona, España: Gedisa; 2005. p. 79-82.