Archive for April 22nd, 2009

EATING DISORDERS TREATMENT: SPECIAL PROBLEMS IN FAMILY THERAPY

Wednesday, April 22nd, 2009

Divorce: Families with only one parent may be more vulnerable to problems such as eating disorders if there is inadequate parental control. There may also be more stress due to financial pressure or other such factors. Sometimes the symptom-bearer becomes a kind of substitute parent: taking care of siblings, holding down a job, or acting as a liaison between the separated parents. Sometimes a single parent depends more on his or her family of origin -calling on the grandparents to baby-sit, for example. Such intergenerational households might find themselves embroiled in many different types of conflicts, as different cultural traditions or ways of disciplining children clash.

It’s not uncommon for a divorced young mother, especially one who previously had an eating disorder herself, to revert to her old ways; she might find it easier to become an “ill child” than face up to her new life as a divorced woman. In such cases therapists need to offer extra support. A single mother may need individual therapy to cope with grief or anger over separation from her husband.

Married couples: An anorexic woman who marries may be looking for a husband who will accept her self-starving unconditionally. Similarly, a man who marries an anorexic may imagine himself as the knight in shining armor who will rescue the fair maiden from peril. This type of marriage can be pretty shaky. A woman who develops anorexia after marriage may be wrestling with serious conflicts about maturity. Pregnancy – or the fear of the changes it imposes on the body – may complicate things. Other issues include the emotions stirred as children become independent, or when the marriage starts to fall apart due to incompatibility or an extramarital affair.

Marital therapy improves the couple’s skills at communicating with one another. They may need to explore their attitudes about sex, or learn how to cope with disappointment when marriage fails to live up to their fantasies. Marital therapy may be needed after other forms of treatment have begun to work. A husband may be surprised, for example, when his compliant wife suddenly becomes more assertive or when she discovers deep currents of untapped anger. Counseling can help these people maintain the loving balance that drew them into marriage in the first place.

The multigenerational family: Never overlook the power and influence of the extended family. Many times, a patient’s grandparents, aunts, or uncles exert a tremendous influence on family functioning. Such families are often highly bound by tradition. Loyalty to family is the highest value. Members are expected to sacrifice themselves to “preserve the family honor.” One risk of a large, close-knit family is that members may feel no need to find emotionally satisfying relationships outside the home. Children may be pressured not to marry so that they can stay home and take care of the older generation. As the Belgian psychologist Johan Vanderlinden notes, these families may be starved for the stimulation that comes from contact with the outside world. “The whole family,” he writes, “is emotionally hungry and the anorectic child translates [this] hunger into starvation.”

Family therapy must address the deep and knotty issues related to the extended family. This may mean involving the grandparents in at least some sessions. It’s important for patients in such families to develop autonomy and discover how to balance family loyalties with the need to explore life outside the home. As Vanderlinden puts it, the patient must discover her roots as she develops her wings.

*107/35/5*

BEST RECIPES OF SOUPS FOR CANCER-FIGHTING DIET

Wednesday, April 22nd, 2009

Miso Soup with Kelp

3 cups of water

1 carrot, sliced

1 stalk of celery, chopped

1/4 cabbage chopped

3 cloves of garlic, crushed

1 chunk ginger

1 onion

1/4 cup of miso paste

2 tsp tamari

1/2 sheet kelp, shredded

Heat the water. Add carrot slices, chopped garlic, chopped onion, chopped ginger, chopped celery and cabbage. Heat for 10 to 15 minutes until vegetables are slightly cooked. Mix miso with slightly warm water in another cup, until it has a liquid consistency. When vegetables are cooked, bring down heat and simmer. Add miso water, tamari and kelp. Don’t boil the miso, as this destroys its valuable digestion-aiding enzymes and micro-organisms. Simmer for a couple of minutes, take off heat and season. Sprinkle sea salt and extra kelp on top.

Vegetable Cleansing Soup

You will need:

2 carrots with tops

2 beets with tops

1 onion

2 stalks celery with leaves

1 potato

1 handful spinach

3 cloves garlic

1/2 bunch watercress/kale

2 to 3 cups water

Chop all ingredients and add 2 to 3 cups of water. Bring to the boil, reduce heat to simmer and cook about 20 to 30 minutes, until vegetables are soft. Drain off vegetables and use only broth. This recipe can be refrigerated for future use.

Wholesome Country Soup

1 medium onion, chopped

2 cloves of garlic, crushed

2 small organic chicken breasts (cubed)

1 teaspoon of olive oil

500 g chopped fresh seasonal vegetables such as potatoes, swede, celery, leeks, carrots,

Broccoli, cabbage

225 g tinned tomatoes

1 teaspoon of vegetable stock

Steam fry the onion and garlic in oil with the chicken. Add the vegetables and tomatoes, and enough water to cover, plus vegetable stock or cube. Cover and simmer on low heat until the vegetables are cooked.

*226/34/5*