A Patient with Prolonged Anorexia Nervosa and Long Term Laxative Abuse was Successfully Treated with Cognitive-Behavioral Therapy that Included Behavioral Limitation

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  • 大量の下剤乱用を長期にわたって続けた神経性食欲不振症の1改善例 : 行動制限を用いた認知行動療法による入院治療過程を中心に
  • 症例研究 大量の下剤乱用を長期にわたって続けた神経性食欲不振症の1改善例--行動制限を用いた認知行動療法による入院治療過程を中心に
  • ショウレイ ケンキュウ タイリョウ ノ ゲザイ ランヨウ オ チョウキ ニ ワタッテ ツズケタ シンケイセイ ショクヨク フシンショウ ノ 1 カイゼンレイ コウドウ セイゲン オ モチイタ ニンチ コウドウ リョウホウ ニ ヨル ニュウイン チリョウ カテイ オ チュウシン ニ

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Abstract

This case report is of a female patient with prolonged anorexia nervosa who used a great deal of laxatives over a ten year period. Although the disease was intractable and the prognosis was poor, "cognitive behavioral therapy with behavioral limitation" was proved to be effective and the course after discharge was satisfactory. In "cognitive-behavioral therapy with behavioral limitation", the patients attempt to increase their weight and to confront their fears of gaining weight. At the same time, the problematic behaviors that come out during behavioral limitation are treated in a timely manner. This patient came to realize that the essential problem that needed to be solved was 'conflict evasion' ; avoidance of unpleasant things encountered in her life. As a result, her weight gained steadily as she learned not to escape from conflict. Moreover, the change was reflected in her cognition and behavior in relation to her family and interpersonal relationships. In this report, we show the process of change through treatment in both the cognition and the behavior of the patient and discuss points to keep in mind when treating such patients.

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