CASE REPORT OF AN ANOREXIC GIRL UNDERGOING FOUR YEARS OF INPATIENT TREATMENT DURING ADOLESCENCE: THE PROCESS OF FREEING THE MIND

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  • KUROE Mihoko
    Department of Child and Adolescent Psychiatry, Komagino Hospital
  • USAMI Masahide
    Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine
  • WATANABE Kyota
    Department of Child and Adolescent Psychiatry, Kohnodai Hospital, National Center for Global Health and Medicine
  • SAITO Kazuhiko
    Department of Child and Adolescent Mental Health, Imperial Gift Foundation AIIKU, Maternal and Child Health Center, AIIKU Clinic

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Other Title
  • 思春期の４年間を病棟で過ごした摂食障害女児の治療経過
  • 症例研究 思春期の4年間を病棟で過ごした摂食障害女児の治療経過 : こころが自由になること
  • ショウレイ ケンキュウ シシュンキ ノ 4ネンカン オ ビョウトウ デ スゴシタ セッショク ショウガイ ジョジ ノ チリョウ ケイカ : ココロ ガ ジユウ ニ ナル コト
  • ─こころが自由になること─

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Abstract

<p>This paper reports on a girl with anorexia nervosa in long-term hospitalization. Treatment progress fluctuated greatly due to severe psychopathology of anorexia nervosa and perfectionism. However, she gradually regained both mental and physical health, and an independence of spirit befitting her age. The process of symptom formation are discussed alongside the psychopathology that underlay the need for extensive hospitalization. Furthermore, the significance of multiple functional child and adolescent psychiatric wards are discussed, not only in terms of physical management and life protection, but as an environment for nurturing basic trust with medical staff, and interacting with peergroups. Moreover, the implementation of family therapy allowing the therapist to evaluate the child's symptoms from diverse and multi-layered perspectives, and enabling the parents to resume their supportive functions, in particular, through vivid restoration of emotional availability in the patient's mother, were noted as the keys to the child's recovery.</p>

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