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Who Knows Best? Family Interaction and Eating Disorders

Published online by Cambridge University Press:  03 January 2018

Glenn Waller
Affiliation:
University of Manchester
Peter Slade
Affiliation:
University of Liverpool
Rachel Calam
Affiliation:
University of Liverpool

Abstract

Links have been established between eating disorders and abnormal patterns of interaction between members of the sufferer's family. Faced with often contradictory information, the clinician needs to know which member of the family will give the most valid description of that family's interaction. This study demonstrated the value of the Family Assessment Device (FAD) as a measure of ‘pathology’ in the families of anorectic and bulimic women. Using the ability to predict the eating disorder as an index of concurrent validity, the sufferers themselves had the most realistic perceptions of their families' interactional styles.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders, Washington, DC: APA.Google Scholar
Epstein, N. B., Bishop, D. S. & Levin, S. (1978) The McMaster model of family functioning. Journal of Marriage and Family Counselling, 4, 1931.Google Scholar
Epstein, N. B., Bishop, D. S. & Levin, S. (1983) The McMaster family assessment device. Journal of Marital and Family Therapy, 9, 171180.Google Scholar
Heron, J. M. & Leheup, R. F. (1984) Happy families? British Journal of Psychiatry, 145, 136138.CrossRefGoogle ScholarPubMed
Kagan, D. M. & Squires, R. L. (1985) Family cohesion, family adaptability, and eating behaviours among college students. International Journal of Eating Disorders, 4, 269279.3.0.CO;2-9>CrossRefGoogle Scholar
Kirk, R. E. (1968) Experimental Design: Procedures for the Social Sciences. Belmont: Wadsworth.Google Scholar
Kog, E. & Vandereycken, W. (1985) Family characteristics of anorexia nervosa and bulimia: a review of the research literature. Clinical Psychology Review, 5, 159180.CrossRefGoogle Scholar
Lau, A. (1984) Transcultural issues in family therapy. Journal of Family Therapy, 6, 91112.Google Scholar
Llewellyn-Jones, D. & Abraham, S. F. (1984) Quetelet index in diagnosis of anorexia nervosa. British Medical Journal, 288, 1800.Google Scholar
Miller, I. W., Epstein, N. B., Bishop, D. S., et al (1985) The McMaster family assessment device: reliability and validity. Journal of Marital and Family Therapy, 11, 345356.Google Scholar
Miller, I. W., Kabacoff, R. I., Keitner, G. I., et al (1986) Family functioning in the families of psychiatric patients. Comprehensive Psychiatry, 27, 302312.CrossRefGoogle ScholarPubMed
Minuchin, S., Rosman, B. L. & Baker, L. (1978) Psychosomatic Families. Cambridge, Massachusetts: Harvard University Press.Google Scholar
Olson, D. H. & McCubbin, H. I. (1983) Families: What Makes Them Work. Beverly Hills: Sage.Google Scholar
Palazzoli, M. S. (1974) Self-Starvation: From the Intrapsychic to the Transpersonal Approach to Anorexia Nervosa. Haywards Heath: Human Context Books.Google Scholar
Pole, R., Waller, D. A., Stewart, S. M., et al (1988) Parental care versus overprotection in bulimia. International Journal of Eating Disorders, 7, 601606.Google Scholar
Russell, G. F. M. (1970) Anorexia nervosa: its identity as an illness and its treatment. In Modern Trends in Psychological Medicine, vol. 2 (ed. Price, J. H.). London: Butterworth.Google Scholar
Russell, G. F. M., Szmukler, G. I., Dare, C., et al (1987) An evaluation of family therapy in anorexia nervosa and bulimia nervosa. Archives of General Psychiatry, 44, 10471057.Google Scholar
Slade, P. (1982) Towards a functional analysis of anorexia nervosa and bulimia nervosa. British Journal of Clinical Psychology, 21, 167179.Google Scholar
Vaughn, C. & Leff, L. (1976) The influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125137.Google Scholar
Will, D. & Wrate, R. (1985) Integrated Family Therapy. London: Tavistock.Google Scholar
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