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Identity Maintenance Operations and Group Therapy Process
Authors:Ernest E Andrews
Institution:1. Internship Training and Research, Department of Psychology, Austin State Hospital, and Adjunct Associate Professor of Psychology, Department of Psychology, University of Texas at Austin, Austin, Texas.;2. Department of Psychology, and University of Missouri, Kansas City, Missouri.;3. Department of Psychology, Indiana University, Bloomington, Indiana.;4. Austin State Hospital, Austin, Texas.
Abstract:There is a growing recognition that individuals with eating disorders can benefit from long-term group psychotherapy. This paper describes a cognitive-interpersonal framework for understanding aspects of the pathogenesis and persistence of anorexia nervosa and bulimia that are particularly relevant to the group context. Fundamental characteristics of an open-ended, cognitive-interpersonal eating disorders group are examined. Case illustrations are provided that exemplify the theoretical conceptualization. The relative efficacy of the long-term group, in contrast to the time-limited group, is underscored.
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