1. Back Ground:
Eating disorders is a very common problem; especially in children, adolescents & women.
According to DSM – IV (4)
Diagnostic & Statistical Manual of Mental Disorders – IV.
Up to 90% in females.
Anorexia Nervosa is characterized by a failure to maintain body weight of at least 85% of what is expected, fear of becoming “ FAT “.
Many studies showed that Anorexia is a very elusive & dangerous eating disorder.
2. Research Design:
Despite pf the studies that developed programs for children, adolescents & families; studies to determine if a focus of interpersonal relations might not be more effective that a focus on the disordered eating behaviors were needed.
Anorexia Nervosa has been examined from an etiopathopgenic & psychoanalytical view point by Corcos, Maurice - Evolution psychiatrique (April 2003).
Also 27 cases of Anorexia Nervosa had been studied using Rorschach by Rossi, G.; Schweizer, K.; Colli, C.; (December 2000).
The current study is a deep clinical study focuses on the Psychopathological history of an anoretic symptoms Egyptian Girl.
A 23 year old Egyptian Girl complaining of losing weight, vomitting, fear, anxiety & nervous colon.
3. Object:
Distorted body image, psychotic signs, disturbed relationship with mother in the early childhood & lack of body messages that influences a normal body image were highly recorded with Anorexia Nervosa.
Parents, Friends, Media & the sociocultural norms.
Pressure has been indicated.
Most of the patients resisted treatment.
The applications & limitations of various methodologies & techniques that have been used to assess both the perceptual & the attitudinal components of body image had been discussed.
4. Instruments:
She has got deep interviews & HTP drawing test “Projective Test”.
5. According to the case history, interviews & the results of the test; the case shows:
Subsequences of aggressive mother were disturbed relationship with her since the early childhood, strong attachment with her father as a substitute object. Vomiting & losing weight were figures of substitute attached object (the dead father).
Anxiety, fear & sleep disorders were the result of her projective process towards her mother & the outsider world. These aggressive projectives were structured by aggressive mother + aggressive fantasies + losing the substituted rescuing object “ the father “ .
Feelings of fallingness, weakness, depressive attitudes, aggression, adaptation disorder & disturbed body image.
Aggressive “Psychotic Signs” towards mother, outside world & self “ Disturbed Body Image “ .
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