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Unwrapping the box: dancing with the clients.

Zenobia C Y Chan1, Joyce L C Ma

  • 1Centre for Health Education and Health Promotion, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong. zehippo@yahoo.com

Health Care for Women International
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Summary

This case study explores family therapy for anorexia nervosa, using a "box unwrapping" metaphor to help a girl express feelings and parents listen. The approach facilitated communication and emotional sharing within the family unit.

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Area of Science:

  • Psychiatry
  • Family Therapy
  • Child Psychology

Background:

  • Anorexia nervosa presents significant challenges in family dynamics and therapeutic interventions.
  • Family therapy is a crucial modality for addressing complex eating disorders in adolescents.

Observation:

  • A case study involving a teenage girl with anorexia nervosa in Hong Kong highlighted therapeutic difficulties.
  • The "unwrapping a box" metaphor was employed to facilitate the expression of the patient's internal emotional state.

Findings:

  • The therapeutic strategy successfully encouraged the girl to articulate her pain and suffering.
  • Parents were guided to actively listen to their daughter's experiences within a structured therapeutic setting.

Implications:

  • Healthcare professionals play a vital role in guiding therapeutic processes and creating safe spaces for disclosure.
  • Effective family therapy can foster open communication, enabling the sharing of deep-seated emotional issues.
  • This approach offers insights into managing challenging cases of anorexia nervosa through metaphor-driven communication.