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Exploring Interactive Change Processes in Multifamily Therapy for Adolescents With Anorexia Nervosa
Clare Levenspiel1, Lisa Dawson1,2, Julian Baudinet3,4
1University of Technology Sydney, Sydney, Australia.
The International Journal of Eating Disorders
|July 31, 2025
Summary
Multifamily therapy (MFT) for adolescent anorexia nervosa (AN) involves unique group processes that foster change. These relational and learning dynamics, supported by facilitators, contribute to family recovery.
Area of Science:
- Psychiatry
- Family Therapy
- Adolescent Psychology
Background:
- Multifamily therapy (MFT) is an increasingly popular treatment for adolescents with anorexia nervosa (AN).
- MFT utilizes experiential content and group dynamics to facilitate change.
- Understanding the mechanisms of change in MFT for AN is limited.
Purpose of the Study:
- To explore the interactive group processes within MFT for adolescent AN.
- To investigate how these processes influence therapeutic change.
Main Methods:
- A short-term ethnographic approach with observational data from two MFT groups.
- Qualitative interviews and focus groups with participants and facilitators.
- Analysis using reflexive thematic analysis.
Main Results:
- Five themes and seven subthemes identified, forming a hypothesized model.
- Key processes include relational and learning dynamics within and between families.
- Group dynamics, emotional safety, and facilitator responsiveness were crucial for recovery.
Conclusions:
- Unique group processes are vital for change in MFT for adolescent AN.
- MFT presents a valuable alternative to traditional therapy for some families.
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