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Family Therapy for Eating Disorders and Non-suicidal Self-Injury

  • Elizabeth K. Hughes
  • Erica Allan
  • Daniel Le Grange
Chapter

Abstract

Non-suicidal self-injury (NSSI) and eating disorders frequently co-occur, especially during adolescence. Several family factors have been associated with risk for NSSI and eating disorders including lack of cohesion and communication, greater conflict and criticism and physical or sexual abuse. Few studies have examined protective factors within the family, and this is an area in need of greater research investment. Overall, research on relationships between family characteristics and NSSI and eating disorders is limited. Currently, family factors are thought to be better understood as risk factors for psychopathology generally, rather than NSSI and eating disorders specifically, and to interact with other biological, psychological and environmental factors. Moreover, family dysfunction may be a consequence of disruption caused by illness behaviours, rather than a cause of the illness itself. Family-based treatment (FBT) for eating disorders does not attribute blame to the family but instead focuses on the family, especially parents, as a resource for recovery. FBT has the strongest evidence base for treatment of eating disorders in adolescents; however, NSSI can make the treatment process challenging for the family and treating team. In this chapter, we describe how NSSI and suicidal behaviour should be addressed in the context of FBT and provide case examples to illustrate three types of situations that may arise (i.e. suicidal patients, patients who engage in low-level NSSI and patients who engage in severe or high-risk NSSI) and how these can be managed while working towards the goals of recovery.

Keywords

Sexual Abuse Suicidal Ideation Eating Disorder Suicidal Behaviour Binge Eating 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Elizabeth K. Hughes
    • 1
    • 2
    • 3
  • Erica Allan
    • 2
    • 3
  • Daniel Le Grange
    • 4
  1. 1.University of MelbourneMelbourneAustralia
  2. 2.Murdoch Childrens Research InstituteMelbourneAustralia
  3. 3.Royal Children’s HospitalMelbourneAustralia
  4. 4.University of ChicagoChicagoUSA

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