| Summary: | 碩士 === 國立臺中教育大學 === 諮商與應用心理學系碩士班 === 97 === The study adopts qualitative and semi-structure guideline research. The researcher collected relevant information from in-depth interviews and three bulimia nervosa patients participated in the study. This study has two objectives. One is to investigate the experience of illness from patients with bulimia; the other is to simulate the family structure which has a bulimic through the theory of Minuchin's structural family therapy.
Results of the study are as the following:
Ⅰ. The experience of illness from bulimics
1. Factor in the development of bulimia
(1) Factors of dieting include “adolescent overweight”, “diet experience”, and “vomiting to lose weight”.
(2) Psychological factors include “psychological conflict when roles switch”, “psychopathologic vulnerability”, “over concern about the body image”, and “escapism”.
(3) Social factors include “the cumulative emotion when experience an interpersonal conflict” and “the pressure of work”, which would be triggers for bulimic state.
2. Overeating can help patients achieve those purposes, including “kill time”, “deal with emotions through eating”, and “to survive”.
3. The patients’ feeling and response after overeating have those characteristics, including “negative mood”, “’out of control”, “coping behaviors” and so on.
Ⅱ. Family relationships of patients with bulimia have finds as the following:
1. Patients with bulimia experience the relationship between parents including “conflict and dispute” and “mother submits to father / parent lack of consensus”. The relationship between father and daughter includes “parent-child relationship is distance” and “lack of security attachment and father’s attitude is authority”. The relationship between mother and daughter is close and enmeshment. The relationship between siblings includes “competition” and “distance/ avoid conflict”.
2. Before and after illness, the interaction of the family which has a bulimic was found those changes: after illness, the family structure which has some restructuring would have a better prognosis than the family structure has no changes.
The purpose of this study was based on the results and discussion. From bulimia nervosa patients, practitioners, and future research make recommendations.
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