Clinical Application of Neuroplastic Brain Research in Eating Disorder Treatment

A. Natenshon
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Abstract

Eating disorders (ED) are disorders of the brain. As scientists acknowledge the genetic basis of ED and their deleterious impact on brain circuitry, practitioners need to recognize the importance of healing the eating disordered brain, along with the patient. The time has come for the ED treatment community to access the neuroplastic brain's capacity to heal itself through the introduction of non-invasive, integrative, adjunctive neurophysiological interventions into mainstream ED clinical practice. Eating disorder pathology marks the loss of the brain's capacity to integrate mind, brain and body, impacting the integrity of the core self. By re-defining the development of the self as an embodied, sensory-based processgrounded in kinesthetic experience, 21st century brain research and technology has substantively expanded the breadth and depth of effective treatment strategies for ED and their co-occurring conditions to include various forms of somatosensory interventions. Neurophysiological and psychophysiological treatment interventions, by carving new neuronal pathways and creating connectivity that augments brain circuitry, carry the potential to remediate body image and self-image distortions, reintegrating the fragmented eating disordered core self. To date, intentional partnering between therapist, ED patient, and neuroplastic brain has been rarely applied in the clinical milieu and minimally referenced in the treatment literature. By bringing current neuroplasticity research into frontline practice, ED practitioners not only bridge the research/practice gap, but redefine new directions for future ED research.
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神经可塑性脑研究在饮食失调治疗中的临床应用
饮食失调(ED)是一种脑部疾病。当科学家承认ED的遗传基础及其对大脑回路的有害影响时,从业者需要认识到治疗饮食失调的大脑和患者的重要性。通过将非侵入性、综合性、辅助性神经生理干预引入主流ED临床实践,ED治疗界是时候利用神经可塑性大脑的自愈能力了。饮食失调的病理标志着大脑整合精神、大脑和身体的能力的丧失,影响了核心自我的完整性。通过将自我的发展重新定义为一种以动觉体验为基础的具身的、以感觉为基础的过程,21世纪的大脑研究和技术极大地扩展了ED及其共发疾病有效治疗策略的广度和深度,包括各种形式的体感干预。神经生理学和心理生理学治疗干预,通过开辟新的神经元通路和创造连接,增强大脑回路,有可能修复身体形象和自我形象的扭曲,重新整合支离破碎的饮食失调的核心自我。迄今为止,治疗师、ED患者和神经可塑性大脑之间的有意合作很少在临床环境中应用,在治疗文献中也很少被引用。通过将当前的神经可塑性研究带入一线实践,ED从业者不仅弥合了研究/实践的差距,而且重新定义了未来ED研究的新方向。
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