颠倒圆形监狱:叙述疗法及其在饮食失调治疗中的地位

Megan Buys
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引用次数: 0

摘要

由于政府增加了对营养师和咨询会议的资助,饮食失调治疗方案在澳大利亚越来越受欢迎,心理治疗师和心理学家被要求将自己定位为治疗领域的权威力量。目前的论文拒绝了这一概念,并使用个人和专业对饮食失调治疗的反思,建议叙事疗法作为饮食失调的主要治疗选择。叙事疗法支持来访者和咨询师之间的合作,而不是临床医生抬高专家的地位。它的原则允许客户以自己为中心,成为他们生活的作者和主角。此外,叙事疗法提供了一种对主导话语的拆解,这种话语可能会维持对来访者的限制性描述,从而低估了个人生活和身份的复杂性和交叉性。通过治疗性书信写作的叙事治疗工具,作者——一位心理治疗师——追踪了她的厌食症和暴食症的经历,并将其从厌食症和暴食症中恢复过来,作为一个逆转当代医疗保健领域经常维持的圆形监狱的过程。
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Reversing the Panopticon: On Narrative Therapy and Its Place in the Treatment of Eating Disorders
With eating disorder treatment options gaining traction in Australia due to increased government funding for dietician and counselling sessions, psychotherapists and psychologists /are called to position themselves as an authoritative force within the therapeutic space. The current paper rejects this notion and uses personal and professional reflection on eating disorder treatment to suggest narrative therapy as a primary treatment option for eating disorders. Narrative therapy upholds collaboration between client and counsellor, rather than the clinician exalting an expert position. Its principles allow the client to centre themselves as the author of, and protagonist within, their life. Further, narrative therapy offers a dismantling of dominant discourse that may sustain limiting descriptions of the client and thereby discount the complexity and intersectionality of an individual’s life and identity. Through the narrative therapy tool of therapeutic letter writing, the author—a psychotherapist herself—tracks her experience of, and recovery from, anorexia and bulimia as a process of reversing the panopticon that is often sustained by the contemporary health care sphere.
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