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KMID : 0614420170450030035
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Mental Health & Social Work
2017 Volume.45 No. 3 p.35 ~ p.63
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Life-Cycle Progressive Stages and Familial Factors of Bulimia Nervosa Observed in a Family Therapy Case
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Kim Young-Ae
Moon Jung-Hwa
Park Tai-Young
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Abstract
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The purpose of this study is to investigate the life cycle progressive stages and the familial factors influencing on the client’s bulimia nervosa, based on a family therapy case study. The main concepts were derived by using qualitative analysis method focusing on the client’s and family’s counseling verbatim for a total of 11 sessions. The bulimia nervosa was found to undergo a certain stage throughout the life cycle: anxiety attachment stage in infancy, psychological emptiness stage due to self-suppression in childhood, stress and psychological conflict amplification stage in adolescence, and compensational behavior stage for relieving negative emotions in adulthood. In addition, the client’s bulimia nervosa was influenced by several familial factors such as chronic marital conflicts, unstable domestic atmosphere, undifferentiated emotion, role as a scapegoat, and lastly, the mother’s dogmatic communication pattern which caused anxiety and grievance. The results indicate that it is necessary to take into account the meaningful events and problems experienced throughout the client’s life cycle and the family therapy process since bulimia nervosa gradually develops throughout each stages. The results of this study also suggest the need for family oriented approach as well as individual approach to bulimia nervosa and clinical interventions for clients and families suffering from these difficulties.
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KEYWORD
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life cycle, stages of bulimia nervosa, familial factors, family therapy, undifferentiation
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