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Understanding chronic bulimia: A four psychologies approach

Understanding chronic bulimia: A four psychologies approach The American Journal of Psychoanalysis, Vol. 53, No. I, 1993 UNDERSTANDING CHRONIC BULIMIA: A FOUR PSYCHOLOGIES APPROACH Sandra R. Yarock There has been a surprising dearth of discussion in psychoanalytic litera- ture about the meaning and treatment of bulimic behavior. A number of books and articles have emerged in recent years that have attempted to shed light on this baffling symptom (e.g., Schwartz, 1988; Emmett, 1985; Garner and Garfinkel, 1985; Swift and Letven, 1984). These authors have posited differing theoretical formulations primarily based on drive, ego, object-relations or self-psychology models. Schwartz (1988) edited the first comprehensive volume to address bu[imia from a specifically psychoana- lytic perspective. The authors included in this text tend to work predom- inantly within a structural/drive model or an object-relations model. Classical drive theory generally focuses on the centrality of the wish for incestuous impregnation and a resulting defensive regression from geni- tality. An object-relational perspective mainly stresses the importance of a core failure during the separation/individuation phase of development (Schwartz, 1988; Sours, 1980; Sugerman and Kurash, 1982). Casper (1983) has addressed ego psychological issues with regard to the regulation of intolerable inner states. Swift and Letven (1984) have presented a frame- work for understanding http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The American Journal of Psychoanalysis Springer Journals

Understanding chronic bulimia: A four psychologies approach

Yarock, Sandra R.
The American Journal of Psychoanalysis , Volume 53 (1): 15 – Mar 1, 1993
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References (19)

Publisher
Springer Journals
Copyright
1993 Association for the Advancement of Psychoanalysis
ISSN
0002-9548
eISSN
1573-6741
DOI
10.1007/BF01250070
Publisher site
See Article on Publisher Site

Abstract

The American Journal of Psychoanalysis, Vol. 53, No. I, 1993 UNDERSTANDING CHRONIC BULIMIA: A FOUR PSYCHOLOGIES APPROACH Sandra R. Yarock There has been a surprising dearth of discussion in psychoanalytic litera- ture about the meaning and treatment of bulimic behavior. A number of books and articles have emerged in recent years that have attempted to shed light on this baffling symptom (e.g., Schwartz, 1988; Emmett, 1985; Garner and Garfinkel, 1985; Swift and Letven, 1984). These authors have posited differing theoretical formulations primarily based on drive, ego, object-relations or self-psychology models. Schwartz (1988) edited the first comprehensive volume to address bu[imia from a specifically psychoana- lytic perspective. The authors included in this text tend to work predom- inantly within a structural/drive model or an object-relations model. Classical drive theory generally focuses on the centrality of the wish for incestuous impregnation and a resulting defensive regression from geni- tality. An object-relational perspective mainly stresses the importance of a core failure during the separation/individuation phase of development (Schwartz, 1988; Sours, 1980; Sugerman and Kurash, 1982). Casper (1983) has addressed ego psychological issues with regard to the regulation of intolerable inner states. Swift and Letven (1984) have presented a frame- work for understanding

Journal

The American Journal of Psychoanalysis – Springer Journals

Published: Mar 1, 1993

Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis

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