The Arianna’s case

Journal title QUADERNI DI PSICOTERAPIA COGNITIVA
Author/s Renzo Salvi
Publishing Year 2014 Issue 2014/34 Language Italian
Pages 12 P. 143-154 File size 115 KB
DOI 10.3280/QPC2014-034010
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The case we describe is Arianna (a 13 years old female student). She is daughter of separated parents, and lives with her mother. After the removal of the father, she started to have weight problems, with a ponderal increase of 11 kg, associated to a mood decrease. In this manuscript we describe the steps of psychotherapy suitable in a girl suffering from both eating disorder and major depressive disorder. Therapy aims were: 1. help the patient to change the relationship with her eating disorder; 2. help to develop a meta cognitive selfawareness; 3. reduce the depressive symptomatology. As consequence of the achieving of therapy objectives, patient would develop an useful mindset to globally redefine the way she looks herself and the world around.

Keywords: Eating disorder, depressive disorder, therapy relationship

  1. Shafran R., Cooper Z., Fairburn CG. (2002). Clinical perfectionism: a cognitive-behavioural analysis. Behaviour Research Therapy, 40(7): 773-791. DOI: 10.1016/j.brat.2006.12.00
  2. American PsychiatricAssociation (2001). Manuale Diagnostico e Statistico dei Disturbi Mentali IV, Text-Revision (trad. it.: Milano: Masson).
  3. Beck A.T. (1967). Depression: Causes and Treatment. Philadelphia: University of Pensylvania Press (trad. it.: La depressione. Torino: Bollati Boringhieri, 1978).
  4. Beck A.T. et al. (1987). Terapia cognitiva della depressione. Torino: Bollati Boringhieri.
  5. Beck A.T. et al. (1990). Cognitive Therapy of Personality Disorders. New York: Guilford Press.
  6. Bernini L., Todesco T., Dalle Grave R., Deiorio F., Saladini L., Vantini I. (2004). Gastric emptying in patients with restricting and binge/purgino subtypes of anorexia nervosa.
  7. American Journal of Gastroenterology, 99 (8): 1448-1454.
  8. Cappo B.M., Holmes D.S. (1984). The utility of prolonged respiratory exhalation for reducing physiological and psychological arousal in non-threatening and threatening situations.
  9. Journal of Psychosomatic Research, 28: 265-373. Consultabile su MEDLINE®, a database of the U.S. National Library of Medicine.
  10. Clarke M.A., Bray M.A., Kehle T.J., Truscott S.D. (2001). A school-based intervention designed to reduce the frequency of tics in children with Tourette’s syndrome. School Psychology Review, 30: 11-22.
  11. Comings D.E. (1990). Tourette syndrome and human behavior. Duarte, CA: Hope Press.
  12. Cornoldi, Gardinale, Masi, Pettenò (2010). Impulsività e autocontrollo. Trento: Erickson.
  13. Dalle Grave R. (1998). Anoressia nervosa: i fatti. Verona: Positive Press.
  14. Dalle Grave R. (2000). Trattamento cognitivo-comportamentale dei disturbidell’alimentazione: aspetti pratici. In: Lucchini, a cura di, Malnutrizione. Una sfida per il terzo mil- lennio per la società postindustriale. Stategie di prevenzione e cura. Roma: Il pensiero Scientifico, pp. 569-587.
  15. Dalle Grave R. (2001). Fattori cognitivo-comportamentali nel mantenimento dei disturbi del comportamento alimentare. In: Brunetta M., Froldi M., a cura di, I meccanismi del mantenimento del sintomo nei disturbi del comportamento alimentare: Anoressia nervosa e bulimia nervosa. Milano: Pitagora Press, pp. 93-118.
  16. Dalle Grave R., Sartirana M., Camporese L. (2007). Trattamento cognitivo-comportamentale multi step per i disturbi dell’alimentazione: basi teoriche e aspetti pratici. Cognitivismo Clinico, 1: 54-71.
  17. Dalle Grave, R., Bartocci C., Todisco P., Pantano M., Bosello O. (1993). Inpatient treatment for anorexia nervosa: A lenient approach. European Eating Disorders Review, 1 (3): 166-176.
  18. Deckersbach T., Rauch S., Buhlmann U., Wilhelm S. (2006). Habit reversal versus supportive psychotherapy in TourettÈs disorder: Arandomized controlled trial and predictors of treatment response. Behaviour Research and Therapy, 44: 1079-1090.
  19. Doleys D.M., Kurtz P.S. (1974). A behavioral treatment program for the Gilles de la TS. Psychological Reports, 35: 43-48. In: Nathan H., Azrin A., Peterson L. (1988), Habit reversal for the treatment of Tourette syndrome. Behaviour Research and Therapy, 26, 4: 347-351. DOI: 10.1016/0005-7967(88)90089-
  20. Dunkley D.M., Blankstein K.R., Mashed R.M., Grilo C.M. (2006). Personal standards and evacuative concerns dimensions of “clinical” perfectionism: a reply to Shafran et al. (2002, 2003) and Hewitt et al. (2003). Behaviour research and therapy, 44: 63-84.
  21. Faiburn C.G., Cooper Z., Shafran R. (2003). Cognitive behaviour Therapy for Eating Disorder: a “Transdiagnostic” Theory and Treatment. Behaviour Research and Therapy, 41: 509-528.
  22. Frost R.O., Marten P., Lahart C., Rosenblate R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14: 449-468. DOI: 10.1007/BF0117296
  23. Garner D.M., Dalle Grave R. (1999). Terapia cognitivo comportamentale dei disturbi dell’alimentazione. Verona: Positive Press.
  24. Halmi K.A., Sunday S.R., Strober M., Kaplan A., Woodside D.B., Fichter M., Treasure J., Berrettini W.H., Kaye W.H. (2000). Perfectionism in anorexia nervosa: variation by clinical
  25. subtype, obsessionality, and pathological eating behavior. American Journal of psychiatry, 157: 1799-1805. DOI: 10.1176/appi.ajp.157.11.179
  26. Himle M.B.,Woods D.W., Piacentini J.C., Walkup J.T. (2006). Brief review of habit reversaltraining for Tourette syndrome. Journal of Child Neurology, 21: 719-725. Doi 10.2310/7010.2006.00158
  27. Isola L., Mancini F., a cura di (2007). Psicoterapia cognitiva dell’infanzia e dell’adolescenza. Milano: FrancoAngeli.
  28. Jenike M.A. (2001). An update on obsessive–compulsive disorder. Bulletin of the Menninger Clinic, 65: 4-25. DOI: 10.1521/bumc.65.1.4.1871
  29. Leckman J.F., King R.A., Cohen D.J. (1999). Tics and tic disorders. In: Leckman J.F., Cohen D.J., editors, Tourette’s syndrome – tics, obsessions, compulsions: Developmental psychopathology and clinical care. New York: Wiley, pp. 23-42. DOI: 10.1016/S0387
  30. 7604(03)90004-0
  31. Leckman J.F., Walker D.E., Cohen D.J. (1993). Premonitory urges in Tourette’s syndrome. American Journal of Psychiatry, 150: 98-102. PsycINFO Database Record (c) 2012 APA.
  32. Mancini F., Gangemi A., Perdighe C., Marini C. (2008). Not Just Right Experience: Is it influenced by guilt emotion? Journal of Behaviour Therapy and Experimental Psychiatry, 39, 2: 162-176. DOI: 10.1016/j.jbtep.2007.02.00
  33. McLaren L., Gauvin L., White D. (2001). The role of perfectionism and excessive commit- ment to exercise in explaining dietary restraint: replication and extension. International Journal of Eating Disorders, 29: 307-313. DOI: 10.1002/eat.102
  34. Peterson A.L., Azrin N.H. (1992). An evaluation of behavioral treatments for Tourettsyndrome. Behaviour Research and Therapy, 30: 167-174. DOI: 10.1016/0005-7967(92)90140-
  35. Sassaroli S., Bertelli S., Boccalari L., Sangiorgi E., Giovini M., Lamela C., Rebecchi D.,
  36. Scarone S., Vinai P., Ruggiero G.M. (2007). Contenuti metacognitivi dei disturbi alimentari e interazione con il perfezionismo, la bassa autostima e il rimuginio. Cognitivismoclinico, 4 (1): 34-46.
  37. Scahill L., Riddle M. A., McSwiggin-Hardin M., Goodman W.K., Ort S.I., King R.A. et al. (1997). Children’s Yale–Brown Obsessive Compulsive Scale: Reliability and validity. Journal of the American Academy of Child and Adolescent Psychiatry, 36(6): 844-852. DOI: 10.1097/00004583-199706000-0002
  38. Spessot A.L., Peterson B.S. (2006). Tourette’s syndrome: A multifactorial, developmental psychopathology. In: Cicchetti D., Cohen D.J., editors, Developmental psychopathology, vol. 3. Risk, disorder, and adaptation (2nd ed., pp. 436-469). Hoboken, NJ: Wiley. In: Douglas W., Woods J., Piacentini J.T. Walkup (2007). Treating Tourette Syndrome and Tic Disorders: A Guide for Practitioners. New York: Guilford Press.
  39. Teasdale J.D., Moore R.G., Hayhurst H., Pope M., Williams S., Segal Z.V. (2002).
  40. Metacognitive awareness and prevention of relapse in depression: empirical evidence. Journal of Consulting and Clinical Psychology, 70 (2): 275-287.
  41. Tolchard B. (1995). Treatment of Gilles de la Tourette’s syndrome using behavioural psychotherapy: A single case example. Journal of Psychiatric Mental Health Nursing, 2: 233-236. DOI: 10.1111/j.1365-2850.1995.tb00062.
  42. Verdellen C.W., Keijsers G.P., Cath D.C., Hoogduin C.A. (2004). Exposure with response prevention versus habit reversal in Tourettes’s syndrome: A controlled study. Behaviour Research and Therapy, 42: 501-511. DOI: 10.1016/j.brat.2005.08.00
  43. Walkup J.T., Khan S., Schuerholz L., Paik Y., Leckman J.F., Schultz R. (1999).
  44. Phenomenology and natural history of tic-related ADHD and learning disabilities. In: Leckman J.F., Cohen D.J., editors, Tourette’s syndrome – tics, obsessions, compulsions: Developmental pathology and clinical care. New York: Wiley, pp. 63-79. DOI: 10.1016/S0387-7604(03)90004-
  45. Wilhelm S., Deckersbach T., Coffey B.J., Bohne A., Peterson A.L., Baer L. (2003). Habit reversal versus supportive psychotherapy for TourettÈs disorder: A randomized controlled trial. American Journal of Psychiatry, 160: 1175-1177. DOI: 10.1176/appi.ajp.160.6.1175
  46. Woods D., Piacentini J., Himle M., Chang S. (2005). Initial development and psychometric properties of the Premonitory Urge for Tics Scale (PUTS) in children with Tourette syndrome. Journal of Developmental and Behavioral Pediatrics, 26: 1-7. www.journals.lww.com.
  47. Woods D.W., Watson T.S., Wolfe E., Twohig M.P., Friman P.C. (2001). Analyzing the influence of tic-related talk on vocal and motor tics in children with Tourette’s syndrome. Journal of Applied Behavior Analysis, 34: 353-356.
  48. Zohar A.H., Apter A., King R.A., Pauls D.L., Jeckman J.F., Cohen D.J. (1999). Epidemiological studies. In: Leckman J.F., Cohen D.J., editors, Tourette’s syndrome-tics, obsessions, compulsions: Developmental pathology and clinical care. New York: Wiley, pp. 177-193. DOI: 10.1016/S0387-7604(03)90004-

Renzo Salvi, Il caso di Arianna in "QUADERNI DI PSICOTERAPIA COGNITIVA" 34/2014, pp 143-154, DOI: 10.3280/QPC2014-034010