Family Structure in Eating Disorders

Family Structure in Eating Disorders

We are all genetically and socially affected by our families. Families serve as the matrix of our identity. It is through interactions within the family that we develop a sense of who we are and how we fit in (Minuchin, Rosman & Baker, 1978). Parents serve as role models, providing examples for attitudes, coping skills, and eating habits, as well as setting standards for perfection, ambition and acceptance (Hall & Cohn, 1992). Many researchers claim that family dynamics are at the root of eating disorders such as anorexia nervosa. The role of dysfunctional family interactions in the pathogenesis of anorexia nervosa has been given a prominent place in the research field. Evidence for a specific family constellation in this disorder, however, has been conflicting. While the majority of studies argue for a specific family interaction style, further studies must be conducted to identify distinguishing characteristics of anorexic subtypes and to determine whether these characteristics are of a causal or consequential nature (Minuchin, Rosman & Baker, 1978).

Family focused treatments for anorexia nervosa have been developed based on accounts in family therapy literature of the "typical" anorexic or "psychosomatic" family (Weme & Yalom, 1996). Anorexic families may appear to have a perfect or ideal environment on the surface, but upon close observation little expression of affection or warmth is seen. Members of these families seldom take specific stands on issues, and conflict is avoided at all costs. Underlying dissatisfaction and tension is often present within the parental dyad. It has been suggested that parents of anorexic offspring put high expectations on their children to over-com...

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