Acceso usuarios
Natalia Seijo Ameneiros
Os trastornos alimentarios están considerados entre os máis difíciles de tratar e con maior índice de mortalidade entre os trastornos mentais (Agras, 2001). Entre eles, a anorexia nerviosa é un dos diagnósticos psiquiátricos cunha taxa máis elevada de mortalidade (Arcelus et al., 2011). Nun estudio lonxitudinal levado a cabo por Bulkin et al. (2007), desde o ano 1980 as 2005, viuse que aplicar medicación e traballar coa conduta achega resultados pouco concluíntes (Openshaw et al. 2004). Se os trastornos alimentarios dependesen unicamente da comida tería sentido que cambiando as conductas alimentarias resultase sinxelo saír do trastorno. Pola contra, desafortunadamente non adoita ser así. O caso clínico que aquí se expón é un claro exemplo da relación entre os trastornos alimentarios e o trauma, en particular, o abuso sexual, emocional, de poder e maltrato físico.
Eating disorders are considered among the most difficult to treat and have the highest mortality rate among mental disorders. (Agras, 2001). Among them, anorexia nervosa is one of the psychiatric diagnoses with the highest rate (Arcelus et al., 2011). In a longitudinal study conducted by Bulkin et al., (2007) from 1980 to 2005, it was found that applying medication and working with behavior yielded inconclusive results (Openshaw, et al. 2004).
If eating disorders were solely dependent on food, it would make sense that changing eating behaviors would be easy to get out of the disorder. Unfortunately, however, this is often not the case. The clinical case developed here is a clear example of the relationship between eating disorders and trauma, particularly sexual, emotional, and power abuse and physical abuse.
