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Category: Families

Amy Begel 0

“Control Issues”: A Young Woman With An Eating Disorder Challenges Her Family

In contemporary culture, as portrayed in commercials for pharmaceuticals, family members are portrayed as bystanders to suffering, having to “manage” the symptoms of their  bi-polar loved one, or “suffer” the effects of the depressed person’s symptoms or behavior. But families, couples, all of us, can unwittingly get stuck in patterns, sometimes destructive patterns, of which we are unaware. Those patterns can cause distress in ourselves and others, which can show up as a “symptom” in one person. This is rarely intentional, more a product of the tricky,  powerful and subtle  nature of relationship dynamics.

Eating disorders are no exceptions. Most of the clinical writing and popular assumptions about anorexia and other eating disorders note that these conditions are characterized by the need for individual “control”. There’s truth to this. But if you expand the lens to include the family,  you learn a lot about what this “control” can look like.

Amy Begel 4

Dealing With Our “Stuff” Helps Us With Other People’s “Stuff”

The psychological defense mechanism of projection can distort a parent’s judgement about their kids, or it can create a wedge between a couple, since projection interferes with the ability to see one’s partner as she truly is. The (unconscious) grip from the past gets in the way. Here’s a therapy session that looks at how this projection process played out in one family, and how it was–for the moment-transformed.

Case Stories 0

The Madness Of Christmas: One Woman’s Transformation

We all know about Family Group Psychosis. We just never had a name for it. Check out Dave Keith’s description of that heightened state of (often disguised) insanity that occurs around important holidays–like Christmas–and significant events, like weddings. Here he tells us about a madcap clinical case where Family Group Psychosis led to a woman’s surprising transformation.

ADHD 0

ADHD Diagnosis Conceals the Family Story

Good physicians take a clinical history in the interest of arriving at a diagnosis. While the clinical history is a review of ‘facts’, there are in fact, few ‘facts’ about human experience. Different examiners will get different histories depending upon what they ask about. Different family members give different reports of the same set of events. In my view clinical histories are a form of fiction pretending to be ‘objective’.

Amy Begel 1

Two Types of Problem Husband

Difficult Husbands seem to come in two brands: The Overly-Cautious Guy and the Know-It-All. These guys often look good on the surface, but they can spell trouble in a relationship. Here are some thoughts on what makes these guys tick, and how they inadvertently stand in the way of real intimacy.