How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Doctor Kevin Your Own Question

Doctor Kevin
Doctor Kevin, Ph.D.
Category: Mental Health
Satisfied Customers: 1482
Experience:  25 years in private practice
16903060
Type Your Mental Health Question Here...
Doctor Kevin is online now
A new question is answered every 9 seconds

What is the advantages and disadvantages in the proposal to

Resolved Question:

What is the advantages and disadvantages in the proposal to make family therapy compulsory in the treatment of those with an eating disorder.
Submitted: 2 years ago.
Category: Mental Health
Expert:  Doctor Kevin replied 2 years ago.

Dr.Kappler :

Thank you for choosing this website. My approach is mental health not mental illness. You present an interesting question in suggesting that family therapy be compulsory in the treatment of those with an eating disorder. You would like specifically to know the advantages and disadvantages of such a proposal

Dr.Kappler :

As you may know and eating disorder is considered one of the last defenses of an individual when they are faced with what they perceive to be a hostile support system. They typically describe their ability to control their intake of food as a last resort in their capacity to maintain control over anything in their lives. As a result there's an incredible amount of animosity which is usually generated towards individual with the eating disorder and their family or support system. Passive aggressiveness anger drug abuse suicidal ideation and negative personal interactions all form the arsenal of behaviors that person with an eating disorder has in being able to express their frustration at being dominated by their support system.

Dr.Kappler :

Usually the support system is characterized by significant psychological naïveté. Typically they will say that they have done everything they can and the person still continues to withdraw and refuse food. food becomes a weapon in the interaction between the person with the eating disorder and their support system. Many times the support system is simply the nor the eating disorder until it becomes obvious to other people or authorities. Simple statements like "we provide all the food she wants." other statements like "piece of touchy about his body image and constantly thinks he's fat even though we tell him over and over again that that's not the case."

Dr.Kappler :

Most people with an eating disorder usually and treatments by two major routes. They are forced into compulsory treatment because they have reached a life-threatening level of self starvation. This includes other behaviors that are self-destructive like cutting and suicidal ideation. The second route is when the individual finally faces the fact that they're terribly depressed extremely angry and are taking it out on themselves. These individuals are relatively rare in comparison.

Dr.Kappler :

The first problem with any treatment is that involves cooperation from someone who is not cooperative. This sets off a whole series of minor psychological squabbles involving hiding food regurgitating and using food as a power issue. The disadvantages are clear. Compulsory treatment usually does not work and tends to reinforce and hardened defenses. Compulsory treatment also locks the person into a power struggle which results in an incredible amount of resistance. Hospitals have often had to resort to force feeding in order to break the will a person with eating disorder. Therapy involving the family or support system will work only when the person with the eating disorder is engaged in treatment.

Dr.Kappler :

The advantages of compulsory treatment are that they force that person to face their support system. In turn the support system is forced be educated something that is ignored and denied for so long. With a skilled therapist him out of passive aggressive anger, rage and unresolved power issues quickly come to the surface. The disadvantage is that it may destroy the support system altogether. The advantage is that it puts the need for change clearly back in the role of the person with the eating disorder and makes their support system responsible.

Dr.Kappler :

I see that your currently off-line and I hope I have provided sufficient information for you. If you would like any more explanation of any aspect of what I had said please let me know before you rate me.

Customer:

This has opened my line of thought and helped me look at the bigger picture. Thank you.

Doctor Kevin, Ph.D.
Category: Mental Health
Satisfied Customers: 1482
Experience: 25 years in private practice
Doctor Kevin and other Mental Health Specialists are ready to help you
Expert:  Doctor Kevin replied 2 years ago.
Helen Jones I hope my answer helped. In the future if you want me to answer a question put for "Doctor Kevin" on it and I will get it

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Doctor Kevin
Doctor Kevin
903 Satisfied Customers
25 years in private practice