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Family therapy for identical twins with anorexia nervosa
Abstract
The rarity of identical twins with anorexia nervosa (AN) makes formulating an effective treatment approach for this subset of individuals quite difficult Clinicians may be applying treatment strategies that have been designed for individuals with an eating disorder. However, these approaches might have to be modified for the treatment of identical twins. The few available case studies have not discussed the challenges a clinician faces when treating identical twins with AN. In this report we describe the presentation of the case of adolescent monozygotic twins who were simultaneously concordant for AN. We discuss their unique presentation and our approach to their treatment.
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The existing literature lacks systematic exploration of how systemic supervisors conceptualize and support clinicians treating families with identical twins.
“However, these studies fail to detail the conceptualization of these families or how therapy supervisors should navigate this unique family constellation with developing therapists from a systemic therapeutic framework.”
From Seeing Double: A Case Study Examining Systemic Supervision and Therapy Conceptualization of Identical Twins (2026) · cites this paper as Le Grange & Schwartz, 2003
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Research works printed but not linked: 12
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- Treasure J., Holland A.: Genetic vulnerability to eating disorders: Evidence from twin and family studies. In: Reimschmidt H., Schmidt M.H. (Eds.), Child and youth psychiatry: European perspectives. New York, Hogrefe & Huber, 1989, pp. 59–68.
- Walters E.E., Kendler K.S.: Anorexia nervosa and anorexic-like syndromes in a populationbased female twin sample. Am. J. Psychol., 152, 64–71, 1995. · DOI · Paper page
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- Russell G.F.M., Szmukler G.I., Dare C., Eisler I.: An evaluation of family therapy in anorexia and bulimia nervosa. Arch. Gen. Psychiatry, 44, 1047–1056, 1987. · DOI
- Eisler I., Dare C., Russell G.F.M., Szmukler G.I., Le Grange D., Dodge E.: Family and individual therapy in anorexia nervosa: A five-year follow- up. Arch. Gen. Psychiatry, 54, 1025–1030, 1997. · DOI · Paper page
- Eisler I., Dare C., Hodes M., Russell G.F.M., Dodge E., Le Grange D.: Family therapy for adolescent anorexia nervosa: The results of a controlled comparison of two family interventions. J. Child Psychol. Psychiatry, 41, 727–736, 2000. · DOI · Paper page
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Cited by
Sorted by citations
Canadian practice guidelines for the treatment of children and adolescents with eating disorders
Couturier, J., Isserlin, L., Norris, M., Spettigue, W., Brouwers, M., Kimber, M., McVey, G., Webb, C., Findlay, S., Bhatnagar, N., et al. (2020) · Journal of Eating Disorders · doi:10.1186/s40337-020-0277-8 · Cited by 215
Lowery, D. F., & Outler, C. (2026) · The Family Journal · doi:10.1177/10664807251384191
Metadata
- Authors
- le Grange, D., & Schwartz, S.
- Affiliations
- Mayo Clinic (US)
- Venue
- Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
- Published
- 2003-03
- Volume
- 8
- Issue
- 1
- Pages
- 84-87
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- OpenAlex
- W1968075098
- Cited by
- 7
- References
- 0
- Citations by year
- 2025: 1 · 2020: 1 · 2014: 1 · 2012: 1
- FWCI
- 0.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- anorexia nervosa, monozygotic twins, family therapy, adolescent eating disorders, concordant twins, twin concordance, treatment adaptation
- MeSH terms
- Adolescent, Anorexia Nervosa, Diseases in Twins, Family Therapy, Female, Humans, Twins, Monozygotic, United States
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