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Cited by 126Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

Difficulties in Treating Patients with Eating Disorders: A Review of Patient and Clinician Variables

Kaplan, Allan S, Garfinkel, Paul E·1999·The Canadian Journal of Psychiatry
DOI 10.1177/070674379904400703
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Abstract

Objective: Patients with eating disorders (EDs) are often difficult to treat. Despite recent advances in treatment, a significant percentage of patients remain treatment refractory. This paper reviews variables that contribute to these difficulties and recent strategies that focus on increasing patient motivation for treatment. Method: The authors relate their clinical experience and synthesize the literature examining aspects of patients with EDs that may contribute to their treatment resistance and therapist variables that may contribute to negative nontherapeutic reactions. Results: Patient variables include the nature of the symptoms that patients experience, issues of trust, the not uncommon failure of ambulatory treatments, and issues related to comorbidity. Aspects of clinicians include lack of understanding of the biopsy chosocial pathophysiology of these conditions and lack of experience and appreciation for the countertransferential reactions that these patients evoke in caregivers. Conclusions: Improving understanding of the reasons for treatment refractoriness inpatients with EDs is critical to improving their care. New interventions aimed at enhancing motivation may facilitate this process.

Overview

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Crossref · 10.1177/070674379904400703

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Citations

Cites

Research works printed but not linked: 6

  1. Kaplan AS, 1997, Balliere's clinical psychiatry, 3, 275
  2. Kaplan AS, 1997, Handbook of treatment of eating disorders
  3. Kennedy S, 1992, Feeding problems and eating disorders. Monographs in clinical pediatrics
  4. Goldbloom DS, 1993, Alcohol Alcohol, 28, 375
  5. Piran N, 1988, Int J Eat Disord, 8, 1
  6. Johnson C, 1987, The etiology and treatment of bulimia nervosa

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Metadata

Authors
Kaplan, A. S., & Garfinkel, P. E.
Affiliations
  • University of Toronto (CA)
  • Centre for Addiction and Mental Health (CA)
Corresponding author
Kaplan, Allan S
ORCID
Kaplan, Allan S
Venue
The Canadian Journal of Psychiatry
Publisher
SAGE Publications
Published
1999-09
Volume
44
Issue
7
Pages
665-670
ISSN
  • 0706-7437 (ISSN-L)
  • 1497-0015
DOI
10.1177/070674379904400703
OpenAlex
W203645638
Cited by
124
References
40
Citations by year
2025: 1 · 2024: 5 · 2023: 4 · 2022: 8 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 7 · 2016: 8 · 2015: 4 · 2014: 8 · 2013: 9 · 2012: 7
FWCI
1.43
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The Canadian Journal of Psychiatry (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
eating disorders, treatment resistance, treatment refractoriness, patient motivation, countertransference, therapeutic relationship, trust, comorbidities, biopsychosocial model, therapist experience
MeSH terms
Feeding and Eating Disorders, Attitude of Health Personnel, Mental Disorders, Humans, Motivation, Patient Compliance, Professional-Patient Relations, Psychotherapy, Comorbidity, Patient Selection

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