Science Journal of Clinical Medicine

| Peer-Reviewed |

Alterations in Postmodernity: Setting up Bulimia Nervosa

Received: 9 September 2013    Accepted:     Published: 20 October 2013
Views:       Downloads:

Share This Article

Abstract

In Bulimia nervosa, a complex syndrome of clinical symptoms is formed. The patient who will mostly attempt to keep her syndrome hidden is subjected to diverse alterations that can be observed in her, her family and society. Somatic alterations in Bulimia nervosa patients are depicted, family idiosyncrasies in families with a bulimic member are highlighted. The research project on Bulimia nervosa 2007-2010 at the University of Heidelberg is outlined, leading to a pondering of psychodynamic symptom formation. Aspects of oedipality are shown in a case vignette of an 18-year-old female bulimic patient experiencing and restaging guilt and seduction issues. Some leads at mass society´s influence on the way symptom formations appear today are to broaden the perspective by means of I. Hassan´s cultural characteristics of modernity and postmodernity. After a close look at alterations in clinics of bulimic patients that shows how the cultural paradigm of postmodernity is reflected in the patient, Bulimia nervosa, often as a low profile phenomenon in daily gynaecologic and primary care practice, is declared requiring apt intervening in clinical treatment, and conceptualizing of human developmental processes in new ways. Psychosomatic Medicine will benefit from cross-referencing on psyche, body, and society, in order to understand psychosomatic condition even better than before.

DOI 10.11648/j.sjcm.20130206.13
Published in Science Journal of Clinical Medicine (Volume 2, Issue 6, November 2013)
Page(s) 160-165
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Bulimia Nervosa, Psychodynamics, Alterations, Postmodernity, Oedipality

References
[1] Herpertz-Dahlmann B, Resch F, Schulte-Markwort M, Warnke A (2008). Entwicklungspsychiatrie. [(Developmental Psychiatry.) (In German)] Stuttgart: Schattauer.
[2] Reich G, Cierpka M (1997). Psychotherapie der Essstoerungen. [(Psychotherapy of Eating Disorders.) (In German)] Stuttgart: Thieme.
[3] Lang H (2011). Die strukturale Triade und die Entstehung frueher Stoerungen. [(The Structural Triad and the Origin of Psychic Disorders.) (In German)] Stuttgart: Klett-Cotta.
[4] Gress H (2001). Ueber die soziale Botschaft der Hysterie. (On the social Message of Hysteria.) In: Seidler, Hysterie heute.
[5] Seidler G (editor) (2001). Hysterie heute. [(Hysteria today.) (In German)] Giessen: Psychosozial.
[6] Greenson RR (2007). Technik und Praxis der Psychoanalyse. [(The Technique and Practice of Psychoanalysis.) (In German)] Stuttgart: Klett-Cotta.
[7] Egloff G (2012a). Objektbeziehung und Performanz. Zur relationalen Dynamik der Libido. [(Object relations and Performance – on the Relational Dynamics of the Libido.) (In German with English abstract)] Prax Kinderpsychol Kinderpsychiatr 61: 497-511.
[8] Reich G (2002). „Defektes Selbst" – „Defekter Körper". Destruktiver Narzissmus bei der Bulimie. [(„Faulty Self" – „Faulty Body". Destructive Narcissism in Bulimia.) (In German)] In: Seidler G (editor) (2002). Das Ich und das Fremde. [(The Ego and the Foreign.) (In German)] Giessen: Psychosozial.
[9] Arbeitskreis OPD (2006). Operationalisierte Psychodynamische Diagnostik OPD-2. [(Operationalized Psychodynamic Diagnostics OPD-2.) (In German)] Bern, Goettingen: Hans Huber.
[10] Groene M (1995). Wie lasse ich meine Bulimie verhungern? [(On how to let your Bulimia starve.) (In German)] Heidelberg: Carl Auer.
[11] Egloff G (2010a). The Unknown in Our Biography. (Review on Marianne Kruell, Birth is not the Beginning.) Int J Prenat Perinat Psychol Medicine 22: 164-166.
[12] Egloff G (2010b). Familientherapie ohne Familie. Systemische Kurzzeittherapie mit einer 38-jaehrigen Mutter als Indexpatientin. [(Family Therapy without Family. Systemic Short Term Therapy with a 38-year-old Mother as Index Patient) (In German with English Abstract)] KONTEXT 41: 200-209.
[13] Egloff G, Becker B (2011). Defizit- und Loesungsorientierung in der systemischen Psychotherapie. Chancen und Gefahren am Beispiel der Einzeltherapie eines 32-jaehrigen Patienten mit depressiven und aggressiven Tendenzen. [(Deficit Orientation and Solution Orientation in Systemic Psychotherapy. Risks and Chances in the Therapy Process of a 32-year-old male Patient with depressive and aggressive Tendencies) (In German)] CoMed 17 (3): 66-69.
[14] Egloff G (2009). Die Tuecken der bulimischen Beziehung. Therapiewunsch einer 23-jaehrigen Patientin mit Bulimia nervosa. [(Trapped in a Bulimic Relational Pattern. A 23-year-old female bulimic Patient imagining Therapy.) (In German)] Freie Psychotherapie 9 (4): 18-19.
[15] Frost U, Strack M, Reich G, Kronmueller K, Stefini A (2010). Die Rolle der Scham in den Familienbeziehungen bulimischer Patientinnen. (The Role of Shame in the Family Relations of bulimic Patients.) Presentation at the Congress for Eating Disorders, Alpbach, Austria, October 2010.
[16] Frost U, Kronmueller K, Rutz U, Strack M, Reich G (2011). Zum Zusammenhang von dysfunktionalen Familienbeziehungen und Scham bei bulimischen Patientinnen. (On the Connections of dysfunctional Family Relations and Shame in bulimic Patients.) Poster Presentation at the 62.Conference of the Deutsches Kollegium für Psychosomatische Medizin (DKPM), Essen, Germany, March 2011.
[17] Luborsky L (1995). Einfuehrung in die analytische Psychotherapie. [(Introduction to analytic Psychotherapy.) (In German)] Goettingen: Vandenhoeck & Ruprecht.
[18] Fischer G (2011). Psychotherapiewissenschaft. [(The Science of Psychotherapy.) (In German)] Giessen: Psychosozial.
[19] Pritz A (1996). Psychotherapie – eine neue Wissenschaft vom Menschen. [(Psychotherapy – a new Human Science.) (In German)] Vienna: Springer.
[20] Pritz A (2012). The Struggle for Legal Recognition of the Education of Psychotherapy and an autonomous Psychotherapy Profession in Europe. Int J Psychotherapy 16 (3): 65-77.
[21] Hassan I (1987). Toward a Concept of Postmodernism. In: The Postmodern Turn. Essays in Postmodern Theory and Culture. Columbus: Ohio State University Press, 91-92.
[22] Habermas T (1990). Heisshunger. Historische Bedingungen der Bulimia nervosa. [(Having the munchies. Historical conditions of Bulimia nervosa.) (In German)] Frankfurt: Fischer.
[23] Egloff G (2004). Die psychogenetische Geschichtstheorie von Lloyd deMause. [(The psychogenetic Theory of History by Lloyd deMause.) (In German)] Conference Presentation at the Dpt. Psychosomatische Kooperationsforschung und Familientherapie at the Psychosomatic Clinic of University of Heidelberg, June 2004.
[24] Freud S (1926). Hemmung, Symptom und Angst. (Inhibitions, Symptoms and Anxiety.) GW, Bd. XIV. Frankfurt: Fischer.
[25] De Saussure F (1974). Cours de linguistique générale. Wiesbaden: Harrassowitz.
[26] Rank B (1949). Aggression. The Psychoanalytic Study of the Child 3-4.
[27] Fischer-Lichte E (2004). Aesthetik des Performativen. [(Aesthetics of the Performative.) (In German)] Frankfurt: Suhrkamp.
[28] Finkelstein J (2007). The Art of Self Invention. Image and Identity in Popular Visual Culture. London, New York: I.B.Tauris.
[29] Pflichthofer D (2008). Spielraeume des Erlebens. Performanz und Verwandlung in der Psychoanalyse. [(Playgrounds of Experiencing. Performance and Transformation in Psychoanalysis.) (In German)] Giessen: Psychosozial.
[30] Reckwitz A (2012). Die Erfindung der Kreativitaet. Zum Prozess gesellschaftlicher Aesthetisierung. [(The Invention of Creativity.) (In German)] Frankfurt: Suhrkamp.
[31] Barthes R (1973). Le plaisir du texte. [(The Joy of the Text.) (In French)] Paris: Editions du Seuil.
[32] Lukács G (1984). Die Theorie des Romans. Ein geschichtsphilosophischer Versuch ueber die Formen der großen Epik. [(The Theory of the Novel.) (In German)] Munich: DTV.
[33] Berkel I (2012). Naehe Verbot Ordnung. Genealogische Nachrichten. [(Closeness Ban Order. Genealogical News.) (In German)] Giessen: Psychosozial.
[34] Fuerstenau P (1994). Entwicklungsfoerderung durch Therapie. Grundlagen psychoanalytisch-systemischer Psychotherapie. [(Promoting Developmental Processes by Therapy. Foundations of psychoanalytic-systemic Psychotherapy.) (In German)] Munich: Pfeiffer, 64-75.
[35] Egloff G (2012b). Psychodynamische Psychotherapie: Die Irrationalitaet durchdringen. [(Psychodynamic Psychotherapy: Permeating Irrationality.) (In German)] Dtsch Aerztebl PP 11: 358-360.
[36] Egloff G (2013). Wirklichkeiten und Moeglichkeiten – analytisch-systemische Therapie einer 25-jaehrigen Klientin mit sexueller Funktionsstoerung. [(Realities and Possibilities – Analytic-systemic Therapy of a 25-year-old female Client with Sexual Function Disorder.) (In German with English abstract)] KONTEXT 44: 136-46.
[37] Salbach Andrae H, Pfeiffer E (2011). Behandlung der Bulimia nervosa. [(Treatment of Bulimia nervosa.) (In German with English abstract)] Nervenarzt 82: 1118-1124.
[38] Naessén S, Carlstroem K, Bystroem B, Pierre Y, Hirschberg AL (2007). Effects of an antiandrogenic Oral Contraceptive on Appetite and Eating Behavior in Bulimic Women. Psychoneuroendocrinology 32: 548-54.
Cite This Article
  • APA Style

    Goetz Egloff. (2013). Alterations in Postmodernity: Setting up Bulimia Nervosa. Science Journal of Clinical Medicine, 2(6), 160-165. https://doi.org/10.11648/j.sjcm.20130206.13

    Copy | Download

    ACS Style

    Goetz Egloff. Alterations in Postmodernity: Setting up Bulimia Nervosa. Sci. J. Clin. Med. 2013, 2(6), 160-165. doi: 10.11648/j.sjcm.20130206.13

    Copy | Download

    AMA Style

    Goetz Egloff. Alterations in Postmodernity: Setting up Bulimia Nervosa. Sci J Clin Med. 2013;2(6):160-165. doi: 10.11648/j.sjcm.20130206.13

    Copy | Download

  • @article{10.11648/j.sjcm.20130206.13,
      author = {Goetz Egloff},
      title = {Alterations in Postmodernity: Setting up Bulimia Nervosa},
      journal = {Science Journal of Clinical Medicine},
      volume = {2},
      number = {6},
      pages = {160-165},
      doi = {10.11648/j.sjcm.20130206.13},
      url = {https://doi.org/10.11648/j.sjcm.20130206.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20130206.13},
      abstract = {In Bulimia nervosa, a complex syndrome of clinical symptoms is formed. The patient who will mostly attempt to keep her syndrome hidden is subjected to diverse alterations that can be observed in her, her family and society. Somatic alterations in Bulimia nervosa patients are depicted, family idiosyncrasies in families with a bulimic member are highlighted. The research project on Bulimia nervosa 2007-2010 at the University of Heidelberg is outlined, leading to a pondering of psychodynamic symptom formation. Aspects of oedipality are shown in a case vignette of an 18-year-old female bulimic patient experiencing and restaging guilt and seduction issues. Some leads at mass society´s influence on the way symptom formations appear today are to broaden the perspective by means of I. Hassan´s cultural characteristics of modernity and postmodernity. After a close look at alterations in clinics of bulimic patients that shows how the cultural paradigm of postmodernity is reflected in the patient, Bulimia nervosa, often as a low profile phenomenon in daily gynaecologic and primary care practice, is declared requiring apt intervening in clinical treatment, and conceptualizing of human developmental processes in new ways. Psychosomatic Medicine will benefit from cross-referencing on psyche, body, and society, in order to understand psychosomatic condition even better than before.},
     year = {2013}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Alterations in Postmodernity: Setting up Bulimia Nervosa
    AU  - Goetz Egloff
    Y1  - 2013/10/20
    PY  - 2013
    N1  - https://doi.org/10.11648/j.sjcm.20130206.13
    DO  - 10.11648/j.sjcm.20130206.13
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 160
    EP  - 165
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20130206.13
    AB  - In Bulimia nervosa, a complex syndrome of clinical symptoms is formed. The patient who will mostly attempt to keep her syndrome hidden is subjected to diverse alterations that can be observed in her, her family and society. Somatic alterations in Bulimia nervosa patients are depicted, family idiosyncrasies in families with a bulimic member are highlighted. The research project on Bulimia nervosa 2007-2010 at the University of Heidelberg is outlined, leading to a pondering of psychodynamic symptom formation. Aspects of oedipality are shown in a case vignette of an 18-year-old female bulimic patient experiencing and restaging guilt and seduction issues. Some leads at mass society´s influence on the way symptom formations appear today are to broaden the perspective by means of I. Hassan´s cultural characteristics of modernity and postmodernity. After a close look at alterations in clinics of bulimic patients that shows how the cultural paradigm of postmodernity is reflected in the patient, Bulimia nervosa, often as a low profile phenomenon in daily gynaecologic and primary care practice, is declared requiring apt intervening in clinical treatment, and conceptualizing of human developmental processes in new ways. Psychosomatic Medicine will benefit from cross-referencing on psyche, body, and society, in order to understand psychosomatic condition even better than before.
    VL  - 2
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Research Therapist for University Hospital of Heidelberg, Heidelberg, Germany

  • Sections