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Abstract

第126巻第3号

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Community Support for the Treatment of Eating Disorders
Aya TAKEDA
Non-Profit Organization Nobi-no-kai
Psychiatria et Neurologia Japonica 126: 210-217, 2024
https://doi.org/10.57369/pnj.24-034

 Eating disorders substantially stress the body due to abnormal eating behavior. Therefore, weight change and biochemical data must be utilized as good or bad parameters. Most of the cases have been treated medically with a strong focus on physical management; this may include hospitalization. On the other hand, patients continue to live their daily lives in the social environment of their homes, schools, and workplaces, which causes the condition to develop further. Outpatient treatment for this disorder helps them acquire skills, other than pathological solutions, in order to support their ability to be aware of medical intervention. At the same time, they may recognize that they are active in their daily lives in the community. This is the case especially for middle-aged and elderly individuals who are highly resistant to treatment and who definitely find themselves following a long chronic course. The treatment goal is not a complete cure but instead focuses on understanding and accepting the disorder, coexisting with the symptoms, and placing emphasis on improving their quality of life. This aligns with the usual treatment of mentally ill individuals, which has shifted from traditional hospitalization and monitored living toward supported independent living within the community. With this, the authors are experimenting with assertive community treatment (ACT). This is a comprehensive community living support program which establishes a facility and staff inside the community and focuses on a self-sustaining service for chronic disorder cases. A facility and system that allows for such trial and error in learning and actual experience may be effective in realistically advancing outpatient therapy for this disorder. Such a system respects and ensures the independence and individuality of patients with illnesses.
 Author's abstract

Keywords:eating disorder, independence support, assertive community treatment, social model>
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