Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
Solution-Focused Approach Which Improves the Therapist-Client Relationship Is Useful in the Treatment of Eating Disorder(Development of Brief Psychotherapy in the Field of Psychosomatic Medicine)
Toshio MukutaShinichi MiyagawaAkihito SakanakaSunao Matsubayashi
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2000 Volume 40 Issue 2 Pages 119-125

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Abstract
We have reported the usefulness of solution-focused approach (SFA) on the treatment of eating disorder. SFA emphasizes that therapeutic interventions must be made according to the relationship between therapist and client and admonish against the one-sided therapy and interpretation given by the therapist. These thoughts are important in the treatment of eating disorder. The relationship between therapist and client are classified into three types in SFA, 1) a visitor type, 2) a complainant type, and 3) a customer type. The relationship between therapist and client with eating disorder on the first visit is usually either a visitor type or a complainant type. It is important to lead to turn these types into a customer type. The coping questions and enough compliments were useful for the above. To set well-formed goals and find the small steps for their targets by joining hands with both therapist and client together were useful to maintain the relationship of a customer type. Otherwise, we utilize various ways for the treatment of eating disorder. For example, we utilize not only gradually increased diet practice which is usually used in cognitive-behavior therapy but also "extermination of the bug" which is mainly used in systems approach as a tool for setting small steps. To support such a unique therapy consistently, it is very important to keep the relationship of a customer type. We conclude that SFA is very useful for the treatment of eating disorder because SFA could lead a visitor type or a complainant type into a customer type in the therapist-client relationship and keep the customer type in addition to the utilization client's resource.
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© 2000 Japanese Society of Psychosomatic Medicine
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