Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
Evaluation of Family Relation Structures by the Family System Test (FAST) in 3 Patients with Eating Disorder : A Preliminary Study for Japanese Family Relations by the FAST
Junko NakamotoYuka HirabayashiKeiko MurateYoshio Hayashi
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2006 Volume 46 Issue 2 Pages 145-152

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Abstract
Objective : The Family System Test (FAST) is a figure placement method that simultaneously and pluralistically expresses the structure of family member relations. We evaluated the characteristics of family relations by FAST in 3 patients with eating disorder. Results : [Patient 1 : Anorexcia Nervosa Binge Purging Type] Typical representation : Grandmother's power was strong, and there was only slight cohesion between the parents. The patient observed the mother and younger sister from the distance. Ideal representation : Family members excluding the grandfather and grandmother gathered around the patient and younger sister, suggesting that the patient wishes to be the center of attention. [Patient 2 : Bulimia Nervosa Purging Type] Typical representation : There was only slight cohesion between the parents, and the father was estranged from the other family members. The cohesion between the patient and the mother was slight, and there was no difference in hierarchies. Ideal representation : The patient wished a situation in which the members face one another, smiling, with the patient in the center. [Patient 3 : Eating Disorder Not Otherwise Specified] Typical representation : There was cohesion between the parents as well as between the sisters. Generational boundaries were observed. Father's power was strong. Ideal representation : The patient wished to be separated from the other members. Conclusion : The FAST visually clarifies family relations and may be a useful psychological test that allows the evaluation of concrete problems in family relations in each patient with eating disorder.
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© 2006 Japanese Society of Psychosomatic Medicine
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