The constructive family approach to eating disorders: Critical remarks on the use of family therapy in anorexia nervosa and bulimia

Abstract

The conceptualization of an eating disorder as a symptom of family dysfunctioning has become quite popular. Following the example of Minuchin and Selvini Palazzoli, many clinicians seem to prefer family therapy as the treatment of choice in anorectic patients. This movement, however, is based upon personal beliefs rather than on solid research. Family therapy should be viewed as a component to be integrated within a multidimensional approach that is guided by a constructive and positive attitude towards the family and is based upon a pragmatic but flexible “scientist-practitioner” spirit.