Auf Konzentrativer Bewegungstherapie basierte Körperbildtherapie
摘要
Body image disorders are a core symptom of eating disorders. Eating disorders often occur as a comorbidity with other mental illnesses; however, little research has been conducted into therapeutic approaches for the targeted treatment of the core symptoms of body image disorders. A newly developed modularized body image therapy in the inpatient treatment of patients with eating disorders in comorbidity with complex posttraumatic stress disorder (cPTSD) is presented. The body image therapy is based on concentrative movement therapy (CBT). A prospective naturalistic feasibility study was conducted to evaluate body image therapy based on a sample of 19 patients. The results show a substantial impairment in body image of the patients, which significantly improved during the course of treatment but remained present at the end of treatment. In addition, a positive experience of change with respect to body-related experience and behavior was noted at the end of treatment but this was no longer evident in the follow-up. The findings on the session experiences in body image therapy sessions illustrate that patients were able to benefit from the body image therapy sessions, even though a relatively negative body-related self-experience was present. The results are interpreted as initial indications that a body psychotherapy concept of body image therapy has potential for these patients with severe body image impairments. The necessity and requirements for further evaluation studies are discussed.