Résumés
Résumé
L’anorexie mentale est un trouble de la conduite alimentaire qui débute fréquemment à l’adolescence. Plusieurs chercheurs et cliniciens reconnaissent les défis qu’elle pose lors de la prise en charge psychothérapeutique. La psychothérapie individuelle demeure une modalité privilégiée pour intervenir auprès des adolescents qui en souffrent. L’objectif de cet article est d’aborder différents aspects liés à l’évaluation et l’intervention psychologiques auprès des adolescentes atteintes d’anorexie mentale. L’article revoit les critères diagnostiques de l’anorexie, les facteurs potentiellement associés au développement ou au maintien du trouble, les répercussions sur la santé de l’adolescente et les points importants à évaluer. La place des parents et les enjeux reliés à l’alliance et au cadre thérapeutiques sont discutés ainsi que quelques principes directeurs pouvant guider l’intervention.
Mots-clés :
- anorexie,
- psychothérapie,
- évaluation,
- intervention,
- adolescentes
Abstract
Anorexia is an eating disorder that often begins during adolescence. Most researchers and clinicians recognize the multifactorial etiology of this disorder and highlight the challenges related to its treatment. Individual psychotherapy remains the preferred mode of intervention with persons suffering from anorexia. The objective of this paper is to discuss various aspects of psychological assessment and intervention with teenage girls struggling with anorexia nervosa. Specifically, the article presents the diagnostic criteria, factors possibly associated with the development and maintenance of the disorder, the impact of anorexia on health, important issues to consider in psychological assessment and parents role in the process. Issues regarding the therapeutic relationship and clinical framework as well as guiding principles for intervention are discussed.
Keywords:
- anorexia,
- psychotherapy,
- assessment,
- intervention,
- teenage girls
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