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Minerva Psichiatrica 2001 March;42(1):33-42

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

Prognosis of eating disorders and personality structure

Marocco Muttini C.


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Eating disorders may follow-up various forms of evolution, both spontaneous and through psychotherapy. This considerations has led to the hypothesis that the prognosis is closely linked to the type of personality structure, which may vary from neurotic to borderline. Four anorexic of dysorexic patients were chosen as a sample group, all of whom had received psychotherapy for one or more years. The author present the Rorschach's tests performed under stress by all patients and discuss the personality structure which is neurotic in cases 1 and 2, and borderline in cases 3 and 4. After psychotherapy had been completed or interrupted by the patients, the author evaluate the results achieved in clinical terms using catamnestic data. They emphasise that good clinical results were obtained in patients whose personality structure presented neurotic characteristics and a more valid ego. Rorschach's test is a useful indicator of prognosis and therefore of the aims of treatment when the patient is first accepted. In cases of eating disorders, it is particularly important because the patient's personality may vary together with their suitability for psychodynamic treatment. Other methods of treatment and psychoeducational interventions are indicated in borderline cases.

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