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Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa.

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  • Author(s): Ketnr, Margaux H.. Widener University, Clinical Psychology, US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 82(2-B), 2021.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • ISBN:
      979-8662469433
    • Keywords:
      bad object, attachment, anorexia nervosa, bulimia nervosa
    • Abstract:
      Attachment insecurity is an established risk factor for the development of eating disorders and greater attachment insecurity in eating-disordered women is associated with severity of symptoms and poorer treatment outcomes (Illing, Tasca, Balfour, & Bissada, 2010). Secure attachment is critical for guiding and protecting development, and promoting growth-oriented processes, including the development of one's internal world and object relations (Gander, Sevecke, & Buchheim, 2015). The literature has progressed beyond an association between attachment and eating disorders, to identify patterns between attachment styles and eating disorder subtypes; distinct attachment dimensions account for inconsistencies in symptoms and diagnostic subgroups in Anorexia Nervosa compared with Bulimia Nervosa (Noe, 2004; O'Shaughnessey & Dallos, 2009). However, research regarding the specific associations and the reasons they form, is inconclusive (Munch, Hunger, & Schweitzer, 2016). Traditional treatment models for eating disorders address both eating disorders together and attend predominately to disordered behaviors, body image distortions, and deficits in emotion regulation (Illing et al., 2010). Treatment outcomes are moderate and characterized by high rates of recidivism, drop-out, and treatment resistance (Tasca & Balfour, 2014). This dissertation uses object relations theory, an interpersonal and intrapsychic framework, to identify distinct patterns of the development of object relations that mediate the relationship between attachment security and the development of eating disorders. The dissertation provides insight into variation in etiology for Anorexia Nervosa and Bulimia Nervosa, explains associations between attachment and eating disorder subtypes as mediated by the development of object relations, and discusses treatment implications for Anorexia Nervosa and Bulimia Nervosa, with a focus on object relations and the therapeutic alliance. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI27996076
      OpenURL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:27996076
      Advisor(s): Slater, Courtney
      Degree: Psy.D., 2019
      Institution: Widener University
      Department: Clinical Psychology
    • Subject Terms:
    • PsycINFO Classification:
      Cognitive Processes (2340)
      Health & Mental Health Treatment & Prevention (3300)
    • Population:
      Human
      Female
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20201019
    • Accession Number:
      2020-67315-152
  • Citations
    • ABNT:
      KETNR, M. H. Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa. 2021. ProQuest Information & Learning, US, 2021. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152. Acesso em: 30 nov. 2020.
    • AMA:
      Ketnr MH. Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2021;82(2-B). Accessed November 30, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152
    • APA:
      Ketnr, M. H. (2021). Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 82, Issue 2–B).
    • Chicago/Turabian: Author-Date:
      Ketnr, Margaux H. 2021. “Tracing the Bad Object and Attachment in Women with Anorexia Nervosa and Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. US: ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152.
    • Harvard:
      Ketnr, M. H. (2021) Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152 (Accessed: 30 November 2020).
    • Harvard: Australian:
      Ketnr, MH 2021, ‘Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa’, ProQuest Information & Learning, US, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 82, no. 2–B, viewed 30 November 2020, .
    • MLA:
      Ketnr, Margaux H. “Tracing the Bad Object and Attachment in Women with Anorexia Nervosa and Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 82, no. 2–B, ProQuest Information & Learning, 2021. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152.
    • Chicago/Turabian: Humanities:
      Ketnr, Margaux H. “Tracing the Bad Object and Attachment in Women with Anorexia Nervosa and Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2021. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152.
    • Vancouver/ICMJE:
      Ketnr MH. Tracing the bad object and attachment in women with anorexia nervosa and bulimia nervosa [Internet]. Vol. 82, Dissertation Abstracts International: Section B: The Sciences and Engineering. [US]: ProQuest Information & Learning; 2021 [cited 2020 Nov 30]. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2020-67315-152