The Use of Transactional Analysis in the Treatment of Eating Disorders

Abstract

Since 1859, when Marce described a “hypochondriacal delirium” characterized by food refusal, eating disorders have been recognized as having a psychological component (Silverman, 1997). This article examines the psychological factors inherent in anorexia nervosa and bulimia nervosa using a transactional analysis developmental perspective. The interaction between psychological and physiological factors that maintain an eating disorder is discussed, and a psychotherapeutic approach that includes the consideration of dietary advice, weight monitoring, and medical intervention is offered. With reference to case material, the author argues that ensuring adequate nutrition is compatible with the role of a transactional analysis psychotherapist.

Additional information

Notes on contributors

Mervyn Brunt

Mervyn Brunt, M.Sc, is a Certified Transactional Analyst (psychotherapy) and a senior clinician on the Eating Disorders Team, Gloucestershire Partnership National Health Service Trust, United Kingdom. This is a community-based, publicly funded service providing treatment and support for adults and children who have eating disorders. Mervyn has a background in mental health social work, is a transactional analysis psychotherapist, and has additional training in cognitive-behavioral therapy for eating disorders. He has a private psychotherapy practice in Hereford and can be reached at 19 Clive St., Hereford HR1 2SB, England; e-mail: [email protected].