Bulimia Nervoza Tedavisinde Pozitif Psikoterapinin Katkısı: Bir Olgu Sunumu

Abstract

Bulimia Nervoza, yeme davranışlarının bozulmasıyla bilen aslında; duygu düzenleme güçlükleri, değersizlik hissi, düşük benlik saygısı ve kontrol kaybı temalarıyla iç içe geçmiş karmaşık bir psikolojik bozukluktur. Birey, yoğun yeme ataklarının ardından derin suçluluk, utanç ve bedensel kontrol kaybı gibi duygularla başa çıkmakta zorlanırken, bu süreç zamanla hem fiziksel hem de ruhsal açıdan baş edilmesi zor bir süreç haline gelmektedir. Pozitif psikoterapi tedavi sürecinde, geleneksel psikoterapi yöntemlerinin aksine sadece belirtilerin azaltılmasına yönelik değil, bireyin kendilik algısı, değer sistemi ve ilişkisel örüntülerinin yeniden yapılandırılmasına da odaklanmak önem teşkil etmektedir. Pozitif Psikoterapi, bireyin yaşadığı içsel çatışmaları anlamlandırmasına, güçlü yönlerini fark etmesine ve yaşam alanları arasındaki dengeyi yeniden kurmasına yardımcı olan bütüncül bir yaklaşım sunarak, Bulimia Nervoza gibi zorlayıcı yeme bozukluklarının tedavisinde önemli katkılar sağlamaktadır. Bu makalede, Bulimia Nervoza belirtileri gösteren danışanın 15 seanslık Pozitif Psikoterapi ekolü ile ilerleyen terapi süreci ele alınmıştır. Terapi öncesindeki bir aylık dönemde danışanın haftada en az üç kez hastaneye başvurarak serum tedavisi aldığı, yemek yeme atakları yaşadığı ve bu süreçte özellikle erkek arkadaşıyla olan ilişkisinde ciddi iletişim sorunları yaşadığı görülmüştür. Terapi sonucunda danışanın yeme atakları, kişilerarası ilişkilerinde anlamlı iyileşmeler gözlendiği ve genel işlevselliğinin arttığı gözlenmiştir. Bu doğrultuda çalışmanın amacı, yeme davranışında bozulmalar ve Bulimia Nervoza belirtileri gösteren bir olgunun Pozitif Psikoterapi yaklaşımı çerçevesinde incelenmesi ve terapi sürecinin aktarılmasıdır.

Keywords

• yemek bozuklukları
• bulima nervosza
• pozitif psikoterapi

Supporting Institution

Kıbrıs Amerikan Üniversitesi

Project Number

Etik onay numarası: AUC/EK017/26

Ethical Statement

Etik Onay: Bu çalışma, Kıbrıs Amerikan Üniversitesi Etik Kurulu tarafından onaylanmıştır (AUC/EK017/26). Bilgilendirilmiş Onam: Olgu sunumuna dahil edilen danışandan bilgilendirilmiş onam alınmıştır. Çıkar Çatışması: Yazar herhangi bir çıkar çatışması olmadığını beyan eder. Finansal Destek: Bu çalışma için herhangi bir finansal destek alınmamıştır.

Thanks

Teşekkür: Bu çalışmanın gerçekleştirilmesine olanak sağlayan Kıbrıs Amerikan Üniversitesi Etik Kurulu’na ve çalışmaya gönüllü olarak katılan danışana teşekkür ederim.

A CASE STUDY OF POSİTİVE PSYCHOTHERAPY'S ROLE İN BULİMİA NERVOSA TREATMENT

Abstract

Disordered eating behaviors are actually the hallmark of bulimia nervosa, a complex psychological disorder that is entwined with themes like emotional dysregulation, low self-esteem, feelings of worthlessness, and loss of control. After binge eating episodes, people struggle to deal with feelings of extreme guilt, shame, and lack of bodily control. Over time, this process becomes challenging to manage both psychologically and physically. In contrast to standard psychotherapy techniques, positive psychotherapy treatment emphasizes reshaping the patient's self-perception, value system, and relational patterns in addition to symptom reduction. In order to treat difficult eating disorders like bulimia nervosa, positive psychotherapy provides a comprehensive approach that assists people in understanding their internal conflicts, identifying their strengths, and reestablishing balance in various aspects of their lives. The treatment of a client with bulimia nervosa symptoms who attended 15 sessions of positive psychotherapy is described in this article. The client had severe communication issues, especially in her connection with her boyfriend, binge eating episodes, and at least three weekly hospital visits for serum treatment during the month before to therapy. The client's binge eating episodes were shown to have considerably decreased as a result of therapy, and their interpersonal relationships and general functioning also improved dramatically. Therefore, the purpose of this study is to describe the therapeutic process and analyze a case with eating behavior disorders and bulimia nervosa symptoms within the context of the Positive Psychotherapy method.

Keywords

• eating disorders
• bulimia nervosa
• positive psychotherapy

Supporting Institution

American University of Cyprus

Project Number

Etik onay numarası: AUC/EK017/26

Ethical Statement

Ethical Approval: This study was approved by the Ethics Committee of Cyprus American University (AUC/EK017/26). Informed Consent: Written informed consent was obtained from the client included in the case report. Conflict of Interest: The author declares no conflict of interest. Financial Support: No financial support was received for this study.

Thanks

Acknowledgements The author would like to thank the Ethics Committee of American University of Cyprus for granting ethical approval for this study. The author also extends sincere thanks to the client who voluntarily participated in the study.

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