E-Book Overview
Art Therapy and Eating Disorders is a step-by-step approach to a new and extremely promising technique for treating people with eating disorders -- children as well as adults, male and female sufferers alike -- that has proven to be a crucial aid to identification, prevention, and intervention. Mury Rabin demonstrates how her award-winning art therapy technique, known as Phenomenal and Nonphenomenal Body Image Tasks or "PNBIT," can be used by clinicians other than art therapists and shows its effectiveness in combination with diverse therapeutic techniques. Unlike traditional therapy programs that treat symptoms, this technique focuses on root causes and consists of a series of tasks -- some phenomenal: weight recording, mirror viewing, and body dimension estimates; others not: chromatic family line drawings and body image mandalas. The book includes five case studies that illustrate how the PNBIT technique functions in practice.
E-Book Content
Art Therapy and Eating Disorders
Art Therapy and Eating Disorders The Self as Significant Form
Mury Rabin
Columbia University Press
New York
Columbia University Press Publishers Since 1893 New York Chichester, West Sussex
Copyright © 2003 Mury Rabin All rights reserved Library of Congress Cataloging-in-Publication Data Rabin, Mury. Art therapy and eating disorders : the self as significant form / Mury Rabin. p.
cm.
Includes bibliographical references and index. ISBN 0-231-12768-5 (cloth : alk. paper) — ISBN 0-231-12769-3 (pbk. : alk. paper) 1. Art therapy. 2. Eating disorders—Treatment. 3. Body image disturbance— Treatment. 4. Self. I. Title. RC489.A7 R33 2003 616.85′260651—dc21 ∞ Columbia University Press books are printed on permanent and durable acid-free paper. Printed in the United States of America c 10 9 8 7 6 5 4 3 2 1 p 10 9 8 7 6 5 4 3 2 1
2002034833
To the individuals who gave up their identity to become subjects in a courageous journey to find their Self
CONTENTS
Acknowledgments
ix
Introduction
xi
CHAPTER 1
Significance of Appropriate Body Image
1
CHAPTER 2
Body Image and the Self
11
CHAPTER 3
The Therapy of Art Therapy
22
CHAPTER 4
Phenomenal and Nonphenomenal Body Image Tasks in the Treatment of Eating Disorders and Other Addictions (PNBIT): The Method
27
CHAPTER 5
PNBIT Clinical Applications
43
CHAPTER 6
Conclusion
151
Afterwords: Toward an Ethical Society
160
APPENDIXES 1
Extracts of Exit Tape Recordings a. Jessica Mason b. Claudia Bernard c. Heather Allen d. Linda Miller
165 165 168 169 172
2
Self Report Form
179
3
Therapist Report Form
181
4
Sequence and Time Chart
183
5
Outline Drawing: Figure Selection, Male
185
Megan Brown’s recording is included in chapter 5.
—
vii
—
viii
— Contents
6
Outline Drawing: Figure Selection, Female
186
7
Body Dimension Estimate and Measurement: Linear, Male
187
Body Dimension Estimate and Measurement: Circumference, Male
189
Body Dimension Estimate and Measurement: Linear, Female
191
Body Dimension Estimate and Measurement: Circumference, Female
193
11
Sandworlds Grid
195
12
Questionnaires
196
8
9
10
a. Eating Questionnaire b. Body Contour Drawing c1. Self Box Questionnaire c2. Comparison of Self Box 1 and Self Box 2
196 200 201 201
13