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EN
The current cultural definition of female beauty is a source of pressure placed on women to attain extremely thin figures. Incorporation of this standard into how a woman thinks she should look, a desire to attain it and engagement in appearance-invested behaviours refer to the construct of thin-ideal internalization. Three prominent socio-cultural theories of the development of eating disorders propose the impact of internalization of the thin ideal on body image. These are: the socio-cultural model of eating disorders, the tripartite influence model and the objectification theory. Thin-ideal internalization is a widely recognized risk factor in eating disorders in women. Kraemer´s typology of risk factors provides clarification of the terms correlate, fixed marker, variable risk factor, variable marker and causal risk factor for the certain outcome.
EN
Some data reported in the family therapeutical literature suggest the positive role of home visits, but they are rarely used in everyday practice. In the authors' family therapeutical work visits in the homes of eating disordered patients have become a routine part of the therapeutical process. The paper discusses the experiences of home visits presenting eight case vignettes. The visits were performed once in each case in the middle phase of the therapy. The observation of personal boundaries on the basis of environmental psychology and structural family therapy provided important insights for understanding the family dynamics (e. g. open or missing doors, enmeshed sleeping habits, missing father during the visit, etc.) The advantages of visits are many: therapists can gather first hand information about the family members' privacy and personal boundaries - such information is useful in planning the therapeutical interventions. At the same time the visit is a good opportunity to introduce 'in vivo' structural tasks. The visit can also serve as a tool for strengthening the psychotherapeutic relationship, while as a consequence of entering into personal places and sharing the family atmosphere the traditional doctor role changes; therapists become 'participant observers' as in cultural anthropology. The authors visits corroborated former observations that eating disorders are paradigmatic psychosomatic disorders with characteristic structural changes in the families.
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