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Maudsley approach : ウィキペディア英語版
Maudsley family therapy
Maudsley family therapy also known as family-based treatment or Maudsley approach,
is a family therapy for the treatment of anorexia nervosa devised by Christopher Dare and colleagues at the Maudsley Hospital in London. A comparison of family to individual therapy was conducted with eighty anorexia patients. The study showed family therapy to be the more effective approach in patients under 18 and within 3 years of the onset of their illness. Subsequent research confirmed the efficacy of family-based treatment for teens with anorexia nervosa. Family-based treatment has been adapted for bulimia nervosa and showed promising results in a randomized controlled trial comparing it to supportive individual therapy.
Maudsley Family Therapy is an evidenced-based approach to the treatment of anorexia nervosa and bulimia nervosa whose efficacy has been supported by empirical research.
==Phases of treatment==
There are three phases involved in the Maudsley method, the treatment usually lasts one year and involves between 15-20 sessions.〔Lock and Le Grange, ''(Treatment Manual for Anorexia Nervosa: A Family-based Approach )'', 2001, p. 18-19, ISBN 978-1-57230-836-7〕 Daniel Le Grange, PhD and James Lock, MD, PhD describe the treatment as follows:
"The Maudsley approach can mostly be construed as an intensive outpatient treatment where parents play an active and positive role in order to: Help restore their child’s weight to normal levels expected given their adolescent’s age and height; hand the control over eating back to the adolescent, and; encourage normal adolescent development through an in-depth discussion of these crucial developmental issues as they pertain to their child.
More ‘traditional’ treatment of AN suggests that the clinician’s efforts should be individually based. Strict adherents to the perspective of only individual treatment will insist that the participation of parents, whatever the format, is at best unnecessary, but worse still interference in the recovery process. In fact, many proponents of this approach would consider ‘family problems’ as part of the etiology of the AN. No doubt, this view might contribute to parents feeling themselves to blame for their child’s illness. The Maudsley Approach opposes the notion that families are pathological or should be blamed for the development of AN. On the contrary, the Maudsley Approach considers the parents as a resource and essential in successful treatment for AN.

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