NING (isocitric) wrote in ed_ucate,

Realising dreams

I'm not very sure if this is very relevant, but I think it should be something looked into that could explore the options open to eating disorder treatment. This article/entry shows how more methods are being employed into the treatment of psychiatric disorders.

From American Center for Surreal and Paranoid Life.

The final touches of a cutting-edge psychology experiment have now been completed on Patient I.J., marking twelve years of non-intrusive neuroscience research since the preliminary experiments were first started in 1995.

Ivan Johnson (Patient I.J.) suffers cyclical episodes of incapacitating hebephrenic schizophrenia that has not been helped in any way by any currently available medications.

So as a last resort, doctors at the Milton S. Hershey Clinical Psychiatry Center decided to fully give in to Ivan's delusions of grandeur and allowed him to pursue his "dream" of becoming a blues singer musician (while still in the safety of the courtyards at the Center).

The doctors supplied Ivan with a guitar and set up a small recording apparatus before him (and also quietly became bystanders and audience members in the z-courtyard), where Ivan's delusions and hallucinations became uniquely and productively reflected in the reality around him (thus producing The Institution Blues Album) rather than remaining stagnate in the confines of his own mind.

This simple and therapeutic method (of building up a mentally ill patient's motivation level) is known by its few practitioners as Open Flow Excitation. The method aims at identifying the patient's recurring inner-most patterned wishes and desires, and then goes about systematically constructing and guiding the environment so that the patient can do nothing but immerse and encourage himself into fulfilling his own inner-most wishes.

While this is indeed very narrow in scope, applying mostly onto delusions of grandeur rather than other forms of psychosis or psychiatric illness, do you think this principle can be applied into the treatment of eating disorders? If so, how? What could be potential flaws or perks?

For example, there are some things the ED patients wish to achieve but not in the context of weight or physical looks. There are some patients who sink into ED behaviors as a way of escaping from another problem. Is there a way this principle could temporarily solve that underlying problem? Even if it could, it may not entirely cure the ED, but it does relieve a certain degree of distress in the patients' lives. Such underlying problems include rape, physical and verbal abuse, or ruined relationships. These are permanent, there's no way this can be changed, obviously. But how can we have their self-esteem boosted through such methods of what some people call "role-playing"?

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