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Nhiều bệnh nhân rối loạn ăn uống cảm thấy bất lực, vô vọng và xấu hổ vì phải tìm kiếm sự giúp đỡ tâm lý. Tôi sử dụng các nguyên tắc của `đáp ứng các bệnh nhân bệnh nhân là ở đâu, cho phép bệnh nhân để nói về bất cứ chủ đề nào mà họ muốn thảo luận, và cho phép họ lựa chọn ưu tiên của mối quan tâm của họ, ngay cả khi ® RST có vẻ như chỉ từ xa liên quan đến ăn rối loạn. . | 208 INTERNATIONAL HANDBOOK OF CLINICAL HYPNOSIS Many patients with eating disorders feel helpless hopeless and ashamed of having to seek psychological help. I use the principle of meeting the patient where the patient is at allowing patients to talk about any subject they wish to discuss and letting them choose the priority of their concerns even if at first it seems only remotely related to the eating disorder. I listen to metaphors in the patient s communication being aware that people communicate simultaneously on two levels manifest and latent. For example an 18-year-old adolescent girl communicates in the first session her story about the fact that the house she is living in is crumbling and needs to be renovated and remodelled and that she is determined to find the resources to accomplish this goal. This patient is talking on a manifest level about her own house which in reality may need to be renovated and remodelled however on a latent level she may be referring to her own body that needs to be repaired and restored to health. In fact this girl had lost many teeth due to repeated self-induced vomiting and in addition had an electrolyte imbalance abnormal liver functions and esophageal bleeding requiring immediate medical and psychiatric care. The clinician s recognition that the patient communicates about her body in a metaphorical way makes the therapist an ally with the patient s subconscious mind and creates an ideal setting for the effective use of hypnosis to facilitate the desired change. THERAPEUTIC INTERVENTION WITH HYPNOSIS When evaluating a new patient I listen to the patient s communication regarding dysphoric feelings of helplessness anxiety hopelessness inner tension insomnia fear restlessness and so on. I introduce the idea of using hypnosis by making it relevant to the patient s presenting symptoms saying to the patient something like this Would you like to learn an exercise of how to reduce your anxiety and promote a sense of calmness and .
