Cargando…
Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective
Eating disorders (EDs) are complicated mental illnesses with significant treatment resistance and dropout rates. For successful treatment, it is important for clinicians to better understand the patients’ narrative and their lived experiences. A thorough psychodynamic understanding of patients’ chil...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028028/ https://www.ncbi.nlm.nih.gov/pubmed/35457741 http://dx.doi.org/10.3390/ijerph19084874 |
_version_ | 1784691514856701952 |
---|---|
author | Ng, Qin Xiang Lim, Yu Liang Loke, Wayren Chee, Kuan Tsee Lim, Donovan Yutong |
author_facet | Ng, Qin Xiang Lim, Yu Liang Loke, Wayren Chee, Kuan Tsee Lim, Donovan Yutong |
author_sort | Ng, Qin Xiang |
collection | PubMed |
description | Eating disorders (EDs) are complicated mental illnesses with significant treatment resistance and dropout rates. For successful treatment, it is important for clinicians to better understand the patients’ narrative and their lived experiences. A thorough psychodynamic understanding of patients’ childhood attachment and primary relationships, personality traits and mental processes is, therefore, crucial for managing patients with ED. Interestingly, several studies have observed an association between functional urinary symptoms and individuals with ED. EDs such as anorexia nervosa are associated with an increased risk of all urinary symptoms, and functional incontinence was also more common in extreme female athletes with low energy availability and with disordered eating. There is, however, a dearth of literature describing this relationship, and the underlying mechanisms remain remote. In this paper, we present a psychoanalytic approach to the presence of urinary symptoms in females with EDs. We hypothesize that these symptoms are tied to specific traits or characteristics of ED patients, namely the overarching need for control, a pathological strive for perfection and the self-denial of basic bodily urges. This is discussed in relation to psychopathological processes, development and personality factors commonly seen in patients with ED. |
format | Online Article Text |
id | pubmed-9028028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-90280282022-04-23 Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective Ng, Qin Xiang Lim, Yu Liang Loke, Wayren Chee, Kuan Tsee Lim, Donovan Yutong Int J Environ Res Public Health Communication Eating disorders (EDs) are complicated mental illnesses with significant treatment resistance and dropout rates. For successful treatment, it is important for clinicians to better understand the patients’ narrative and their lived experiences. A thorough psychodynamic understanding of patients’ childhood attachment and primary relationships, personality traits and mental processes is, therefore, crucial for managing patients with ED. Interestingly, several studies have observed an association between functional urinary symptoms and individuals with ED. EDs such as anorexia nervosa are associated with an increased risk of all urinary symptoms, and functional incontinence was also more common in extreme female athletes with low energy availability and with disordered eating. There is, however, a dearth of literature describing this relationship, and the underlying mechanisms remain remote. In this paper, we present a psychoanalytic approach to the presence of urinary symptoms in females with EDs. We hypothesize that these symptoms are tied to specific traits or characteristics of ED patients, namely the overarching need for control, a pathological strive for perfection and the self-denial of basic bodily urges. This is discussed in relation to psychopathological processes, development and personality factors commonly seen in patients with ED. MDPI 2022-04-17 /pmc/articles/PMC9028028/ /pubmed/35457741 http://dx.doi.org/10.3390/ijerph19084874 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Communication Ng, Qin Xiang Lim, Yu Liang Loke, Wayren Chee, Kuan Tsee Lim, Donovan Yutong Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective |
title | Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective |
title_full | Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective |
title_fullStr | Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective |
title_full_unstemmed | Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective |
title_short | Females with Eating Disorders and Urinary Incontinence: A Psychoanalytic Perspective |
title_sort | females with eating disorders and urinary incontinence: a psychoanalytic perspective |
topic | Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028028/ https://www.ncbi.nlm.nih.gov/pubmed/35457741 http://dx.doi.org/10.3390/ijerph19084874 |
work_keys_str_mv | AT ngqinxiang femaleswitheatingdisordersandurinaryincontinenceapsychoanalyticperspective AT limyuliang femaleswitheatingdisordersandurinaryincontinenceapsychoanalyticperspective AT lokewayren femaleswitheatingdisordersandurinaryincontinenceapsychoanalyticperspective AT cheekuantsee femaleswitheatingdisordersandurinaryincontinenceapsychoanalyticperspective AT limdonovanyutong femaleswitheatingdisordersandurinaryincontinenceapsychoanalyticperspective |