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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...

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Autores principales: Ng, Qin Xiang, Lim, Yu Liang, Loke, Wayren, Chee, Kuan Tsee, Lim, Donovan Yutong
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
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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.
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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
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