Feyza Pinar, Yelda Orcan, Skran Basarir

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DISGUISED MOURNING An Anorexic Student in A
School

• Feyza Pinar, Yelda Orcan, Sükran Basarir
• American Robert College, Turkey

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WHAT IS THIS PRESENTATION ABOUT?

• Title
• Setting
• Participant
• Case

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What steps are taken by the RC Counseling service
while working on the case?

• Interviewing the student
• Informing the family
• Informing the administration about the case
  (Child Study Commitee)
• If necessary, directing the case to professional
  help
• Discussing the case on supervison sessions

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LITERATURE REVIEW
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Stages of mourning process

• Denial
• Anger
• Bargaining
• Depression

• Regression
• Guilt
• Dreams
• Acceptance

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How does an adolescent live through the mourning
process?

• Like adults
• Mourning stages
• Putting on new roles
• Unhealthy identification
• Feeling of guiltiness
• Apart from adults
• Another loss - their childhood

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MOURNING

• HEALTHY MOURNING
• Uncomplicated
• Relationship
• Living through the stages gradually
• Expressing feelings of grief
• Rituals

• PATHOLOGICAL MOURNING
• Complicated
• Relationship
• Stucking on a stage
• Inability to express feelings of grief
• Inability to mourn

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SOME SYMPTOMS OF PATHOLOGICAL MOURNING

• Devoid of sensation
• Excessive or reduced physical activity
• Transfer of symptoms suffered by the deceased to
  the survivor
• Depression
• Insomnia
• Health problems

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ANOREXIA NERVOSA

• The anorexic individual, refuses to maintain a
  minimally normal body weight, is intensely afraid
  of gaining weight, and exhibits a significant
  disturbances in the perception of the body shape
  or size of his/her body. Post- menarcheal females
  with this disorder are amenorrheic.

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Anorexia Nervosa

• Common personality traits
• Common behavioral, physical, emotional symptoms
• Receiving the projections of parents who had
  traumatic experiences in past their and could not
  manage them.
• Disorganized, disoriented family styles

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REFERENCES

• Anderson, R., Dartington, A. (1998). Facing it
  out Clinical perspectives on adolescent
  disturbance. NY Routledge.
• Ayalon, O. (1983). Precarious balance Coping
  with stress in the family.
• Briggs, S. (2002). Working with adolescents. NY
  Palgrave Macmillan Ltd.
• Gürdal, A. (2004). 9th Adolescent psychiatry
  symposium Anorexia Nevrosa. Istanbul November,
  26-28.
• Haggerty,R.J., Sherrod, L.R., Garmezy,N.,
  Rutter,M. (1996). Stress, risk, and resilience in
  children and adolescents processes, mechanisms
  and interventions. Cambridge Cambridge
  University Press.
• Knapp, C. (2003). Appetites. NY Counterpoint.
• Know, J. (1989). Death and dying. NY Chelsea
  House Publishers.
• Kulaksizoglu, A. (1999). Ergenlik psikolojisi.
  (Adolescent psychology). Istanbul Remzi Kitabevi
  AS.
• Kübler-Ross, E. (1969).On death and dying. NY
  Macmillan Publishing Company
• Parman, T. (2004). 9th Adolescent psychiatry
  symposium Case Habisburg . Istanbul November,
  26-28.
• Savasir, I.Boyacioglu, G. Kabakçi, E. (1998).
  Bilissel- Davranisçi Terapiler.
  (Cognitive-Behavioral Therapy) Ankara Türk
  Psikologlar Dernegi.
• Simon, T. (2004). Eating disorders, self-injury,
  and other body related disorders discussion
  group. Nice ECIS November Conference.
• Simpson, M.A. (1979). The facts of death. NJ
  Prentice-Hall Inc.
• Ugur, H. (2004). 9th Adolescent psychiatry
  symposium The cultural patterns of eating
  disorders in media. Istanbul November, 26-28.
• Volkan, V., Zintl, E. (1993) Life after loss. NY
  Macmillan Publishing Company

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CASE STUDY

• 16 year old girl
• Single child in the family
• High level of family status
• Fathers serious illnesscancer
• Death of father
• Sessions with the girl
• Directing to a professional help
• Resolution