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Joanna wrote :

"In your post you refer to a population of families I and other clinicians may never see. It's possible and probable that more exists than what comes through our offices for treatment....for example, [I] only work with adults who are affected by an eating disorder..."

I posted a link to your artical on the Parents board of Something-Fishy, and there is a discussion going there as well.

One of the things I mentioned in that conversation is the possiblity that, just as you have implied, some kind of screening may be at work ( perhaps you present yourself as working with truama issues as well ?) and as a result you may indeed see a high percentage of clients with the very same issues you mention. Heaven knows that such issues do exist, and that just as you contend, childhood family issues are often the cause.

However, as you might expect, these contentions are, in general, not playing very well on the Parents board. But my guess is that some of the same sort of selecton/screening process may be going on there as well. In that parents who may have indeed been detached, cold or neglectful are not likely to be joining Something-Fishy. Nor are they likely to show up here to validate the contentions in your artical.

I know for a fact that people with EDs come from all sorts of various backgrounds, from the horrifically abusive to the concientious and loving. When one agknowedges this range of variation, the role of genetically determined temprament as it plays out in sensitivity/reactivity would seem to be an important one.

What I mean is....I believe there is a valid place for all positions within this discussion.

PS. Bob waves an old-time hello to Laura. :- )

June 6, 2009 - 6:41pm

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