Eating Disorders" Susan Kleinman

 

I

 Unit: Eating Disorders
Theme: Susan Kleinman

Introduction
 

Susan Kleinman is a dance/movment therapist who works at the Renfrew Center of Coconut Creek, Florida. Renfrew is a Residential facility specializing in the treatment of anorexia, bulimia, and binge eating as well as the full range of eating disorders.

Renfrew’s safe, friendly and homelike atmosphere promotes interpersonal connection by reinforcing a sense of community, by helping patients recognize shared themes and struggles. Located on a lush, tropical 10-acre former horse farm near Boca Raton, Renfrew uses the power of nature and open spaces to run its program.

Programming at the Coconut Creek location consists of a comprehensive range of services including Residential, Day Treatment, Intensive Outpatient, and Outpatient Services. Specialized treatment tracks are available for inpatient treatment, including the care of those who are medically compromised, have experienced trauma or who are struggling with substance use.
 
II
Learning Objectives
 
  • Understand Kleinman's terms related to eating disorders 
  • Explain the central coherence theory
  • Gain an awareness of the two ends of the spectrum in eating disorders
  •  Experience the use the cognitive markers in DMT with eating disorders
 
 III
Check in
 
 
IV
Main Lesson
 
1
 
Susan Kleinman
Video 1
 

 
2
 
 Cognitive Markers


 Link
 (Page 115 -118)
Introduction - Dance Movement Therapy: The Process

  •  Explore an experience
  • Make Discoveries regarding what has been explored
  • Acknowledge that the discoveries are important
  • Connect the meaning of a discovery with a familiar pattern or experience.
  • Integrate the meaning of the connection in their lives so that the insights can be explored over time.
Question 1
 
According to Kleinman's text, define the following terms:
  • interoceptive experiences
  • "detour"
  • "true self"
  • "mantra"
  • rhythmic synchrony 
  • Kinesthetic awareness
  • kinesthetic empathy

Question 2

The weak central coherence theory (WCC), also called the central coherence theory (CC), suggests that a specific perceptual-cognitive style, loosely described as a limited ability to understand context or to "see the big picture", underlies the central disturbance in autism and related autism spectrum disorders.
 
"Central coherence” was the term given to a human being's ability to derive overall meaning from a mass of details. A person with strong central coherence, looking at an endless expanse of trees, would see “the forest.” A person with weak central coherence would see only a whole lot of individual trees. 
 
 Where in the text do you see an instance of "central coherence difficulties" in Erin's behavior? 
 
 
https://www.google.com/books/edition/Trauma_Informed_Approaches_to_Eating_Dis/JFtVDwAAQBAJ?hl=en&gbpv=1&dq=Susan+Kleinman&pg=PA115&printsec=frontcover
 

 3

 
 Cognitive Markers


 Link
 (118 - 120)
 
Articulating the Therapeutic Frame: The Cognitive Markers (CMs) - Final Thoughts: The Challenge of Change
 
 Question 4

Sumarize Kleinman's main ideas as expressed in pages 118-120.
 
 
V
A Note to Remember
 
Typically, individuals will need a team of providers for eating disorder treatment. Programs can cost anywhere from $30,000-$40,000 per month for inpatient eating disorder treatment.
 
 
 
VI 
Case Study
 

  Susan Kleinman

Video


Dance/Movement Therapy and Eating Disorders

 Question 3

According to Kleinman, what are the two ends of the spectrum for people with eating disorders?
 

VII
 
Activity 1
 
Students organize themselves in a circle and participate in a group therapy session using Susan Kleinman's methodology.

Acronym: EDACI

Explore
Discover
Acknowledge
Connect
Integrate


VIII

Journaling


IX

Glossary


X

Sources


XI

Students' Work

 Celeste Pongratz

11/2

  1. According to Kleinman's text, define the following terms:

    • Interoceptive Experiences: experiences related to the physiological condition of the body. It is the internal perception of physical and emotional states.

    • "Detour": could be referring to an avoidance strategy or a way of circumventing direct confrontation with difficult emotions or traumatic memories.

    • "True Self": an individual's authentic core or being, free from the distortion of psychological trauma, defense mechanisms, or societal expectations. It is the genuine expression of who the person is.

    • "Mantra": a repeated phrase or set of beliefs that one uses to instill a particular mindset or intention. For focusing, calming, or empowering oneself.

    • Rhythmic Synchrony: harmonious coordination of movement or behavior in time with an external rhythm or with another's actions. The therapist and patient move in a synchronized manner to build connection and empathy.

    • Kinesthetic Awareness: conscious recognition and understanding of the position and movement of the body in space.

    • Kinesthetic Empathy: understanding and being in tune with another person's feelings through physical movement and embodied experience. 

  2. Where in the text do you see an instance of "central coherence difficulties" in Erin's behavior? 

Erin's behavior shows central coherence difficulties in her focus on the mantra she has created to manage her feelings. She is concentrating on rules she has set for herself, like questioning her feelings and trying to control them, rather than understanding her emotions in the context of her overall experience and trauma. This detailed focus on controlling specific feelings without integrating them into a larger understanding of self illustrates weak central coherence—she is seeing the "trees" (individual rules and feelings) rather than the "forest" (a holistic understanding of her emotional state and its origins).

  1. According to Kleinman, what are the two ends of the spectrum for people with eating disorders?

Survival Mode: This end of the spectrum involves individuals who are primarily focused on controlling their eating as a way to manage underlying trauma and emotional difficulties. They are in a state of trying to feel safe and secure by strictly regulating their food intake and body size, which is rooted in fear and the need for control.

Recovery Mode: The other end of the spectrum is where individuals move toward recovery by learning to connect with and live in their bodies. This involves shifting from survival strategies to a mode where they feel secure enough to understand and express their feelings, and to experience their "true self" beyond the preoccupation with food and body image.

  1. Summarize Kleinman's main ideas as expressed in pages 118-120.

Kleinman's main ideas revolve around the therapeutic process of dance movement therapy and its effectiveness in addressing the complex experiences of individuals with eating disorders, particularly those who have a history of trauma. Kleinman illustrates the power of DMT as a catalyst for change, providing a path for individuals to express and understand their internal states, resulting in the potential for profound personal transformation. Erin's case demonstrates a movement toward wholeness and authenticity, shedding light on the broader implications of such therapeutic work for individuals struggling with similar issues.

 

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