Intimate Saboteurs |
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Authors: | Gaye Andrews PhD MFCC |
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Institution: | (1) Litelife Counselor and Patient Educator, Saint Luke Medical Center, Pasadena, California, USA; Author: Living a Lighter Lifestyle: a Guide to Successful Weight Loss and Maintenance Following Gastroplasty or Gastric Bypass |
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Abstract: | Background: The bariatric patient exists in dynamic relationship with family members and friends who have considerable influence
upon the patient and his or her surgical outcome. When family members and friends behave as intimate saboteurs, they attempt
to hamper, hurt, or subvert the bariatric patient's goal of achieving and maintaining a healthy body weight. Successful or
not, intimate saboteurs provide significant treatment challenges for the patient and the treatment team. Methods and Patients:
Patient profiles provide examples of intimate sabotage. The psychological construct of Family Systems Theory is used as a
plausible explanation for the sabotage of friends and family. Conclusions: Multidisciplinary professionals treating the bariatric
patient must be aware of the critical influence of intimate saboteurs and the tactics they use to sabotage. Treatment guidelines
recommended by Family Systems Theory are presented as strategies to mitigate the influence of intimate saboteurs. |
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Keywords: | Family Systems Theory gastric bypass gastroplasty morbid obesity obesity surgery patient profiles sabotage saboteurs treatment |
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