The power dynamic within the therapy with anorexia and bulimia: from constrain to resource?
Terapia Familiare, 128, 31-54.
This article presents the alternating pathways, a systemic therapeutic strategy for adolescent anorexia and bulimia developed by Ugazio (2010, 2013, 2019). It is a planned therapeutic path, articulated in four phases, which alternate family formats with individual sessions with the patient. This approach is based on the family semantic polarities theory (Ugazio, 1998, 2012, 2018), according to which the semantic of power prevails in the conversation of and with these families. Through the discussion of a clinical case, we illustrate how this strategy helps to overcome the dilemmas, related to the dynamics of power, so characteristic of psychotherapies with eating disorders and also maximize the therapeutic alliance with the family and especially with the patient.