C. The treatments of anorexia nervosa that reflected in To the Bone film
Dr. Beck : I'm not going to treat you. If you aren't interested in living.
Ellen : Good speech.
Dr. Beck : If I'm going to help you, you have to agree to a few things.
Ellen : What?
Dr. Beck : No talk about food. I'm not interested. It's boring and not very helpful. And your parents can't talk about it either. You're on your own, understand?
Ellen : Yes.
Dr. Beck : You'll agree to a minimum of six weeks in-patient.
From the picture and conversation above, Ellen went to a doctor who is an expert in eating disorders. After the medical checkup was carried out, dr. Beck advises Ellen for treatment for 6 weeks if she is to survive. The picture depicts the program used by the doctor being structured inpatient and partial hospitalization programs for at least 6 weeks. Finally Ellen also followed the treatment by visiting a house that contained a patient with a fellow eating disorder. As the picture below:
Datum 2:
Picture 1538 Ellen : This is it? You're sure?
Susan : Yeah, this is the address.
Anna : Oh, hi. what's your name?
Ellen : Ellen.
Anna : Anna. Bulimia nervosa. Although, more nervosa than bulimia now. That's Kendra.
In the picture above shows a house, where the house is an inpatient house for Ellen to live in while undergoing treatment. The dialogue also
38 Duration 00:18:29 – 00:18:34
shows Anna, a person with bulimia nervosa introducing herself to Ellen when she just arrived in that house. The picture and dialogue above shows that structured inpatient and partial hospitalization programs program for at least 6 weeks are used by Dr. Beck, the patient is combined in one house with fellow people with eating disorders such as binge eating and bulimia nervosa.
2. Individual psychotherapy
Individual psychotherapy or interpersonal psychotherapy is a short-term psychological treatment that focuses on a person's relationship with other people. The main purpose of this therapy is to improve a person's relationships and social interactions to help reduce the stress they experience. It can be seen in the picture and dialogue below:
Datum 1:
Picture 1639
Dr. Beck : How are you doing after family therapy?
Ellen : It's pretty much how it always is when my folks are together.
Dr. Beck : Minus your dad.
Ellen : Like I said. But I don't feel as bad as I thought I was going to.
Dr. Beck : Why do you think that is?
Ellen : I'm getting to know some of the people in the house. Some of them actually seem like they're doing okay.
Dr.Beck : I hope so.
39 Duration 00:54:16 – 00:56:21
In the picture above, shows Ellen talking together with Doctor Beck in a room. They are undergoing individual psychotherapy by talking about the state or mood of the ellen at that time. In the first individual therapy. They are talked about how Ellen felt after doing family therapy sessions and also how Ellen's relationship with all of her family.
From this data, the researchers found that there is individual psychotherapy, because of the conversation between Ellen and dr. Beck is a form of a short-term psychological treatment that focuses on a person's relationship with other people. Then second individual psychotherapy session is also shown in the scene below:
Datum 2:
Picture 1740
Dr. Beck : What's going on with you?
Ellen : Nothing.
Dr. Beck : Lobo tells me you're about a day away from getting the tube. You've been making progress, but you can't stay at Threshold if you drop any more weight.
Ellen : I just think it's so weird that you know everything about me... and I don't know anything about you.
In the picture above, Ellen undergoing individual psychotherapy. It is seen that Ellen is talking to Doctor Beck in his room. The doctor Beck asks about Ellen's condition or more to counseling about what is happening to Ellen in that time. Where in the second session, dialogue above explain that Ellen's condition is experiencing a decline. Whereas on
40 Duration 01:19:25 – 01:22:21
the previous day Ellen had made progress in efforts to cure this anorexia disorder.
In this film, researchers only found 2 data showing Ellen underwent individual psychotherapy. The data obtained is Ellen underwent individual psychotherapy with counseling about her problem or condition at that time to the doctor. From these two data, the researcher found that the discussion sessions that talked about Ellen were a form of individual psychotherapy. where individual psychotherapy is one of the treatment methods in psychosocial treatment.
3. Family psychotherapy
In the process of healing anorexia through this family therapy process, usually all family members of an anorexia sufferers are called to see a psychologist. They will be instructed on their role in helping people with anorexia heal. It can be seen in the picture and dialogue below:
Datum 1:
Picture 1841 Dr. Beck : No dad?
Susan : I'm sorry, work. Well, he has to support his family... and pay alimony, still, and the medical bills and... Understood.
Ellen : Bet you didn't expect this much "gynergy" today.
Dr. Beck : I do think this is a record number of mothers for one patient. Okay, I want everybody to understand nobody's on trial here. I just want to get a sense of the family.
In the picture above, is a meeting of Ellen's family members. Ellen sat on the right side of Doctor Beck. In this scene, Ellen is undergoing
41 Duration 00:35:27 – 00:38:09
family therapy where the doctor gathers Ellen's family for discussion. The meeting attended by Ellen's biological mother (Judy) and her partner (Olive), Ellen's stepmother (Susan) and stepsister (Kelly) without her father attending.
From the dialogue above, the researcher found data that shows the form of family therapy. The data can be seen from the words of dr. Beck that he wanted to feel the family side. Where the family therapy process is carried out by calling all family members to see a psychologist and they will be instructed on their role in helping people with anorexia heal. So, from these data, it can be concluded that one of the treatments of anorexia that Ellen underwent was family therapy and also the researchers found only 1 family therapy data that was shown in this film.
4. Support groups
Support groups are forums for counseling and sharing experiences with people with similar conditions or goals. It can be seen in the picture and dialogue below:
Datum 1:
Picture 1942
Karen : This is just an end of day check-in. The morning sessions are a little more focused. This is just to talk about struggles and our victories and... any other issues you might be having here in the house. Let's start with Pearl.
In the picture above shows that a patient eating disorder gathered in a room, including Ellen. They are undergoing support group therapy, where they are gathered in several sessions once a week. During the
42 Duration 00:23:44 – 00:26:53
session, seen from Dr. Karen's dialogue, told them to shared experiences such as difficulties, victories and other problems encountered in that house. From this scene, the researcher found that there was a support group therapy, because in this session the doctor Karen told them to share stories they had experienced during their treatment at home. It is categorized as a forum for counseling and sharing experiences with people with similar conditions, because they gather with all people who have a history of eating disorders. Other data showing the second session of the forums for counseling is provided below:
Datum 2:
Picture 2043
In the picture above, they are gathering again in the middle room.
At that time one patient told that she did not accept Ellen that she could just go out for a walk. From this scene, the researcher found a second forum for counseling. Where the patients discussed their complaints to Doctor Karen, in accordance with the theory that a support group is are forums for counseling and sharing experiences, including complaints or problems they are experiencing. Then from all the data obtained, the researchers found only two data showing Ellen underwent support group therapy in this film.
43 Duration 01:02:05 – 01:02:25
