Support for the concept of enmeshment: Manzi et al showed a distinction between family factors that promote positive emotional development and those that stifle it. Family cohesion - indicative of supportive family interactions, whereas enmeshment was rooted in manipultion and control. Also found that cohesion amoung family members was linked to positive outcomes and psychological well-being amound teens - enmeshment has opposite effects. (Applied for different cultural groups)
Problems with the psychosomatic family model: Research unable to find characteristics specific to families in which a member has AN. Growing evidence that families in which someone has an eating disorder are a diverse group in terms of the nature of family relationships, the emotional climate and pattrerns of family interaction.
Inconclusive support from family-based therapy: Success of family therapies shows families are a key part of recovery from AN. Carr et al - there is compelling evidence for the effectiveness of family interventions for teen AN. However, other researchers point out that whilst there are some evidence that family therapy is accompanied by changes in family functioning, these changes aren't necessarily predicted by the psychosomatic family model and may not happen in all families.
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