TMK Konsult AB, Sweden
Title: Obesity childhood treatment in a practical clinical setting using a systemic solution-focused model.
Ywonne Peterson is a family therapist and holds a master degree in social work. She has been trained in SFBT at NIK, Bremen between 1992-97 by the originator of SFBT. Y.P has been active for many years as a consulting supervisor and trainer of professionals who are working or going to work with childhood obesity using a solution-focused model. Supervisor/trainer/team member between 2000-2004 at Childhood Obesity Unit, Malmo University Hospital. Lecturer in SFBT method at 3 days basic course in childhood obesity 2003, 2005 and 2007. Lecture in SFBT method at SPOC (Scandinavian Pediatric Obesity Conference) 2004. Lecture in 7th Update on obesity, Brussels 2010. Lecture in BIT´s 1st World Congress of Endocrinology and Metabolism. Xiamen, China. 2011. Article: Family therapy treatment: working with obese children and their families with small steps and realistic goals, ACTA Paediatrica 2005; 94 (suppl 448): 42-44. Peterson, Y, Väga mig hit och Väga mig dit, ISBN: 978-91-85621–00-2, Sweden. Lecture in BIT´s 2, Beijing, 2012.
The multifactor causes of childhood obesity are complex and it is important to start with prevention as early as possible (1). Once obese children pass through puberty without treatment, they invariably become obese adults (2) Health promotion and advice is useless if obese families do not feel involved in treatment. (3) Some obese families have attempted too many changes in a short period of time and subsequently failed. (4) Patients are empowered when they have knowledge, skills, attitude and self-awareness necessary to influence their own behavior to improve quality of their lives. The solution-focused systemic approach, based on respect and collaboration with the patient and the family, concentrates on success, exceptions and solutions is helpful in life style changes (5). Health professionals need to be more open to practicing interviewing skills that give patients information they find helpful and give them own ideas about what they need to change in their life style. Health professionals also need to explain medical information in terms of single, small concrete steps and realistic goals. It does not help if the doctor, nurse or the psychologist is an expert if the child or their family with obese problems does not understand or feel included in the treatment. By involving the family as a partner in decision- and goal-setting process we focus on existing resources and give the patient and their family members a since of control of their own lives and locus of control.