"One prong in the approach to incorporating genetics into clinical work focuses on the parents of individuals with eating disorders. Whether the parents are involved in parent training, traditional family therapy, or other types of supportive interventions, they can be educated about genetic factors influencing eating disorders. A sensitive explanation that incorporates knowledge about complex genetic etiology (not the one gene-one disease model) and about how genes and environment interact can serve to relieve guilt in parents who have been blamed for creating the illness in their offspring (or alternatively erroneously assumed that their parenting was to blame). A genetic and biological explanation can help parents understand that their child’s resistance is not just stubbornness or deviousness, but that in his or her recovery, their child is fighting an uphill battle against his or her biology. This knowledge can empower parents to understand and can decrease frustration. Care should be taken that parents do not transform this knowledge into a new form of guilt (i.e., feeling guilty for passing on risk genes), as the roll of the genetic dice is one thing over which we have no control. Likewise, care should be taken not to allow the genetic information to impart complete absolution on parents, as parenting can always improve and positive parenting changes should also be prescribed as part of treatment."
January 1, 1970