Externalization:  Often referred to as "separating the child from the disease," externalization is recommended by many ED specialists. Often referred to as a narrative approach, externalization can be helpful in helping caregivers and the patient to think of distressing behaviors such as resistance to refeeding, compensatory behaviors, lying, deception, swearing, and hurtful personal attacks as symptoms of the disease rather than willful behavior on the part of the patient. Externalization can help caregivers temper their reactions to such behaviors and reduce anger and blame.

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